Deductibility of Medicare premiums as Self Employed Health Insurance Deduction

Posted by:  :  Category: Medicare

CROPS----GUESS WHO WANTS TO CONTROL THEM? WELL OF COURSE THE SAME PEOPLE WHO WANT TO CONTROL US by SS&SSBackground Prior to 2010, self-employed individuals were not allowed to take an above the line self-employed health insurance deduction under Section 162(l) for Medicare premiums. Health insurance is only considered deductible under the statute if it is established by your trade or business.  The purpose of the health insurance deduction is to equalize the treatment of owners of corporations who are allowed to exclude health care benefits as a fringe benefit and self employed individuals who cannot. Since Medicare is established by the Federal government the IRS did not consider Medicare premiums deductible as self employed health insurance. Recently the IRS reversed their opinion on the matter referencing Notice 2008-1. Notice 2008-1 states that as long as the self employed individual’s business ultimately pays for the health insurance and follows certain reporting requirements, the health insurance premium payments are deductible as above the line for the self employed individual. The Office of Chief Counsel IRS Memorandum extended Notice 2008-1 to apply to self employed individuals who pay Medicare premiums. Now all Medicare premium parts-A, B, C and D-paid by the self-employed individual for themselves, their spouse and dependents are deductible as self employed health insurance. The premium payments need not be paid directly by the self-employed individual. For example, the S corporation of a more-than-2% shareholder can make the payments directly and the self-employed individual is entitled to the deduction. 
Source: marcumllp.com

Video: SHIIP Medicare Premiums.flv

2010 Roth Conversion Might Spell Higher Medicare Premiums

This year, the IRS will generally provide tax returns from the year 2010 for the SSA to review the modified adjusted gross income. As you might recall, 2010 was the big year for converting traditional individual retirement accounts (IRAs) into Roth IRAs. If you participated in this conversion tactic, you might have seen an increase in your Medicare premium this year. If you spread your conversion income with the deal provided by the IRS over the tax years of 2011 and 2012, you might see an increase in your premium in 2013 and 2014. However, keep in mind these increases are only temporary. Once your income returns to its previous level, your Medicare premiums will be readjusted. For a closer look into what your Medicare premiums might be, click on the Medicare booklet.
Source: richmondbrothers.com

Study Finds Premium Support Plan Could Raise Medicare Premiums In Many Parts of Country

The study modeled the impact of a generic version of premium support, under which beneficiaries would receive a defined subsidy, or voucher, to buy health insurance in a competitive market instead of getting a guaranteed set of benefits, as Medicare has traditionally provided. That payment would be tied to the second-lowest-cost plan offered in an area or traditional Medicare, whichever is lower. This kind of a change is a central part of the House Republican budget written by Rep. Paul Ryan of Wisconsin, now the GOP’s vice-presidential candidate, and it has also been embraced by GOP presidential nominee Mitt Romney. Even a few Democrats have flirted with such a plan as a way to leverage market efficiency to rein in the spiraling cost of Medicare.
Source: aarp.org

Transforming Medicare into a Premium Support System: Implications for Beneficiary Premiums

The analysis does not attempt to model any specific proposal, but is generally based on an approach included in House Budget Chairman Paul Ryan’s fiscal year 2013 budget plan, the proposal Chairman Ryan co-sponsored with Senator Ron Wyden of Oregon, and; in the plan put forward by former Senator Pete Domenici and Dr. Alice Rivlin. In the first two proposals, people who are at least 55 years old, including current beneficiaries, would be exempt from the new system. Republican presidential nominee Gov. Mitt Romney has supported a premium-support system along these lines.
Source: kff.org

Newsroom – Blue Cross Blue Shield of Michigan broadens Medicare options with new Medicare Advantage PPO product

October 1 is the first day BCBSM and Medicare Advantage carriers across the nation can market their Medicare Advantage products for 2010. Beneficiaries in BCBSM Medicare Advantage products will receive letters in the next 10 days about the new product line-up. "Blue Cross remains fully committed to providing products to Medicare beneficiaries and will continue to have the broadest array of Medicare Advantage products in the state," said Mark Owen, BCBSM vice president for federal and individual business. "It’s important for Medicare beneficiaries to know that there is no immediate change to their coverage. They have until the end of the year to make their selection for 2010." In addition to the three BCBSM products for 2010, seniors also can select from three Medicare Advantage products offered by Blue Care Network, the BCBSM-affiliated HMO. "We will be working with insurance agents and other groups across the state to reach out to Medicare beneficiaries to help them navigate these product and premium changes," said Owen. Seniors who meet low income guidelines can receive subsidies from the state and/or federal government to pay for all or part of their premiums. Medicare Advantage premiums vary by product and region. The new PPO product is expected to provide beneficiaries with value for their premium. For example, the BCBSM Medicare Plus Blue PPO, which includes Part D prescription drug coverage, will cost between $61 and $141 a month (premiums vary by geographic region), while traditional BCBSM Medicare Supplemental (Medigap) Plan C plans cost $183 when combined with a stand-alone Part D BCBSM prescription drug program. Medicare Advantage plans offer Medicare benefits through private health insurance plans and most include Part D prescription drug coverage. When you purchase a Medicare Advantage plan, you do not need to also purchase a Medigap policy. Medicare Advantage plans are regulated solely by the federal government, while Medigap plans are regulated by the state. The announced product changes are only for Medicare beneficiaries who directly purchase their Medicare Advantage products, not for beneficiaries enrolled in a group plan. Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.
Source: bcbsm.com

An Unexpected Result From Roth Conversion

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

Remember Your 2010 Conversion to a ROTH IRA?? That Conversion May Hurt For 2013 Medicare B

