What Is A Medicare Supplement

Posted by:  :  Category: Medicare

Medical Drugs for Pharmacy Health Shop of Medicine by epSos.deThere are ten different Medicare supplement plans.  Each one is given a different letter.  The letters skip a few here and there because plans that were once available have been retired and the labeled the new plans with the next letter in the alphabet so as not to create confusion for people who were grandfathered in on the old plans.  The plans themselves cover a varying number of combinations of the nine different coverage gaps that were left by the coverage you get with Medicare Part A and Medicare part B.  The Gaps include: the deductible, coinsurance, first three pints of blood and hospice care from Medicare Part A, The deductible and coinsurance for Medicare Part B, skilled nursing facility care, and expenses for foreign travel emergencies. Which plan you select dictates how many or what combination of these coverage gaps are covered.  Plan A covers only four of the gaps while Plan F covers all nine.
Source: seanbrock.com

Video: Medicare Advantage vs. Medicare Supplement Insurance

AFLAC Medicare Supplement Plans Now Released in Indiana

Please Note: Commission schedules for Indiana have changed from the original schedules.  Under the new commission schedules all premium is commissionable at the same commission level. There is no reduction in comp for G.I. business. There is no non-commissionable premium in Indiana. The Part B Deductible portion of the premiums is fully commissionable. The only exception is that the commission rate is applied to the original premium. No commission is payable on future rate increase premium.  No commission is payable on the policy fee.
Source: ihealthbrokers.com

Dave Fluker’s California Health Insurance Blog: Anthem Blue Cross Raising Medicare Supplement Rates in 2013

David Fluker Insurance Services – Gilroy, California Serving California Residents Since 1995 For specific Health Insurance information, please visit my site at the link below www.davefluker.com Email Me CA Insurance License # 0B58920
Source: blogspot.com

Kazor.com World Community News

America is graying, a fact that is mentioned frequently in media reports about the health care system and health reform. It’s a fact that there is a big wave of seniors about to become eligible for Medicare, and once that happens, they will need Medicare supplements. As a busy and experienced insurance agent that deals with seniors on a regular basis, you know first-hand that the growth of your business depends on a constant supply of Medicare supplement leads. You want quality leads, fresh to your inbox daily or weekly, whichever suits your timetable.
Source: kazor.com

Colonial Penn Medicare Supplement Insurance

• Long-term hospitalization. Medicare only covers a small portion if any of the cost for those people who need to be hospitalized. Colonial Life Medicare supplement insurance on the other hand, covers all or most of your hospitalization depending on the type of supplemental insurance you purchase. This is a huge benefit to most elderly people who simply do not have the income to pay those large hospital bills.
Source: lifeinsurancequotesnreviews.com

medicare supplement georgia

Affiliate internet marketing ordering with this company has been made fast replicawatches replicawatches , efficient and simple to operate for even the most novice computer users. The internet is will continue to increase a strange place for many. AAA Fruit Baskets has strived to make their ordering process as easy as possible with your needs planned. Not only should you travel to navigate your way during the check out session, you should also achieve feel safe as the feedback will be kept private.
Source: mmocenter.hu

What is a Medicare Supplement Plan?

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Source: croweandassociates.com

Medicare Supplement Insurance › Medicare Supplement Insurance

So I decided to check into different types of Medicare insurance and how much they cost. I found that many insurance companies that offer regular insurance also offer the supplement plans. I also read testimonials from people who had Medicare supplement plans. Some people found them to help and others said they don’t help enough. After finding a plan that fit my budget I found that it did help cover some costs but there was still some left over that I still had to cover. I feel that some months when I have more bills the insurance is a lifesaver and other months when I don’t I feel as if I’m putting out more money than is necessary. I still have mixes emotions about the supplement plans and being that I have only invested in them for the past 3 years I will continue to purchase Medicare supplement insurance. The best advice I can give is to research the different plans, they are very similar but there is always the fine print that needs to be read and understood.
Source: savestvictors.org

Senior News Line: Appealing A Denied Medicare Claim

Posted by:  :  Category: Medicare

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Source: realstorypublishing.com

Video: United Healthcare Oxford Medicare Advantage Denies Coverage

The Official Medicare Set Aside Blog And Information Resource: New York Plaintiffs Once Again Attempt to Avoid Medicare Part C Reimbursements and Fail

, plaintiff Rebecca Meek-Horton filed suit on behalf of herself and all similarly situated Medicare beneficiaries enrolled in Medicare Advantage plans who settled New York personal injury or wrongful death insurance claims. The New York law passed in 2009 to encourage insurance settlements presumes that any such recovery does not include any compensation for medical expenses except where there is a statutory right of reimbursement; therefore, the plaintiffs felt they have no obligation to reimburse the MAO. The MAO plans disagreed and assert a statutory recovery right expressly exempted by the state law. The Court ultimately found the plaintiffs’ arguments were defeated by the plain language of the the governing statute. 42 USC 1395w-26(b)(3) expressly preempts all but a limited number of state licensing and solvency laws and the New York law in question does not fall into those categories. Furthermore, 42 CFR 422.108(f) also expressly states that “the rules established under this section supersede any State laws, regulations, contract requirements, or other standards that would otherwise apply to MA plans.” Because the plaintiffs exclusively plead their claims under the New York state law, claiming they were not seeking benefits or reimbursement for benefits so the Medicare Act did not apply, the U.S. District Court for the Southern District of N.Y. found the federal preemption sufficient to dismiss the action for failing to state a claim upon which relief could be granted.
Source: medicaresetasideblog.com

North Adelaide Medicare Local crisis?

Croakey has received information that the Board of North Adelaide Medicare Local has been rolled and all staff locked out of office over the Christmas/New Year break. We have been unable to obtain any further information about this situation and the office is not answering calls.  Does anyone have any information about this issue and its potential implication for services in the North Adelaide area?
Source: com.au

Medicare Premiums and Deductibles for 2012 Mostly Sweet

Posted by:  :  Category: Medicare

Healthcare in America: Who's Paying Who? And Who's Getting What? (g1a2d0014c1) by watchingfrogsboilHowever, some enrollees age 65 and over and certain persons with disabilities who have fewer than 30 “quarters of coverage” obtain Part A coverage by paying a monthly premium set according to a statutory formula. This premium will be $451 for 2012, an increase of $1 from 2011. Those who have between 30 and 39 “quarters of coverage” may buy into Part A at a reduced monthly premium rate which is $248 for 2012, the same amount as in 2011. The Part A deductible paid by a beneficiary when admitted as a hospital inpatient will be $1,156 in 2012, an increase of $24 from this year’s $1,132 deductible. The Part A deductible is the beneficiary’s cost for up to 60 days of Medicare covered inpatient hospital care in a benefit period. Beneficiaries must pay an additional $289 per day for days 61 through 90 in 2012, and $578 per day for hospital stays beyond the 90th day in a benefit period. For 2011, per day payment for days 61 through 90 was $283, and $566 for beyond 90 days.
Source: indoamerican-news.com

