Medicare Part B Premiums Up $5 Per Month Next Year

Posted by:  :  Category: Medicare

HOPE lives. by eyewashdesign: A. GoldenCQ HealthBeat: Medicare Part B Premium Increase Modest For 2013 With health care inflation relatively stable, officials at the Centers for Medicare and Medicaid Services released rules Friday that include a $5-per-month increase in Medicare Part B premiums and a $28 hike in the hospital inpatient deductible. The Part B premium will reach a milestone, however, topping $100 a month. The monthly payment for Part B, which covers doctor visits, outpatient hospital services, home health care and other items, will be $104.90 next year, compared to the current $99.90. And the deductible for inpatient hospital stays will go to $1,184 in 2013 from $1,156 this year. One item will be decreasing: the Part A monthly premium, which pays for inpatient hospital stays, skilled nursing facilities and some home care for about 1 percent of Medicare beneficiaries who do not automatically qualify for the program. That premium will be $441 a month, down $10 a month from this year (11/16).
Source: kaiserhealthnews.org

Video: Guide to Medicare Part A and Part B

AARP Statement on 2013 Medicare Part B Premium Increase

AARP is a nonprofit, nonpartisan organization, with a membership of more than 37 million, that helps people 50+ have independence, choice and control in ways that are beneficial to them and society as a whole. AARP does not endorse candidates for public office or make contributions to either political campaigns or candidates. We produce AARP The Magazine, the definitive voice for Americans 50+ and the world’s largest-circulation magazine; AARP Bulletin, the go-to news source for the 50+ audience; AARP VIVA, a bilingual lifestyle multimedia platform addressing the interests and needs of Hispanic Americans; and national television and radio programming including My Generation and Inside E Street. The AARP Foundation is an affiliated charity that provides security, protection, and empowerment to older persons in need with support from thousands of volunteers, donors, and sponsors. AARP has staffed offices in all 50 states, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands. Learn more at www.aarp.org.
Source: aarp.org

Medicare open enrollment: Did Obamacare secretly increase Part B premiums?

Here’s what’s happening. The 2003 law that set up these high-income premium surcharges also stated that the income thresholds were to increase every year to account for general inflation. But the Affordable Care Act freezes the thresholds at their current level through 2019, which will over the next six years snare more and more beneficiaries as incomes in general rise (or at least we hope they do). The Kaiser Family Foundation estimates that by 2019, about 14 percent of Medicare beneficiaries will be paying these higher premiums.
Source: consumerreports.org

Top Five New 2013 Medicare Benefits

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

ABCs of Medicare: What is Part B?

What does Part B cover? Part B covers medical and preventive services. Coverage rules can differ depending on whether a beneficiary has a Medicare Advantage Plan or other Medicare plan. However,  your plan must give you at least the same coverage as Original Medicare. (Original Medicare is fee-for-service coverage under which the government pays your health care providers directly for your Part A and/or Part B benefits.) Additionally, some services may only be covered in certain settings or for patients with certain conditions.
Source: nhcoa.org

Monthly Premiums for Medicare Part B Set To Increase Slightly in 2013

Meanwhile, premiums for Medicare Part A — which pays for inpatient hospitals, skilled-nursing facilities and some home health care services — will decline by $10 to $441 in 2013. Part A deductibles will increase by $28, from $1,156 last year to $1,184 in 2013 (Zigmond,
Source: californiahealthline.org

WCH Service Bureau, Inc: Part B suppliers must enroll in the Medicare Program

Physicians, non-physician practitioners, and other Part B suppliers must enroll in the Medicare Program to be eligible to receive Medicare payment for covered services provided to Medicare beneficiaries. Our webinar provides education on basic Medicare enrollment requirements and how to ensure physicians and certain Part B suppliers are qualified and eligible to enroll in the Medicare Program
Source: blogspot.com

RAC Alert: How to Bill Medicare for Hospice Patients When You Are Not the Hospice Provider of File

When hospice coverage is elected, the beneficiary waives all rights to Medicare Part B payments for services that are related to the treatment and management of his/her terminal illness during any period his/her hospice benefit election is in force, except for professional services of an attending physician, which may include a nurse practitioner. If the attending physician, who may be a nurse practitioner, is an employee of the designated hospice, he or she may
Source: managemypractice.com

Daily Kos: Poll finds majority support for exchanges, Medicaid, Medicare

Posted by:  :  Category: Medicare

HELP ME HELP MYSELF! by eyewashdesign: A. GoldenConsider if one or more of these tags fits your diary: Civil Rights, community, Congress, Culture, Economy, Education, Elections, Energy, Environment, Health Care, International, Labor, Law, media, Meta, National Security, Science, Transportation, or White House. If your diary is specific to a state, consider adding the state (California, Texas, etc). Keep in mind, though, that there are many wonderful and important diaries that don’t fit in any of these tags. Don’t worry if yours doesn’t.
Source: dailykos.com

Video: You Can Help Fight Medicare Fraud

Need Help with Medicare Choices? SHIP Advice to the Rescue

The programs are called SHIP programs (State Health Insurance Programs.)

Poll: 6 in 10 Oppose Cutting Medicare To Lower Deficit

Posted by:  :  Category: Medicare

Senate Dems Protest Medicare Cuts by Talk Radio News ServiceKaiser Health News: Capsules: Americans Want Deficit Addressed Without Medicare Cuts, Poll Finds Most Americans want quick action to reduce the deficit, but almost six in 10 oppose cutting Medicare spending to achieve that goal, according to a new poll released today. Lawmakers should examine other alternatives, including requiring drug makers to give the government ‘a better deal’ on medications for low-income seniors (85 percent) and making higher-income seniors pay more for coverage (59 percent), according to the survey conducted by the Kaiser Family Foundation, the Robert Wood Johnson Foundation and the Harvard School of Public Health” (Carey, 1/24). 
Source: kaiserhealthnews.org

Video: Preparing for ACA-Driven Medicare Cuts

Obamacare: Drastic Medicare Cuts Equals Medicare Reform

Comments are subject to approval and moderation. We remind everyone that The Heritage Foundation promotes a civil society where ideas and debate flourish. Please be respectful of each other and the subjects of any criticism. While we may not always agree on policy, we should all agree that being appropriately informed is everyone’s intention visiting this site. Profanity, lewdness, personal attacks, and other forms of incivility will not be tolerated. Please keep your thoughts brief and avoid ALL CAPS. While we respect your first amendment rights, we are obligated to our readers to maintain these standards. Thanks for joining the conversation.
Source: heritage.org

Remember the $716 billion in Medicare ‘cuts’?

