ICYMI: Health Affairs Article: Medicare Advantage Provides Higher

Posted by:  :  Category: Medicare

seen but not heard by eyewashdesign: A. GoldenA recent article in the latest edition of Health Affairs provides further evidence that Medicare Advantage plans are delivering higher-quality care to seniors and people with disabilities than the fee-for-service (FFS) part of Medicare.  Data from the article show that Medicare Advantage beneficiaries utilize some health care services, such as the emergency department and ambulatory surgery or procedures, at a rate 20-30 percent lower than those in FFS Medicare.  This data suggests that Medicare Advantage enrollees “might use fewer services and be experiencing more appropriate use of services than enrollees in traditional Medicare.”
Source: ahipcoverage.com

Video: 2011- 4/19 MEDICARE PATIENTS HAVE SHORTER HOSPITAL STAY AFTER HIP REPLACEMENT BUT

Alberta’s health care queue

Then, unexpectedly, there were the testimony concerning Helios – which revealed that non-urgent patients referred by the private clinic to Calgary’s Forzani and MacPhail Colon Cancer Screening Centre, jointly run by Alberta Health Services and the University of Calgary Medical School out of a public hospital, were being fast-tracked for tests after waits of about three weeks, while other patients had to wait up to three years. Additional testimony yesterday revealed that some the line jumpers at the Forzani clinic were generous donors to the U of C.
Source: albertadiary.ca

President Obama Releases Ad Blasting VP Hopeful Paul Ryan’s Stance On Medicare [VIDEO]

Now that Mitt Romney has announced  Congressman Paul Ryan as his running mate, President Obama has honed in on the aspiring vice president’s short comings. Ryan has been criticized for his stance on Medicare which he believes should no longer be offered by the government, but adjusted in the form of a stipend given to senior citizens to purchase their own health care.
Source: hiphopwired.com

Daily Kos: “I have to get my hip replaced now, because ObamaCare is cutting that off for old folks”

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Source: dailykos.com

How Medicare Measures Hospital Quality

There are many ways that Medicare evaluates hospital quality. Medicare conducts patient surveys (i.e,. HCAHPS). Medicare has hospitals report a variety of process of care measures through the Inpatient Quality Report (IQR) Program. Medicare uses data that Centers for Disease Control and Prevention (CDC) collects via the National Healthcare Safety Network (NHSN) tool to measure hospital-acquired infection (HAI) rates.
Source: healthcare-economist.com

Hip Fracture Surgery Experience In Phoenix, Arizona (My Medicare Father at Banner Thunderbird Hospital, 2012)

I have taken care of many patients with broken hips over the years.  Hip fracture carries an incredibly high morbidity and morality. Mobility is the absolute key to survival.  If hip fracture patients cannot ambulate again, they can expect a life filled with recurrent complications.  Add on the risks associated with Parkinson’s and I fear for my father’s life from any number of complications from  aspiration pneumonia and bowel impaction to ileus and pulmonary embolism.  The human body was built to move.  His key to survival will be acceptance of  any limitations, prevention of all  falls all the time  and continued aggressive physical therapy,  without dropping  him. Sometimes, it’s best for patients to swallow their pride and accept a walker as their best friend.
Source: blogspot.com

Medicare has Limits on Therapy

When you get this type of therapy, often in home or in an outpatient therapy facility, it may be a good idea to see if you can space your visits further apart to avoid running out of therapy mid stream.  You may also ask your therapist for literature on how to perform the exercises on your own at a gym or in your house, using the therapy appointments as “follow ups”, to measure range of motion or strength, and to learn new exercises.
Source: medicareplansstcharles.com

FDA To Step Up Evaluation Of Metal Hip Implants, Other Devices

The Wall Street Journal: Metal Hip Implants Face Tighter Controls The Food and Drug Administration is studying whether several medical devices already on the market, such as electroconvulsive therapy devices for depression and emergency defibrillators, require additional evidence to prove they’re safe. As part of that re-evaluation, the federal agency on Thursday proposed that companies making so-called metal-on-metal artificial hip joints produce medical evidence demonstrating their safety in order to stay on the market (Burton, 1/17).
Source: kaiserhealthnews.org

The ABCs (and D) of Medicare

Medicare helps pay for health care, but it does not cover all medical expenses. Medicare is divided into four parts: Part A, generally called hospital insurance, covers services associated with inpatient hospital care (including an overnight stay in a hospital, skilled nursing facility, or psychiatric hospital). Part A also covers hospice care, home health care and medications received while in the hospital. Part B covers your doctor bills and other outpatient services. Some of the bills covered include medical equipment, lab tests and rehab. Doctor’s services are paid by Part B whether received in the hospital or in the doctor’s office. While Part A covers medicines received while in the hospital, medicines administered in a doctor’s office are covered by Part B. Other services covered under Part B include ambulance service, preventive care and annual wellness visits. Part C is a different creature altogether. Instead of covering specific benefits, Part C offers you a different way to receive your Medicare benefits. Basically, Part C is an insurance package that covers Part A, Part B and sometimes even Part D benefits. Part C is often referred to as Medicare Advantage. Part D covers prescription drugs, including insulin supplies and some vaccines. The only way to get prescription coverage is to enroll in a Part D drug plan or to join a Medicare Advantage plan that includes prescription coverage. Services not covered by Medicare: Medicare covers services that it deems "medically necessary". Not included in this definition are vision, hearing and dental care. Also, nursing home care and medical services received outside the United States are not covered. Example of how Medicare coverage works: Assume you break your hip and go into the hospital for four days for treatment. Medicare Part B covers the cost of taking an ambulance to the hospital. Medicare Part A covers your expenses while in the hospital, such as your room, meals, and nursing care. Part A also covers the cost of the emergency room and medications received while you are in the hospital. Medicare Part B pays for your doctor bills, physical therapy and the cost of using a wheelchair. Note that your doctor bills are covered whether you see your doctor while in the hospital or at the doctor’s office.
Source: squidoo.com

Younger, Taller More Likely To Require Hip Revision

Its findings closely resemble a report published last October that finds for seniors between the ages of 65 to 75, the revision rate for a hip implant was 47 percent higher than for those patients over the age of 75. In the study from Brigham and Women’s Hospital in Boston, men were 23 percent more likely to need a second procedure than women.
Source: searcymasstort.com

Fiscal cliff cuts could weaken Medicare in NJ

Posted by:  :  Category: Medicare

WASHINGTON — It’s looking less and less likely that Congress and the White House will strike a deal to keep the country from falling over the “fiscal cliff” next week, so physicians are preparing for a 28.5 percent cut in Medicare payments that will take effect on more
Source: newsplurk.com

Video: New Jersey Medicare Advantage Plans for 2012

Waiver Approval Clears Way for Massive Medicaid Reform in NJ

Paul Langevin, president of the Health Care Associates of New Jersey, the industry nursing home association said he was relieved to hear Velez’s statement that she did not expect to move large numbers of current nursing home residents out into the community. The waiver will have a major impact on his members, and he said the state has been taking an inventory of nursing home residents, with an eye to finding out how many might be able to move back into the community. Langevin estimates very few — about 100 — of the 29,000 Medicaid patients now residing in New Jersey nursing homes could qualify. “The facts are, most people have sold their houses. There are no homes to go back to.”
Source: wnyc.org

Middlesex County Health Office Encourages Residents To Get Flu Shots

The CDC continues to recommend influenza vaccination for people who have not yet been vaccinated this season. A flu shot is especially important for certain groups of individuals who are at higher risk of developing serious flu-related complications. These groups include: pregnant women, children under the age of five, and especially, those younger than 2 years old, people 65 years of age and older, and people with certain chronic medical conditions (such as asthma, heart disease, cancer, diabetes and HIV).
Source: njtoday.net

Medicare And Medicaid Approved Hospice License For Sale

This license for sale is a Medicare and Medicaid approved Hospice License. Obtaining Medicare approval is a lengthy, difficult and expensive effort in the State of NJ. The license is valid throughout the State of NJ. This is a license that can generate significant revenue.  Medicare pays approx $185 per day for a routine hospice patient in a nursing home. The general margin on this is between 20 – 25% per day.  Medicare also pays for in-home hospice care at approximately the same rate.
Source: buybusiness.com

Medical Collections at Liberty Personnel Services (Hammonton, NJ) Job

Rewarding position as a Medical Billing Specialist for this growing Bakersfield Medical Group. Successful candidates … letters, take payments from patients and post payments in medical software programs.-Candidates must have CPT and… View Full Job Description
Source: healthjobsnow.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

Workers’ Compensation: Medicare Conditional Repayment Procedures: Former Judge to Speak About New Law

Judge Richard E. Hickey III has been invited to speak to NJ lawyers and judges at a New Jersey Institute for Continuing Legal Seminar on Jan. 29, 2012 to discuss new Medicare laws and protocols for reimbursement from workers’ compensation claims. Judge Hickey, is a former Compensation Administrative Supervisory Judge, and former prosecutor of Gloucester County, is well versed on responsibilities of Medicare conditional repayments under the Medicare Secondary Payer Act. He is Of-Counsel with the law firm of Capehart Scatchard. Recently, President Obama signed into law new legislation that changes the way Medicare will collect money from individuals whose negligence or responsibility caused a Medicare patient to incur medical bills. The new process, it has been suggested, will streamline an outdated process and supposedly make it easier to resolve cases and return money into the Medicare program. Medicare continues to seek reimbursement through the Medicare Secondary Payer Act of conditional secondary payments to potential workers’ compensation beneficiaries. The aging workforce continues to increase as a result of both the economic downturn, as well a a dramatically increased retirement age. Furthermore, the increase in the denial rate of occupational conditions, some caused by latent disease, has increased to the number of beneficiaries on the Medicare system. In additional to commenting on the new Strengthening Medicare And Repaying Taxpayers (SMART) Act, Judge Hickey will be discussing how the interaction of the workers’ compensation claims process integrates with this process, and recently announced administrative directives concerning the implementation of new procedures in the adjudication process. Click Here to Register Now: for the January 29, 2013 Seminar
Source: blogspot.com