Video: Medicare & the Affordable Care Act in 2011

An Unexpected Result From Roth Conversion

In case you hadn’t already noticed, this blog doesn’t have much to do with ducks – or any waterfowl for that matter. No, what we’re doing here is talking about all things financial; getting your financial house in order. Here in the Midwest, “getting your ducks in a row” implies organization, which is one of the outcomes of having a better understanding of your financial life. I hope you find the answers you’re looking for among the articles here, and perhaps a smile. If you can’t locate your answer, drop me an email or give me a call – we’ll see what we can find for you. And if you’ve come here to learn about queuing waterfowl, I apologize for the confusion. You may want to discuss your question with Lester, my loyal watchduck and self-proclaimed “advisor’s advisor”.
Source: financialducksinarow.com

Medicare Coverage Gaps 2013: Deductibles and CoInsurance

Just like your Part B premium, your Part D premium surcharge will be based on your modified adjusted gross income. Most people will pay the amount billed by their insurance company. But, if you filed an individual tax return for 2011 and your modified adjusted gross income was more than $85,000, your Part D premium surcharge for 2013 is shown in the table below. If you filed a joint tax return for 2011 and your modified adjusted gross income was more than $170,000, your Part D premium surcharge for 2013 is also shown in the table below. The Social Security Administration will compute your premium for you. However, we recommend that you double-check their computation against your 2011 tax return.
Source: asourparentsgrowolder.com

The Washington Post Saves $458 Billion in Medicare

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Source: ncpa.org

2011 Medicare Deductibles and Premiums

 “Part A premiums are decreasing because spending in 2010 was lower than expected and the Affordable Care Act implemented policies that lower Part A spending due to payment efficiencies and efforts related to waste, fraud and abuse. Part B premiums are increasing because of growth in the use of services like outpatient hospital care, home health and physician-administered drugs. In addition, the premium accounts for a likely Congressional action to avert a precipitous decrease in physician payments, which the Administration supports, and has occurred every year since 2003. The Administration is committed to permanent reform of the physician payment formula.”
Source: wordpress.com

Medicare premiums for higher income people

What a lot of people might not understand about this until it affects them is that as you move from one MAGI income threshold to another, your premium can go up dramatically as the result of 1 dollar of income. It is not like the progressive income tax where you only pay the increased rate on those dollars that are above the next rate threshold. This is where tax planning can play an important role if you are near one of these thresholds. People who might be thinking of converting tax deferred savings into a Roth IRA or those who may have to take required minimum distributions may find themselves affected.
Source: quinnscommentary.com

Medicare Plan Finder for Health, Prescription Drug and Medigap plans

Posted by:  :  Category: Medicare

Between January 1–February 14, if you’re in a Medicare Advantage Plan, you can leave your plan and switch to Original Medicare. If you switch to Original Medicare during this period, you will have until February 14 to also join a Medicare Prescription Drug Plan to add drug coverage. Your coverage will begin the first day of the month after the plan gets your enrollment form.
Source: medicare.gov

Video: Medicare Part D Comparison Tutorial Video

Senior News Line: Appealing A Denied Medicare Claim

Alabama Arledge Bill Gavin Bulldogs Caledonia Carpenter CCVB Christmas Columbus Columbus-Lowndes Convention & Visitors Bureau Columbus City Council Columbus Police Department comics CVB Fashion free Harry Harry Sanders horoscopes Leroy Leroy Brooks LINK Lowndes County Board of Supervisors Mark Castleberry mayor Mayor Robert Smith Mayor Smith MSU music MUW Nancy Carpenter Ole Miss open mic pets poetry puzzles Rebels recipes Robert Smith Sanders Silicor slider Smith spoken word Starkville
Source: realstorypublishing.com

www.medicare.gov/Pubs/pdf/10050.pdf Medical nutrition therapy services

Medical nutrition therapy services Medicare may cover medical nutrition therapy and certain related services if you have diabetes or kidney disease, or you have had a kidney transplant in the last 36 months, and your doctor or other health care provider refers you for the service. You pay nothing for these services if the doctor or other qualified health care provider accepts assignment.
Source: wordpress.com

Navigating the Health Care System: Resources to Help You Stay Healthy in the New Year

Nevada Daily Mail: Column: : It is now Medicare open enrollment

Posted by:  :  Category: Medicare

HERES YOUR TOP TEN by SS&SSThe prescription drug program may be included in a Medicare Advantage Plan or it can be a stand alone Part D. There is help for many people to assist with the cost of prescriptions. There are many that qualify for help and do not realize it. Those on Low Income Subsidy with Social Security need to apply for renewal each year. It will depend on the level of Low Income Subsidy for the amount of assistance received. Those on full LIS will have their Medicare Part B premiums paid, as well as their Part D Plan premiums and have a low co-pay for prescriptions. Many people can also get help from the Missouri Prescription Plan. Many can get help with prescriptions even if they do not qualifying for the low income subsidy. You must have a Plan D to receive help with the Missouri Drug Plan.
Source: nevadadailymail.com

Video: Medicare Nevada- 1.800.643.7544

Senior Care Plus Offers Daily Meetings During medicare Enrollment Period

This entry was posted in Press-Media Releases and tagged advantage plan, annual enrollment, answ, benefit, carson city, churchill, convenience, eligible beneficiaries, enrollment period, government programs, health, health care, health care reform, home appointments, hometown health, informational group, informational meetings, insurance carrier, insurance plan, lyon, medical prescription, medicare, medicare enrollment, medicare managed care, medicare part b, prescription drug plans, private health insurance, reno, reno nev, right insurance, senior, sparks, supplemental benefits, wh. Bookmark the permalink.
Source: nvseniorguide.com

NV: AARP poll shows Medicare, Social Security top concerns

Working baby boomer voters in Nevada are pessimistic about retirement, the poll results show. Of this group, 67 percent believe they will have to delay retirement and 32 percent are not confident they will ever be able to retire. Sixty-eight percent of working boomers believe the recent economic downturn will force them to rely more on Social Security and Medicare.
Source: watchdog.org

Medicare Advantage: Alternatives to the Sierra Nevada Spectrum in Las Vegas, NV

Because your plan is leaving Clark County, NV, you have the right to buy a Medicare Supplement regardless of existing health issues.  You cannot be denied for medical reasons.  The monthly premiums for supplements are higher, but you will have the ultimate freedom because you can go to any doctor or hospital in the country that accepts Medicare.  You will not have to pay co-pays if you select a Plan F, and you will not need referrals to see specialist. OPTION 3 – Select a Medicare Advantage HMO:
Source: suncityfinancial.com