It may have made good sense to Convert your TIRA to a ROTH IRA in 2010, you could spread the income tax bite over 2 years, 2011 and 2012. So you made your first income tax payment earlier this year when you filed your2011 tax return, and now you are preparing to pay the last half of that tax bill when you file your 1040 for 2012. But you have already received a big surprise, your Medicare B premium for 2013 DOUBLED from what the premium was in recent years. Since 2004, Medicare Premiums have been partly determined based on income. Those in the higher income brackets get to pay more for their Medicare B premiums. The modified adjusted gross income (magi) from your tax return will impact your Medicare B premium 2 years later. So from your 2011 tax return your modified adjusted gross income may impact your Medicare B premium starting in January 2013. The good news is that this increase cost for Medicare B is on a year by year basis. When the taxpayer’s modified adjusted gross income exceeds $170,000 (married filing jointly) the Medicare B premium will be increased. There is a graduated scale that will increase their Medicare B costs. Let’s suppose this married couple typically has an AGI of $70,000. Their Medicare premium has been less than $100 per month for each of member of the couple. In 2010 they converted TIRA funds to a ROTH IRA in the amount of $400,000. Half of this income was reported on their 2011 tax return increasing their AGI to $280,000. This increase would set their Medicare premium for 2013 at $209.80 for each of them. When they file their 2012 tax return reporting the second half of the 2010 ROTH Conversion, and have a similar AGI their 2014 Medicare B premium will be increased due to the taxpayer’s AGI. The Medicare B premium will be set in late 2013. The good news is if their 2013 is back below the threshold, the Medicare B premium will return to the amount payable by most Medicare beneficiaries. Here is the 2013 Medicare B premium table for MFJ tax payers with higher AGI: Modified AGI is: More than: But not over:………………………2013 Part B Premium $170,000…….. $214,000………………………….. $146.90 $214,000…….. $320,000………………………….. $209.80 $320,000…….. $428,000………………………….. $272.70 $428,000…….. No Limit……………………………. $335.70 You can learn more about Medicare B premiums and deductibles here: http://www.medicare.gov/your-medicar…at-glance.html
Source: christianpf.com

Want to Purchase Gentalline Online Without Pre******ion, Phoenix Medicare Part G

Posted by:  :  Category: Medicare

Choose Love Over Fear by elycefeliz[

Open Enrollment For Medicare Part C & D

Posted by:  :  Category: Medicare

waiting room N I M H by drivebybiscuits1Why shop around? Like any other insurance policy that renews annually, it’s important to see if your current options still best fit your needs. For example, what may have been the most efficiently priced policy last year could be significantly higher this year. Pricing for most Medicare Advantage Plans are expected to increase moderately this coming this year. However many Medicare Part D Plans are expecting double digit increases in premiums. Second, your current plans provisions and benefits may have changed and may not best fit your needs anymore. Finally, you may have had a change in your personal circumstances where another option may be more efficient. When shopping around for Medicare Advantage, just make sure that any new plan that you are considering has your primary care physician, specialists and care facilities that you are likely to use are on the plans network of providers.
Source: figuide.com

Video: Medicare Plan N

Adult caregivers and medicare

QUESTION: Why would anyone add, review or possibly change their coverage? Because you want to avoid surprises by checking to see if the current health plan has made any benefit changes for 2013. The  major goal for AEP is to avoid surprises by knowing how benefit changes may affect your loved-ones out of pocket insurance costs.  If you check your loved-ones coverage and know what’s changed for 2013, it’s easier to plan for out of pocket expenses in the upcoming year. During last year’s AEP, switching to the plan with the lowest total out-of-pocket costs could have saved our average customer over $600.
Source: ehealthinsurance.com

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

Why You Can't Get An Annual Medicare Physical

THE SENIOR CITIZEN OR THE MEDICARE AGED PATIENT ALWAYS REQUIRES , A CARGIVER OR AN ATTENDENT. THIS IS AT TIMES, FAMILY, FREINDS USUALLY TAKE THEM OR GO WITH THEM TO THERE SCHEDULED ( BEFORE ) THE ACTUAL DAY OF APPT. THIS TAKES KNOWELEDGE OF KNOWING WHAT IS N WHAT IS NOT A COVERED BENEFIT. A WAY AROUND IT IS KNOWING DED DUES, COINS , COPAY. KNOWING THAT A STAFF IS THERE AT OFFICE TO KNOW THE MEDICARE CHANGES OR POLICY BENEFITS FOR THE PATIENT HELPS. SA STAFF, PATIENT KNOWELEDGE ,+ KNOWING A WAY AROUND THE PROCEDURE, THE PE, VS ILLNESS. THE ABOVE WOULD HAVE BEEN BILLED AS BOTH. A PT SEEN FOR ANNUAL PE OR EXAM, FOR CARRIERS DOCUMENTION MEDICAL RECORD WITH A DX ON THE ILLNESS ALSO. SOMETIMES THE PT IS NOT YET SCHEDULED FOR FURTHER TESTING FOR CONFIRMATION OF NEW DX. kNOW AHEAD WHAT IT IS THAT YOU ARE SCHEDULING BY KNOWING YOUR COVERED BENEFITS. HOW YOU CAN COINCIDE THEM BOTH HELPS.
Source: managemypractice.com

Avoiding The ‘Fiscal Cliff’ Likely Means Changes In Medicare

REDUCE PAYMENTS TO PROVIDERS: Hospitals, physicians and other health care providers – many who are now facing payment cuts either in the 2010 health care law or from the upcoming “sequestration” reductions (or both) – may take another hit in a deficit deal. Among the options sometimes mentioned are limiting the amount of “bad debt” that hospitals and other providers can write off their taxes,  reducing federal funding for medical education and requiring more prior authorization for some medical services, such as imaging, to help reduce unnecessary care. Lawmakers looking for political cover from angry providers could cite the many deficit-reduction proposals that have advanced provider cuts: Obama’s 2011 deficit reduction proposal, the Simpson-Bowles plan and the Medicare Payment Advisory Commission, or MedPAC, which advises Congress on Medicare payment policy.
Source: kaiserhealthnews.org

Newsroom – Blue Cross Blue Shield of Michigan broadens Medicare options with new Medicare Advantage PPO product