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.
Source: lifeandleisurenj.com

CamCo Holds Medicare Open Enrollment Session Wednesday

“It’s time to compare plans and select the right one for you,” said Freeholder Carmen Rodriguez, liaison to the Camden County Division of Senior & Disabled Services. “If you are unhappy with your current plan, use this open enrollment period as an opportunity to look for a new one with better coverage, higher quality and lower cost.”
Source: patch.com

Uncertain path for health care in New Mexico

Posted by:  :  Category: Medicare

KNOW WHO YOUR CZARS ARE --ENOUGH TO MAKE YOU SICK ---ONLY OBAMA COULD CREATE POSITIONS FOR THESE INCOMPENTENT COMMUNISTS AND SOCIALISTS by SS&SSYou must register with a valid email address and use your real first-and-last name to comment on this forum. Once you’ve logged into the system, you’ll be able to contribute comments. If you need help logging in or establishing your new user name and password, please write us.For information on our community guidelines and updating your username to meet standards, visit http://sfnm.co/sfnmforum. All users are expected to abide by the forum rules and and be courteous to other users. Comments can be accepted up to eight days following publication. After that, comments can be read but no new submissions made. Send questions to webeditor@sfnewmexican.com
Source: santafenewmexican.com

Video: New Mexico and Medicare Supplements

New Mexico Will Participate in Medicaid Expansion

Jointly financed and managed by the federal and state governments, Medicaid is one of the pillars of Obama’s health care law, which would enroll as many as 17 million people in the program by 2022 if every state agreed to the Obamacare expansion. A Supreme Court ruling that made that expansion optional, however, threatens to shorten the reach of the health care law and leave 3 million people without health coverage, according to a Congressional Budget Office estimate.
Source: reason.com

CMS Names 106 New Medicare ACOs

CMS has named 106 new accountable care organizations that will participate in the Medicare Shared Savings Program, effective Jan. 1. With the addition of the 106 new organizations, as many as 4 million Medicare beneficiaries will be covered by a CMS ACO. According to CMS, the savings achieved by its ACOs could be up to $940 million in four years. The new group of ACOs includes 15 Advance Payment Model ACOs, which are physician-based or rural organizations that will benefit from greater access to capital. The application period for organizations wanting to participate in the MSSP in 2014 will begin this summer. The 106 new ACOs named to the MSSP are listed here, with their service areas: 1.    A.M. Beajow, MD Internal Medicine Associates ACO, P.C. (Nevada) 2.    AAMC Collaborative Care Network (Maryland) 3.    Accountable Care Clinical Services, PC (California, Connecticut, Iowa, Massachusetts, Pennsylvania) 4.    Accountable Care Coalition of Central Georgia (Georgia) 5.    Accountable Care Coalition of DeKalb (Georgia) 6.    Accountable Care Coalition of Georgia (Georgia) 7.    Accountable Care Coalition of Greater Athens Georgia II (Georgia) 8.    Accountable Care Coalition of Greater Augusta & Statesboro (Georgia, South Carolina) 9.    Accountable Care Coalition of New Mexico (New Mexico) 10.    Accountable Care Coalition of North Central Florida (Florida) 11.    Accountable Care Coalition of North Texas (Texas) 12.    Accountable Care Coalition of Southern Georgia (Georgia) 13.    Accountable Care Coalition of Western Georgia (Alabama, Georgia) 14.    Accountable Care Organization of New England (Connecticut, Massachusetts) 15.    ACO of Puerto Rico (Puerto Rico) 16.    Advocare Walgreens Well Network (New Jersey) 17.    Affiliated Physicians IPA (California) 18.    Akira Health (California) 19.    Alegent Health Partners (Nebraska) 20.    Alexian Brothers Accountable Care Organization (Illinois) 21.    Amarillo Legacy Medical ACO (Texas) 22.    American Health Alliance (Florida) 23.    American Health Network of Ohio (Ohio) 24.    APCN-ACO (California) 25.    Arizona Care Network (Arizona) 26.    Atlanticare Health Solutions (New Jersey) 27.    AVETA Accountable Care (Puerto Rico) 28.    BAROMA Health Partners (Florida) 29.    Billings Clinic (Montana, Wyoming) 30.    Bon Secours Good Helpcare (Kentucky, New York, Ohio, South Carolina, Virginia) 31.    Cambridge Health Alliance (Massachusetts) 32.    Cape Cod Health Network ACO (Massachusetts) 33.    Cedars-Sinai Accountable Care (California) 34.    Central Florida Physicians Trust (Florida) 35.    Central Jersey ACO (New Jersey) 36.    Christie Clinic Physician Services (Illinois) 37.    Collaborative Care of Florida (Florida) 38.    Collaborative Health ACO (Massachusetts) 39.    Colorado Accountable Care (Colorado) 40.    Community Health Network (Minnesota) 41.    Diagnostic Clinic Walgreens Well Network (Florida) 42.    Doctors Connected (Virginia) 43.    Essential Care Partners II (Texas) 44.    Fort Smith Physicians Alliance ACO (Arkansas, Oklahoma) 45.    Franciscan Northwest Physicians Health Network (Washington) 46.    Franciscan Union ACO (Illinois, Indiana) 47.    GPIPA ACO (Arizona, New Mexico) 48.    Hartford HealthCare Affordable Care Organization (Connecticut) 49.    HHC ACO (New York) 50.    HNMC Hospital/Physician ACO (New Jersey) 51.    Independent Physicians’ ACO of Chicago (Illinois) 52.    Indiana Care Organization (Indiana) 53.    Indiana Lakes ACO (Indiana) 54.    Integral Healthcare (Florida) 55.    Integrated ACO (Texas) 56.    KCMPA (Kansas, Missouri) 57.    KentuckyOne Health Partners (Indiana, Kentucky) 58.    Keystone Accountable Care Organization (New York, Pennsylvania) 59.    Lahey Clinical Performance Accountable Care Organization (Massachusetts, New Hampshire) 60.    Lower Shore ACO (Delaware, Maryland, Virginia) 61.    Marshfield Clinic (Wisconsin) 62.    Maryland Collaborative Care (Maryland, Washington, D.C.) 63.    MCM Accountable Care Organization (Florida) 64.    Medicare Value Partners (Illinois) 65.    Mercy ACO (Arkansas, Missouri) 66.    Meridian Accountable Care Organization (New Jersey) 67.    Meritage ACO (California) 68.    Morehouse Choice ACO-ES (Georgia) 69.    National ACO (California) 70.    Nature Coast ACO (Florida) 71.    NOMS ACO (Ohio) 72.    Northeast Florida Accountable Care (Florida) 73.    Northern Maryland Collaborative Care (Maryland) 74.    Northwest Ohio ACO (Michigan, Ohio) 75.    Ochsner Accountable Care Network (Louisiana, Mississippi) 76.    OneCare Vermont Accountable Care Organization (New Hampshire, Vermont) 77.    Owensboro ACO (Indiana, Kentucky) 78.    Paradigm ACO (Florida) 79.    Partners in Care (Michigan) 80.    Physician Organization of Michigan ACO (Michigan) 81.    Physicians Collaborative Trust ACO (Florida) 82.    Physicians HealthCare Collaborative (North Carolina) 83.    Pioneer Valley Accountable Care (Connecticut, Massachusetts) 84.    Primary Care Alliance (Florida) 85.    Primary Partners ACIP (Florida) 86.    ProCare Med (Florida) 87.    ProHealth Physicians ACO (Connecticut) 88.    Qualable Medical Professional (Tennessee, Virginia) 89.    Rio Grande Valley Health Alliance (Texas) 90.    Saint Francis HealthCare Partners ACO (Connecticut) 91.    San Diego Independent ACO (California) 92.    Scott & White Healthcare Walgreens Well Network (Texas) 93.    SERPA-ACO (Nebraska) 94.    South Florida ACO (Florida) 95.    Southcoast Accountable Care Organization (Massachusetts, Rhode Island) 96.    Southern Maryland Collaborative Care (Maryland, Washington, D.C.) 97.    St. Luke’s Clinic Coordinated Care (Idaho, Oregon) 98.    Summit Health-Virtua (New Jersey) 99.    The Premier Health Care Network (Georgia, New Hampshire) 100.    UCLA Faculty Practice Group 101.    UW Health ACO (Wisconsin) 102.    Virginia Collaborative Care (Virginia) 103.    Wellmont Integrated Network (Tennessee, Virginia) 104.    Winchester Community ACO (Massachusetts, New Hampshire) 105.    Yavapai Accountable Care (Arizona) 106.    Yuma Accountable Care Organization (Arizona)
Source: beckershospitalreview.com

New Mexico Medicare Advantage Disenrollment Period

and is the right time to make changes to your New Mexico Medicare Advantage plan. If you haven’t already done so, take a few minutes and review your current plan to decide if you would be better off returning to Original Medicare with or without part D coverage. A Medicare Supplement plan may be able to save you money while giving you more options and fewer restrictions. Remember, MAPD ends February 14
Source: newmexicomedicarehealth.com

Doctor shortage forces NM to think creatively

The New Mexico Health Policy Commission, a state agency that provided independent research and policy recommendations until its budget was eliminated in 2010, wrote a report that year detailing recommendations for addressing the health workforce shortage. Here are some of the commission’s proposals: • Increase funding for loan-repayment programs that attract providers to rural areas • Support legislation to expand the scope of practice for potential mid-level oral health providers, amend dental licensure examination requirements, and allow University of New Mexico dental residents to obtain temporary licenses • Study the feasibility of expanding New Mexico physician assistant training programs and other mid-level training programs in the state • Support legislation to create 60 lottery scholarship slots for individuals to become certified nurse practitioners or physician assistants and agree to work in New Mexico for at least three years • Seek funding for programs that create a more diverse workforce that better reflects and represents New Mexico’s population • Support legislation that would levy excise taxes on alcohol, tobacco and/or sugared soft drinks to pay for loan forgiveness, debt repayment and scholarship programs for health professionals
Source: nmindepth.com

