The Senior Insider: Transportation that’s covered by Medicare

Posted by:  :  Category: Medicare

Deal 3, Table 7: Initiation enter Trick A~ contract taker leads King of Risks by KevinHutchins314Medicare covers the following types of ambulance services: 1.  EMERGENCY GROUND (vehicle) When is it provided?  After you have had a sudden medical emergency, when your health is in serious danger, when every second counts to keep your health from getting worse, and when other transportation could endanger your health.  For example, severe pain, shock, bleeding or unconscious. What conditions do I have to meet? Coverage depends on the seriousness of your medical conditions and whether you could have been safely transported some other way. 2.  NON-EMERGENCY GROUND When is it provided? When you need transportation to diagnose or treat your health condition and transportation in any other vehicle would endanger your health.  For example, you are confined to your bed and you need to be transported to get dialysis treatments. What conditions do I have to meet? In some cases, you must have orders fro your doctor or other health care provider saying that ambulance transportation is necessary because of your medical conditions. 3.  EMERGENCY AIR (airplane or helicopter) What is provided? If your health condition requires immediate and rapid ambulance transportation that ground transportation can’t provide.  Example:  life threatening car accident. What conditions do I have to meet? You must have a condition that requires immediate and rapid ambulance transportation that ground transportation can’t provide. Medicare pays 80% of the Medicare approved amount after you meet the yearly Part B deductible.  Other criteria may apply.  For more  detailed information visit www.medicare.gov to view the booklet, “Medicare Coverage of Ambulance Services.”
Source: blogspot.com

Video: Medicare Fundamentals

Mathematica Policy Research

Disability  Early Childhood  Education   Family Support     Health      International      Labor         Nutrition   
Source: mathematica-mpr.com

Daily Kos: A Medicare voucher by any other name, still a bad deal for seniors

Proposals floating around Congress these days call for privatizing Medicare via vouchers, but they don’t use the term. In general, the proposals would encourage insurance companies to bid against each other, to produce the lowest-cost policies in the private market. Customers would receive a sum of money—aka a voucher— to help defray the cost. Tennessee Sen. Bob Corker introduced his “Dollar for Dollar Act,” and a good chunk of it deals with what he calls structurally transforming Medicare by “keeping fee-for-service Medicare in place, competing side-by-side with private options that seniors can choose instead. Utah Sen. Orin Hatch used the term “competitive bidding” and said allowing health plans “to compete with traditional fee-for-service Medicare” would reduce costs and preserve the quality of care. The plans would allow people to choose between these voucherized plans and traditional Medicare, preserving the notion of choice. Foes of our social insurance programs have gotten savvy enough to realize that they can’t privatize Medicare in one fell swoop, as Ryan’s original budget (back before “vouchers” were a dirty word) envisioned. So in the next iteration, they employed the idea of “choice,” of competition with traditional Medicare. That allows them to chip away at it, pulling away younger, healthier patients who might be able to get good private insurance deals and leaving the older, sicker, more expensive patients in traditional Medicare to sap the program more quickly and make killing it off entirely that much easier.
Source: dailykos.com

Medicare Coverage and Home Healthcare

Medicare is the federal health insurance program for people who are age 65 or older, certain younger people with disabilities, and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD). In 2011, Medicare covered 48.7 million people. Total expenditures in 2011 were $549.1 billion. Learn more about the differences between Medicare Part A, Part B, Part C and Part D.
Source: vnaresourcecenter.org

Part VIII: Medicare Skilled Nursing Coverage

Skilled care will assist you in getting better, living independently and understanding how to take care of your health. Skilled nursing care is necessary to either help improve your condition, or maintain your condition and keep it from worsening. Rehabilitation care is necessary when you want to improve your condition within a period of time, or you wish to set up a remedial program that maintains your condition and keeps it from worsening. You have to choose your own Medicare-certified SNF.
Source: wordpress.com

Medicare Coverage: Does Medicare Pay for Ambulance Service?