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSOctober 1 is the first day BCBSM and Medicare Advantage carriers across the nation can market their Medicare Advantage products for 2010. Beneficiaries in BCBSM Medicare Advantage products will receive letters in the next 10 days about the new product line-up. "Blue Cross remains fully committed to providing products to Medicare beneficiaries and will continue to have the broadest array of Medicare Advantage products in the state," said Mark Owen, BCBSM vice president for federal and individual business. "It’s important for Medicare beneficiaries to know that there is no immediate change to their coverage. They have until the end of the year to make their selection for 2010." In addition to the three BCBSM products for 2010, seniors also can select from three Medicare Advantage products offered by Blue Care Network, the BCBSM-affiliated HMO. "We will be working with insurance agents and other groups across the state to reach out to Medicare beneficiaries to help them navigate these product and premium changes," said Owen. Seniors who meet low income guidelines can receive subsidies from the state and/or federal government to pay for all or part of their premiums. Medicare Advantage premiums vary by product and region. The new PPO product is expected to provide beneficiaries with value for their premium. For example, the BCBSM Medicare Plus Blue PPO, which includes Part D prescription drug coverage, will cost between $61 and $141 a month (premiums vary by geographic region), while traditional BCBSM Medicare Supplemental (Medigap) Plan C plans cost $183 when combined with a stand-alone Part D BCBSM prescription drug program. Medicare Advantage plans offer Medicare benefits through private health insurance plans and most include Part D prescription drug coverage. When you purchase a Medicare Advantage plan, you do not need to also purchase a Medigap policy. Medicare Advantage plans are regulated solely by the federal government, while Medigap plans are regulated by the state. The announced product changes are only for Medicare beneficiaries who directly purchase their Medicare Advantage products, not for beneficiaries enrolled in a group plan. Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and independent licensees of the Blue Cross and Blue Shield Association.
Source: bcbsm.com

Video: Medicare 101 – Top Things Regarding Medicare Advantage

Silver Cross Physicians Join New Blue Medicare Advantage (HMO) Plan

Learn how to protect yourself from some of the expenses Medicare doesn’t cover. Attend a free Our All-in-One Package: Medicare Advantage Prescription Drug (MAPD) program in the Silver Cross Hospital Conference Center, Pavilion A, 1890 Silver Cross Blvd., New Lenox.  One-hour sessions will be held on Oct. 26 and Nov. 1, 16 and 28 at 10 a.m. and 1 p.m.  Each seminar features an informative presentation followed by a question and answer session with a BCBSIL Product Specialist.  A sales person will present information and applications. Free valet parking and shuttle service will be available.  Refreshments will be served.  Register to attend by calling BCBSIL at 1-877-632-5920, TTY/TDD 711, 8 a.m. – 8 p.m., local time, 7 days a week.  For accommodation of persons with special needs at a sales meeting, call 1-877-632-5920, TTY/TDD 711. Friends and family members welcome.
Source: patch.com

Blue Care Network expands Medicare Advantage service area, Blue Cross and Blue Care Network add plan options

In addition, BCN Advantage members will now be able to “buy up” to more comprehensive dental and vision benefits for a modest additional premium. Members will receive partial coverage on restorative services such as fillings, root canals, crowns and crown repairs. They’ll also get an allowance for frames and lenses to improve their vision health.
Source: hcwreview.com

Blue Medicare Advantage: Blue Cross Blue Shield of Illinois

“We are new to Medicare and have recently selected BCBS as our Medigap insurance. We have done so on the recommendations of friends and relatives, but also because of the wonderful informational Medicare sessions presented recently by your SSI staff here in Bloomington, Illinois. We were fortunate enough to be in sessions led by Lily and Jason Vida. We found these sessions very informative and clarifying. We had so many questions and some confusion pertaining to Medicare. We greatly appreciated the organization of the material and the visuals used in the presentations. They were clear and easy to follow and understand. We also appreciated the fact that each and every question was answered and explained to our satisfaction. We also met personally with Jason to assess our policy needs and to better understand the various Medigap plan options and Medicare Part D. Jason was so personable and easy to work with! He spent as much time with us as we needed. He was very knowledgeable and helpful. We feel assured that we can call upon him at any time if we have needs, concerns, or questions. During this time of preparing for Medicare, we have received a myriad of mailings and phone calls. However, we appreciate the fact that SSI came to Bloomington, opened an office, and held these informational sessions. Jason and SSI made all the difference to us! “
Source: ssiinsure.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

Seniors, are you ready for the ObamaCare cuts to your Medicare?

In addition to subsidy cuts, the ACA mandates that insurers pay out 80 percent of the premiums received in direct health benefits. This seems like a smart regulation, but it will have a massive impact on regional insurers that are unable to mitigate their financial risk and show a reasonable return for shareholders. In other words, only the non-profits (e.g., Blue Cross and Blue Shield organizations) and the industry giants (e.g., UnitedHealthcare, Aetna, Cigna, Kaiser, etc.) will be able to maintain competitive rates in this arena.
Source: medicarewire.com

Common health insurance questions answered: What is medicare advantage?

Private companies, such as Blue Cross Blue Shield Michigan and Blue Care Network, contract with Medicare to offer these plans to individuals who purchase their own coverage and through employer and union groups. Medicare beneficiaries who buy their own coverage have many plan options to consider. Insurers often offer several different benefit plans with various benefit levels and monthly premiums. They include extras to make their plans more attractive to prospective members. Some enhancements to look for are:
Source: ahealthiermichigan.org

Study: Star Rating System Resonating With Seniors

Posted by:  :  Category: Medicare

YOU MIGHT WANT TO START PLANNING by SS&SSMedpage Today: Seniors Favor Higher-Rated Medicare Plans First-time enrollees in Medicare Advantage plans and those switching plans were more likely to enroll in ones with a higher star rating, a study of nearly 1.3 million Medicare beneficiaries found. An increase of one star in the ratings made it 9.5 percent more likely a first-time Medicare Advantage enrollee would choose a given plan, the study published in Tuesday’s Journal of the American Medical Association found. Similarly, for those switching plans, a higher star rating was associated with a 4.4 percent greater chance of enrollment. … But awareness and use of Medicare Advantage’s star-rating system has been mixed, Jack Hoadley, PhD, of the Health Policy Institute at Georgetown University, in Washington, wrote in an accompanying editorial (Pittman, 1/15).
Source: kaiserhealthnews.org