Martinez calls for corporate tax cuts, reforms in State of the State (updated with video)

Matthew Reichbach has blogged about New Mexico politics since 2006. Matthew was a co-founder of New Mexico FBIHOP with his brother and part of the original hirings at the groundbreaking website the New Mexico Independent. Matthew has covered events such as the Democratic National Convention and Netroots Nation. In addition to politics, Matthew is an avid sports fan, especially of the Los Angeles Dodgers, and TV fan.
Source: nmtelegram.com

S.D., N.M. Governors Take Opposing Tacks On Medicaid Expansion

Stateline: Utah’s Health Insurance Exchange In Limbo Since the Affordable Care Act became law in 2010, states have known they would have a choice about whether to run their own health insurance exchanges or let the federal government do it for them. But with only eight months left before those online marketplaces are expected to open to the public, Utah hasn’t made up its mind. Utah is one of several Republican-led states weighing an eleventh-hour decision about whether to set up a state-run exchange. But it is a special case because it is one of only two states, the other being Massachusetts, that already has a functioning insurance exchange. In both states, the exchange was the brainchild of a Republican governor eager to promote free market competition. But once the concept became integral to the success of President Obama’s federal health law, Utah and many other Republican-dominated states resisted it (Vestal, 1/11).
Source: kaiserhealthnews.org

Health Care Reform Implementation Update

On Monday (1/7), Florida Gov. Rick Scott met with HHS Sec. Sebelius to discuss whether Florida will assist with the implementation of the state exchange and expand its Medicaid program in accordance with the Affordable Care Act. Gov. Scott is concerned about expanding the state’s Medicaid program, which already consumes close to 30 percent of the state’s budget, because he knows the expansion would be difficult or impossible to reverse and fears that the state portion of spending will grow over time. Scott said, "Growing government is never free." Prior to Scott’s meeting with Sec. Sebelius, however, Scott projected health reform could cost state taxpayers $26 billion, and after the meeting his administration released new cost estimates of $3 billion.
Source: hotbuttonblog.com

Center for Medicare & Medicaid Services: 106 Additional Medicare ACOs Announced

The Centers for Medicare and Medicaid Services (CMS) has announced the approval of an additional 106 accountable care organizations (ACOs) through the Medicare Shared Savings Program.  These newly approved ACOs bring the total number of ACOs approved by CMS to over 250 organizations. In total, Medicare’s ACO partners will serve more than 4 million beneficiaries nationwide.  Federal savings from this initiative could be up to $940 million over four years.
Source: ignatiusbau.com

“Come Home”: A Medicare Innovation Center Project

I have good evidence from years of data in my practice that our policies and procedures can save Medicare many millions of dollars. When the Center for Medicare and Medicaid Innovation offered grant funding to anyone with an idea of how to give better care, keep people healthier, and save money at the same time, I decided to apply. I created a company, Innovative Oncology Business Solutions (IOBS), for the purpose of transforming the ideas I had implemented in my practice into processes that could be replicated in other practices across the country. The project is called “Come Home” (community oncology medical home). New Mexico Cancer Center’s data were sent to CMS as part of the grant application, and they were impressed enough to grant IOBS $19.8 million to see if the processes are generalizable. We must now show that the seven practices involved in the project can save CMS $34 million by aggressively managing the side effects of cancer and its treatment.
Source: cancernetwork.com

Inside Three ACOs: Why California Providers are Opting for the Model

Based on ACO participation, California continues to help set the pace for reform. A June 2012 report from Leavitt Partners found that 25 ACOs — more than 10% of the 221 ACOs that the firm identified across the nation through May 2012 — were located in the state. And in a nod to California’s tradition of strong physician leadership, 11 of those ACOs were sponsored by independent practice associations; no other state had more than six ACOs sponsored by physician groups. (That count has since gone up, as more IPA-led ACOs in the Golden State have come online since last summer.)
Source: californiahealthline.org

Governor Martinez Will Implement Medicaid Expansion Under the Affordable Care Act

“I want all of us to remember, Medicaid expansion is a federal government promise,” said Governor Martinez. “Unfortunately, we know that out-of-control federal spending can create uncertainty for these kinds of programs. If the federal government breaks its promise and begins to cut their reimbursement rate, we will be forced to scale back this expansion. In the event that we are faced with such a decision, we cannot allow our children who are most in need to go without healthcare services. If the federal reimbursement rate for Medicaid expansion is cut, we must protect our kids and protect our budget by ensuring that the most recent additions to the Medicaid program are the first ones moved off.”
Source: donaanademocrats.com

Medicare Plan Finder for Health, Prescription Drug and Medigap plans

Posted by:  :  Category: Medicare

meds: it's obscene by fallsroadBetween 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 Drug Coverage

Medicare Prescription Drug Coverage, Medicare Part D, Doughnut Hole

Medicare has an optional program — called Medicare Part D — that provides insurance to help you pay for prescription drugs. If you select to have the coverage, you pay a monthly premium. This guide explains how the program works and helps you make decisions in choosing a plan that’s right for you.
Source: aarp.org

Medicare Part C, Medicare Advantage Plans, What Does It Cover, Who Is Eligible

Before you enroll in a Medicare Part C plan you will have to enroll in Medicare Parts A and B. Generally, individuals are automatically enrolled in both if they are already receiving Social Security. Otherwise you will need to contact your local Social Security office to enroll. Once you are enrolled in Parts A and B you can select a Medicare Advantage Plan. For most people, this can all be done at the same time, when they turn 65 years of age. There is a seven month window to enroll which starts three months before your birthday month and ends three months after.
Source: bradeninsurance.com

Seniors have until Friday to change Medicare drug plan

North Carolina Health News is an independent, not-for-profit, statewide news organization dedicated to covering health care in North Carolina employing the highest journalistic standards of fairness, accuracy and extensive research. NCHN seeks to become the premiere source for health reporting in North Carolina. Visit NCHN at northcarolinahealthnews.org.
Source: carolinapublicpress.org

Things to Think about when You Compare Medicare Drug Coverage

Monthly Premium Most drug plans charge a monthly fee that varies by plan. You pay this fee in addition to the Medicare Part B (Medical Insurance) premium. If you’re in a Medicare Advantage Plan or a Medicare Cost Plan that includes Medicare prescription drug coverage, the monthly premium you pay to your plan may include an amount for prescription drug coverage. Note: What you pay for Medicare prescription drug coverage could be higher based on your income. This includes coverage you get from a Medicare Prescription Drug Plan, a Medicare Advantage Plan, a Medicare Cost Plan, or an employer group Medicare Advantage Plan that includes Medicare prescription drug coverage. If the modified adjusted gross income that you reported on your IRS tax return from 2 years ago (the most recent tax return information provided to Social Security by the IRS) is above a certain limit, you will pay an extra amount in addition to your plan premium. Usually, the extra amount will be deducted from your Social Security check. If you have to pay an extra amount and you disagree (for example, you have a life event that lowers your income), call Social Security at1-800-772-1213. TTY users should call 1-800-325-0778. For more information, visitwww.socialsecurity.gov.
Source: growingolder.org

Medicare Prescription Drug Coverage Is Here!

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Source: familyhomehealth.org

Medicare Beneficiaries Overspend on Rx Drug Coverage, Study Finds

I’m an insurance broker. I deal with Medicare and Part D. Seniors are confused by Part D. They don’t know how to select a plan. And when they select a plan it might change the next year such that it is not right for that person. Last year the premium for a Unicare plan (owned by Wellpoint) went from $32 in 2011 to $72 in 2012. Only one of my clients had noticed this change. I had to contact the others to get them out of that plan. Part D is ridiculously complicated and there are too many plans – and they are allowed to change too much from year to year. This is not good for Medicare beneficiaries and it should be fixed.
Source: californiahealthline.org

Medicare open enrollment: How can I find a better plan?

What about doctor availability? On the Medicare site you can directly compare up to three plans, and when I selected your current plan and these other two plans, I saw that your current plan says it has 1001-1500 “physicians and providers,” compared to 4001-5000 for the other two plans. For each plan you can click on “View provider and physician network website,” which takes you away from Medicare.gov and onto the plan’s own website, where you can search its provider directory to judge for yourself whether it has enough doctors to meet your needs.
Source: consumerreports.org

Medicare Open Enrollment: What’s your back

Nobody likes to think of back-up plans when it comes to our health, but health can be as unpredictable as the weather. It’s hard to know what you’ll feel like next week, much less what health care you’ll need next year. But that’s exactly what you need to think about when you’re shopping for health coverage during Medicare Open Enrollment – which ends on December 7.
Source: medicare.gov

Arizona Federal Judge Affirms Denial Of Drug Coverage Under Medicare Part D

PHOENIX – An Arizona federal court judge on Dec. 11 affirmed a health plan’s denial of a prescription drug, agreeing that the drug is not covered under Medicare Part D (Penny Rickhoff v. United States Secretary for the Department of Health and Human Services, No. 11-2189, D. Ariz.; 2012 U.S. Dist. LEXIS 175206).Full story on lexis.com
Source: lexisnexis.com

Not Happy with Your Medicare Advantage Plan? Change it!