Most people want to know if their Medicare coverage will cover ambulance service long before they are even put onto a stretcher and wheeled into such a vehicle. In fact, most people do not worry about whether or not their insurance policy will pay for any of the cost of being transported in an ambulance until well after they have received needed treatment and have found themselves swallowed up by a month of bills. A person’s Medicare coverage may pay for ambulance services as long as certain conditions are met. A person must have original Medicare for the information listed below to apply to them.
Source: seniorcorps.org

NRC Capitol Clips: New Federal Rule Addresses Medicaid Transportation

This rule concerning “benchmark” plans in Medicaid takes effect July 1, 2010. States’ requirement to assure non-emergency medical transportation is nothing new; that has been in place for many years, first as a result of federal court cases, and then as a matter of CMS regulation. Now that medical transportation providers may be feeling some level of justified comfort that their services are not going to be ended (that was a very real fear in response to CMS’ initial proposals on this rule), there are some points of this latest rulemaking that bear careful consideration. 1. “Benchmark” plans are an option that is available to states. There is no requirement that states adopt this optional approach to elements of their Medicaid programs. However, CMS estimates that 90 percent of states will have some form of benchmark programs in place within a year or two. Given the nature and scope of the newest federal health legislation, that number is probably too low, and it’s much more likely that nearly every state will have some form of benchmark-like coverage in their Medicaid programs in the near future. Therefore, anyone who’s trying to set up systems for the future implementation of Medicaid should read more of today’s rule, and see how CMS is beginning to instruct states in their relations with insurance companies, managed care organizations, and other intermediaries. 2. The rule on benchmark plans has some reminders that CMS has an option by which states can provide Medicaid transportation through a brokered program (defined by regulation at 42 CFR Section 440.170(a)(4), in which case these transportation expenses can be covered as “medical services” (and thus reimbursed by CMS at the state’s Federal Medical Assistance Percentage rate, instead of the fixed 50 percent reimbursement for Medicaid program administrative costs) even if certain requirements for medical services (such as patient freedom of choice) are not part of the “brokerage.” As with the benchmark program, it is very important to remember that such Medicaid transportation brokerages are an option available to states; they are not required. 3. For the first time that I’ve ever noticed, the benchmark rule has a requirement for public participation in Medicaid planning. It’s a narrow window, and simply requires states to solicit public comment if they are preparing a state Medicaid plan amendment in pursuit of creating a benchmark program. Maybe there’s always been a requirement for public input; if so, it may be something to be more aggressively publicized. 4. In case people hadn’t been following this trend, in both the previous and current presidential administrations, CMS is having options and features of Medicaid being addressed by states through Medicaid plan amendments, and not through waiver requests. Although Medicaid planning is nothing at all like transportation planning, the fact that more process-driven approaches are being dictated by the federal government may give more opportunities for meaningful involvement by stakeholders as states pursue their Medicaid strategies. 5. And for those people who follow federal interagency coordination policies, there is this verbiage, as it appears in the CMS rulemaking notice: “We do not believe that Executive Order 13330, which relates to the coordination of transportation among Federal agencies, is relevant to this rule.”
Source: blogspot.com

Medicare Open Enrollment: last chance to review and compare plans

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSWith the holiday season upon us, it’s easy to get busy this time of year. Some pretty important tasks can get left to the last minute. One of those important tasks is ensuring you are in the right health insurance plan in Medicare.  Selecting the right plan is a personal choice, and a lot of thoughtful consideration goes into finding the right match.  But just like the holidays, those key dates come whether or not you are ready.
Source: medicare.gov

Video: Compare 2013 Medicare Advantage Plans – Tips

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

Medicare Advantage: Providing Quality Care to More than 14 Million Beneficiaries

Medicare Advantage plans are a valuable resource in protecting beneficiaries from unpredictable out-of-pocket costs. In 2012, all Medicare Advantage plans offered an out-of-pocket maximum limit for beneficiary costs, and about 78 percent of Medicare Advantage enrollees are in plans that have annual out-of-pocket maximums of $5,000 or less. These out-of-pocket maximums – which are not offered by the Medicare FFS program – help protect Medicare beneficiaries from catastrophic health care expenses that otherwise might pose a serious threat to their financial security.  Medicare Advantage plans also help reduce out-of-pocket costs for enrollees by reducing premiums for Part B and Part D, and by limiting cost-sharing for Medicare-covered services, including primary care physician visits and inpatient hospital stays.
Source: ahipcoverage.com