Video: Dr. Eric Larson on Medicare 5-Star Rating System Part 1

HEDIS and CMS Star Ratings – Optimizing Benefits

To encourage Medicare Advantage plans to provide quality care, the 2010 health reform law¹ authorized Medicare to pay plans bonuses beginning in 2012 if they receive 4 or 5 stars on the program’s 5-star quality rating system. Building on that provision, the Centers for Medicare and Medicaid Services subsequently launched a demonstration that allowed more plans to receive bonuses and increased the size of the bonuses to encourage plans to maintain or improve their ratings. Health plans, of course, desire the highest possible rating to be more attractive to consumers and there are incentives to the star ratings. Additionally, health plans receiving 5 stars in 2012 will be able to enroll and market to Medicare beneficiaries throughout 2012. About one third of the bonus payments will be made to plans with 4 or more stars with the other two-thirds for plans with 3 or more stars. Without the proper intelligence (data), health plans are unlikely to effectively and efficiently evaluate their populations and the efficacy of member programs to improve upon their identified service quality scores. Enter health care technology solutions.
Source: zeomega.com

Higher quality rating for Medicare Advantage plan linked with increased likelihood of enrollment

“To inform enrollment decisions and spur improvement in the Medicare Advantage marketplace, the U.S. Centers for Medicare & Medicaid Services (CMS) provides star ratings reflecting Medicare Advantage plan quality. A combined Part C and D overall rating was created in 2011 for Medicare Advantage and prescription drug (MAPD) plans,” according to background information in the article. The star ratings incorporate data from several sources. “In 2011, MAPD star ratings ranged from 2.5 to 5 stars. Only 3 MAPD contracts received 5 stars; some were unrated because they were too new or small,” the authors write. “While star ratings clearly matter to insurers, it is unclear whether they matter to beneficiaries.”
Source: sciencecodex.com

Uwe E. Reinhardt: Comparing the Quality of Care in Medicare Options

Both traditional Medicare and Medicare Advantage plans are monitored annually through surveys of patients, using the Consumer Assessment of Health Care Providers and Systems, known in the trade as Cahps. The findings from this survey make it possible to compare traditional Medicare with Medicare Advantage plans on quality. As Medpac reports in Table 12-8 of Chapter 12 of the March 2012 report, the commission found little difference in the relatively few quality-performance scores of the traditional Medicare and Medicare Advantage plans.
Source: nytimes.com

Study Finds Medicare Beneficiaries are More Likely to Enroll in Plans with Higher Star Ratings

It is not clear whether the Medicare beneficiary actually used the CMS star rating as a part of their evaluation process.  It could be that plans with higher star ratings have better reputations, etc., which make them more popular.  CMS is spending a considerable amount of money and effort promoting the star ratings.  Additionally, CMS is providing bonus payments to plans with star ratings of at least 4 stars and higher.  Starting in 2014, plans with less than 4 stars will get no bonuses, so this should increase the tendency toward higher star rated plans.
Source: ritterim.com

Kaiser Permanente Leads the Nation with Six 5

About Kaiser Permanente Kaiser Permanente is committed to helping shape the future of health care. We are recognized as one of America’s leading health care providers and not-for-profit health plans. Founded in 1945, our mission is to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. We currently serve more than 9 million members in nine states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal physicians, specialists and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education and the support of community health. For more information, go to: www.kp.org/newscenter.
Source: kp.org

MedicareIsSimple: Seniors Favor Higher

“One interpretation of these findings suggests that publicly reported star ratings could be achieving one of their intended purposes of guiding beneficiaries toward higher-quality plans,” Rachel Reid from the the Centers for Medicare and Medicaid Services’ (CMS) Innovation Center, in Baltimore, and colleagues wrote. “Consequently, CMS may consider continued evolution of the rating methods to ensure that the quality information conveyed continues to reflect attributes important to both the agency and beneficiaries.”
Source: blogspot.com

KAISER PERMANENTE’S MEDICARE PLANS GARNER 5 STAR RATING FOR 2ND STRAIGHT YEAR.

 “Kaiser Permanente is a model for health care in this country and this Medicare 5-Star rating confirms the value we provide to patients,” said Robert Pearl, MD, executive director and CEO of The Permanente Medical Group. “The combination of superb physicians and the most advanced information technology systems leads to excellence in quality and service. By providing coordinated medical care and greater ease of access, we are able to achieve outstanding outcomes both in prevention of disease and management of the most complex medical conditions. I applaud the U.S. Centers for Medicare and Medicaid Services for helping shift the focus of our country from rewarding volume to recognizing superior outcomes. If the whole nation could match this 5-star performance, thousands of lives could be saved each year.”
Source: patch.com

Ask The Experts: Retirement

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 marsmet481First, 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 Enrollment | Medicare Sign Up | Apply for Medicare

Application of Medicare Contribution Tax of 3.8% to Certain U.S. Persons Owning Stock in A Controlled Foreign Corporation or Passive Foreign Investment Company : Federal Taxation Developments Blog

As mentioned, a U.S. shareholder of a CFC is required to include certain amounts in income, i.e., Subpart F income to the extent of earnings and profits, under Section 951(a). The Preamble to the Section 1411 proposed regulations states that constructive or pass through income includible under Section 951 will generally not be treated as dividends in computing NII as dividend income unless expressly provided for in the Code. Still NII treatment will result to the extent the Subpart F income is derived from a trade or business to which the tax applies as provided in Section 1411(c)(1)(A)(ii)(trading trading in financial instruments or commodities) and Prop. Treas. Reg. § 1.1411-4(a)(1)(ii)). As to PFICs, a U.S. person is required to income in income amounts described under Section 193 if the taxpayer makes a QEF election under Section 1295.. Section 1293 inclusions also are not treated as dividends unless expressly provided for in the Code, and, therefore, also are not taken into account for purposes of calculating net investment income (unless the amount is derived from a trade or business to which the tax applies as provided in Section 1411(c)(1)(A)(ii) and Prop. Treas. Reg. §1.1411-4(a)(1)(ii)).  This difference in timing for reporting income for chapter 1 (regular income tax) and chapter 2A (Section 1411), as well as other overlapping provisions, will require a taxpayer to compute separate stock basis for chapter 1 and chapter 2A, subject to making an election under Prop. Reg. §1.1411-10(g) which seems to only be available after 2013 although the Preamble to the regulations when read with the proposed regulations is not entirely clear on this point, i.e., whether such election can be made for a taxable year beginning in 2013.
Source: foxrothschild.com

When should I apply for Medicare?