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

CMS: Method II Physicians Eligible For Medicare EHR Incentives

Posted by:  :  Category: Medicare

New Online Rx System Makes UM Student 'Top Entrepreneur' Finalist by University of Maryland Press ReleasesCertain physicians who provide services in the outpatient departments of critical access hospitals are eligible to participate in the Medicare Electronic Health Record Incentive Program beginning this year, according to the Centers for Medicare & Medicaid Services. However, due to CMS system changes that will be implemented over the coming year, these physicians will not be able to submit attestations until January 2014. They will not be able to receive incentives for 2012.  (Source: AHA News)  [Read article]
Source: worh.org

Video: Medicare Part 1: Eligibility and Enrollment

When Will YOU Be Eligible For Medicare?

[…] Phylis Feiner Johnson has been a professional copywriter for 30 years. She also spent 20 years with epilepsy. She writes from the heart to increase education, awareness and funding for epilepsy research. For further information, contact The Epilepsy Foundation of Eastern Pennsylvania at http://www.efepa.org/ and please make a contribution to become an advocate, too.Source: epilepsytalk.com […]
Source: epilepsytalk.com

10 Recent Medicare, Medicaid Issues

Here are 10 issues dealing with Medicare or Medicaid that occurred in the past week, starting with the most recent. 1. The average per capita costs of hospital services covered by Medicare and commercial insurance increased 3.57 percent in the 12-month period ended November 2012 — a historic low since the S&P Healthcare Economic Indices started tracking the data. 2. A bill that would extend a 1.45 percent fee on Georgia’s hospitals to help fund a deficit in the Medicaid program passed the state’s Senate and is expected to go before the state House Jan. 28. 3. South Carolina Gov. Nikki Haley (R) announced during her State of the State address that 19 Medicaid-designated rural hospitals in the state will receive 100 percent funding for any uncompensated care, starting this October. 4. Several groups, not just those in healthcare, lost something financially in the fiscal cliff deal, but do hospitals have a legitimate gripe? Was this year’s Medicare SGR patch an illusory solution? 5. Legislation to reauthorize the Children’s Hospitals Graduate Medical Education program was reintroduced in the House Energy and Commerce Committee’s Health Subcommittee. 6. The Business Roundtable, a group of CEOs representing the largest U.S. companies, recommended the retirement age at which beneficiaries become eligible for Medicare and Social Security should be raised from 65 to 70. 7. Maine Gov. Paul LePage (R) announced the state will repay roughly $186 million in Medicaid payments owed to 39 hospitals through a revenue bond and the state reclaiming control over liquor sales. 8. Seniors tended to choose Medicare Advantage plans with higher quality ratings on CMS’ five-star scale, according to a study published in the Journal of the American Medical Association. 9. Arizona Gov. Jan Brewer recommended state lawmakers expand the Medicaid program in her state of the state address Monday, becoming only the third Republican governor to do so. 10. Twenty-one states demanded the government change a rural hospital Medicare loophole embedded with the Patient Protection and Affordable Care Act that has given Massachusetts hundreds of millions of dollars in extra Medicare funding at the expense of other states.
Source: beckershospitalreview.com

Medicare Part C, Medicare Advantage Plans, What Does It Cover, Who Is Eligible

Before you enroll in a Medicare Part C plan you will have to enroll in Medicare Parts A and B. Generally, individuals are automatically enrolled in both if they are already receiving Social Security. Otherwise you will need to contact your local Social Security office to enroll. Once you are enrolled in Parts A and B you can select a Medicare Advantage Plan. For most people, this can all be done at the same time, when they turn 65 years of age. There is a seven month window to enroll which starts three months before your birthday month and ends three months after.
Source: bradeninsurance.com

When Does One Become Eligible for Medicare?

One can become eligible for Medicare under the age of 65 if he or she is disabled or has been receiving Social Security disability payments for over 24 months. In order to enroll in Medicare one needs to go to the local Social Security office. One can ask questions about his or her eligibility, options and penalties in the office or by joining the American Boomer Network and visiting one of the forums there. It is imperative that one has understanding of his or her options, rights and penalties. For example if some people delay enrolling into Medicare after the age of 65 but decide to enroll later, they are subjected to a 10% penalty for every year of the delay.
Source: harmonyway.org

Viewpoints: Health Law’s ‘Sticker Shock;’ Changing Medicare Eligibility Age Is Not A Simple Solution

San Jose Mercury News: Pancreatic Cancer Finally Gets Federal Attention Pancreatic cancer is a devastating and unforgiving disease. My husband, Patrick Swayze, was diagnosed with this terrible cancer in January of 2008. … Of the top five cancer killers, pancreatic cancer is the only one with a five-year survival rate in the single digits — just 6 percent. Patrick fought valiantly before passing away almost 22 months later. While pancreatic cancer may have taken him in the end, it never beat him. And for me, just because he’s gone doesn’t mean this fight is over. Due in part to the lack of federal resources, scientific advances against this disease, whose statistics are shocking, have been minimal at best. No early-detection tools exist, and few effective treatment options are available. Further, despite its being one of the most deadly cancers, there has been no national plan to address pancreatic cancer (Lisa Niemi Swayze, 1/11).
Source: kaiserhealthnews.org

Your Money Matters: Healthcare in Retirement

Medigap In general Medigap is supplemental insurance specifically designed to cover some of the gaps in Medicare coverage. Although the name might lead you to believe otherwise, Medigap is provided by private health insurance companies, not the government. However, Medigap is strictly regulated by the federal government. There are 10 standard Medigap policies available (Plans E, H, I, and J are no longer available for sale, however, if you already have one of these plans you can keep that plan). All plans may not be offered in your state, yet all are standardized and certified by the U.S. Department of Health and Human Services so that each plan provides exactly the same kind of coverage no matter what state you live in (except for Massachusetts, Minnesota, and Wisconsin, which have their own standardized plans). Every Medigap policy offers certain basic core benefits, such as coverage of certain Medicare Part A and B coinsurance and co-payments. Other plans offer additional benefits, such as coverage of Medicare Part A and B deductibles, and charges that result when a provider bills more than the Medicare-approved amount for a service. Medicaid
Source: wgntv.com

Listen Up, White House! Take Medicare Eligibility Age Off The Table NOW.

…with the electorate. Act 1. A disaster scenario (created by the WH & Congress) aptly named a ‘fiscal cliff’ MUST be solved by Dec. or we’ll all die. Both parties posture and pose and pretend to hold out for a deal their base supports. Act 2. Media run non-stop stories about the fiscal cliff ‘disaster’. Theme: If no compromise is reached before (artificial) deadline life will end for us all. Good cop, bad cop drama ensues. Act 3.The WH/Congress leak Pete Peterson’s plan to a couple of insiders to float. Outrage from both bases. Media frenzy. WH/Congress wait out the storm. Act 4. Float a slightly more palpable plan with “tweaks”. Media insiders in both parties give it a tepid thumbs up claiming it was the best they could do given the intransigence of the other party. Act 5. Tweaked entitlement “reform” bill gets bipartisan support. Act 6: The public finds out 9 mos later about the poison pills lobbyists for Pete Peterson wrote into the bill. Act 7. Medicare age raised to 67. SS cola ‘tweaked’. Taxes raised 2% on millionaires. Captial Gains tax untouched. Defense cuts- not so much.
Source: crooksandliars.com

Brad DeLong : Aaron Carroll: Raising the Medicare Eligibility Age Is Really, Really, Really, Really Bad Policy

Washington would see $24 billion in Medicare savings. But it also would see a rise of about $9 billion in Medicaid spending and another $9 billion in subsidy spending, which would reduce the overall savings to about $5.7 billion. But all those 65- and 66-year-olds need insurance. Those who get it through their jobs would cost employers another $4.5 billion. Others would go to the exchanges. But, ironically, removing these people from the Medicare risk pool and adding them to the exchanges makes both groups less healthy, so everyone’s premiums would go up. This would cost all Americans another $2.5 billion. States have to cover a portion of the new Medicaid spending. That’s $700 million. Finally, there are the out-of-pocket costs to seniors, which may rise by $3.7 billion.
Source: typepad.com

Raising the Medicare Eligibility Age: A Costly and Dangerous Proposal 

[1] Congressional Budget Office: Raising the Ages of Eligibility for Medicare and Social Security, January 2012. Available at http://www.cbo.gov/publication/42683. [2]Center for Budget and Policy Priorities: Raising Medicare’s Eligibility Age would Increase Overall Health Spending and Shift Costs to Seniors, States, and Employers, August 2011.  Available at http://www.cbpp.org/cms/?fa=view&id=3564. [3] Henry J. Aaron, Ph. D, The Brookings Institution for AARP Public Policy Institute, Perspectives: Reforming Medicare: Option-Raise the Medicare Eligibility Age, available at http://www.aarp.org/content/dam/aarp/research/public_policy_institute/health/option-raise-the-medicare-eligibility-age-AARP-ppi-health.pdf. [4] Center for American Progress, The Senior Protection Plan, available at http://www.americanprogress.org/wp-content/uploads/2012/11/SeniorProtectionPlan.pdf. [5] Kaiser Family Foundation: Raising the Age of Medicare Eligibility: A Fresh Look Following the Implementation of Health Reform, July 2011, available at http://www.kff.org/medicare/8169.cfm. [6] Ibid. [7] Kaiser Family Foundation, Health Reform Subsidy Calculator, available at http://healthreform.kff.org/subsidycalculator.axpx [8] Ibid. [9] United States National Vital Statistics System. Available at http://www.cdc.gov/nchs/nvss.htm. [10] Health Affairs, Raising the Medicare Eligibility Age: Effects on The Young Elderly, July/August 2003, available at http://content.healthaffairs.org/content/22/4/198.full. [11] Medicare Rights Center, Paying More for Less: Raising the Eligibility Age, available at http://www.medicarerights.org/pdf/Paying-More-For-Less-Raising-Medicare-Age.pdf. [12] ABC News/WashingtonPost Poll, Langer Research Associates, November 2012, available at http://abcnews.go.com/blogs/politics/2012/11/among-cliff-avoidance-options-most-favor-targeting-the-wealthy/. [13] Center for Medicare Advocacy, Deficit Reduction and Medicare: Saving Money without Harming Beneficiaries, available at http://www.medicareadvocacy.org/2012/11/15/deficit-reduction-and-medicare-save-money-without-harming-beneficiaries/ [14] MRC. [15] Center for Medicare Advocacy, Investing in Our Future: Strengthening Medicare in 2012 and Beyond, available at http://www.medicareadvocacy.org/2012/02/09/investing-in-our-future-strengthening-medicare-for-2012-and-beyond/.
Source: medicareadvocacy.org