But the argument was burdened by some rather glaring flaws. For one thing, Romney’s criticism wasn’t true. For another, the $716 billion in Medicare savings were embraced by congressional Republicans, including Romney’s running mate, in the GOP budget plan. As Bill Clinton said at the Democratic convention, it “takes some brass to attack a guy for doing what you did.”
Source: msnbc.com

Republicans Likely to Stick With Medicare Cuts Romney Criticized

Mitt Romney’s presidential campaign featured frequent attacks on President Obama for cutting $716 billion out of Medicare. Romney made ads criticizing the president for the cuts, and pegged Obama as the only president who has cut Medicare. “When you see your friends with signs that say keep your hands off our Medicare,” Romney said last year, “they are absolutely right.”Well, anyone who liked that line may be disappointed. The cuts are back. And this time it’s Republicans who are proposing them. Again. 
Source: reason.com

Congress stops Medicare cuts but reform is needed

The newly elected members of the 113th Congress will take office this week and have the opportunity to work in moving Medicare towards a more reliable and stable system that preserves patients’ access to care. Pressure must remain on lawmakers to permanently repeal the sustain growth rate (SGR) formula and enable common sense, sustainable Medicare reforms in 2013.
Source: patientsactionnetwork.com

Physician Medicare Cuts Delayed Til 2014 — Family Medicine Rocks

Well, they did it again. The press is congratulating Congress on the “success” of coming up with a New Year’s Night deal on that no one likes. For physicians, this deal contains a delay in the 27% cut in Medicare payments to physicians according to the Sustainable Growth Rate (SGR). For full coverage of this story, I encourage you to read articles from Medpage Today, Kaiser Health News, and Modern Healthcare. (Photo credit: New York Times)
Source: familymedicinerocks.com

Understanding Medicare "Cuts"

Medicare Advantage is a 15-year failed experiment in privatization. Running Medicare through private insurance companies was supposed to save money through the magic of the marketplace; in reality, private insurers, with their extra overhead, have never been able to compete on a level playing field with conventional Medicare. But Congress refused to take no for an answer, and kept the program alive by paying the insurers substantially more than the costs per patient of regular Medicare. All the ACA does is end this overpayment.
Source: nytimes.com

Cuts to Medicare Pay, Other Reductions Likely To Take Effect in March

On Wednesday, lawmakers predicted that mandated spending cuts under sequestration would take effect in March, as they work to come up with a longer-term solution for curbing the national debt, the Washington Post’s “Federal Eye” reports (Hicks, “Federal Eye,” Washington Post, 1/23).
Source: californiahealthline.org

House rules aim to block controversial healthcare board’s Medicare cuts

House Republicans have tried unsuccessfully to repeal the IPAB, the central cost-cutting feature in the Affordable Care Act. The IPAB was designed to take Medicare payments largely out of Congress’s hands, similar to the independent panel that recommends closing military bases, because lawmakers would rarely sign off on such politically risky moves.
Source: thehill.com

Maryland Could Lose Medicare Waiver Without Slowed Spending Growth

Posted by:  :  Category: Medicare

New Online Rx System Makes UM Student 'Top Entrepreneur' Finalist by University of Maryland Press ReleasesUnless Maryland can suppress its healthcare cost growth, it stands to lose more than $1 billion in Medicare payments by losing its eligibility for a waiver that grants it full reimbursement from CMS, rather than the discounted rates all 49 other states receive, according to a report by the Washington Post. A unique exception since 1977, Maryland’s Health Services Cost Review Commission has been permitted to set the state’s reimbursement rates for all payors, including Medicare, which secures it an additional $1.6 billion in federal revenue. In all other states, CMS pays providers at a discounted rate based on a federal standard, for which private insurers index their own payments. However, Maryland will lose eligibility for this authority if it doesn’t keep its cumulative spending growth below national payments, and it is currently projected to fall less than 2 percent below that mark this year. Hospital executives said losing the waiver would be “catastrophic” to Maryland providers, leading to downgraded credit ratings for hospitals and shuttered physician practices, according to the report. John Colmers, chairman of Maryland’s Health Services Cost Review Commission, told state lawmakers that he was “greatly encouraged” by talks with CMS on continuing the waiver, according to the report. He added that shifting the metric to cost per episode of care or per capita, rather than cost per hospital stay, should help the state stay below the national norm.
Source: beckershospitalreview.com

Video: “Fighting Draconian Cuts to Medicare in Maryland”

Attorney Charles Ware’s Blog: NATIONAL ELDER LAW MEDICARE TIP: For Maryland And The Nation (August 2012)

There is a painfully costly new trend in Medicare. An alarmingly increasing number of senior citizens are spending days in the hospital “under observation” only. This results in their subsequent care at a skilled nursing facility not qualifying for Medicare coverage. Therefore, these seniors are being stuck with the full costs of their treatment. When you need to go to rehab after a fall, illness or other medical problem, Medicare will fully cover the cost of your stay for up to 20 days as long as you’ve spent at least three days in the hospital as an inpatient (among other criteria). Fortunately, following these steps during and after an “observation” stay can help the senior avoid a devastating bill:
Source: blogspot.com

High court rejects Medicare challenge

WASHINGTON— The Supreme Court has turned away a challenge from former House Majority Leader Dick Armey and other Social Security recipients who say they have the right to reject Medicare in favor of continuing health coverage from private insurers.
Source: thedailyrecord.com