If you’re not receiving Social Security benefits, however, consider signing up soon. As does the Social Security Administration, Long recommends that you apply three months before your 65th birthday to ensure your coverage begins the month you turn 65.
Source: cnn.com

Saving money on health costs: Extra Help program

monthly premiums, annual deductibles, and prescription copayments in your Medicare drug plan. Did you know that the Extra Help program is estimated to be worth about $4,000 dollars per person, per year? Even if you’re not sure you’d qualify, it’s worth filling out an application to see.
Source: medicare.gov

Proposed regs clarify the new 0.9% additional Medicare tax

Good news: The proposed regulations closely track FAQs the IRS issued last summer, so you don’t need to make many changes to your software to withhold this additional tax. And, since there’s no employer match, the regs follow the income tax withholding rules for adjusting over- or underwithholding of this tax. The regs also clarify the interplay between FICA and SECA. You may rely on these proposed regs until final regs are issued. (77 F.R. 72268, 12-5-12)
Source: businessmanagementdaily.com

Law Office Notes of James R. Linehan PC: I am disabled with no job, I need medical care to prove my SSA disability claim. Where can I go if I do not have any money?

1. Find the Hill-Burton obligated facility nearest you from the list of Hill-Burton obligated facilities. 2. Go to the facility’s admissions or business office and ask for a copy of the Hill-Burton Individual Notice. The Individual Notice will tell you what income level makes you eligible for free or reduced-cost care, what services might be covered, and exactly where in the facility to apply. 3. Go to the office listed in the Individual Notice and say you want to apply for Hill-Burton free or reduced-cost care. You may need to fill out a form. 4. Gather any other required documents (such as a pay stub to prove income eligibility) and take or send them to the obligated facility. 5. If you are asked to apply for Medicaid, Medicare, or some other financial assistance program, you must do so. 6. When you return the completed application, ask for a Determination of Eligibility. Check the Individual Notice to see how much time the facility has before it must tell you whether or not you will receive free or reduced-cost care.
Source: blogspot.com

Medicare Won’t Pay Your Claim? Appeal It!

Posted by:  :  Category: Medicare

In honor of Tax Day by swanksalotIn 2010, 40 percent of Part A appeals and 53 percent of Part B appeals were granted, according to the Centers for Medicare & Medicaid Services, which administers Medicare (CMS). Even in the case of big ticket durable medical equipment appeals, 44 percent of appeals were successful. More than half of appeals to Medicare Advantage and prescription drug plans are successful, too.
Source: tesarlaw.com

Video: Obama Disputes Romney, Ryan Medicare Claims

Seniors Need To Be Tenacious In Appeals To Medicare

Medicare officials say appeals are rare, though they would not provide statistics on how many appeals came from beneficiaries rather than from health-care providers, such as hospitals, doctors and nursing homes.  The inspector general’s office in the Department of Health and Human Services reported last month, however, that 85 percent of appeals in 2010 that reached the third level of review, which are decided by an administrative law judge, were filed by health care providers.  And for those who persevere and do appeal a third a third time, the OIG found that the judges reversed 56 percent of all unfavorable decisions in 2010.
Source: kaiserhealthnews.org

Rep. Allen West “Another False Obama Medicare Claim: The $6,400 Myth”

That structure ensures that seniors would have at least two choices (and likely far more) that they are guaranteed to do better than they do now. The amount of the premium-support subsidy would also be tied to underlying health-care costs, so it would not shift costs to beneficiaries, as Democrats also falsely claim. The very reasonable Romney-Ryan policy bet is that costs could nonetheless fall over time because seniors would have the incentive to switch to the most competitively priced Medicare plan.
Source: allenwestrepublic.com

CT Medicare Home Health TPL Project Year Five Instruction Packet 

Except for “adjusted” bills as described above, you must submit RAPs to Medicare for all episodes as necessary to include all of the services identified for TPL review.  Except for Condition Codes, the information on the RAP must be consistent with the information on the final claim. (Condition Codes are not to be included on the RAP, but only on the final claim.) For this reason, you should read the instructions relating to final claims (see Section 10 below) as well as the instructions relating to RAPs before submitting the RAPs themselves. If a final claim is not accepted by Medicare because it contains information which is not consistent with the original RAP, then the original RAP may need to be canceled, a new RAP submitted, and the final claim (now consistent with the RAP) resubmitted. The process of correcting and resubmitting RAPs and claims will cause delays, which might jeopardize your ability to get your final claims filed timely.  Therefore, it is crucial that accurate PPS episodes be identified when RAPs are submitted.
Source: medicareadvocacy.org

Bentley Virtual Symposium (Nov 14): Data Mining Medicare claims

Radiologists claim that performing two or more CT (Computed Tomography) scans in succession is rarely necessary, yet the practice of multiple CT scanning of patients during the same visit has continued in recent years. This talk discusses how to use the Medicare claims database to review the evidence and identify factors that contribute to this practice.
Source: kdnuggets.com

Avoiding Medicare cliff still has initial consequences for payment : Getting Paid

Finally, the 2013 Annual Participation Enrollment Program allowed eligible physicians, practitioners, and suppliers an opportunity to change their Medicare participation status by Dec. 31, 2012. Given the new legislation, CMS is extending the 2013 annual participation enrollment period through Feb. 15, 2013. Therefore, you have until Feb. 15, 2013, to postmark any participation changes (both elections and withdrawals) that you want to make. The effective date for any participation status changes during the extension remains Jan. 1, 2013, and will be binding for the rest of the year.
Source: aafp.org

President Obama's 2nd Inaugural Exposes Radicalism of Modern GOP

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSWe, the people, still believe that every citizen deserves a basic measure of security and dignity. We must make the hard choices to reduce the cost of health care and the size of our deficit. But we reject the belief that America must choose between caring for the generation that built this country and investing in the generation that will build its future. For we remember the lessons of our past, when twilight years were spent in poverty, and parents of a child with a disability had nowhere to turn. We do not believe that in this country, freedom is reserved for the lucky, or happiness for the few. We recognize that no matter how responsibly we live our lives, any one of us, at any time, may face a job loss, or a sudden illness, or a home swept away in a terrible storm. The commitments we make to each other – through Medicare, and Medicaid, and Social Security – these things do not sap our initiative; they strengthen us. They do not make us a nation of takers; they free us to take the risks that make this country great.
Source: crooksandliars.com

Video: Obama To Cut Social Security And Medicare?