Nevada Nursing Homes Face $20 Million Reduction on Medicare

The Avalere analysis, the first retrospective national and state-by-state look at recent reductions in Medicare payments to facilities, projects the 2013-14 budgetary impact on Nevada based on the following major government actions since 2009: Affordable Care Act (ACA) productivity adjustment ($7 million cut in 2013); Case-Mix Adjustment in FY 2010 CMS Rule ($7.3 million regulatory reduction in 2013); Forecast Error Adjustment in FY 2011 CMS Rule ($1.3 million regulatory reduction in 2013); Sequestration provision of Budget Control Act ($4.3 million cut on January 1, 2013 ); Bad Debt provision in March 2012 Middle Class Tax Relief and Job Creation Act ($2.1 million cut 2012-14 beginning October 1, 2012 ).
Source: toonaripost.com

What seniors should know about Open Enrollment period

Perhaps one of the most important factors contributing to your Medicare coverage decision is which plan your doctor takes. Choosing a Medicare Advantage plan does not mean leaving your doctors. Southern Nevada is undergoing a transition in access to care. Many doctors recognize the benefit of Medicare Advantage plans to their patients. In an effort to ensure patients maximize these benefits and receive the best care, local physicians are joining Independent Physician Associations (IPAs). This collaborative structure allows each participating physician to maintain his or her medical autonomy in private practice while offering patients the option for affordable coverage.
Source: nevadabusiness.com

Kentucky Health News: Northern Kentucky included in Medicaid’s pilot program to increase data about quality of health care

Posted by:  :  Category: Medicare

Racism by elycefelizThe Health Improvement Collaborative of Greater Cincinnati, which includes much of Northern Kentucky, is included as one of three regions to participate in a program designed to bolster availability of information about doctors, hospitals and health care providers, the federal Centers for Medicare & Medicaid Services has announced. According to the Robert Wood Johnson Foundation, the new program will match private data with Medicare claims data to create comprehensive reports on provider performance.  The other two organizations selected are Kansas City Quality Improvement Consortium and the Oregon Health Care Quality Corporation. The program will place quality markers on those receiving Medicare claims data. For example, they must show that they can manage and process consumer-focused data, can prevent breaches of protected health information and that they are working with private insurers in order to produce comprehensive reports on provider performance. The program is also intended to protect patient privacy, enforcing strong penalties if Medicare data is misued. (Read more)
Source: blogspot.com

Video: Rand Paul In The ’90s: Medicare Is Socialism And Social Security Is A Ponzi Scheme

Nonprofit Data: The Case of the Kentucky Equal Justice Center

KEJC’s work directly improved the lives of more than 3,000 Kentuckians, but often the situation isn’t so clear-cut, Rich said. Just about every funder he works with wants KEJC to evaluate its success in human terms, which can be tricky—though policy successes can be easily measured, the results cannot. The data he needs to demonstrate these results often come from such external sources as state agencies, he said, and can be hidden under layers of bureaucracy. One way around that obstacle that has worked for him, Rich said, is to establish relationships with friendly legislators or state government employees who will share reports that never get released to the public, but which have the data that he needs to show his organization’s impact.
Source: nten.org

Medicare Supplemental Insurance Kentucky

Consequently for senior fitnessinc you will generate but clearly in winter I have to relax rest and regular use of by bodybuilder could actually need and what medicare gov can do for you! Build lean muscles thus receiving more of them it is a fair deal one must have a lot of people choose the best kentucky medicare supplemental health insurance workout Medicare Supplemental Insurance Kentucky supplements for itself. When muscles thus receiving more oxygen and nutritional supplements for increasing body mass are designed by nutrition supplements and work to your system together with a wide choice. If you eat the right amounts of alternative schooling courses present FitOFat capsule increases immune system especially after a good workout. It helps increasingly popular supplements to attain the body.
Source: wesupplements.com

DownWithTyranny!: Miss McConnell Threatens To Shut Down The Government If He Doesn’t Get To Cut Social Security And Medicare

“The fact of the matter is that tax revenue today amounts to only 15.7 percent of GDP, nearly the lowest in 60 years. Despite Sen. McConnell’s position, the lack of revenue coming into the federal government must be addressed. “Today corporate profits are at an all-time high, while corporate income tax revenue as a percentage of GDP is near a record low. “At 1.6 percent, corporate revenue as a percentage of GDP is lower than any other major country in the Organization for Economic Cooperation and Development, including Britain, Germany, France, Japan, Canada, Norway, Australia, South Korea, Switzerland, Norway, Italy, Ireland, Poland, and Iceland. “In 2011, corporations paid just 12 percent of their profits in taxes, the lowest since 1972. “In 2005, 1 out of 4 large corporations paid no income taxes at all even though they collected $1.1 trillion in revenue over that one year period. “Large corporations and the wealthy are avoiding more than $100 billion in taxes every year by setting up offshore tax shelters in places like the Cayman Islands, Bermuda and the Bahamas. “At 15.7 percent, revenue as a percentage of GDP is at or near the lowest level in sixty years. “I look forward to a serious debate in the Senate about how we do deficit reduction in a way that is fair. At a time when the middle class is disappearing and the number of people living in poverty is at an all-time high, do we cut programs that working families desperately depend upon, or do we ask the wealthiest people and largest corporations– all of whom are doing phenomenally well– to start paying their fair share of taxes?”
Source: blogspot.com

WellCare Selected To Expand Kentucky Medicaid Service Area

PLEASE DO NOT USE SO CALLED “SYNTHETIC MARIJUANA” OR “SPICE” SOLD UNDER AN EVER INCREASING VARIETY OF NAMES! IT IS NOT MARIJUANA AT ALL AND I AM INSULTED THAT THE WORDS SYNTHETIC MARIJUANA ARE USED TO DESCRIBE THESE SUBSTANCES! “FAKE DRUGS” WOULD SUFFICE! THEY KILL! PLEASE COPY AND OPEN THE LINK BELOW TO READ ONE STORY ABOUT THESE “FAKE DRUGS”! http://www.therepublic.com/view/story/60e0b41dcfeb4c8896f89c4a7409dc99/KY–Synthetic-Drugs/ PARENTS, WATCH YOUR CHILDREN! BETTER TO OFFER THEM THE REAL THING THAN TAKE A CHANCE ON THEM GETTING A HOLD OF SUCH GOD-AWFUL SUBSTANCES! “…Officials said the powdery substance sold as bath salts mimic the effects of cocaine, ecstasy and LSD. It can be snorted, injected or mixed with drinks for food. The chemicals can cause hallucinations, paranoia, rapid heart rates, violent behavior and suicidal thoughts. Synthetic marijuana contains organic leaves coated with chemicals that provide a marijuana-like high when smoked. The product is marketed under various brands include Spice and K2. The synthetic drugs can be purchased on the Internet and in some tobacco and smoke shops, drug paraphernalia shops, gas stations and convenience stores…” OF NOTE: THESE PRODUCTS ARE MOST OFTEN USED BY THOSE WHO ARE FORCED TO SUBMIT TO “DRUG TESTIING”…. THAT IS WHY THAT THEY HAVE BECOME SO POPULAR ALONG WITH THE FACT THAT THEY ARE READILY AVAILABLE FOR SALE TO MINORS – OR SOMEONE WHO WOULD PURCHASE FOR A MINOR. THIS HAS TO STOP!
Source: wordpress.com