Maryland misses latest Medicare waiver goal

Maryland health care leaders have blown past another deadline they set for themselves to submit a proposal for a revised Medicare waiver. And this time they’re not bothering with a new deadline. The state has been working on a plan for revising its Medicare waiver for months and along the way setting — and passing — goals for completing the task. Most recently health officials said they planned to submit a proposal to the Centers for Medicare and Medicaid Services on Dec. 17. The date appeared…
Source: ewallstreeter.com

Expert: New rules on Medicare and Md. workers’ comp. settlements

Consequently, the commission enacted emergency regulations specifying the means for forecasting future medical treatment to ensure Medicare’s interests are protected. Under federal law, approval of MSAs is voluntary. The commission’s new regulations now make CMS approval of MSAs mandatory in Maryland in certain circumstances.  IWIF, Maryland’s largest provider of workers’ compensation insurance, has had a practice of protecting Medicare’s interests since 2003.
Source: ifawebnews.com

Maryland Seeks A New Balance In Its Unique Hospital Payment System

The debate is part of a larger discussion about saving Maryland’s oft-praised price-setting regime while maintaining the state’s leadership in developing an insurance exchange and other components of the health act. One idea is to have HHS judge Maryland according to the total cost of care for Medicare and not just inpatient cases, according to a presentation given by a top HHS official to the hospital association earlier this summer, according to people who were there. That raises the possibility of cost controls (although not necessarily rate setting) on physicians. “Obviously, it’s something we’re watching closely,” said Gene Ransom, chief executive of MedChi, Maryland’s state medical society.
Source: kaiserhealthnews.org

Ethics Opinions Underscore Problems That Medicare Liens Create when Negotiating Settlements

In the absence of an agreement to indemnify from the plaintiff’s attorney, another alternative would be that the defendant/insurer would distribute the money to the plaintiff’s attorney, and the plaintiff’s attorney would agree to maintain an amount equal to or greater than the full amount of the lien until the final lien amount is negotiated.  In this scenario, the attorney is not taking on the client’s obligations, but rather is being held to his word that the lien will be protected, assuming the plaintiff consents to the withholding of some funds.  The plaintiff can receive some of the settlement funds immediately, but the defendant/insurer is assured that a sufficient amount will be held back to guarantee that the asserted lien is protected.  It is seemingly a better solution to the problem.  However, as may be evident, similar ethical concerns are raised by this scenario as well, and the MD Committee on Ethics has also had occasion to address it.  According to the Committee, it is questionable whether the plaintiff’s attorney can ethically agree to such an arrangement.  The Committee, in reviewing this practice, has expressed concerns that the plaintiff’s attorney would be violating the aforementioned ethical rules regarding the safekeeping of property of the client and/or a third party.  Under these ethical rules, the settlement funds belonging to a party may be placed in an interest bearing account, where the interest must be provided to the party.  However, the funds belonging to one person may not be placed in an interest bearing account where the interest will be credited to someone else.  The question, then, as the Committee sees it, is who do the funds belong to at the time they are given to the plaintiff’s attorney: the plaintiff, the third-party, or both?  Keeping in mind that the assertion of a lien is not the same thing as a ruling that the lien is valid, the Committee has decided that the plaintiff’s attorney must consider the legal question of when a lien holder has “ownership” of the funds.  Given the Committee’s Opinion on this matter, plaintiff’s attorneys are left to analyze when and whether the lien holder becomes the owner of the funds.  If it is the owner of the funds, then the attorney cannot ethically hold it.  Given this dilemma, and absent a controlling opinion from Maryland appellate courts, one would think that most plaintiff’s attorneys will be cautious and decline to agree to maintain the funds for “safe keeping” in order to avoid the risk of committing an ethical violation.
Source: mdliability.com

Northrop Grumman's New Maryland Facility to Support Social Security and Medicare NYSE:NOC

“Our new facility is a commitment by the company to SSA and CMS’s home base in the Woodlawn area, and will bring new jobs and economic growth to the area,” said Amy Caro, vice president for Health IT, Northrop Grumman Information Systems. “We hope to expand our current support of both agencies through continuing technological improvements and leveraging Northrop Grumman’s unique IT capabilities. We have approximately 600 people in the area supporting these customers and we expect this support to expand, along with our other health IT programs, in the coming contract years.”
Source: globenewswire.com

Fourth Circuit Upholds Dismissal of False Claims Act Lawsuit Alleging Nursing Home Medicaid Fraud: United States ex. rel. Black v. Health & Hospital Corp. of Marion County :: Maryland Nursing Home Lawyer Blog

The relator, Paul R. Black, resides in Indiana. After unsuccessfully filing a qui tam suit in an Indiana federal court, he filed the present case in the U.S. District Court for the District of Maryland against Health & Hospital Corporation of Marion County (HHC), an Indiana nursing home. The district court described the three state-level Medicaid funding mechanisms at issue in Black’s suit: – The Upper Payment Limit (UPL) system sets an upper limit for the amount a state may reimburse medical providers equal to the amount it could receive from Medicare. – Intergovernmental transfers (IGTs) allow states to transfer money from local government entities to the state government in order to fund the state’s portion of Medicaid expenses. – Certified public expenditures (CPEs) are expenditures made by Medicaid providers that qualify for matching funds directly from the federal Medicaid system. They must receive certification from the federal Centers for Medicare and Medicaid Services (CMS).
Source: marylandnursinghomelawyerblog.com

Medicare Supplement or Medicare Advantage

Posted by:  :  Category: Medicare

Medical Drugs for Pharmacy Health Shop of Medicine by epSos.deThat is correct, Jeff!!  If your group prescription drug plan is not as good as Medicare’s standard prescription drug plan, which means has a $321deductible or more for 2012.  Or if your company and/or your insurance company states that the plan is not creditable, then you should enroll in a Part D plan to keep from having a 1% per month penalty which goes back to the month your Part A started, when you do enroll in a prescription drug plan. Read page 90 of the
Source: tonisays.com