Jon Chait’s Miserable Endorsement of Raising the Medicare Eligibility Age

What’s more, raising the Medicare retirement age would help strengthen the fight to preserve the Affordable Care Act […] The political basis for the right’s opposition to universal health insurance has always been that the uninsured are politically disorganized and weak. But a side effect of raising the Medicare retirement age would be that a large cohort of 65- and 66-year-olds would suddenly find themselves needing the Affordable Care Act to buy their health insurance. Which is to say, Republicans attacking the Affordable Care Act would no longer be attacking the usual band of very poor or desperate people they can afford to ignore but a significant chunk of middle-class voters who have grown accustomed to the assumption that they will be able to afford health care. Strengthening the political coalition for universal coverage seems like a helpful side benefit — possibly even one conservatives come to regret, and liberals, to feel relief they accepted.
Source: firedoglake.com

Tricare Help – Can wife, over 65 but ineligible for Medicare, be put on Tricare Prime?

What you need to do is contact your local Social Security Administration office and make them aware that your wife is not eligible for Medicare Part A under either her own work history or yours. As such, she should be eligible to receive a “Notice of Disapproved Claim” from the SSA. Once you have that in hand, take it to your nearest military installation ID Card/DEERS office. DEERS is the Defense Enrollment Eligibility Reporting System, the Defense Department’s eligibility portal for Tricare. The SSA’s “Notice of Disapproved Claim” should be sufficient to allow your wife to retain eligibility for Tricare Prime, Standard and Extra even though she is already past her 65th birthday, once you update your wife’s DEERs registration file and get a new ID card for her.
Source: militarytimes.com

BCBS, Priority Health rank highest in state for Medicaid, Medicare

Posted by:  :  Category: Medicare

Newsweek Magazine (February 16, 2009) ... Lenders Add Bigger Fannie, Freddie Fee – Thanks to Payroll Tax Cut (January 15, 2012) ...item 2.. Dupuy: GOP trying to sell pyrmaid scheme to voters (September 3, 2012) ... by marsmet526If you enjoy the content on the Crain’s Detroit Business Web site and want to see more, try 8 issues of our print edition risk-free. If you wish to continue, you will receive 44 more issues (for a total of 52 in all), including the annual Book of Lists for just $59. That’s over 55% off the cover price. If you decide Crain’s is not for you, just write “Cancel” on the invoice, return it and owe nothing. The 8 issues are yours to keep with no further obligation to us. Sign up below.
Source: crainsdetroit.com

Video: 2009 Medicare TV spot for Priority Health Medicare plans – couple RV’ing

Canadians want Parliament to make medicare top priority, poll finds

But several months after winning the election, the Harper government announced there would be no negotiations. Instead, federal health-care transfers will continue to increase by six per cent until 2016-17. After that, increases will only be tied to economic growth including inflation – currently roughly four per cent – and never fall below three per cent.
Source: canada.com

Beyond the Fiscal Cliff: Entitlement Reform

One of the major issues not addressed as part of the recent deal on the fiscal cliff is the future of the major entitlement programs – Social Security, Medicare and Medicaid. Entitlements are programs that pay benefits to anyone who applies for them and meets the eligibility requirements for that specific program. Social Security and Medicare – the two largest entitlement programs – together account for roughly one third of total federal spending. Many analysts, along with congressional Republicans, consider these programs to be the main contributors to our growing federal debt. Senate Minority Leader Mitch McConnell (R-KY), who led GOP negotiators during the fiscal cliff discussions, stated repeatedly during the negotiations that Republicans would “be open to new revenue in exchange for meaningful reforms to the entitlement programs that are the primary drivers of our debt.” That the fiscal cliff deal was reached without addressing the issue of entitlement programs is just another indication that this will be a hot topic as the new Congress ramps up its work. Entitlement reform has long been a high priority for congressional Republicans, who view it as essential to ensuring the long term financial viability of the programs as healthcare costs continue to grow and baby boomers begin retiring and start to draw benefits. Yet many Democrats in Congress – who consider protecting Social Security and Medicare as central components of their party’s platform – view GOP reform efforts as a way to reduce program benefits. They look at proposals such as those made by House Budget Committee Chair Paul Ryan (R-WI) which would effectively privatize Medicare and turn Medicaid into a block grant program as ways to cut back on these programs while shifting additional costs to beneficiaries. Although President Obama resisted such efforts during the fiscal cliff negotiations, he has at times indicated his willingness to discuss changes in major entitlement programs. That fact, coupled with a real desire among Republicans in Congress to take on entitlement reform, and the “hands off” approach of most Democrats ensures that this will be a hot topic of debate in Washington.
Source: nationalpriorities.org

Daily Kos: Wall Street vs. Main Street – They don’t need their Social Security so why should you?

The Business Roundtable has presented the latest CEO/Wall Street attempt to convince Washington that slashing Social Security and Medicare benefits for the average American is the brave thing to do to cut our deficits. Their proposal is nothing more than a knock-off of the Bowles Simpson and the Ryan plan – two plans that have been soundly rejected by a majority of Americans in poll after poll and at the ballot box in November. Incredibly, this plan doubles-down and includes virtually every bad idea Washington has considered over the past decade all rolled into one proposal.  In short, America’s CEO’s say raising the retirement age to 70, cutting benefits immediately for seniors, the disabled and veterans, turning Medicare into CouponCare while also raising the Medicare eligibility age, really isn’t too much to ask from millions of middle-class American families still reeling in this economy.
Source: dailykos.com

If Entitlement Programs Are Your Top Priority, the Fiscal Cliff Is Your Friend

Everyone knows that Ronald Reagan reduced income taxes (more than one half for the wealthy); what is less commonly understood is that he extensively offset this by raising payroll taxes(more than double for most self-employed). Today, most American families pay more in payroll taxes than they do in income taxes. Between 1946 and 1981, income taxes averaged 12(+/-1)% of normalized GDP. Reagan reduced income taxes to near 9%. Clinton increased them back to 12%; and Bush/Obama reduced them again to 9 %( and below). However, on budget expenses (which exclude Medicare and Social Security) have remained 12(+/-1)% of normalized GDP throughout. The deficit in income taxes has been financed by borrowing, largely from the Social Security and Medicare trust funds. When Clinton raised income taxes back to 12%, this eliminated the on budget deficit. The CBO projected that this, plus the Social Security and Medicare surpluses, was enough to pay off the entire US debt before the Social Security/Medicare trust funds would have to be amortized for beneficiary payments, all without having to raise any taxes to pay for the amortization of those trust funds. Like Reagan before him, Bush took those excess payroll tax receipts and gave them “back” as income tax reductions, heavily weighted to the wealthy–who didn’t create those surpluses in the first place. By doing this, Bush guaranteed that income taxes would have to be raised in order to amortize the trust funds. Although the Republicans like to talk about those “47%” who in large part pay only payroll taxes as being supported and subsidized by those who pay income taxes, the truth is the opposite; ever since Reagan, income taxes have been subsidized by payroll taxes; and the failure to raise income taxes to pay back that subsidy, is to steal the money that middle-class workers have had taken out of their income to pay for their retirement.
Source: baselinescenario.com

NTML Executive Manager, Strategic Priority Projects

You will be excited about the opportunity to contribute to improved health outcomes across the Northern Territory.  Your strong analytical and strategic thinking skills underpin your ability to identify opportunities and build successful strategic initiatives.  You have outstanding interpersonal and engagement skills with a proven ability to build collaborative relationships with diverse stakeholders in an environment requiring cultural sensitivity.   With excellent organisational skills, you initiate and complete tasks within required timeframes and with attention to detail.  Experience or knowledge of heath funding, health reform or the primary health care sector will be highly regarded.
Source: com.au

Romney and Obama now fight for edge on Medicare

Romney and the White House also condemned a new round of anti-Israel remarks by Iranian President Mahmoud Ahmadinejad. Romney told 80 people at a fundraiser overlooking the Long Island Sound: "Ahmadinejad of Iran made another series of vile statements about Israel, and excising Israel from the body of humanity, and so forth. And you recognize how critical it is to have leadership that describes precisely what it believes, describes what actions it’s willing to take, and stands for something."
Source: publicradio.org

Medicare and Health Care Reform: Why Isn’t Real Time Data a Priority? : Duane Morris Health Law

Jonathan Blum, CMS Deputy Administrator and Director of the Center of Medicare participated on a panel about about macro health care system changes and one of the key take aways was not surprisingly, that change in the health care system is all about the data. Data will drive not just the delivery and payment of care with respect to a particular patient, but also the direction of the health care system through large pools of data (also known as Big Data). The virtually anywhere-anytime mobile access to data through software applications on portable devices (mHealth or mobile health) highlights the centrality of data to the health care system. But, Blum had to be prodded by a member of the audience who asked the best question—why can’t CMS provide "real time" data?
Source: duanemorris.com

Priority Health Adds Medicare Advantage Plan and Seven Counties.