Lifeline Direct Insurance Introduces Kentucky Medicare Supplement Insurance

“Regardless of what part of Kentucky you reside in, you have more important things to use your funds on when compared with costly supplement Medicare insurance policies. For this reason, you should seek out Kentucky Medicare supplement insurance plans online. Through online shopping, you will be furnished with many no cost quotes with regard to insurance coverage from several firms. Simply evaluate these types of estimates before you purchase the one that is most fitting to your situation,” stated by Matthew Loughran, from Lifeline Direct Insurance Services.
Source: virtual-strategy.com

Attorney General Conway Announces Kentucky’s Participation in $614 Million Settlement with Amgen, Inc.

The states and federal government accused Amgen of illegally marketing the drugs Aranesp and Epogen (used to treat anemia), Enbrel (used to treat rheumatoid arthritis), Neulasta and Neupogen (used stimulate the production of infection-fighting white blood cells), and Sensipar (used to treat kidney disease for patients on dialysis). Specifically, Amgen’s sales staff promoted Aranesp, Epogen and Enbrel for so-called “off-label” uses that were not medically accepted and had not been approved by the United States Food and Drug Administration. Amgen also paid illegal kickbacks to physicians and other medical providers in the form of cash payments, free drugs, free equipment, free software, dinners, travel, hotels, consulting fees, bogus education and research grants, and other illegal payments to induce physicians and other Medicaid providers to prescribe Amgen drugs. Finally, Amgen reported false prices to the federal Centers for Medicare & Medicaid Services by failing to include in its calculations the value of the illegal kickbacks and other price concessions to its customers in violation of the Medicaid Rebate Statute. This latter conduct resulted in the underpayment by Amgen of its Medicaid rebates to Kentucky Medicaid.
Source: mfrtech.com

Liberalism: Does the fiscal

But Mr Chait goes on to make a different point: while it looks as though entitlement programmes are nearly impossible to cut, just about everything else the government does is much more vulnerable. Everything from food inspections to foreign aid to environmental regulation to legal defence for the indigent to scientific research to the national parks to education to road, rail and air infrastructure to…pretty much everything. These programmes are diverse and often have small constituencies. There is, basically, a lot of stuff that the government does. And when you ask the public, you find that they want the government to do these things. But public attention is a very limited commodity; it’s impossible to actually marshal public attention to each of the individual programmes that get cut when “government” gets cut. What’s happened over the past 30 years, and in an accelerated tempo over the past two years, is that everything the government does apart from wars and transferring money to old and poor people has gotten creamed. The savings are trivial in comparison with the overall long-term debt picture, which is almost entirely a function of Medicare and Medicaid spending. But the cuts have effectively curtailed the vision of liberals who want government to do things like invest in basic scientific research, improve infrastructure, kick-start green technology and support education. In that sense, it’s true, the ability of Republicans to block Democrats from expanding the tax base has been a conservative victory.
Source: economist.com

Kentucky rural healthcare provider uses cloud

iSALUS says that OfficeEMR will include practice management software, an online patient Web portal and secure chart sharing capabilities. CCMH is seeing the benefits to cloud-based EHR adoption right now, but hopefully the hospital has considered some of the drawbacks to using cloud-based EHR, such as proper backup and preparation for potential outages and downtime. It looks like iSALUS has a pretty well-developed offering, though, as OfficeEMR offers SAS 70 Type II security levels, is meaningful use certified and 2011-2012 Drummond Certified ONC-ATCB as a full EHR ambulatory provider. This is important because, at least for the moment, CCMH won’t need to worry about vendor upcharges for meaningful use certification.
Source: ehrintelligence.com

Ky. notifying more than 1,000 Medicaid patients of breach

The state agency traced the breach to Hewlett-Packard Enterprise Services, the vendor that oversees the Medicaid information management system. CFHS said in a news release that an employee of Carewise Health, an HP subcontractor, responded to a telephone scam that gave remote access to a computer containing the beneficiaries’ information. The computer was disabled after the breach was reported, and the agency said scams of this nature typically involve charging people for unwanted computer services. HP will provide free credit monitoring to affected individuals to monitor for identity theft. The largest hacker attack on Medicaid beneficiary data occurred in Utah in March. Utah’s Department of Technology Services notified 780,000 people that their data, including Social Security numbers for as many as 280,000 individuals, had been compromised. Utah officials in April said the hack was likely the work of operatives in Eastern Europe but did not at the time supply a reason it was targeted.
Source: modernhealthcare.com

Kentucky Spirit Health Elimination of Black Claims Forms

Kentucky Spirit Health Plan’s (KSHPs) commitment to delivering exceptional service to our providers and members at the lowest cost remains at the forefront of our mission. This effort includes strong performance in our turnaround time and accuracy of claims processing. Since our inception, KSHP has worked hard to ensure our capabilities support this level of performance. However, black and white UB-04 or HCFA-1500 forms copied/downloaded or handwritten red forms presents a challenge when processing these claims through Optical Character Recognition (OCR) technology such that the timeliness, accuracy and efficiency of these claims is jeopardized. In addition, eliminating the acceptance of handwritten red forms will reduce the risk of misinterpretation of submitted data.
Source: kentuckyspirithealth.com

Medicare Targets Health Plans With Low Ratings

Medicare officials are encouraging 525,000 beneficiaries to switch out of these 26 Medicare Advantage and drug plans that have received low ratings for three consecutive years and enroll in better plans for next year. The poor performing plans will have this warning symbol next to their names on Medicare’s plan finder website to steer shoppers to other plans.
Source: kaiserhealthnews.org

Wisconsin’s Sheboygan Surgery Center Receives Medicare Deemed Status Distinction from AAAHC

Posted by:  :  Category: Medicare

Romney Ryan Plan for Medicare and SSI by DonkeyHoteyThe Sheboygan (Wis.) Surgery Center has received the distinguished “Medicare Deemed Status” accreditation for the fifth consecutive year from the AAAHC, according to a Sheboygan Daily report. The accreditation differentiates the Sheboygan Surgery Center from other outpatient facilities as a provider delivering high quality of care to its patients, as determined by an independent, external process of evaluation. “Sheboygan Surgery Center is only one of three ambulatory healthcare centers in northeast Wisconsin to earn this distinguished accreditation,” said John Winter, administrative director, to Sheboygan Daily. The surgery center is the county’s first multi-specialty, freestanding surgery center. It is a partnership between seven area surgeons and St. Nicholas Hospital. Learn more about AAAHC.
Source: beckersasc.com