Video: Medicare Supplement Plans (How to Find)

Medicare Supplement and Medicare Advantage

As the annual enrollment period has begun, it is a good time to review the differences between Original Medicare, Medicare Supplements and Medicare Advantage.  Let’s start with Original Medicare.  This is a plan by the Federal Government for people 65 and older (there are also some ways to qualify if you are disabled in which you would qualify under age 65).  You have been paying for Medicare Part A (hospitalization) all of your life through a payroll deduction.  You will pay a Part B premium. It covers a lot of your health care, but NOT ALL of your health care.  There are a lot of “gaps”.  That is why Medicare Supplements are often times referred to as “Medigap” policies.  They are designed to fill the “gaps” in Medicare.  Medicare Supplements are offered by private insurance companies, but unlike the under 65 market, all Medicare Supplement plans are the same.  In other words, Plan F, is Plan F regardless if it is with United Health Care, or Blue Cross, or Aetna, or Mutual of Omaha.  So you do not have to wonder if Blue Cross is better coverage, or Aetna is better coverage, they are the same.  Now there are different supplement plans such as Plan N or Plan G, but again they are the same.
Source: isellhealth.com

What, Why, and Who of supplement insurance to Medicare

Our commitment is to humanitarian ideals, art and music and not the sectarian politics that often drives comments and article content. Those who have a lengthy comment, please take a look at our “Be Our Guest” feature and request a guest post article. We enjoy having guests and welcome you to express your ideas and to let us know of humanitarian projects, ideas, individuals and those issues that relate to what we believe matters most–caring for each other and the creatures of our world.
Source: greenheritagenews.com

Cancel Medicare Advantage

Because of their flexibility, the ability to move states and the fact that the insurance company cannot change the plan are just a few of the reasons we prefer Medicare Supplement Insurance Plans to MAPD. If you would like to hear more about the reasons a Medicare Supplement can be a better fit for your insurance, please fill out the short form at the top of the page and one of our experts will get you a new medicare supplement quote and help explain how you can save the most off your medicare cost.
Source: medicarecost.net

How hospice and Medicare supplements work together

Children who are intervening with parents’ affairs are often confronted with keeping Medicare Supplement insurance while Hospice pays the majority of expenses, sometimes making the supplement unnecessary.  You should be aware that there are some expenses, like medical equipment and prescription drugs, that are not covered by Hospice.  These services are then covered 80/20 by Medicare and the supplement.  The risk you run is if you drop the supplement, you are then paying the 20% yourself.
Source: medicareplansstcharles.com

Medical Insurance To Supplement Medicare

While it is wise to align yourself or your loved ones with providers who will accept Medicare payment as payment in full, you can not guarantee all providers will write off the balance. If a policy is not in place when the person becomes Medicare eligible, investing in a health insurance supplement to Medicare you may save yourself or your loved one hundreds of dollars or more in balances due should a hospital stay or extensive testing be deemed necessary. When the unexpected comes up there is not always time to ask before admission or testing if all providers will agree to Medicare payment as payment in full. Most times it is the Medicare part B portion of the policy that will fall short of fulfilling the providers desire for compensation.
Source: seniorcorps.org

California Birthday Rule Medicare Supplement

Because of the “equal or lesser value” restriction in the California Birthday Rule for Medicare Supplements, it is often best for new enrollees to choose the highest level plan they can afford. You can always keep this plan for a year, and then downgrade later to save money if needed. However, if your health is adversely affected and you find you are using your supplemental insurance more and more, you’ll be glad you have access to the higher coverage plan.
Source: healthbrokerdave.com

Agent Pipeline Offers Cigna Medicare Supplement Solutions

Anytime we have the opportunity to offer a product from a carrier as prestigious and trusted as Cigna, we’re happy to do so. Cigna and its predecessor companies have been in the insurance field for more than 200 years. It is active in 30 countries and has 71 million customer relationships around the world. As a National Marketing Organization (NMO), we are pleased to be able to offer FMO, MGA and agent level contracts to our network of partners in the Senior Market.
Source: agentpipeline.com

Medicare Supplement or Medicare Advantage

Welch Insurance serves clients in Huntington Beach, Fountain Valley, Costa Mesa, Newport Beach, Long Beach, Norwalk, Downey, Anaheim, Cerritos, Lakewood and other cities throughout Southern California. We offer updated information from the top carriers including Anthem Blue Cross, Blue Shield, Health Net, Aetna, United Health Care, and Humana for Medicare Supplements. We also offer Medicare Advantage Plans and Part D from Anthem Blue Cross, Blue Shield and Aetna; including the Anthem LPPO (Local Preferred Provider Organization).
Source: welchinsurance.net

Medicare and Medicare Supplemental Insurance

Medicare supplemental insurance is the easiest way to bridge the coverage gaps in traditional Medicare coverage.  The Medicare supplement plans will cover varying numbers and combinations of the nine gaps.  The most popular and expensive of the plans is plan F because it covers the all of the gaps, while plan A tends to be the least expensive because it only covers the minimum of four gaps.  Each plan has its merits but knowing which one to get can only be based off of your individual needs and budget. You can get a free quote of medicare supplement rates here.
Source: tablib.org

Navigating Your Medicare Options

Alaska Andrew Schorr Awards BCBSA Blood pressure Corporate Citizenship Cost containment Coverage basics Customer service Diabetes Doctors Federal healthcare reform Fitness tips Food Health screenings Health tips Healthy Eating Holidays Home Visit Program ID theft Immunizations Lean process improvement Medicaid Medical Home Medical Loss Ratio Medication Safety Nursing Nutrition Pharmacy Playmakers Premera Cares Premera Employees Premera in the Community Premera members Preventive Providence Health & Services Recipes Saving money Seahawks Social media State Insurance Exchange Step Out Walk United Way Wellness Women’s health
Source: premeranews.com

Website is currently unreachable (1)