Privately Run Medicare Plans are Really Expensive

Austin Frakt draws my attention today to a new article about the administrative costs of Medicare. Exciting stuff! Long story short, Kip Sullivan of the Minnesota chapter of Physicians for a National Health Program wants everyone to understand just what’s involved in figuring out the true administrative costs of Medicare. The cost of collecting payroll taxes is one frequently overlooked element, for example. More interestingly, though, there’s a large and growing gap between the overhead calculations of the Medicare Trustees and those of the National Health Expenditure Accounts. Why is that?
Source: motherjones.com

Texas Medicare Supplement Insurance Plans

Make sure that you are getting the right coverage that you want. This will not be hard if you already know your options. There are ten different supplement plans that you can choose from. Taking time to carefully examine all you have to choose from will enable you to compare the gaps filled with each plan to determine the one that is going to be ideal for your needs.
Source: zambiadaily.com

Daily Kos: A Medicare voucher by any other name, still a bad deal for seniors

Proposals floating around Congress these days call for privatizing Medicare via vouchers, but they don’t use the term. In general, the proposals would encourage insurance companies to bid against each other, to produce the lowest-cost policies in the private market. Customers would receive a sum of money—aka a voucher— to help defray the cost. Tennessee Sen. Bob Corker introduced his “Dollar for Dollar Act,” and a good chunk of it deals with what he calls structurally transforming Medicare by “keeping fee-for-service Medicare in place, competing side-by-side with private options that seniors can choose instead. Utah Sen. Orin Hatch used the term “competitive bidding” and said allowing health plans “to compete with traditional fee-for-service Medicare” would reduce costs and preserve the quality of care. The plans would allow people to choose between these voucherized plans and traditional Medicare, preserving the notion of choice. Foes of our social insurance programs have gotten savvy enough to realize that they can’t privatize Medicare in one fell swoop, as Ryan’s original budget (back before “vouchers” were a dirty word) envisioned. So in the next iteration, they employed the idea of “choice,” of competition with traditional Medicare. That allows them to chip away at it, pulling away younger, healthier patients who might be able to get good private insurance deals and leaving the older, sicker, more expensive patients in traditional Medicare to sap the program more quickly and make killing it off entirely that much easier.
Source: dailykos.com

Comparing Medicare Supplemental Insurance Benefits

These plans, called “Medigap” plans, each have different medical care coverage. Variable benefits of coverage to be considered are: • Coinsurance plus coverage that last 365 days after medicare benefits end (Medicare Part A) • Coinsurance/Copayment for medicare part B. • Pints of blood (transfusions, first three pints) • Hospice care copayments or coinsurance • Coinsurance for Skilled Nursing Facilities • Part A medicare deductible • Part B medicare deductible • Part B excess charges • Emergencies during foreign travel • Preventative care coinsurance, per Medicare Part B If any of these are important for you to have covered, comparing medicare supplemental plans that include benefits is the only way to ensure they are included.
Source: seniorcorps.org

CMS Issues MLR Rules For Medicare Plans

Medpage Today: CMS Issues Rules On Loss Ratios For Medicare Plans Rules that spell out what Medicare plans must spend on care rather than marketing and overhead will mirror those of commercial plans, the Obama administration said late Friday. Starting in 2014, Medicare Advantage plans and Part D prescription drug plans will have to spend 85 percent of revenue on clinical services, prescription drugs, quality improvements, and other direct patient benefits, the Centers for Medicare and Medicaid Services (CMS) said in a proposed rule that details medical loss ratio (MLR) requirements established by the Affordable Care Act (Pittman, 2/18).
Source: kaiserhealthnews.org

CONNECTURE ACQUIRES DRX, A LEADING PROVIDER OF INFORMATION SYSTEMS FOR MEDICARE

Connecture is the leading provider of Web-based information systems used to create health insurance marketplaces and exchanges. Its industry-proven solutions enable consumers, employers and brokers to more easily shop for, purchase and renew health insurance while minimizing back-office administrative expenses for health plans.  Connecture’s solutions are provided to health plans, state insurance exchanges, private exchanges and insurance brokers.  More than 25 million Americans shop for their health insurance through systems built by Connecture, and more than half of the nation’s 20 largest plans rely on them to sell, administer and manage their plans and products effectively.  For more information, visit www.connecture.com.
Source: drx.com