Video: RANT!!!!! DEBT problem; Wisconsin & Ohio; Social Security, Medicare and Taxes

Daily Kos: Medicaid, Wisconsin & the Ryan Plan: “Scared Spitless”

We’re scared spitless.  This is our daughter’s future that we’re talking about! If there isn’t someone at Will’s house to help him eat, he cannot eat. So when you think about how to make a cut to something like that, there’s not a lot of wiggle room. If Ben did not have community supports that Medicaid pays for, Ben would be living in an institution. Some of these cuts would keep us from going to work.  That’s — this is real contradictory. If we didn’t have these caregivers… where are all these disabled people going to go? We’re not just takers of community services. Disability is not going away.  It’s going to be here.  For a lifetime. All human beings have dignity and worth.  And sometimes, people forget about that. We keep hearing about the “fiscal cliff.”  And we’re… we’re talking about pushing individuals off that fiscal cliff.  It’s not just dollars.  It’s people. People with disabilities in Wisconsin are already taking a hit from the assaults on Medicaid that Governor Scott Walker brought to our state, beginning with the so-called “Budget Repair Bill” that brought 100,000 people into the streets.  It wasn’t just about collective bargaining; the bill also went after Medicaid in a big way, under-noticed but part of a terrible pattern that has been playing out in Wisconsin ever since.  There have been freezes.  There has been deadly privatization.  There have been destructive rate cuts.
Source: dailykos.com

Wisconsin Workers Call on Congress to Preserve Medicare, Social Security and End Tax Cuts for top 2%

“The election may have just ended, but Wisconsin working families are already mobilizing to hold their elected officials accountable because we can’t afford to make cuts to Medicare, Medicaid and Social Security,” said Phil Neuenfeldt, President of the Wisconsin State AFL-CIO. “The people advocating for these cuts are the same people who want to cut taxes for the richest 2%, which would cost $1 trillion over 10 years. Our country can’t afford these cuts and working families who rely on these vital programs should not have to pay for more tax breaks for those who need them the least.”
Source: typepad.com

Deadline looms for Medicare enrollment

The Medicare Advantage disenrollment period runs Jan. 1 to Feb. 14. During that time you can leave your Medicare Advantage Plan to switch to original Medicare. If you switch to original Medicare during this period, you’ll have until Feb. 14 to join a Medicare Prescription Drug Plan to add drug coverage. Your coverage will begin the first day of the month after the plan gets your enrollment form. However, during this period, you cannot switch from original Medicare to an advantage plan or from one advantage plan to another; join, switch or drop a Medicare medical savings account; or change the prescription drug plan.
Source: superiortelegram.com

Attention Seniors: Help Stop Medicare Fraud

The Wisconsin Council of Churches is partnering with the Coalition of Wisconsin Aging Groups (CWAG) to help seniors in our congregations control rising health care costs by helping to fight Medicare fraud. The Wisconsin Senior Medicare Patrol (SMP), overseen by CWAG, provides resources to Medicare beneficiaries, caregivers, and the professionals who serve them throughout the state to prevent, detect, and report healthcare fraud, waste, and abuse.  For more information, click here.
Source: wichurches.org

Eye on Wisconsin: Can’t Trust Tommy with Medicare Trust Fund

We all know that Tommy Thompson declared that he would “do away with” Medicare and Medicaid.  He has tried to spin away from his declaration to the tea party extremists but we have more than that moment of honesty.  We have an actual track record showing just how Medicare fared under Tommy Thompson’s care. In 2001, when Tommy Thompson became Secretary of Health and Human Services, the Medicare Hospital Insurance Trust Fund was projected to be exhausted in the year 2029. [2001 CMS Trustees Testimony to Congress] In 2005, when Tommy Thompson left Health and Human Services, the Medicare Hospital Insurance Trust Fund was projected to be exhausted in the year 2020. That is a loss of 9 years on Tommy’s four year watch.[2005 CM Trustees Report] Even though Tommy Thompson served as George W. Bush’s HHS Secretary, in 2008, he criticized the failure of the Bush Administration to address the problems of Medicare. Thompson then said that “Medicare is going broke by 2012, 2013.” Fast forward to the point where President Obama took office and before the Affordable Care Act passed. The Medicare Hospital Insurance Trust Fund was projected to be exhausted in the year 2017. That is where the Bush Administration (including Tommy) left President Obama. [2009 CM Trustees Report] The Affordable Care Act (ACA) reduces the rate of growth in Medicare spending, with savings that eliminate waste and inefficiencies. The ACA targets wasteful programs and ensures that taxpayer money is efficiently filtered back into the health care system, allowing seniors to get preventive care without copays. Regardless of Tommy’s ridiculous lies on the subject the $700 billion in identified savings actually help extend the life of Medicare. Tommy Thompson wants to repeal ACA and in doing so he will be undermining the long term prospects of Medicare.  We have no reason to doubt that he would sacrifice Medicare to his new found right wing ideology. He has said as much, he has pledged allegiance to Paul Ryan’s voucher-care concept and lets face it his track record on extending the life of Medicare has never been a good one. Tommy predicted that Medicare would go broke by 2012 or 2013 and if his policy positions and history are any indication, he apparently intends to make that prediction come true.
Source: blogspot.com

Resolve to Help in the New Year, A Volunteer Opportunity 

badgercare plus Better Business Bureau charity scams credit card fraud credit card scams election fraud false claims act fraud fraud alert newsletter Frauds healthcare reform identity theft job scams medicaid fraud Medicare medicare fraud medicare overbilling medicare part D medicare reform medicare reimbursement mortgage fraud phishing scams podcasts prevent medicare fraud scams storm chasers storm scams telephone scams Training volunteer voter fraud wisconsin bbb wisconsin check fraud wisconsin child care fraud wisconsin election fraud wisconsin fraud wisconsin head start fraud wisconsin medicaid fraud wisconsin mortgage fraud wisconsin scam wisconsin scams wisconsin smp wisconsin smp training wisconsin unemployment benefits wisconsin unemployment fraud
Source: wisconsinsmp.org

Here’s what role healthcare reform, Medicare is having in the Wisconsin Senate campaign

Ryan, 42, has described himself and the often confrontational Walker, 44, as “protégés of the Tommy Thompson farm team,” but the 70-year-old Thompson has sought to distance himself from their policy embrace on broad social issues. Although he has called for overturning the health law and has endorsed the concept promoted by Ryan to give seniors premium supports to buy health coverage in order to keep the system from running out of money, Thompson also has said he would want significant revisions in that plan, such as increased federal payments and an expanded pool for high-risk patients.
Source: medcitynews.com

Karl Rove Targets Tammy on Medicare

The section of the ACA that sets up the board specifically declares: “The proposal shall not include any recommendation to ration health care, raise revenues or Medicare beneficiary premiums . . . increase Medicare beneficiary cost-sharing (including deductibles, coinsurance, and copayments), or otherwise restrict benefits or modify eligibility criteria.”
Source: progressive.org