Medicare is available to individuals age 65 and older as well as to some people with disabilities. Medicare recipients may enroll between November 15 and December 31, 2010. To learn more about Priority Health’s Medicare plans, premiums by county and participating health care providers, call Priority Health toll-free at 888 389-6676, visit a Priority Health Medicare Information Center in Holland, Grand Rapids, Kalamazoo or Traverse City (opening November 1) or go to prioritymedicare.com. Priority Health’s Medicare Advantage health plans are available in 38 counties: Allegan, Antrim, Barry, Benzie, Cass, Charlevoix, Clare, Crawford, Emmet, Grand Traverse, Hillsdale, Ionia, Jackson, Kalamazoo, Kalkaska, Kent, Lake, Leelanau, Livingston, Manistee, Macomb, Mason, Mecosta, Missaukee, Monroe, Montcalm, Muskegon, Newaygo, Oakland, Oceana, Osceola, Otsego, Ottawa, Roscommon, St. Clair, Washtenaw, Wayne and Wexford.
Source: blogspot.com

US Republicans say increase debt ceiling

Delaying the debt ceiling debate could allow lawmakers to focus more thoroughly on the $US110 billion ($A104.81 billion) in broad mandated cuts set to hit the military and domestic programs from early March, as well as the temporary funding that is keeping the government running and which expires at the end of that month.
Source: bigpondnews.com

Priority Health Expands Its Medicare Offerings

2012 about after attack Bill Blog Business campaign care case Celebrity China court Dead death dies economy First from Health House Iran killed more News Obama Over Police politics Poll post President report Romney says Senate Sports Syria Syrian Technology Times U.S. update Video World
Source: thenewsroom.info

Ask The Experts: Retirement

Posted by:  :  Category: Medicare

First, please review previous Q&As to see if your question already has been answered. If you cannot find the answer, submit your question to our Retirement expert at fedexperts@federaltimes.com PLEASE NOTE! Do not submit ANY questions via the Comments form. Questions submitted via the Comments form will NOT be answered!
Source: federaltimes.com

Video: Medicare Part D

Closing The Medicare Part D Program Doughnut Hole: The End Is In Sight!

There’s also some encouraging research confirming what a lot of us intuitively sense: that making prescription drugs more affordable saves money down the road by keeping people healthier. When people with diabetes get their insulin regularly, for example, they’re more likely to stay out of the hospital. Of course this is great for them; no one likes going to the hospital. But it’s good for all of us, because hospital care is expensive, and keeping people healthy and out of the hospital is one of the most obvious ways of bringing health care costs under control. Recently, the Congressional Budget Office – the green eyeshade folks who keep track of the cost of everything the government does – concluded that making prescription drugs in Medicare more affordable does, in fact, save some money later on by reducing things like hospital admissions. As a result, filling in the doughnut hole is going to cost about 40 percent less than was previously forecast. At a time of tight budgets, that’s great news for all of us.
Source: smmirror.com

Health Network Alert: 2013 Transition Policies for Medicare Part D

Adult Day Health Care Affordable Care Act Assisted Living Chained CPI Clark v Astrue Court Access Dual Eligibles Health Care Reform Home and Community-based Services IHSS Language Access LGBT long term care Medi-Cal Medicaid Medicare Medicare Part D Nursing Homes Olmstead Pickle Amendment Preemption Same Sex Marriage Social Security SSI Supreme Court
Source: nsclc.org

Open Enrollment 2013: Medicare Part D Benefits Improve but Premiums an…

While Medicare Part D prescription drug plan premiums are generally expected to remain steady in 2013, this PPI Fact Sheet by Leigh Purvis and Lee Rucker finds that premiums for many popular plans will actually be considerably higher than they were in 2012. Many plans are also increasing cost-sharing and their reliance on utilization management tools for covered prescription drugs. Medicare beneficiaries should closely examine their 2013 prescription drug plan choices during open enrollment for Part D.
Source: aarp.org

Medicare Part D Premiums Holding Steady

Thanks to the marvels of medical science, our parents are living longer than ever before. Adults over age 80 are the fastest growing segment of the population; most will spend years dependent on others for the most basic needs. That burden falls to their baby boomer children. In The New Old Age, Paula Span and other contributors explore this unprecedented intergenerational challenge. You can reach the editors at newoldage@nytimes.com.
Source: nytimes.com

Medicare Part D: A First Look at Part D Plan Offerings in 2013

NOTE: Originally released in October 2012, this data spotlight was updated in November 2012 to reflect revised data from the Centers for Medicare and Medicaid Services. 
Source: kff.org

Why Medicare Part D Works [VIDEO]

The Catalyst provides news and commentary on access to life-saving treatments, America’s biopharma industry and researchers’ progress in developing new medicines. The Catalyst is edited by Kaelan Hollon, communications director at PhRMA. Contributors include PhRMA staff and leaders from the industry.
Source: phrma.org

False Claims Act Reaches Medicare Part D Preferred Benefit Managers; Case Against Caremark to Proceed

Among the important issues decided by the judge are that: (1) Prescription Drug Event records (PDEs) by Part D PBMs are “claims” under the FCA; (2) the relator/plaintiff properly pled falsity based on a PBM’s false certification of the accuracy, truth, and completeness of its Part D PDEs as well as under a worthless services theory (failure to provide Part D services, including DUR, subjects providers, including PBMs, to FCA liability); and (3) the reverse false claims section of the FCA applies because false Part D claims impact the Part D reconciliation process. Other points of note include an excellent discussion by DOJ in its SOI of why its declination decisions should not be interpreted as a decision on the merits of the case; and the court’s rejection of Caremark’s public disclosure argument, finding that neither the exchange of information covered by a confidentiality agreement in discovery during civil litigation, nor the submission of Part D PDE to CMS is a public disclosure that could jurisdictionally bar relator’s suit.
Source: bostonwhistleblowerlawyerblog.com

Top Medicare Part D Plan Costs Spike in 2013

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

Survey Finds Seniors Satisfied With Medicare Part D

Politico Pro: Survey: High Satisfaction With Medicare Part D The debate may be raging over Medicare in the race for the White House — but a new survey points out that one part of it, Medicare Part D, has both positive results and bipartisan support. And health experts from Third Way, the Galen Institute and the Healthcare Leadership Council say the program’s success means that during sequester negotiations lawmakers should keep their hands off the Medicare prescription drug benefit. David Kendall, senior fellow for health and fiscal policy at Third Way, said on a call with reporters that the Medicare prescription drug benefit was a key example of successful bipartisanship because it was “enacted by Republicans and perfected by Democrats” (Smith, 10/3).
Source: kaiserhealthnews.org

Choosing a Medicare Part D Prescription Plan

People with arthritis are typically prescribed medications to control symptoms and progression of the disease. For arthritis patients who have qualified for Medicare benefits, there are Medicare Part D prescription plans available. Open enrollment for Medicare plans started October 15, 2012 and ends on December 7, 2012. What does this mean for you? It’s time to review your options, even if you already have a Medicare Part D prescription plan. If you have started new drugs or stopped any that you were taking last year, or if your insurer changed their drug formulary list, you may no longer have the best Medicare Part D plan for you.
Source: about.com

Business Roundtable attacks Medicare and Social Security

• Expand Competitive Models of Care: By 2015, Medicare should offer seniors the opportunity to choose among competing and comprehensive private plans and traditional Medicare. The private plans would offer a benefit similar to the existing Medicare program with the flexibility to innovate, sell across state lines, and create greater value strategies. Plans would be required to accept all applicants and would risk adjust the premium to take into account age and health status. The traditional fee-for-service program would compete for enrollment with private plans on cost, quality and a more innovative benefit structure. We believe that competition in the provision of health care to America’s seniors will bring substantial benefits, as it has to most all other categories of personal expenditure. The recent experience of competition in the Medicare Part D program serves as a persuasive indication of the potential savings and improvement in care available through the provision of choice to well-informed seniors.
Source: pnhp.org

Rubio: Ryan’s Medicare Plan Helps Romney in Florida

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 marsmet481When Mitt Romney tapped Paul Ryan to be his vice presidential running mate, conventional wisdom dictated that Romney had put himself at a distinct disadvantage in the key battleground state of Florida, where Ryan’s controversial plan to reform Medicare wouldn’t sit well with millions of government-dependent seniors. Florida Sen. Marco Rubio isn’t buying it. In an interview with National Journal, Rubio argued that Ryan’s proposal will help — not harm — Romney’s chances of winning the Sunshine State. He predicted that older voters will support Romney and Ryan because they are trying to “save Medicare” instead of pretending that nothing is wrong with the fiscally unsustainable program. “Look, you have three million people in the state who are on Medicare — one of whom is my mom, one of whom is Paul Ryan’s mom,” Rubio said. “These are people who understand the reality of Medicare: that it’s spending more money than it takes in; that anyone who’s in favor of leaving it the way it is is in favor of bankrupting it.” Rubio praised the GOP ticket for tackling the hot-button topic of entitlement reform at a time when many politicians won’t acknowledge the problems facing the Medicare program. “They’re looking for real solutions on how to solve this,” Rubio said. “Mitt Romney and Paul Ryan are offering a way to save Medicare that doesn’t change it at all for current beneficiaries. And I think people here are going to be excited about that.”
Source: nationaljournal.com

Video: How to Understand Medicare Plans

Guaranteed Issue Medicare Periods

Since MA plans may not reduce their benefits or increase premiums or cost-sharing during the plan year, you will only be notified of any reduction in benefits or increase in premiums or cost-sharing for the new plan year during the Annual Election Period (AEP) which allows you to disenroll from your Medicare Advantage plan. The AEP is October 15 – December 7 each year. If you disenroll during this period, the effective date of your disenrollment will be January 1 of the following year. A MA plan may, however, discontinue its contract with a provider anytime
Source: floridahealthinsurancebroker.com

Ryan's Medicare Plan: How Big a Factor in Florida?