Tea Party Patron Saint Ayn Rand Applied for Social Security, Medicare Benefits

Critics of Social Security and Medicare frequently invoke the words and ideals of author and philosopher Ayn Rand, one of the fiercest critics of federal insurance programs. But a little-known fact is that Ayn Rand herself collected Social Security. She may also have received Medicare benefits.
Source: firedoglake.com

New York Times Wages War on Medicare and Social Security

Stephen Lendman was born in 1934 in Boston, MA. In 1956, he received a BA from Harvard University. Two years of US Army service followed, then an MBA from the Wharton School at the University of Pennsylvania in 1960.   After working seven years as a marketing research analyst, he joined the Lendman Group family business in 1967, remaining there until retiring at year end 1999.   Supporting progressive causes and organizations, he began writing in summer 2005 on a broad range of issues. Topics regularly addressed include war and peace; social, economic and political equity; and justice for long-suffering peoples globally – notably, victims of America’s imperial wars, Occupied Palestinians and Haitians.In early 2007, he began hosting his own radio program. Currently he hosts the Progressive Radio News Hour on the Progressive Radio Network. Airing three times weekly, it features distinguished guests discussing vital world and national issues in depth.Today perhaps more than ever, vital social, political and economic change is needed. What better way to spend retirement years than working for it. We owe at least that much to our loved ones, friends and humanity.
Source: dailycensored.com

President Obama: ‘Medicare, Medicaid and Social Security…They Strengthen Us’

For our journey is not complete until our wives, our mothers, and daughters can earn a living equal to their efforts. Our journey is not complete until our gay brothers and sisters are treated like anyone else under the law—for if we are truly created equal, then surely the love we commit to one another must be equal as well. Our journey is not complete until no citizen is forced to wait for hours to exercise the right to vote. Our journey is not complete until we find a better way to welcome the striving, hopeful immigrants who still see America as a land of opportunity; until bright young students and engineers are enlisted in our workforce rather than expelled from our country. Our journey is not complete until all our children, from the streets of Detroit to the hills of Appalachia to the quiet lanes of Newtown, know that they are cared for, and cherished, and always safe from harm.
Source: workingamerica.org

Ask The Experts: Retirement

Q. I am retired and on Social Security disability. I am 63 and now receiving regular pension since 62. I am covered by FERS BC/BS. I was under the impression that my coverage continued till age 65 when I retired in 2000. I will have to wait till 66 to retire under the new Social Security rules for retiring. Will the health coverage continue till age 66, or will it stop at 65, leaving me with no insurance since I can’t get Medicare till age 66 now? And how does one keep the coverage later?
Source: federaltimes.com

Rick Perry Calls Social Security and Medicare “Ponzi Schemes”

Q: In Fed Up!, you criticize the progressive era and the changes it produced: the 16th and 17th Amendments, Social Security, Medicare, and so on. I understand being against these things in principle—of longing for a world in which they never existed. But now that they’re part of the fabric of our society, do you think we should actually do away with them?
Source: firedoglake.com

Medicare: why no app for that?

The second prong of my being emotionally wounded that day was looking down at the change in my hand, as I walked away. I realized that my dignity had suffered a severe hit and that the extra change only amounted to roughly 30 cents.  Should I insist on paying the standard price or simply put the extra change in my pocket and walk away gracefully?  At the end of this exercise, I realized I discovered that my dignity was only worth 30 cents. I pocketed the extra change and have been enjoying rather nice senior coffee for cheap ever since. I have never been carded over it. I guess the cute young girl was right.
Source: appledailyreport.com

Old Hickory’s Weblog: Defending the Big Three (Social Security, Medicare, Medicaid) against benefits cuts

The Huffington Post has been running a series of articles taking stock of the Administration and looking toward the second term, called The Road Forward. The AARP’s CEO, A. Barry Rand, addresses a critical set of issues in his contribution, The Road Forward: Social Security and Medicare 01/20/2013. He takes note of what bad ideas two of the things President Obama proposed after his re-election, raising the Medicare eligibility age and decreasing Social Security benefits via the “chained CPI” inflation adjustment scheme. Rand writes: We must … tackle the high cost of health care. Rising costs have a negative impact on federal programs such as Medicare and Medicaid, as well as on the costs for state governments, employers and individuals. Moreover, we cannot sustain an ever-increasing share of the nation’s output going to health care, especially when the Institute of Medicine estimates that as much as one third of health care spending is wasteful or inefficient. Policy makers must not simply reduce the federal share of health costs by shifting costs from the federal government to other payers. That will not solve the problem. In fact, it will make it worse. An example of this narrow approach is raising the Medicare eligibility age. This policy lowers federal health costs for the program by shifting costs from the federal government to employers, states and families on Medicare. This only drives seniors to more costly and less efficient providers, which, in turn, raises total health spending in the economy. This is pure folly. A better approach would be to lower the growth in health care spending system-wide, which will also lower the cost of Medicare and Medicaid. We have to make health care work more efficient and less costly to keep it sustainable for generations to come. [my emphasis]And he calls the “chained CPI” scam what it is: Of all the steps we can take to ensure that Social Security remains solvent and provides an adequate benefit now and in the future, the proposed use of the “chained CPI” is one of the worst, because it cuts the benefits of those who are least able to afford it: the oldest, poorest and most vulnerable among us. It would cut one full month’s income from a 92-year-old beneficiary’s annual Social Security benefits. (emphasis in original)Cutting benefits on Social Security, Medicare and Medicaid is a really, really bad idea. Tags: austerity economics, barack obama, grand bargain, medicaid, medicare, social security
Source: blogspot.com

Medicare Reimbursement for Outpatient Therapy

Posted by:  :  Category: Medicare

Deputy Administrator and Director for the Center of Medicare at CMS Jonathan Blum visits Christiana Care to speak about accountable care organizations by Christiana CareEffective in 1999, there are two outpatient therapy caps: 1) a PT/SLP services combined cap, and 2) a separate OT services cap. The cap limits are adjusted annually per Congressional formula. In 2012, the cap for each service was $1,880. For most of 2000-2006, however, the caps were not enforced as a result of legislation. Since 2006, there has been an exceptions process permitted by Congress that allows beneficiaries to receive services beyond the cap limits in non-hospital settings, if the clinician attests the services are medically necessary, and places a KX modifier on claim lines for services furnished beyond the annual cap limits.
Source: healthcare-economist.com