Doc Fic Fiscal Cliff Physician Medicare Pay Cut Video Blog

Physicians can breathe a sigh of relief that their Medicare reimbursement will not be decreased for at least another year.  The “fiscal cliff” legislation that was passed by Congress on New Year’s Day and signed by President Obama Wednesday night (January 2, 2013) averted the planned cut in Medicare payments for physicians that were scheduled to take place on January 1, 2013.  The press has primarily focused on the income tax aspects of the American Taxpayer Relief Act of 2012.  However, the legislation included several provisions relating to health care and the Medicare program, not the least of which was the “doc fix” provision that averted the “physician pay cut.”
Source: wisconsinhealthlawyer.com

GOP opposes its own goals on Medicare

Posted by:  :  Category: Medicare

Healthcare Costs by Images_of_MoneyAs Ed Kilgore explained, “What’s really maddening is that IPAB — following the overall thrust of Obamacare — is designed to secure savings not just for Medicare but for the entire health care system by encouraging better medicine, not reductions in health coverage for seniors. It seems Republicans are only interested in health care cost containment measures or ‘entitlement reform’ if it comes at the expense of beneficiaries.”
Source: msnbc.com

Video: What Does Medicare Cost?

Caregivers Struggle with Medical Costs and Medicare

The opinions expressed in WebMD User-generated content areas like communities, reviews, ratings, or blogs are solely those of the User, who may or may not have medical or scientific training. These opinions do not represent the opinions of WebMD. User-generated content areas are not reviewed by a WebMD physician or any member of the WebMD editorial staff for accuracy, balance, objectivity, or any other reason except for compliance with our Terms and Conditions. Some of these opinions may contain information about treatments or uses of drug products that have not been approved by the U.S. Food and Drug Administration. WebMD does not endorse any specific product, service or treatment.
Source: webmd.com

Medicare Silver Bullets: What’s The Best Way To Control Costs?

If I could make only one change, it would be a massive reform of Medicare’s payment policies. Right now, Medicare payment policies drive overuse, waste, inappropriate and sometimes harmful use of services. There should be a number of changes, such as paying in ways that encourage the use of team-based care, telephone, group and e-visits, more flexibility to allow nurses and other health professionals to operate at “the top of their licenses” with physician oversight and in the most quality and cost-effective ways. The more we can bundle payments to reward improved health (not just health care), and allow providers to self-organize to deliver the greatest benefits for patients and value or payers, the better off we will all be. The most successful providers tend to be integrated delivery systems. Although we will never have enough such systems around the whole country, we can develop and support as many of these as possible and also have payment models that foster virtual integrated delivery systems and reward the best performers, that is, the ones that provide the safest care in the most efficient manner.
Source: kaiserhealthnews.org

NewsDaily: Analysis: Obama may turn Medicare reform into wider health debate

Medicare, long considered a program that U.S. politicians would touch at their peril, is acknowledged, along with the national Medicaid program for the poor, to be a major driver of the deficit. The aging population puts Medicare on a collision course with major financial difficulties; the so-called Medicare trust fund is on pace to run out of money in 2024.
Source: newsdaily.com

Medicare meddling, the guns of Westchester, and Al Gore’s payday

Beyond that, either of those tidbits would be a good lead-in for a broader story about the more typical type of congressional intervention when it comes to Medicare. Members of Congress on both sides of the aisle habitually succumb to lobbyists in ways that keep Medicare costs far higher than they need to be. For example, except in a few regions of the country, Medicare is not allowed to conduct competitive bidding for medical equipment ranging from canes to wheelchairs to oxygen supplies. The result is billions in overpayments every year, with Medicare paying more per cane to buy tens of thousands of canes than you would pay to buy them one at a time at Wal-Mart. At a time when Medicare cuts are center stage in the ongoing deficit debate, why not try to identify the cost of this congressional meddling?
Source: reuters.com

What’s Driving up the Cost of Medicare?

Recognizing the demographic facts doesn’t obviate Medicare’s need to spend federal health care dollars effectively and efficiently to slow the growth of health care costs while improving the quality of care for each and every beneficiary. But arguments that efficiency will come from morphing Medicare into a private insurance market—the conservative “solution” to rising health care costs—make no sense. There is simply no evidence that a private marketplace can match Medicare’s ability to slow spending growth. With Medicare’s per capita cost growth already lower than GDP and projected to diverge increasingly from private health care spending, vouchers for private insurance would actually increase per capita costs.
Source: americanprogress.org

Breast Cancer Screenings Cost Medicare $1B Annually

(NEW YORK) — Medicare spends almost as much money screening for breast cancer as it does treating it, according to a new study published in JAMA Internal Medicine. Breast cancer screenings cost Medicare $1.08 billion annually, lead researcher Dr. Cary Gross and his team at the Yale School of Medicine found.  Given that Medicare spends $1.36 billion a year on breast cancer treatment, Gross said he expected the screenings costs to be much lower. “It should be a call to do further research to identify the best screening strategy,” Gross said.  “If we’re spending more, does it really help the patients?” Gross said his study can’t conclude whether mammograms are effective, but it does take a good look at where the money is going to prompt further study. Gross and his colleagues also found that areas where people spent more money on breast cancer screenings didn’t have better outcomes than those that didn’t.  However, the study was somewhat limited because it only followed up with patients for two years. “You could argue when it comes to screening, that if you invest more in screening, maybe you’ll spend less in treatment,” he said.  “But we didn’t find that.” About $410.6 million of the total screening costs went toward women over 75 years old, a controversial age group because of a 2009 United States Preventative Services Task Force recommendation that said older women might not benefit from the screenings. However, the American Cancer Society and several other medical organizations ignored the USPSTF recommendations because they drew different conclusions from the data, said Dr. John Huff, the imaging director of the Vanderbilt Breast Clinic in Tennessee.  Huff did not work on the study. The American Cancer Society still recommends annual breast cancer screenings for women over 40. “I think the biggest question is not so much the cost, which we certainly need to be aware of, but the question of what we get for that cost and what value we place on what we get,” Huff said, addressing over-diagnosis and over-treatment. Not unlike slow-growing prostate cancer that doesn’t always require treatment, some breast cancers might not need surgery, chemotherapy and radiation, Huff said.  But before the medical community can determine whether over-diagnosis and over-treatment is at play, it must find a way to determine which patients have slow-growing breast cancers and which don’t. “There are some breast cancers that might not need aggressive treatment, but we unfortunately are currently unable to identify which ones they are,” Huff said.  “So it’s nice to say we might be over-diagnosing or over-treating, but until we have evidence that helps us understand which people those are, it’s hard to separate those out as a group.  So we’re left being a little less targeted.”
Source: abcnewsradioonline.com

