NJ Doctors Face Significant Cuts to Medicare ReimbursementsUnless Congress acts by end of year, healthcare providers in the Garden State could see Medicare payments shrink by more than 25 percent
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Video: Fat Arrogance: Rude-Hypocrite NJ Gov. Christie’s War on Medicare & The Poor
NJ health system pays millions to settle fraud allegations
“After more than three years of extended discussions with government lawyers, we decided, in the best interests of Cooper, to settle our dispute without the admission of wrongdoing to avoid the burdens and uncertainties of a protracted litigation,” the company said in a statement. “This allows us to focus our full energies on serving our community.”
Senior Medicare Patrol Of New Jersey Receives Award
SMP is a federally funded endeavor created to help Medicare and Medicaid beneficiaries prevent, detect, and report health care fraud, waste, and abuse. Health care fraud is an enormous problem. According to the FBI, health care fraud costs the country an estimated $80 billion a year. The SMP of New Jersey is part of a network of 54 national SMPs educating seniors about Medicare fraud and presenting practical tips for becoming wise health care consumers such as safeguarding Medicare numbers, reviewing Medicare Summary Notices, and counting prescription pills.
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.
Horizon NJ Health Slashes Medicaid Reimbursements for Home Healthcare
Thomas Vincz, spokesman for Horizon Blue Cross Blue Shield of New Jersey, the parent company of Horizon NJ Health, called the reimbursement reductions “difficult decisions,” but said that they “demonstrate the realities of today’s healthcare in having to do more with fewer resources.” Horizon is seeing a reduction in the rates it receives from the state to administer “various government health programs,” Vincz said, while “benefit utilization” and overall costs were growing.
Report Says Early Years of Medicaid Expansion in NJ Won’t Break the Bank
Every other advanced democracy (Israel, Sweden, Norway, Denmark, Finland, Australia, Japan, Taiwan, Canada, France, Austria, Switzerland, New Zealand, Germany, Holland, etc.) has some form or version of universal health care; everyone is covered and no one goes bankrupt from medical expenses as they do in the US. A national health care system was part of the 1912 campaign platform of Teddy Roosevelt. Truman tried to institute a national health care system throughout his presidency but was defeated by the GOP, the AMA and the one percenters. By some miracle, LBJ managed to enact Medicare and Medicaid in 1965. Without these programs, we would have about 100 million uninsured; we currently have 48.8 million uninsured according to the US Census. We have tens of millions more with inadequate crap insurance with high deductibles and many out of pocket expenses. When is enough enough in the US? We should have Medicare for all or a single payer health care system. Instead of that, we are talking about cutting and gutting Medicare and Medicaid. It’s just stupid and nuts.
Demystifying Medicare Part D enrollment
Once you’ve found a plan that fits your budget and medication needs, don’t forget about convenience when filling your prescriptions. A pharmacy accepted as “preferred” by a Medicare Part D Plan is a network pharmacy that offers covered drugs to plan members at lower out-of-pocket costs than what the member would pay at a non-preferred network pharmacy. For example, Walmart is a preferred pharmacy on multiple plans including the Humana-Walmart Preferred Rx Plan. People with high blood pressure or who are concerned about heart health also should know that Humana and Walmart just announced that members of the Humana Walmart-Preferred Rx Plan will have access to 10 hypertension drugs for a penny each when filled at one of the 4,400 Walmart or Sam’s Club pharmacy locations.