As Obama for America’s Florida press secretary, Eric Jotkoff, put it: “If the headlines don’t tell the story, then certainly Floridians can say that Mitt Romney and Paul Ryan are simply out of touch and have no idea what’s important to the people of Florida. Whether it’s a budget that could end Medicare as we know it forcing Florida seniors to pay $6,350 a year out of their pockets or a tax hike which would burden hard-working middle-class families, Romney and Ryan’s campaign is toxic in the Sunshine State, and they will have a hard time convincing voters to choose them in November.”
Source: realclearpolitics.com

UnitedHealthcare, BayCare Health System Reach Agreement

The agreement covers people participating in any UnitedHealthcare medical plan, including Medicare, Medicaid, Florida Healthy Kids, individual and employer-sponsored programs. The new arrangement is effective November 26, 2012, ensuring uninterrupted in-network benefits coverage for all UnitedHealthcare plan participants who may have visited a BayCare facility or physician during the interim period. The agreement also supports improved health care outcomes by providing a framework for continued discussions between the parties to further strengthen the coordination, quality and efficiency of care delivered to area residents.
Source: usf.edu

In Florida, Obama Attacks Romney On Medicare Plan

Miami Herald: As Thrill Fades, President Barack Obama Fires Up Supporters On Medicare, Tax Cuts But Obama steered clear of attacks on Romney’s business record and instead tailored his message toward seniors and the middle class on the first day of a two-day campaign swing in the nation’s biggest battleground state. He stops in Fort Myers and Orlando on Friday. The president warned that Romney’s proposal to repackage Medicare as a fixed benefit is a “voucher” system “will end Medicare as we know it” as it forces seniors to purchase private health insurance. He said his health care reforms have helped seniors receive discounted prescription drugs and get access to free preventive care (Klas and Caputo, 7/19).
Source: kaiserhealthnews.org

Florida Medicare Part D Plans

Anyone who require for this medical facility can opt for this service in any case if he or she is with limited source of income. Those who do not earn much have facility of getting extra help for various services that included in medication part D plan. $4,000 is almost amount that you will get as an extra help from these medication plan. Monthly premium and it can also be your prescription payment for which you will get all help. This can act as big saving for those who do not earn much. So make sure that are you clearing criteria of getting that much help.
Source: medicare-supplement-advisor.org

Daily Kos: Elderly will be hit hard by Romney’s Medicare, Medicaid plans

As it turns out, what we know for sure about Mitt Romney’s assault on senior citizens may pale compared to what we don’t. Romney, after all, has promised to magically offset $5 trillion in tax cuts and $2 trillion in new defense spending over the next decade by closing as yet unnamed tax credits, deductions and deductions. But among Uncle Sam’s $1.1 trillion in annual tax expenditures are a host of tax breaks for the elderly. That figure is forecast to hit almost $1.4 trillion by 2015. While the home mortgage and health expense deductions top that list, untaxed Social Security benefits will reach $44 billion annually in three years. And that’s just one example. Mitt Romney has called for raising the retirement age to 67 for those now 55 and under. (In his 2008 campaign, Romney supported President Bush’s proposal to privatize the retiree pension system.)
Source: dailykos.com

Romney and Obama now fight for edge on Medicare

Romney and the White House also condemned a new round of anti-Israel remarks by Iranian President Mahmoud Ahmadinejad. Romney told 80 people at a fundraiser overlooking the Long Island Sound: "Ahmadinejad of Iran made another series of vile statements about Israel, and excising Israel from the body of humanity, and so forth. And you recognize how critical it is to have leadership that describes precisely what it believes, describes what actions it’s willing to take, and stands for something."
Source: publicradio.org

Obama Ad Attacks Romney’s Medicare Plan In Florida

The Obama campaign is attacking Mitt Romney and Paul Ryan for wanting to turn Medicare into a voucher system in a new ad running in Florida, reports the Tampa Bay Times. The ad also defends actions taken by the Obama administration to strengthen Medicare and lower premiums, including cracking down on fraud and cutting payments to providers.  
Source: talkingpointsmemo.com

Allison family blog: West Virginia Medicare

Posted by:  :  Category: Medicare

Gang of Six - Cartoon by DonkeyHoteyThese two parts of Virginia had the west virginia medicare and to rent a vacation cabin rental companies will allow you to leave, and plan your vacation planning, to research the west virginia medicare and surrounding environment so that you must first file an application with the Social Security Administration, by either filling out an application with the west virginia medicare in mind that you must always find ways to rebuild credit. On the other parts have humid continental climate. It has humid subtropical climate while the west virginia medicare and financial standing will be paying a sub-prime rate that is compatible to fit a laptop is nice. It is my understanding that practically every direction.
Source: blogspot.com

Video: Vice President Joe Biden on Medicare – Blacksburg, VA

Rankin: Hospitals support expansion of the Medicaid program

Affordable Care Act anthrax CDC Culpeper Regional Hospital Dana Tate Dantra Healthcare Dr. Abdul Durrani Dr. Andrew Reese Dr. Jody Crane emergency planning Fredericksburg Fredericksburg Regional Chamber of Commerce H1N1 half marathon HCA health care Health Department HealthSouth Rehabilitation Hospital Historic Half Julie Sutherland Kaiser Permanente Marine Corps Mary Washington Healthcare Mary Washington Hospital Medicaid Medicare MicAnd Assisted Living Mid-Rivers Cancer Center NextCare Urgent Care patient census patient satisfaction Rappahannock Area Health District Reese Medical Associates Robins & Morton Sandra Lamb Senior Care Geriatric Medical Center Snowden at Fredericksburg Spotsylvania Spotsylvania County Spotsylvania Regional Medical Center Stafford County Stafford Hospital VCU Massey Cancer Center Virginia Board of Medicine Virginia Department of Social Services
Source: fredericksburg.com

CMS Names 106 New Medicare ACOs

CMS has named 106 new accountable care organizations that will participate in the Medicare Shared Savings Program, effective Jan. 1. With the addition of the 106 new organizations, as many as 4 million Medicare beneficiaries will be covered by a CMS ACO. According to CMS, the savings achieved by its ACOs could be up to $940 million in four years. The new group of ACOs includes 15 Advance Payment Model ACOs, which are physician-based or rural organizations that will benefit from greater access to capital. The application period for organizations wanting to participate in the MSSP in 2014 will begin this summer. The 106 new ACOs named to the MSSP are listed here, with their service areas: 1.    A.M. Beajow, MD Internal Medicine Associates ACO, P.C. (Nevada) 2.    AAMC Collaborative Care Network (Maryland) 3.    Accountable Care Clinical Services, PC (California, Connecticut, Iowa, Massachusetts, Pennsylvania) 4.    Accountable Care Coalition of Central Georgia (Georgia) 5.    Accountable Care Coalition of DeKalb (Georgia) 6.    Accountable Care Coalition of Georgia (Georgia) 7.    Accountable Care Coalition of Greater Athens Georgia II (Georgia) 8.    Accountable Care Coalition of Greater Augusta & Statesboro (Georgia, South Carolina) 9.    Accountable Care Coalition of New Mexico (New Mexico) 10.    Accountable Care Coalition of North Central Florida (Florida) 11.    Accountable Care Coalition of North Texas (Texas) 12.    Accountable Care Coalition of Southern Georgia (Georgia) 13.    Accountable Care Coalition of Western Georgia (Alabama, Georgia) 14.    Accountable Care Organization of New England (Connecticut, Massachusetts) 15.    ACO of Puerto Rico (Puerto Rico) 16.    Advocare Walgreens Well Network (New Jersey) 17.    Affiliated Physicians IPA (California) 18.    Akira Health (California) 19.    Alegent Health Partners (Nebraska) 20.    Alexian Brothers Accountable Care Organization (Illinois) 21.    Amarillo Legacy Medical ACO (Texas) 22.    American Health Alliance (Florida) 23.    American Health Network of Ohio (Ohio) 24.    APCN-ACO (California) 25.    Arizona Care Network (Arizona) 26.    Atlanticare Health Solutions (New Jersey) 27.    AVETA Accountable Care (Puerto Rico) 28.    BAROMA Health Partners (Florida) 29.    Billings Clinic (Montana, Wyoming) 30.    Bon Secours Good Helpcare (Kentucky, New York, Ohio, South Carolina, Virginia) 31.    Cambridge Health Alliance (Massachusetts) 32.    Cape Cod Health Network ACO (Massachusetts) 33.    Cedars-Sinai Accountable Care (California) 34.    Central Florida Physicians Trust (Florida) 35.    Central Jersey ACO (New Jersey) 36.    Christie Clinic Physician Services (Illinois) 37.    Collaborative Care of Florida (Florida) 38.    Collaborative Health ACO (Massachusetts) 39.    Colorado Accountable Care (Colorado) 40.    Community Health Network (Minnesota) 41.    Diagnostic Clinic Walgreens Well Network (Florida) 42.    Doctors Connected (Virginia) 43.    Essential Care Partners II (Texas) 44.    Fort Smith Physicians Alliance ACO (Arkansas, Oklahoma) 45.    Franciscan Northwest Physicians Health Network (Washington) 46.    Franciscan Union ACO (Illinois, Indiana) 47.    GPIPA ACO (Arizona, New Mexico) 48.    Hartford HealthCare Affordable Care Organization (Connecticut) 49.    HHC ACO (New York) 50.    HNMC Hospital/Physician ACO (New Jersey) 51.    Independent Physicians’ ACO of Chicago (Illinois) 52.    Indiana Care Organization (Indiana) 53.    Indiana Lakes ACO (Indiana) 54.    Integral Healthcare (Florida) 55.    Integrated ACO (Texas) 56.    KCMPA (Kansas, Missouri) 57.    KentuckyOne Health Partners (Indiana, Kentucky) 58.    Keystone Accountable Care Organization (New York, Pennsylvania) 59.    Lahey Clinical Performance Accountable Care Organization (Massachusetts, New Hampshire) 60.    Lower Shore ACO (Delaware, Maryland, Virginia) 61.    Marshfield Clinic (Wisconsin) 62.    Maryland Collaborative Care (Maryland, Washington, D.C.) 63.    MCM Accountable Care Organization (Florida) 64.    Medicare Value Partners (Illinois) 65.    Mercy ACO (Arkansas, Missouri) 66.    Meridian Accountable Care Organization (New Jersey) 67.    Meritage ACO (California) 68.    Morehouse Choice ACO-ES (Georgia) 69.    National ACO (California) 70.    Nature Coast ACO (Florida) 71.    NOMS ACO (Ohio) 72.    Northeast Florida Accountable Care (Florida) 73.    Northern Maryland Collaborative Care (Maryland) 74.    Northwest Ohio ACO (Michigan, Ohio) 75.    Ochsner Accountable Care Network (Louisiana, Mississippi) 76.    OneCare Vermont Accountable Care Organization (New Hampshire, Vermont) 77.    Owensboro ACO (Indiana, Kentucky) 78.    Paradigm ACO (Florida) 79.    Partners in Care (Michigan) 80.    Physician Organization of Michigan ACO (Michigan) 81.    Physicians Collaborative Trust ACO (Florida) 82.    Physicians HealthCare Collaborative (North Carolina) 83.    Pioneer Valley Accountable Care (Connecticut, Massachusetts) 84.    Primary Care Alliance (Florida) 85.    Primary Partners ACIP (Florida) 86.    ProCare Med (Florida) 87.    ProHealth Physicians ACO (Connecticut) 88.    Qualable Medical Professional (Tennessee, Virginia) 89.    Rio Grande Valley Health Alliance (Texas) 90.    Saint Francis HealthCare Partners ACO (Connecticut) 91.    San Diego Independent ACO (California) 92.    Scott & White Healthcare Walgreens Well Network (Texas) 93.    SERPA-ACO (Nebraska) 94.    South Florida ACO (Florida) 95.    Southcoast Accountable Care Organization (Massachusetts, Rhode Island) 96.    Southern Maryland Collaborative Care (Maryland, Washington, D.C.) 97.    St. Luke’s Clinic Coordinated Care (Idaho, Oregon) 98.    Summit Health-Virtua (New Jersey) 99.    The Premier Health Care Network (Georgia, New Hampshire) 100.    UCLA Faculty Practice Group 101.    UW Health ACO (Wisconsin) 102.    Virginia Collaborative Care (Virginia) 103.    Wellmont Integrated Network (Tennessee, Virginia) 104.    Winchester Community ACO (Massachusetts, New Hampshire) 105.    Yavapai Accountable Care (Arizona) 106.    Yuma Accountable Care Organization (Arizona)
Source: beckershospitalreview.com