Video: Update on Medicare Reimbursement

Interactive Chart: Bonuses And Penalties For U.S. Hospitals

Medicare is revamping its payment system for hospitals as part of an effort to make them accountable on quality. The latest change will give bonuses and penalties to hospitals based on how well they performed on quality measures. That program is called Value Based Purchasing. Last fall, seeking to improve care and save money, Medicare announced penalties to hospitals to which too many patients returned within a month. Both payment changes are applied to payments for every hospital stay of a Medicare patient. This chart shows the effect of each of those programs on hospitals’ Medicare reimbursements per hospital stay, and the combined effect for the federal spending year that runs from last October through September 2013. Hospitals could gain up to 1 percent in payments or lose as much as 2 percent from the two programs combined.
Source: kaiserhealthnews.org

Psychiatric News Alert: APA Applauds Medicare Payment Fix, Calls for Long

APA President Dilip Jeste, M.D., issued a statement this afternoon praising Congress for approving revenue legislation that postpones cuts of 27% in Medicare reimbursement to physicians for another year. The cuts were scheduled to go into affect yesterday if Congress failed to enact a postponement. The payment reduction was the result of the sustainable growth rate (SGR) formula, which is calculated each year to determine what the federal government will reimburse physicians for treating Medicare beneficiaries. APA, the AMA, and most other physician organizations have for years lobbied Congress to devise a new way determine Medicare’s physician reimbursements, but Congress has responded instead with a series of annual postponements in SGR-mandated cuts rather than coming up with a replacement for the formula.
Source: psychiatricnews.org

Payment Matters: Court Rules That Medicare DSH Statute Means What It Says

Continuing their challenge, the hospitals then appealed in federal district court, which affirmed the PRRB and concluded that Congress has spoken to the precise question at issue. According to the court, only Medicare Part A patients covered by SSI (not Medicaid) are included in the disproportionate patient percentage. Still dissatisfied, the providers then appealed to the Fifth Circuit, which again affirmed the ruling. Before the Fifth Circuit, the hospitals conceded that the non-SSI qualifying Medicare patients are excluded from “the patient formula as enacted,” but argued that excluding such patients from the computation runs contrary to the legislative history and intent. The court, however, ruled that courts must presume that a legislature says in a statute what it means and means in a statute what it says. When the words of the statute are unambiguous, the judicial inquiry is complete, said the court. In any event, the court noted, the statute’s plain language indicates that Congress chose SSI eligibility, rather than Medicaid eligibility, as the income proxy for the Medicare fraction and ruled that this choice was not so “bizarre” that Congress could not have intended it.
Source: jdsupra.com

Medicare Will Likely Cut Imaging Reimbursement in 2014

The recently enacted American Taxpayer Relief Act (Public Law 112-240), also known as the legislation that averted the fiscal cliff, made a seemingly minor change, effective 2014, to the formula Medicare uses to determine reimbursement for imaging services. Section 635 of the Act requires Medicare to use a 90% utilization rate when determining how much to pay providers for these services.  Medicare previously used a 75% utilization rate. The utilization rate is used to determine a portion of the practice expense component of Medicare RVUs. When the utilization rate increases, Medicare assumes that equipment is used more frequently. As a result, the cost per use decreases, since the cost of the equipment is spread across more uses. This results in lower reimbursement.
Source: vonbriesenhealth.com

Dupuytren › medicare reimbursement

If, for NA I use a doctor who takes medicare, will the medicare pay for the entire procedure, or will I have to pay more out of pocket? Same for Xiaflex–does Medicare cover whole treatment or is there out of pocket expense? Also, I haven’t visited the forum for several months. I now notice that Dr. Charles Eaton is no longer listed as doing NA–and neither is is partner. This is a shock to me. Does anyone know why? With thanks
Source: dupuytren-online.info

Medicare Reimbursement Explained: MedPAC Briefings on Medicare Payment Methods for Providers, Medicare Advantage, and Drug Plans

An expert on Medicaid, Medicare, and health reform, Kip Piper, MA, FACHE, is a consultant, speaker, and author. Kip Piper advises health plans, hospitals and health systems, states, and pharma, biotech, medical device, HIT, and investment firms. With 30 years’ experience, Kip is a senior consultant with Sellers Dorsey, top specialists in Medicaid and health reform. He is also a senior advisor with Fleishman-Hillard and TogoRun. For more, visit KipPiper.com. Follow on Twitter @KipPiper, Google +, Facebook and connect on LinkedIn.
Source: piperreport.com

Quality, not quantity of care new criteria for Medicare reimbursement

“The Hospital Value-Based Purchasing Program is one of a host of Affordable Care Act programs that put patients at the center of the Medicare system,” stated Medicare on the organization’s blog. “We’ve known for a long time that when Medicare paid providers based on how much work they did and not on how well they did for patients, too often patients got services and tests that didn’t improve their health.  Providers already must publicly report the steps they take to provide quality care to Medicare beneficiaries; Hospital Value-Based Purchasing gives these efforts additional teeth.”
Source: voxxi.com

Speaker updates clinicians on Medicare reimbursement, coding

WAIKOLOA, Hawaii — Even though changes are looming, over the past 10 years, there have not been significant changes in reimbursement; however, many CPT codes have had an adjustment in their relative value units, which are the drivers of reimbursements, according to a speaker here. Over the past year, there were some positive changes to the RVUs, as well as some decreases, Donna McCune, vice president of Corcoran Consulting Group, told ophthalmologists gathered at the joint opening of Hawaiian Eye 2013 and Retina 2013.
Source: linkoph.com

Implications of the New Medicare AFO Reimbursement Policy and Suggestions How to Appropriately Bill Prefabricated and Custom Fabricated Devices

Thanks for commenting. Arizona AFO and every other prefabricated and custom AFO manufacturer are adjusting to the recent Medicare AFO height requirement. Arizona AFO has always had some devices including the Extended model that extend to behind the calf and so qualify. Medicare reimbursable versions of the Standard, the Articulated, the Split Upright Thermoplastic Articulated and the Moore Balance Brace are in the works. Samples will be shown at the SAM conference this weekend and at the NY Clinical Conference next week. The new designs will all feature ease of adjustability for patient comfort while offering the increased stability afforded by the additional height. Increased height does necessitate that patients be casted using the STS Bermuda sock that comes up over the calf. Expect to see pictures of new models and revised order forms next week. Josh
Source: safestepblog.net