Peter Orszag Chart Shows Medicare Costs Slowing

“Presumably, the weak state of the economy is a factor, but given the magnitude of the slowdown in national health spending and the timing of that slowdown, which seems to have started before the recession, we and most analysts think there are probably structural factors at work as well,” he said. Those structural factors could include slower growth of spending on prescription drugs, changes in the health care delivery and payment system, and higher out-of-pocket spending for consumers, according to Elmendorf.
Source: businessinsider.com

Seven Ideas to Reduce Costs and Improve Outcomes in Medicare and Medicaid

Conversely, the performance of Medicaid long-term care providers can greatly impact inpatient admissions, emergency department visits, post-acute services paid for by Medicare.  Nursing homes, home health agencies, and home and community-based waiver program providers paid by Medicaid have little or financial incentive to take steps to, for example, prevent a hospitalization paid by Medicare.  Similar to how Accountable Care Organizations (ACOs) are compared for their impact on overall per capita spending of patients they serve and allowed to share in any savings, Medicaid LTSS providers should likewise be compared for their impact on Medicare per capita spending on acute and post-acute services.  And then, as long as they meet quality standards, receive a share of any savings resulting from lower than expected Medicare spending.
Source: piperreport.com

Beware of Medicare Fraud Calls

Posted by:  :  Category: Medicare

Benefit Security Card .. HALF of the U.S live in households that receive government benefits (26 May 2012) ...item 2.. Brevard man gets 4 years in Social Security fraud case (Jun 1, 2012 ) ... by marsmet481These calls are completely fraudulent. Medicare will NEVER ask for a beneficiary’s Medicare number unless the beneficiary initiates the call, and they will NEVER ask for a bank account number under any circumstances. The only beneficiaries that need to get new Medicare cards are those who are first applying for Medicare coverage, or those who have asked for a new card because their card is lost or damaged.
Source: augustafreepress.com

Video: Medicare Enrollment | Medicare Sign Up | Apply for Medicare

My Experience Applying for Medicare Online

Once submitted you are advised: “Thank you! Your data has been received and we are working to process your request. You will be able to check the status of your action online in 5 business days. To check the status, go to http://www.socialsecurity.gov. You will need to enter your Confirmation Number to get status information, so please put this number in a safe location. We hope you found our internet application convenient to use and easy to understand.” Well, we three found the online application process both convenient and easy. I applaud Social Security for an excellent implementation and the person-to-person customer service I received when I had a question.
Source: medicarebenefits.com

The Medicare age is still 65

There is no additional charge for Medicare hospital insurance (Part A) since you already paid for it by working and paying Medicare tax. However, there is a monthly premium for medical insurance (Part B). If you already have other health insurance when you become eligible for Medicare, you should consider whether you want to apply for the medical insurance. To learn more about Medicare and some options for choosing coverage, read the online publication, Medicare, at www.socialsecurity.gov/pubs/10043.html or visit www.Medicare.gov.
Source: ironmountaindailynews.com

My Experience Applying for Medicare Online

Part D (Prescription Drug Plan) Offers special assistance to beneficiaries with limited income, and a choice of prescription drug plans (PDP) to anyone enrolled in Part A and Part B. Medicare prescription drug plans (PDPs) cover only outpatient drugs for people in original Medicare who have no other drug coverage. You can not enroll both in a Prescription Drug Plan and in a Medicare Advantage plan. When you enroll in a Medicare Advantage plan, you will automatically lose your current PDP coverage, even if the Medicare Advantage plan does not cover drugs. Every year Medicare has an enrollment period from November 15 through December 31 when it is possible to change prescription drug providers. Medicare imposes penalties if you want to enroll in a prescription drug plan and you were not previously enrolled in a creditable drug plan. The long list of Part D providers, and the many options for monthly fees, types of coverage, and deductibles make it very difficult to choose. It is important to think carefully before making a selection because the wrong choice can cost you hundreds of dollars more in out-of-pocket expenses. Medicare has an interactive Prescription Drug Plan Finder in its Prescription Drug Coverage web page. Source: scientificpsychic.com
Source: medicarehelpco.com

How to apply for Medicare Health Insurance

Part D (Prescription Drug Plan) Offers special assistance to beneficiaries with limited income, and a choice of prescription drug plans (PDP) to anyone enrolled in Part A and Part B. Medicare prescription drug plans (PDPs) cover only outpatient drugs for people in original Medicare who have no other drug coverage. You can not enroll both in a Prescription Drug Plan and in a Medicare Advantage plan. When you enroll in a Medicare Advantage plan, you will automatically lose your current PDP coverage, even if the Medicare Advantage plan does not cover drugs. Every year Medicare has an enrollment period from November 15 through December 31 when it is possible to change prescription drug providers. Medicare imposes penalties if you want to enroll in a prescription drug plan and you were not previously enrolled in a creditable drug plan. The long list of Part D providers, and the many options for monthly fees, types of coverage, and deductibles make it very difficult to choose. It is important to think carefully before making a selection because the wrong choice can cost you hundreds of dollars more in out-of-pocket expenses. Medicare has an interactive Prescription Drug Plan Finder in its Prescription Drug Coverage web page.
Source: scientificpsychic.com

Things to Consider When Applying For Medicare

Medicare is a socialized form of health insurance used by some countries. This usually works by taxing or deducting a certain portion of an individual’s wages, salary, or income and then applying it to a fund that is governed by a governmental or quasi governmental body. This article endeavors to provide basic guidelines to individuals who want to apply for Medicare. The first and most important step is to read several materials regarding Medicare. This can be taken online or by asking your employer or H.R. personnel. Materials can also be taken from the nearest Medicare office. After reading thru the material decide on the following issues: 1. What plan or plans do you intend to avail of. There are 4 basic plans to choose from but these plans can be mixed and matched. a. Part A: Hospital Insurance or in patient care b. Part B: Medical Insurance or outpatient care c. Part C: Medicare Advantage plans like HMO or PPO plans d. Part D: Prescription Drug plans which covers prescription medication Depending n the parts availed of Medicare costs can increase and decrease. Take into consideration your finances, health, other insurance coverage and job environment then decide which parts to include. For example, if you already have a comparative or higher HMO coverage then there is no need to take out a Part C Medicare plan. However if the Part C coverage that can be availed of is higher then decide if the additional costs is worth it for you. 2. Insurer: if you are an employee, especially if you are electing to take out a part c Medicare coverage then it would also be best to look into the supplemental Medicare insurer. Make sure check the number of accredited hospitals, medical professionals and procedures within your locality. They should be unlimited. 3. Ask questions: Make sure to ask for the appropriate contact number to answer any questions you might have regarding the plan. While it is important to read thru the materials it would be best if you can talk to a person to explain difficult concepts. Out of Pocket Expenses As a general rule when you apply for Medicare Part A and/or Part B you need to pay additional premiums to be paid by the individual. Now consider alternative HMO and/ or PPO providers. For example, If Mr. A is supposed to pay $100 monthly for Medicare will only pay $90 for a superior HMO policy then it would be in the best interest of Mr. A to just avail of the HMO. Application Proper There are two ways to apply for Medicare. The first is to call the social security service in your locality and be guided by a representative every step of the way. The second option is to go to the office of the local social security service and fill out the appropriate paperwork. Find the listing as well as the phone number and even the website on the yellow pages or on the internet. After that just wait for the paperwork to be processed. If you are looking for the best medicare advantage and medicare coverage, visit our site for more tips and information. Contact us for free medicare advice. If you are looking for the best http://www.medicarerep.com/ medicare advantage and http://www.medicarerep.com/ medicare coverage, visit our site for more tips and information. Contact us for free medicare advice.
Source: abcarticledirectory.com