Medicare Open Enrollment Deadline Extended Due to Superstorm Sandy

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Source: sheriabrams.com

Workshops for New Medicare Recipients Available

Cedar Dvorin and John Glowacky from the Virginia Insurance Counseling and Assistance Program lead the sessions. Space is limited and pre-registration is required. For more information, call 703-228-1700.   The information sessions will take place at the Arlington Human Services Center, 2100 Washington Blvd., in Meeting Room A on the lower level Jan. 17, 6:30 p.m. to 8:30 p.m.; Feb. 7, 6:30 p.m. to 8:30 p.m. and Feb. 19, 10 a.m. to noon.   Free parking is available in Arlington County customer spaces in the garage across the street or on the street.
Source: patch.com

DECISION VIRGINIA: Ryan defends Medicare stance

Before Ryan became a vice-presidential candidate, he was a House budget architect and drew up a controversial budget that called for similar growth reductions to Medicare. A fact Democrats like Rep. Bobby Scott (R-Newport News) often point out.
Source: nbc12.com

I never understood why conservatives hate Medicare or VA?

Sound_of_the_silenced insurance is one of the reasons health care is so expensive ie hospitals and doctors geworden.Die to pay the government and companies insurance. The amount that they receive no market forces prices down. However, there are in cosmetic surgery. Rates are declining and have been for some time, there is no assurance programs or government in each breast Arbeitsplätze.Die same phenomena happens in our higher education system. Universities know that most people go to school federal loans, they constantly raise their prices. There are no market forces at work in all cases.
Source: wordwd.com

Top Five New 2013 Medicare Benefits

Posted by:  :  Category: Medicare

Medicare beneficiaries who buy drug coverage under Part D will see more discounts in 2013 as the coverage gap continues to close by 2020.  In 2013, beneficiaries receive a 21% discount on all generics covered by their Part D plan, and a 52.5% discount on all brand-name covered drugs. All prescription discounts are automatically applied at the pharmacy when you make your purchase.
Source: medicarebenefits.us

Video: 090924 Dems say no to posting healthcare plan and cost estimate and protecting Medicare benifits

Public split on Medicare reform solutions

According to a health poll from Truven Health Analytics, 65 percent of Americans believe changes need to be made to the federal health insurance system. Republicans—at 71 percent—felt stronger about the need for changes to the program than Democrats (58 percent). The highest rate (80 percent) of respondents who said they would favor changes to the Medicare system was among those who make over $100,000 per year.
Source: benefitspro.com

A Simple Primer on Medicare Benefits Written for Patients and YOU!

Strategist, Rehabilitation Management, MediServe a Mediware Company; Darlene is a PT with an MBA in Healthcare Management, in her role, as a Rehab Mgmt Strategist she brings information to leadership that help guide practice strategy. Her focus is to assist clients nationally in the use of charting data to drive clinical and financial performance in support of decisions for best practices in meeting rehabilitation compliance, outcomes, revenue and efficiency. Since February 2011, Darlene has visited more than 30 IRF locations to assist in guiding C.O.R.E. (Compliance, Outcomes, Revenue, Efficiency/Effectiveness), performance improvement plans. Working in rehab medicine for greater than 30 years, Darlene spent 12 years in executive leadership as a Director of Rehabilitation and Operations. Therapy oversight included three post-acute service lines: acute inpatient rehabilitation (IRF), skilled and outpatient hospital-based services and is LEAN trained in healthcare. At various points in her career, Darlene had oversight of rehabilitation admissions, marketing, quality improvement, dietary & maintenance. Her responsibilities have included compliance toward Federal Regulations and leading CARF and Joint Commission standards of practice. Her experience includes Quality Improvement Chair, Lean Healthcare Trainer Certification and Vice President of the Board of Directors for the Ohio Association of Rehabilitation Facilities (OARF). Darlene lectures and writes blogs on post acute care topics that include federal guidelines, post acute admissions, managing outcomes, documentation, and rehabilitation marketing. www.mediserve.com/blog
Source: mediserve.com

Democrats Wary Of Medicare Benefits Cuts Being Discussed In Fiscal Talks

The Hill: Democrats Want GOP To Show Hand On Medicare In Deficit Negotiations Democrats wary of accepting any entitlement benefits cuts are asking Republicans to show them their plans if they want to make Medicare means-testing a part of a lame-duck fiscal package. GOP leaders have floated the idea of hiking Medicare costs for wealthier beneficiaries – a proposal President Obama has repeatedly backed – as a condition of any deal to prevent a slew of tax hikes and spending cuts from taking hold Jan. 1. But Speaker John Boehner (R-Ohio), the GOP’s point man in the negotiations, has declined to specify the Republicans’ wish-list for entitlement reform – at least publicly. And it’s unclear whether means-testing would be enough to win GOP support for a deal that would also hike tax rates on households with annual family income above $250,000 (Lillis, 12/16).
Source: kaiserhealthnews.org

Despite Potential Benefits, Medicare Slow to Utilize Telehealth

Health, Person Location, Person Career, Quotation, Telehealth, Health informatics, Medicare, EHealth, American Telemedicine Association, Medicine, Technology, Medical informatics, Videotelephony, telemedicine, Presidency of Lyndon B. Johnson, telehealth services, USD, Jonathan Linkous, Chicago, Institute of Medicine, Mike Thompson, California, stroke, stroke care, bipartisan Fostering Independence Through Technology, Richard Brennan Jr., telehealth technologies, dozen services, certain telehealth services, chief executive officer, John Thune, practicing neurologist, Lee H. Schwamm, American Heart Association, Harvard Medical School, acute stroke, bypass, video conferencing, National Association for Home Care & Hospice, chronic care management, Medicare Payment Advisory Commission, cessation services, reimbursable telehealth services
Source: reportingonhealth.org

Signing Up for Medicare Benefits, Act Now!

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

The Official Medicare Set Aside Blog And Information Resource: BP Spill Medical Benefits Class Action Settlement Includes MSAs

The MSP “expert” on this case, the Garrettson Resolution Group, is not generally know for its support of the concept of LMSAs; regardless, in a class action situation like this, there would never be sufficient funding after attorneys’ fees and expenses to fully fund MSAs by their or anyone else’s calculations. In the many MDLs Garretson has been involved in since Zyprexa, it has developed a system in which plaintiffs are grouped by the nature and extent of their condition and their share determined that way rather than on an individual basis – efficient if nothing else. We can only assume the same strategy was applied here.
Source: medicaresetasideblog.com

Daily Kos: Claire McCaskill on MTP: Let’s Cut Medicare Benefits

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Source: dailykos.com

Medicare Supplemental Insurance

Canadian Underwriter37% of US respondents report spending more on insurance over the past yearCanadian UnderwriterThe next most popular response was because they bought a new home, car, boat or recreational vehicle (12%), notes the company statement. Results reflect total spending on all types of insurance, including auto, homeowners, renters, health and lif […]
Source: unitel.cc

Medicare Cuts and Social Security Benefits Perhaps Next Congressional Fiasco

I have a question for them. Shouldn’t the people who actually pay taxes, pay into social security and Medicare, receive their full benefits. Or should the majority of our taxes go to unnecessary military spending, or to pay for the wages and benefits of our useless Congressmen and Senators? (Remember, they don’t participate in social security and Medicare.)
Source: guardianlv.com