The website that you are trying to access is in Offline Mode, which means the server is not currently responding. To browse the site from cache, click the button below. (Cookies and Javascript must be enabled.)
Source: wesupplements.com

Get Your Medicare Supplement Quote Now

Posted by:  :  Category: Medicare

Medicare supplements do not have to be confusing. Years ago, Medicare supplements were very confusing. However, the federal government passed the standardization act in 1992. The new law said that all Medicare supplement companies must offer the same basic plans.
Source: gkpeventsonthefuture.org

Video: Medicare Supplement Quotes

AFLAC Medicare Supplement Plans Now Released in Indiana

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

Medicare Supplement Insurance coverage

When you utilize a web site to obtain Medicare Supplement Insurance, all you have to do is complete a form that asks basic details such as your gender Prograde supplements and age.  You will see distinct insurance policies from varying providers and you will be able to assessment the costs and policy figures from each and every provider.  In the finish you can select the insurance coverage policies that give what you need to have and that are financially sound.
Source: pakchom.net

MedicareSupplementShop.com ? Compare Medicare Supplement Plans, Get Quotes!

There are many Prograde supplements exciting and valuable elements to the website. While searching at all of your Medicare Supplement Plans, you can effortlessly compare distinct portions of the plan and comprehend the different expenses and positive aspects at the identical time. This comparing quotes web page contains simple to adhere to methods and several valuable hints. The web page also has easily laid out grids, so you can compare diverse plans side by side, with out confusion or uncertainty about what your plan will have to supply.
Source: trevorchan.org

Medicare and Medicare Supplemental Insurance

Medicare supplemental insurance is the easiest way to bridge the coverage gaps in traditional Medicare coverage.  The Medicare supplement plans will cover varying numbers and combinations of the nine gaps.  The most popular and expensive of the plans is plan F because it covers the all of the gaps, while plan A tends to be the least expensive because it only covers the minimum of four gaps.  Each plan has its merits but knowing which one to get can only be based off of your individual needs and budget. You can get a free quote of medicare supplement rates here.
Source: tablib.org

Medicare Supplement Plans

Medicare coverage has become restricted. Those who are just beginning, or have already reached their Golden years, are more susceptible illness.  To benefit from sickness benefits with ample coverage, a Medicare Supplement is a must. To find the right Medicare Supplement plan for you, medicarequotefinder.com is the way to go.  Search for the Medicare supplement that will complement your already existing Medicare coverage. Sometimes Medicare Supplements can be difficult to understand.  There are many different plans with many different types of coverage, and occasionally you get lost when all you want is to find the Medicare Supplement that you know will work best for you. Medicarequotefinder.com doesn’t want you to feel lost in the maze of Supplement plans. They make it easy to maneuver through their site to find what you need.
Source: medicarequotefinderblog.com

Medicare Eligibility and Senior Health Care

Posted by:  :  Category: Medicare

Medicare Advantage popularly known as MA refers to a health insurance program which offers an eligible individual with the US Medicare benefits. MA differs from the previous Medicare model that offered a standard plan offered directly by the United States. In contrast, MA is program that is normally provided by private providers.
Source: eazyretirement.com

Video: Medicare dental insurance Denver

Visit the Dentist Before You Retire

Consider first that most employer based dental insurances are included in your benefits and in most cases you cannot opt out of them. If your employer is one of those contracts that has included dental insurance then use it. It is true that dental insurance does not typically cover at 100% of dental procedures, but it still covers a portion of dental services. This is a drastic change in comparison to not having any dental insurance at all. That is like going up that proverbial creek, and trying to paddle against the current. Once you retire and your dental benefits expire you will have an extremely hard time convincing medicare to cover you. Why? They do not cover dental care. It is that simple, so while you and your spouse are still working, using your dental care benefits is an excellent idea.
Source: danmatthewsdds.com

Health Products for Members: Health Insurance, Dental Insurance, Fitness

AARP Health is a collection of health related products, services and insurance programs made available by AARP. Neither AARP nor its affiliate is the insurer. AARP contracts with insurers to make coverage available to AARP members.
Source: aarp.org

do people like medicare advantage?

Flexible benefit structures: Medicare Advantage plans were traditionally HMO plans, with all services being provided through a designated provider network of physicians and hospitals. But, in the last few years more and more Medicare Advantage plans are being offered as Preferred Provider Organizations (PPOs), which give customers more choices when it comes to providers. Some are also Private Fee-for-Service (PFFS) plans that don’t typically have networks, however, providers must accept plan payment and rules; and Special Needs Plans (SNPs) specifically designed for people with lower incomes and/or specific diseases or conditions.
Source: ehealthinsurance.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

The Medicare age is still 65

At the web­site, you’ll find more than just the online Medicare appli­ca­tion. You’ll also find infor­ma­tion about Medicare, and have the oppor­tu­nity to watch some short videos about apply­ing for Medicare online. One is a fam­ily reunion for the cast of The Patty Duke Show. In another, Patty Duke and George Takei go boldly where you should be going — online. Why go online to apply for Medicare? Because it’s fast, easy, and secure. You don’t need an appoint­ment and you can avoid wait­ing in traf­fic or in line. As long as you have ten min­utes to spare, you have time to com­plete and sub­mit your online Medicare application.
Source: thepennews.com

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

UCLA Health System chosen as a Medicare Shared Savings Program accountable care organization / UCLA Newsroom

The UCLA Health System, which comprises the UCLA Hospital System and the UCLA Medical Group and its affiliates, has provided a high quality of health care and the most advanced treatment options to the people of Los Angeles and the world for more than half a century. Ronald Reagan UCLA Medical Center, the Resnick Neuropsychiatric Hospital at UCLA, Mattel Children’s Hospital UCLA, and UCLA Medical Center, Santa Monica (which includes the Los Angeles Orthopaedic Hospital) deliver hospital care that is unparalleled in California. Ronald Reagan UCLA Medical Center is consistently ranked one of the top five hospitals in the nation and the best in the western United States by U.S. News & World Report. UCLA physicians and hospitals continue to be world leaders in the full range of care, from maintaining the health of families to the diagnosis and treatment of complex illnesses.
Source: ucla.edu