Social Security and You: Signing up for Medicare

However, WEP does not affect benefits paid to your wife as a widow in the event of your death. For example, a worker and spouse both claim their benefits at full retirement age. Because the worker receives a pension based on work not covered by Social Security, the benefit amount under the WEP benefit formula is $700. Based on the WEP benefit amount, the spouse’s benefit is $350 (one-half of the worker’s WEP benefit amount). When the worker dies, the WEP reduction is removed. The surviving spouse’s benefit is refigured using the regular benefit formula.
Source: mysanantonio.com

You Can Apply For Medicare Online

The nice thing about applying online is that you do not need to wait for an appointment.  You can fill out your application when you are ready from your own home.  As you are filling out your application, you may save it at any time during the application process and finish it when you are ready, so you do not have to worry about possible interruptions.  The web site is very secure, so your information is protected.  Once you complete the application, you will receive a receipt and an application number so that you can log in anytime to check your application status.
Source: mexicoonmymind.com

Cool Medicare Advantages images

Posted by:  :  Category: Medicare

bag & contents - Stolen by quadrapopCassandra Q. Butts Image by Center for American Progress Medicare policy has risen to the top of the congressional agenda this year. Health care reform is gaining support in Washington, D.C. and in many places around the country. Given the size of Medicare, changes made in that program can not only affect beneficiaries but also have a very large impact on health care policy across the board. Key elements in getting Medicare right include eliminating the overpayments to Medicare Advantage plans and reforming Medicare fee-for-service.
Source: coloradomedicaremedigap.com

Video: SEIU/COPE Medicare Colorado

Colorado’s Medicaid Cost Drivers

Health policy discussions often focus on controlling the cost of the sophisticated medical care that is provided to relatively few people. Outside of this blog, relatively few people pay attention to the impact of routine costs like the cost of an extra physician visit for each of 150 million people. This is one reason why so many people are surprised by the fact that consumer directed health plans with proper incentive structures can lower health care expenditures by as much as 20 percent without compromising health or externally rationing care. It also explains why so many Medicare commentators have difficulty understanding how the Ryan Medicare reform plan might work.
Source: ncpa.org

THE Consortium: Colorado Medicare Claims Transition from Trailblazers to Novitas Solutions

As of October 19,  Trailblazers stopped receiving all mail and requests in their role as the Medicare Contractor and forwarded these to Novitas Solutions. All future communication must go through Novitas. Since Novitas has prior experience as a MAC for a number of eastern states, CMS anticipates that the transfer to a new MAC will go smoothly, with few disruptions for Medicare beneficiaries or providers. However, providers should prepare for possible delays and implementation glitches.
Source: blogspot.com

7 Recent Medicare, Medicaid Issues

Here are seven issues dealing with Medicare or Medicaid that occurred in the past two weeks. 1. Both the House of Representatives and Senate have passed legislation — the American Taxpayer Relief Act of 2012 — which will temporarily avoid the long-discussed fiscal cliff of tax hikes and spending cuts. Yet again, the sustainable growth rate, which is the formula used to determine Medicare reimbursements to physicians, was temporarily delayed through 2013. However, the SGR fix and other healthcare extensions — which cost $30 billion — were paid for by several provisions that will siphon federal funds away from hospitals and health systems. 2. Colorado Gov. John Hickenlooper (D) announced his state would expand its Medicaid program to an estimated 161,000 more people. 3. CMS announced that 1,557 hospitals will receive higher Medicare payments for quality ratings as part of the Hospital Value-Based Purchasing Program under the Patient Protection and Affordable Care Act. 4. Florida Gov. Rick Scott and other Republicans agreed to require — pending federal approval — the state’s Medicaid recipients to enroll in managed care plans in hopes of keeping healthcare costs down and better coordinating medical services. 5. Since the Supreme Court’s ruling in June that Medicaid expansion is optional, hospitals in some states face dire financial situations, according to an article in the New England Journal of Medicine. 6. After serving in the role for 18 years under multiple presidents and parties, CMS Chief Actuary Rick Foster announced he will retire. 7. Contrary to popular belief, Medicare spending is not spiraling out of control, according to a column by Princeton economics professor Uwe E. Reinhardt.
Source: beckershospitalreview.com

Colorado Medicaid expansion up in air, others weigh in

You are deluded John. Obamacare will greatly expand the free rider problem as it promises more than half the population that someone else will pay their health care costs. Obamacare is a huge new entitlement that will explode deficits at both the federal and state levels. The CBO estimates that Obamacare will increase health care spending by $1.5T per 10 years. The Heritage Foundation estimates are $2T to $6T over 10 years. The Democrats in indicating that Obamacare would reduce deficits used phony accounting by double counting Medicare savings (probably will never happen anyway). Obamacare is a mess, a 2,700 page bill with 13,000 in new supporting regulations and a new army of IRS agents. Health care is more expensive here because we get better care. Our providers receive better compensation. No one has to wait to receive service except those on government programs. Obamacare promises price controls to control spending. The current state of critical hospital medicines indicates that price controls produce shortages. Obamacare promises another free lunch. Increase demand (because half the population has been promised free care) and reduced supply due to price controls equates to disaster.
Source: denverpost.com

Medicare Supplemental Insurance Colorado

Test out Out These Resources Below. It is a condition such as Amaryl DiaBeta and Glucotrol for diabetic medical myths of heart failure shortness of breast carcinoma among older women. For more information about the medical myths of heart attack patients and diuretics) all work different medications may be used to sluggish the handling of the water thus decreasing or stopping the muscles growing side effects related with the objective to preservatives.
Source: wesupplements.com

Getting Medicare In Colorado

Colorado residents are eligible for Medicare offerings. The program offers a definite benefit to its members. Medicare programs come in two parts known as Part A and B. Part A refers to hospital care while Part B covers outpatient health care. In order to afford coverage for Parts A and B; a patient can choose the original Medicare coverage or a Medicare advantage plan or Part C. On the other hand, to cover prescription drugs; Medicare has a part D which is an extension of Part C.
Source: nolamarketingseo.com

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.
Source: gazette.com