Democrats Heart Medicare Fraudsters
Hey, remember when President Obama crusaded against Medicare fraud and vowed to crack down aggressively on scammers who’ve bilked the program out of an estimated $90 billion? Like Archie and Edith Bunker used to sing: Those were the daaaays. While Democrats pretend to protect the elderly and disabled, leaders of the People’s Party have pocketed gobs of campaign contributions from fat-cat donors tied to massive Medicare rip-off schemes. Let’s talk some more about Dr. Salomon Melgen, shall we? We now know that the jet-setting Florida eye doctor who flew beleaguered Sen. Bob Menendez (D-NJ), to several alleged sex romps in the Dominican Republic also overbilled the government by $8.9 million for care at his clinic. That’s according to Menendez’s own aides. They acknowledged last week that their boss met with federal health bureaucrats at least twice to lobby on Melgen’s behalf. “Federal investigators and health-care auditors have had concerns about Melgen’s billing practices at various times over the past decade,” according to two former federal officials who spoke to The Washington Post. “In part, they have examined the volume of eye injections, surgeries and laser treatments performed at his West Palm Beach clinic.” Now, brace yourselves. A Menendez aide says that while Sen. Sleaze-Bob intervened, he didn’t know nuttin’ about Melgen being under investigation. Just like he didn’t know nuttin’ about his longtime aide working for Melgen’s port security firm in the Dominican Republic, on whose behalf Sen. Sleaze-Bob also intervened. And just like he didn’t know nuttin’ about yet another ride on Melgen’s plane in 2008 (exposed this week by the conservative Daily Caller), which he forgot to disclose to the Senate. Senate Democrat leaders have done nuttin’ to prevent Menendez, who also sits on the Senate Finance Committee overseeing Medicare, from playing a prominent role in Medicare reform negotiations while Melgen’s Medicare fraud investigation unfolds. It’s all par for the Democrats’ conflict-of-interest course, of course. Recently departed Obama healthcare czar Nancy-Ann DeParle raked in millions from her positions on a handful of corporate boards under fire for various regulatory violations, whistleblower complaints and Medicare fraud. One of the companies for which DeParle served as a director, kidney dialysis empire DaVita, has been plagued by whistleblower fraud allegations for nearly 20 years. These include long-standing claims (many still under investigation or the subject of ongoing litigation) that the company overused the anemia drug Epogen and then billed Medicare for it; submitted fraudulent Medicare claims for dialysis drugs; and forged alleged kickback schemes between doctors and joint ventures. Another Medicare fraud suspect, the Stryker Corporation, paid nearly $17 million to settle allegations about false claims submissions in 2007. Pat Stryker, liberal heiress to the Stryker fortune, is an Obama bundler and one of the Democrat Party’s wealthiest progressives. She was also behind the now-bankrupt Obama green energy boondoggle in Colorado, Abound Solar. While the Obama campaign (aided and abetted by the lapdog media) viciously smeared Mitt Romney by tying him to Medicare fraud he had absolutely nothing to do with while at Bain Capital, this White House has escaped any scrutiny of its own ties to accused Medicare scammers. Instead, the administration was happy to powwow with Menendez and other Democrat leaders on policy strategy this week. What did they have to say about Menendez’s lobbying on behalf of Medicare exploiter Melgen and the conflict-of-interest cloud stretching from Capitol Hill to 1600 Pennsylvania? Nuttin’.
Senior Care in Mt. Laurel, NJ: Open Enrollment for Medicare –Now through Dec 7, 2012
Would a small increase in premiums result in a large reduction in health care costs you pay? Check, for example, what coverage is available for prescription drugs you take? Medicare representatives can create a report containing the costs and benefits of various insurance products if you supply them with a list of your drug prescriptions. Ask questions about participating doctors and clinics. Some Medicare Advantage plans limit which physicians a patient can visit.
Report: N.J. Medicaid patients are least likely in U.S. to find new doctor
A major factor in this issue is medical billing itself. The fact that hospitals and medical suppliers charge exorbitantly more for products and services than it costs them to provide means that the cost for any person or entity paying medical bills are likely experiencing extortion. Medicaid is not immune to this, even though it pays reduced rates. If controls were put in place to limit unreasonable billing practices, it would leave more money for medicaid to work with and spend on necessary costs like doctors for new patients.
Fight against Dominican smugglers lands in N.J.
His interest has drawn public scrutiny since federal agents recently searched the Florida offices of his largest campaign contributor, Dr. Salomon Melgen, who in August 2011 had purchased a company with a contract to provide increased security at Dominican ports. The 10-year contract, valued at $500 million, was signed in 2002 but suspended two years later by the Dominican government and is tied up in the courts.