Medicare Plan Finder for Health, Prescription Drug and Medigap plans

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

Runaway Medicare and Medicaid Spending

Therefore, it is widely recognized that solving the Medicare/Medicaid crisis will to some extent involve changing the medical incentives of doctors and patients in order to lower healthcare costs overall, rather than solely targeting Medicare/Medicaid. This can be done in a number of ways. For example, making information on the comparative effectiveness of different treatments more accessible may prevent physicians from utilizing costly services when clinical benefits have not been fully demonstrated. As Professor Anirban Basu at University of Washington tells ARUSA, “I think it is most important that we support research on which drugs help which people so that we can target drugs effectively and get more bang for our buck. In most cases, the value of this research is quite high and the cost of research is quite low.” Professor Ruggie suggests that pharmaceutical advertising should be more tightly regulated in order to stop perpetuating the notion that “new” is inherently “better.”
Source: harvardpolitics.com

Medicare revalidation, DMEPOS fee still prompt questions among ODs

Posted by:  :  Category: Medicare

Judy by Thomas Hawk“Medicare covers post-op eyeglasses for cataract patients only if the glasses are provided by a DMEPOS supplier who is enrolled in Medicare,” Dr. Jordan said. “If the optometrist is not enrolled in Medicare for DMEPOS, then the glasses are not covered. Neither the doctor nor the patient can obtain reimbursement for the glasses from Medicare if the supplier is not enrolled. If a Medicare beneficiary wants to pay out-of-pocket for eyeglasses from a supplier who is not enrolled in Medicare, she or he may do so, but the doctor should be sure to explain to the patient that the glasses would be covered if they were obtained from another supplier who is enrolled in Medicare. In addition, the doctor should be certain to have an ABN form signed by the patient acknowledging that although she/he could have these glasses covered elsewhere she/he agrees to pay the doctor out-of-pocket and that he or she cannot get reimbursement from Medicare.”
Source: newsfromaoa.org

Video: Why does Medicare pay for some things (Viagra) and not others (Eye glasses, for example)

Daily Kos: Poll finds majority support for exchanges, Medicaid, Medicare

Consider if one or more of these tags fits your diary: Civil Rights, community, Congress, Culture, Economy, Education, Elections, Energy, Environment, Health Care, International, Labor, Law, media, Meta, National Security, Science, Transportation, or White House. If your diary is specific to a state, consider adding the state (California, Texas, etc). Keep in mind, though, that there are many wonderful and important diaries that don’t fit in any of these tags. Don’t worry if yours doesn’t.
Source: dailykos.com

Why Doesn’t Medicare Pay For Hearing Aids Or Eyeglasses?

Hearing aids are elective to, just like glasses. Patients are responsible for 100% of the bill. However Medicare, in certain circumstances, will cover the cost of a prosthetic device. Often though, the cost of prosthetics far outweigh the costs of a hearing aid. This elective also extends to routine hearing tests, which are also the responsibility of the Medicare patient. Regulations vary by the state however, so there may be some exceptions to the contrary. Though most states operate under the same mindset. One exception, though limited, is coverage based on an advantage plan; a secondary premium insurance add on.
Source: seniorcorps.org

A Blog by Maryland Optometric Association President John L Burns O.D.: Meaningful Use.. Glasses after Cataracts with Medicare

Optometrists who wish to provide eyeglasses for cataract patients under Medicare are subject to a new durable medical equipment prosthetics, orthotics and supplies (DMEPOS) registration fee every three years, according to the AOA Advocacy Group.  As reported in AOA publications previously, the fee was put in place in March 2011 over the objections of AOA and other physician organizations when the Centers for Medicare & Medicaid Services (CMS) decided to treat all DMEPOS suppliers as institutional fraud risks.
Source: blogspot.com

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

IAM is an SEC registered investment adviser with its principal place of business in the State of Texas.  IAM and its representatives are in compliance with the current registration and notice filing requirements imposed upon registered investment advisers by those states in which IAM maintains clients.  IAM may only transact business in those states in which it is noticed filed, or qualifies for an exemption or exclusion from notice filing requirements.  Any subsequent, direct communication by IAM with a prospective client shall be conducted by a representative that is either registered or qualifies for an exemption or exclusion from registration in the state where the prospective client resides.  For information pertaining to the registration status of IAM, please contact IAM or refer to the Investment Adviser Public Disclosure web site (www.adviserinfo.sec.gov).  For additional information about IAM, including fees and services, send for our disclosure brochure as set forth on Form ADV using the contact information herein. Source: iaminvest.com
Source: medicarehelpco.com

Medicare coverage of glasses after cataract surgery

Deluxe Frames are frames that cost more than the Standard Frame coverage.  For example if a frame selected costs $80.00 then the deluxe frame fee would be ($80.00 – $60.72) = $19.28.  Medicare does not cover this portion of the amount and the patient is due this amount.  The jargon Medicare uses is that this item is “noncovered.”  Medicare gives you the freedom to choose any frame you desire that your eyewear provider can provide.  The Medicare deluxe frame policy allows patients to choose from any frame and have part of their Medicare coverage help defray the expense of these frames.
Source: guthrieeyecare.com

The Medicare Coach: A Breakthrough In Vision Correction

The majority of Medicare patients opt for the Traditional standard procedure because Medicare and their supplement insurance pay for it. Below is a breakdown of costs for Traditional cataract surgery in the Midwest. I called the billing department of a large eye surgery center located in Kansas, and was told that patients can expect co-pays from $750-$1000 for Traditional surgery which are usually paid by their supplemental insurance. However, for lens implants, the patients will pay cash because Medicare considers these procedures as a luxury and not a medical necessity.
Source: themedicarecoach.com

