The use of extenders and mid levels is already increasing. It is a way to decrease costs in some situations. It does have problems. While I know several who are as good or better than many docs, I also know many who cannot function independently. Yet, they all have the same education and experience. How will we differentiate? The time and effort that will go into supervising, training and evaluating these people will be quite expensive. The way we have been doing it is having them work for us an extended period of time, usually at least 3-5 years, before we separate out whom can work more independently. Many have declined to work more independently when offered. We pay them more (you wont save quite as much as you might think), but the hours are an issue. Docs are not hourly workers. Many mid-levels build their lives around the idea of having regular hours. If a catastrophe happens and a doc ends up working until midnight, that is just part of the job. Not so much for most mid-levels.
Video: Colonial Medical Supplies – Medicare approved DME.
AFGE request: Take action to support Soc. Sec., Medicare & Medicaid, December 5th » 11th Legislative District Democrats
On Wednesday, December 5th, AFGE Local 3937 will lead actions statewide to support Social Security, Medicare & Medicaid. The locations and times are below. The message will be: – No cuts to Social Security, Medicare, or Medicaid, including cost of living adjustments
Help with the Medicare options
The MedicareStore is holding an informational open house 9 a.m. to 5 p.m. Friday. An audiologist from hi Healthinnovations and a representative from SilverSneakers fitness program will be on hand, and there will be a SilverSneakerod demonstration at 1 p.m. The store is open 9 a.m. to 5 p.m. Mondays through Fridays, and is in the Golf Acres Shopping Center at 1412 N. Hancock Ave. For more information, call 357-1281.
Senior Care in Grand Rapids, MI: Open Enrollment for Medicare –Now through Dec 7, 2012
Would a small increase in premiums result in a large reduction in health care costs you pay? Check, for example, what coverage is available for prescription drugs you take? Medicare representatives can create a report containing the costs and benefits of various insurance products if you supply them with a list of your drug prescriptions. Ask questions about participating doctors and clinics. Some Medicare Advantage plans limit which physicians a patient can visit.
How Hospitals’ Quality Bonuses And Penalties Were Determined And How To Use The Data
For this year, the process measures account for 70 percent of a hospital’s score and the patient satisfaction measures account for 30 percent. Medicare looked at both how a hospital did compared to its peers and how much it improved its own performance over time, and whichever score was higher was the one used to calculate its payment factor. Hospitals stood to lose or gain up to 1 percent of their regular Medicare reimbursements in this first year of the program. The amount of money at stake increases incrementally over the next four years to reach 2 percent of payments.
Staten Island Insurance Agency Offers Free Medicare Health
“As an authorized representative of insurers such as Empire Blue Cross/Blue Shield; AARP® Medicare Plans from UnitedHealthcare® (UHC); EmblemHealth®, and Touchtone, we routinely provide clients with a free comparison between all the different plans offered on Staten Island,” DeFranco said. “In addition, our firm has knowledge of which doctors and prescriptions are covered by each of the plans.”
Attention Health Professionals: Information Regarding the 2013 Medicare Physician Fee Schedule
In less than 12 days,, current law requires Medicare physician payments to be reduced by over 26.5 percent because of the flawed sustainable growth rate (SGR) update formula. Physician groups have been telling Congress to take decisive action to prevent the reduction to Medicare physician payments. It is critical to transition to a higher-performing Medicare program, beginning with permanent repeal of the SGR.
California insurance firm over billed Medicare $424 million
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Demystifying Medicare Part D enrollment
Once you’ve found a plan that fits your budget and medication needs, don’t forget about convenience when filling your prescriptions. A pharmacy accepted as “preferred” by a Medicare Part D Plan is a network pharmacy that offers covered drugs to plan members at lower out-of-pocket costs than what the member would pay at a non-preferred network pharmacy. For example, Walmart is a preferred pharmacy on multiple plans including the Humana-Walmart Preferred Rx Plan. People with high blood pressure or who are concerned about heart health also should know that Humana and Walmart just announced that members of the Humana Walmart-Preferred Rx Plan will have access to 10 hypertension drugs for a penny each when filled at one of the 4,400 Walmart or Sam’s Club pharmacy locations.
Medicare Fraud involving SC Hospice Company : South Carolina Nursing Home Blog
Harmony Hospice Care, a South Carolina hospice company owned by Daniel J. Burton will pay the federal government nearly $1.3 million in a settlement with DOJ for filing false claims to Medicare. Harmony Hospice Care was filing claims for hospice care under Medicare for patients who did not qualify. Harmony Hospice Care has locations in Columbia, Greenville, Hartsville and Union.
CMS Reveals First 27 ACOs in Medicare Shared Savings Program
The ACOs span 18 states and will cover roughly 375,000 beneficiaries. Five of the 27 ACOs are participating in the Advance Payment ACO Model, under which each ACO will receive advance payments to help cover the costs of establishing an ACO infrastructure. The names of the Advance Payment ACOs were not disclosed in the news release. CMS is now reviewing more than 150 applications from ACOs seeking to participate in MSSP beginning July 1. Of those applicants, more than 50 are applying for the Advance Payment ACO Model. The first 27 ACOs to participate in the MSSP program are listed here, along with their respective locations: 1. Accountable Care Coalition of Caldwell County, LLC (N.C.) 2. Accountable Care Coalition of Coastal Georgia 3. Accountable Care Coalition of Eastern North Carolina, LLC 4. Accountable Care Coalition of Greater Athens Georgia 5. Accountable Care Coalition of Mount Kisco, LLC (N.Y.) 6. Accountable Care Coalition of the Mississippi Gulf Coast, LLC 7. Accountable Care Coalition of the North Country, LLC (N.Y.) 8. Accountable Care Coalition of Southeast Wisconsin, LLC 9. Accountable Care Coalition of Texas, Inc. 10. AHS ACO, LLC (N.J.) 11. AppleCare Medical ACO, LLC (California) 12. Arizona Connected Care, LLC (Arizona) 13. Chinese Community Accountable Care Organization (N.Y.) 14. CIPA Western New York IPA, doing business as Catholic Medical Partners (N.Y.) 15. Coastal Carolina Quality Care, Inc. (N.C.) 16. Crystal Run Healthcare ACO, LLC (N.Y. and Pa.) 17. Florida Physicians Trust, LLC 18. Hackensack Physician-Hospital Alliance ACO, LLC (N.J.) 19. Jackson Purchase Medical Associates, PSC (Ky.) 20. Jordan Community ACO (Mass.) 21. North Country ACO (N.H.) 22. Optimus Healthcare Partners, LLC (N.J.) 23. Physicians of Cape Cod ACO (Mass.) 24. Premier ACO Physician Network (Calif.) 25. Primary Partners, LLC (Fla.) 26. RGV ACO Health Providers, LLC (Texas) 27. West Florida ACO, LLC