U.S. top court rejects hospitals’ Medicare claims suit

The government argued the hospitals missed their opportunity to challenge the payments because the Medicare law imposes a six-month limit for appeals. Although the review board could have extended that deadline up to three years for “good cause,” the hospitals filed their claims more than 10 years after the six month deadline expired.
Source: medcitynews.com

Medicare Reimbursement Ruling is ‘Major Advancement for RNs’ ANA Says on ADVANCE for Nurses

“The American Nurses Association has been advocating for years that government and private insurers need to recognize nurses’ contributions to transitional care and care coordination and pay appropriately for these essential services,” says ANA President Karen A. Daley, PhD, MPH, RN, FAAN. “This Medicare rule is a giant step forward for nurses whose knowledge and skills play major roles in patients’ satisfaction and quality of care.”
Source: advanceweb.com

Hospitals’ Medicare funds at risk

Posted by:  :  Category: Medicare

NYC TO WALL ST.: BUSH / CHENEY: DROP DEAD. by eyewashdesign: A. Golden“Changing the way we pay hospitals will improve the quality of care for seniors and save money for all of us,” said U.S. Department of Health and Human Services Secretary Kathleen Sebelius in a press release when the agency launched the initiative last year. “Medicare will reward hospitals that provide high-quality care and keep their patients healthy. It’s an important part of our work to improve the health of our nation and drive down costs. As hospitals work to improve their performance on these measures, all patients – not just Medicare patients – will benefit.”
Source: thenewyorkworld.com

Video: New York: Medicare Fraud Summit Criminal Law Panel

New NYC Booklet on Medicare

The two articles re-published in this pamphlet were written to address the 50th anniversary of North America’s first public healthcare system for all citizens initiated in Saskatchewan on July 1, 1962. We were researching the prolific resources and books available on the subject in preparation for a forthcoming book on the fight for medicare in Saskatchewan and wanted to raise the profile of the anniversary as the actual anniversary approached. This pamphlet is intended as a short and quick resource for labour and health care activists as we celebrate 50 years of medicare.
Source: unionbook.org

Can I be charged with Medicare fraud when I refer patients for home health care services in New York City?

A physician who receives kickbacks from home health care services in exchange for referring patients to them, may be committing Medicare or Medicaid fraud in addition to violating the Anti-Kickback Statute. A physician who refers patients not because their health demands it, but because he or she gets paid for each patient, may resort to falsifying records and referring patients who do not legitimately qualify for home health care. In any event, if authorities uncover that a physician has been receiving kickbacks for referrals, they are more likely to scrutinize that physician’s patient documentation.
Source: jpdefense.com

Staten Island Insurance Agency Offers Free Medicare Health

“As an authorized representative of insurers such as Empire Blue Cross/Blue Shield; AARP® Medicare Plans from UnitedHealthcare® (UHC); EmblemHealth®, and Touchtone, we routinely provide clients with a free comparison between all the different plans offered on Staten Island,” DeFranco said. “In addition, our firm has knowledge of which doctors and prescriptions are covered by each of the plans.”
Source: siborrealtors.com

Did NYC Overbill Medicaid?

New York City is accused of overbilling Medicaid for millions of dollars by improperly approving home care for thousands of city patients. It turns out that a 2006 adjustment to Medicaid rules absolved the city of responsibility for providing round-the-clock care. A suit filed by the U.S. attorney’s office insinuates that the city knowingly attempted to bilk money out of Medicare by enrolling people in home care that did not need it, or who required more intensive services. Like who? The suit cites a 75-year-old woman “with dementia who tried to jump out her window several times a day and who punched her daughter was kept in the home care program” when she should have been placed in an “appropriate facility.” The suit also claims that the city failed to follow proper protocol in obtaining recommendations from nurses, doctors, and therapists. A spokesperson from the city’s Human Resources Administration declined to comment. [NYT]
Source: nymag.com

New Changes in the Delivery of Medicaid Home Care Services in N.Y.C.

QUEENS, N.Y., Sept. 15, 2012 /PRNewswire-iReach/ — Beginning Monday, September 17, 2012, applications for Home Care will not be accepted at the local Community Alternative Systems Agency (CASA) offices, with limited exceptions. The CASAs, the department of the N.Y.C. Human Resources Administration that processes Home Care applications, will only accept Home Care applications for those applying for Hospice, Consumer-Directed Personal Assistance Program (CDPAP), Traumatic Brain Injury (TBI) Waiver participants or applicants, Nursing Home Transition & Diversion Waiver (NHTDW) participants or applicants or those seeking Lombardi (long term home health care waiver program services).
Source: seniorlivingcare.com

#O18: Romney & Obama in NYC

“When Paul Ryan was picked as Mitt Romney’s running mate back in August, Medicare was pushed to center stage as the main issue of the elections. Ryan is the architect of the plan to turn Medicare into a voucher program–a move that would end the popular and efficient public program as we know it and jeopardize the health of close to 50 million elderly and disabled Americans. He and other Republican leaders also want to block-grant Medicaid. While most Democrats oppose these proposals, they have their own plans to drastically cut these safety net programs if they enter into an anticipated ‘grand bargain’ on the deficit.”
Source: wordpress.com

Mobsters Nabbed in Biggest Medicare Fraud Bust Ever

Medicare is a government run system that is set up to be a perfect vehicle for scams and fraud because. The government has made this system so complicated that all fraud hides itself and when fraud is found it takes forever for the perpitrators to come to justice and the penalties are not severe enough to dicourage it.When people are on the dole they compound the problem by not turning the fraud because it may upset thier piece of the dole. What also compounds the problem is, the people who are using Medicare and are disabled not retired. Medicare was set up for the elderly. As with Social Security time has mellowed the system and it now derected to do more than it was intended. Disabled persons should be on Medicade which is funded state wide, but it too is funded by Uncle Sugar. Thank goodness they uncovered the fraud and have seen its manetude but it is only the tip of the iceburg. There has to be stricter screening of recipiants and it must be subject to closer monitoring.
Source: theblaze.com