How to save on prescription eyeglasses

Or, if you’re a current or soon-to-be Medicare beneficiary, you may want to consider a Medicare Advantage plan. These are government approved, private health plans (usually HMOs and PPOs) sold by insurance companies that you can choose in place of original Medicare — which does not cover eyeglasses (unless you’ve just had cataract surgery) or routine eye exams. Many Advantage plans offer vision care, in addition to their health care coverage. See www.medicare.gov/find-a-plan to research this option.
Source: pomeradonews.com

Medicare Insurance: Medicare, Medicaid and Eyeglasses Coverage

If you qualify for extra help from Medicaid you need to check with them to see what is available to you. You may call 211 and you will be connected to a Medicaid representative. If you have trouble connecting you may call 1-877-541-7905. You may also go online to www.211texas.org to search for the phone number to your local Medicaid office using your home zip code.
Source: medicareanswersfromconnie.com

Viewpoints: Politicians Flirting With Danger On Medicare Eligibility Age; Maybe Doctors Should Be Paid Less

Posted by:  :  Category: Medicare

The Medicare NewsGroup: Progressives Launch Medicare Defense Campaigns It remains to be seen whether the White House will go beyond the above-stated “savings” and venture into the realm of even-more radical reform at this point in the fiscal-cliff battle. The next tier of savings may involve chipping away at the Medicare’s expensive, but-popular, “fee for service” model, which many progressives have suggested needs to be reexamined and possibly abandoned over time. Despite the pitched battle that has created this political equivalent of a World War I-style stalemate, radical reform—if it comes at all—will most likely be delayed … It’s far too complicated and politically toxic to undertake now as Congress faces a year-end deadline with no compromise in sight  (John F. Wasik, 12/12).
Source: kaiserhealthnews.org

Video: Georgia Health Insurance Medicare

MedicareIsSimple: CEOs Support Raising Medicare Eligibility Age

The Solution to Your Healthcare Needs Us Here at Medicare is Simple, we understand your needs. It is our mission to educate and enable you to choose among the best Medicare plans to find the policy that fits your requirements. Get free quotes instantly using our advanced quoting technology. You will receive multiple quotes from the most reputable carriers for you to compare online. Medicare Is Simple 233 W Main St Lewisville, TX 75057 800-442-4915 inf@medicareissimple.com
Source: blogspot.com

Illinois Medicare Eligibility Requirements

Medicare benefits were originally designed to help United States citizens receive the health care they needed as they aged. In most cases, as long as you’re 65 or older and paid the appropriate taxes for at least ten years, then you’re eligible to receive Medicare benefits. Basically, if you or your spouse is entitled to receive Social Security or Railroad Retirement Board benefits or you’ve worked for federal, state or local government with Medicare covered employment, then you’re eligible for Medicare. If you are not 65, but have been receiving Social Security disability for at least 24 months or you have End-Stage Renal disease, you’re also qualified.
Source: ssiinsure.com

Medicare Beneficiary Options

Seniors approaching Medicare eligibility are often confronted with choices and timelines that may be confusing.  If you are six months away from celebrating your 65th birthday and would like to discuss your Medicare options (i.e. Original Medicare, Medicare Advantage Part C, Medicare Part D and Supplements), call me.
Source: patch.com

Kaiser Permanente Georgia Offers Seniors Tips for Selecting a Medicare Plan

 Kaiser Permanente is Georgia’s largest not-for-profit health plan. Its mission is to provide high quality, affordable health care services to improve the health of its members and the communities it serves. Kaiser Permanente serves more than 235,000 members in a 28-county service area including metro Atlanta with care focused on their total health and guided by their personal physicians, specialists, and team of heath care providers. Expert and caring medical teams are supported by industry-leading technology and tools for health promotion, disease prevention, state-of-the art delivery, and world-class chronic disease management. Nationally, Kaiser Permanente is recognized as one of America’s leading health care providers, serving mort than 9 million members in nine states and the District of Columbia. For more information, visit www.kp.org.
Source: patch.com

Project shows progress on hospital readmissions

“Although there may be financial penalties for excess readmissions, the best reason to be doing this is because it is the right thing to do for our patients,” Dr. Alan Bier, executive vice president and chief medical officer of Gwinnett Medical Center, said in a statement. “Better education about care and medication combined with better follow through on care has been shown to significantly drive down readmissions.”
Source: georgiahealthnews.com

Requirements for Medicare Eligibility Georgia

The amount of your medical bills and maintaining your health can be overwhelming.  This is why, as people reach the age of 65 and starts to retire they have to consider how they are going to pay these medical expenses.  Medicare is a government program which helps senior citizens in covering for their health care costs.  However, there are certain requirements for Medicare Eligibility Georgia.  People who are 65 and older are not the only ones who can qualify for Medicare.  Medicare is also available to people who are below 65 years old provided that they have certain disabilities or if they are suffering from kidney failure.  Since different people have different financial and medical needs then it is very important that you choose the health insurance plan that can work best for you.
Source: gamedicareplans.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

Daily Kos: Ed Rendell: Obama “must deliver” on raising Medicare eligibility age & chained CPI

just the continuous claims I hear over and over again.  I can’t really give you an answer about why he does the things he does because I’m not sure either but even when he shows willingness to give Republicans what they want they still bitch and yell “No”.  In fact when I talk to people who are misinformed and yell, “both sides do it!  Obama is always fighting with Republicans” I always point out what he tries to do to get the other side on board.  After I explain that they go, “Oh, ok.  Some of those things he shouldn’t have agreed to but you’re right, he at least is trying to be the adult in the room and it is the Republicans who are the problem.”  I also hear this answer from moderate Republicans or moderates in general “I wish Bill Clinton was President again because he got shit done with the congress he had” but then I usually come back with, “That would be nice except that these Republicans are not the Republicans from the 90s and a lot of those racist tea baggers who represent racist voters would rather eat shit and die than be caught working with the black guy.”  They then respond, “Yeah, I guess you’re right.”
Source: dailykos.com

Medicare Fraud and Nursing Home Abuse is Not Tolerated in Georgia

Look for signs of malnutrition or dehydration, as well as bruises or unexplained bleeding. Broken bones and fractures may indicate pushing, rough handling, or hazardous conditions within the building itself. Any sign of bed sores needs to be questioned and documented. Talk to your loved one and gently try to discern if he or she is being bullied, sexually harassed, or physically or verbally abused. If you see signs of over or under medication, question it until you receive satisfactory answers. If the person you care about has been injured either by neglect or outright abuse, call the police and call a skilled Atlanta nursing home abuse lawyer to preserve the victim’s rights.
Source: goldmanlawatlanta.com

Medicare Diabetes Screening Project

2012 about Aquarium Atlanta Attorney Attractions auto Beautiful best business cities City College Colleges Cool county find Football from Georgia good Health images insurance Jobs lawyer License Loans Military Nice North photos pics pictures road Rome School schools small some State Tech Technical Universities University
Source: wordwd.com

Lets Kick The Can Down The Road

In the long term however, large Federal deficits are projected to significantly weaken the economy by increasing interest rates and inflation. Addressing long-term deficits requires addressing the causes of those deficits. The Congressional Budget Office (CBO) has separated the major components of Federal spending in the chart below. CBO has expressed those components as a percentage of Gross Domestic Product (GDP). From that chart it is easy to see that the major driver of Federal budget deficits is health care expenditures. Social Security, defense, and all other spending are projected to remain largely constant as a percentage of GDP. That means you could lower future deficits by cutting other spending, but if health care costs aren’t addressed all long-term structural deficits will remain.
Source: ajc.com

Daily Kos: The Georgia Open Senate Seat

Consider if one or more of these tags fits your diary: Civil Rights, community, Congress, Culture, Economy, Education, Elections, Energy, Environment, Health Care, International, Labor, Law, media, Meta, National Security, Science, Transportation, or White House. If your diary is specific to a state, consider adding the state (California, Texas, etc). Keep in mind, though, that there are many wonderful and important diaries that don’t fit in any of these tags. Don’t worry if yours doesn’t.
Source: dailykos.com

Medicare agrees to pick up the tab for obesity counseling — Health — Bangor Daily News — BDN Maine

Unfortunately, those best prepared to provide obesity counseling will not be able to bill directly to do so. CMS has limited who is able to bill for those services to primary care physicians and practitioners, including nurse practitioners, clinical nurse specialists and physician assistants. Those with expertise in the field, such as registered dietitians, are not eligible to bill directly. Medicare will cover services from “auxiliary” providers only if the service is provided in a physician’s office suite and the physician is immediately available to provide assistance and direction.
Source: bangordailynews.com

Eligible Georgia Retirees Switching to Medicare Advantage Plans

What Does the Change Really Mean for My Doctors? It was detailed in July 15th letter that your doctor (provider) would need to accept the changes in the plan to accept the MA terms. From all the research and discussions that I have had with both doctors and insurance vendors, it does not seem like there will be many changes they believe (view the letter with all enclosures by clicking here). There are no networks. You may see any provider that accepts Medicare and is willing to accept CIGNA/UHC’s terms and conditions. The really important point to make is to have your provider agree to accept the new plan changes (information on the plan was given in the July 15 letter). Along those lines, I have received a few emails talking about the problems with finding Medicare Advantage doctors. Numerous articles have said that the vast majority of doctors will not refuse Medicare or Medicare Advantage from current patients – they wish to continue the relationship. Some doctors may or may not accept new patients, but a study by the Center for Studying Health System Change found that nearly 75% of doctors accepted all or most new Medicare patients in 2008 (Study: Most Physicians Still Accepting Medicare Patients, Fierce Health Finance). How Much Will This Cost Me? First, remember that the State of Georgia is subsidizing your coverage by nearly 75% of the total costs. This is one of the benefits that was “given” to you, so if you were to opt out of the MA plan, it will cost you hundreds of dollars per month for the same coverage. In other words, unless you feel like you have no other option and money to burn, opting out is not an option… (who has money to burn??) The good news about the changes is that it will actually save you money every single month for your coverage. Currently, a PPO covered participant pays $32.90 for single coverage ($142.40 for family). The standard option MAPD PFFS plan will cost $19.30 for single coverage and $38.60 for family coverage (all dependents eligible for MA plan). A mix of eligible and non-eligible Medicare participants in family coverage will have higher costs, but that is to be expected. The premium coverage option for the MAPD PFFS plan will cost $59.30 for a single and $118.60 for a family (all dependents eligible for MA plan). The benefits here are a lower out-of-pocket maximum, lower hospital costs, reduced co-pays, and a better prescription drug benefit. The choice is yours, but weigh the costs by looking at your 2008 and 2009 medical expenditures. The standard plan could cost you more based on your needs… (Check the July 15 letter above to compare the coverages on the Plan Summary enclosure) If you want to check out the retiree rates as set by the SHBP, please click this link to open the PDF. What If I Don’t Choose? According to the information sent with the July 15 letter, “If you are not enrolled in a MAPD PFFS option and do not make an election during the ROCP, your coverage will roll to the MAPD PFFS option of the healthcare vendor you are currently covered. Kaiser members who do not make an election will default to the CIGNA Medicare Access Plus Rx (PFFS) – Standard Plan.” Conclusion Any change is tough to accept in anything… especially medical coverage. The unknown is more of a worry than the known even when it may be better. In five years, few people may even remember this change unless there are real problems. If that starts to happen though, you can almost be assured that the SHBP and its vendors will try to make things right. The State Health Benefit Plan covered 693,716 people as of September 1, 2009, and that is far too big a number to think that they will just accept mediocre results. Try to work with your doctors and try to work with the insurance vendors. The vendors are there to help, so let them help. Both CIGNA and UHC told me that if a doctor is not accepting the plan after you discuss it with them, get the vendor involved. They may be able to help explain it from an ease of use and payment perspective. Just a hint the vendors gave me.
Source: theeducatorsretirement.com