What is the Cadillac Medicare Advantage plan

A plan’s network of providers: People often think Medicare Advantage plans are only offered as part of healthcare management organizations (HMOs), but many are also preferred provider organizations (PPOs). With HMOs and PPOs, insurance companies typically have a list doctors, specialists and hospitals that are preferred so when you go to those providers, you presumably pay a lower price for care. Either that, or the insurer covers more of your out of pocket costs, or both. Your costs typically differ if you get “in network” care versus “out of network” care. You’re more likely to think of a plan that includes your doctors, specialists and hospitals at a lower price to be a Cadillac plan.
Source: ehealthinsurance.com

5 mistakes retirees make choosing a Medicare plan

About 1 in 4 Medicare beneficiaries chooses a Medicare Advantage plan, which sometimes offers benefits beyond what’s included in traditional Medicare. If you’re considering a Medicare Advantage plan, remember that this model means seeing out-of-network providers can quickly become a costly proposition for you. Before signing up for this option, call your preferred doctors, specialists and hospitals to verify that they participate in the plan’s network. This can get tricky if you travel a lot, spend winters in a different location, or get a referral from your primary-care doctor to a specialist who’s out of network.
Source: sltrib.com

Local Teacher Confused about Changes to TRS Medicare Plans » Toni Says

On page 31 of the 2013 Medicare & You handbook it  states that an inpatient hospital stay begins the day you’re formally admitted with a doctor’s order. You must have 3 full days past midnight stay “formally admitted” and doesn’t include the day you are discharged. So that makes 4 days.  I would determine the stay begins when the doctor has “formally” written the order not when you are in the ER waiting for a room.  Don’t confuse signing papers when you arrive at the hospital with being formally admitted. Your doctor has to do sign that order.
Source: tonisays.com

Obama’s Medicare Drug Rebate Plan Could Save The Government Money But Also Hit Drug Industry’s Bottom Line

Posted by:  :  Category: Medicare

meds: it's obscene by fallsroadThe Associated Press/Washington Post: A Look At How Administration Says Automatic Budget Cuts Would Diminish Government Services The sequester law exempts Social Security, Medicaid, food stamps and Medicare recipients’ benefits from cuts, but most programs are vulnerable. … The National Institutes of Health would lose $1.6 billion, trimming research on cancer, drying up money for hundreds of other research projects and eliminating up 20,000 private research positions nationwide. Health departments would give 424,000 fewer tests for the AIDS virus this year. More than 373,000 seriously ill people may not receive needed mental health services (2/15).
Source: kaiserhealthnews.org

Video: Why Medicare Part D Works

CMS Announces Medicare Advantage and Prescription Drug Program MLR Proposed Rule

Unlike the commercial MLR statutory requirement, the Medicare MLR statutory provision does not include language regarding expenditures on quality improvement activities. Nevertheless, the proposed rule provides that MAOs and Part D sponsors may include certain quality improvement expenses in the numerator of the MLR. Like the commercial MLR rules, the proposed rule would permit MAOs and Part D sponsors to count a non-claims expense as a quality improvement activity if it is designed to improve health outcomes, prevent readmissions to hospitals, improve patient safety, promote health and wellness, or enhance the use of health care information technology. In addition to fitting within one of those broad categories, the activity must be designed to meet all of the following criteria: (1) improve health quality; (2) increase likelihood of desired health outcomes in ways that are capable of objective measurement and producing verifiable results; (3) target individual enrollees or specified segments of enrollees or provide benefits beyond the population of enrollees without increasing costs to enrollees; and (4) be grounded in evidence-based medicine. Quality improvement activities may satisfy more than one category, but may not be double-counted. Moreover, any shared quality improvement expenses must be apportioned among entities and lines of business or products.
Source: crowell.com

Privately Run Medicare Plans are Really Expensive

Austin Frakt draws my attention today to a new article about the administrative costs of Medicare. Exciting stuff! Long story short, Kip Sullivan of the Minnesota chapter of Physicians for a National Health Program wants everyone to understand just what’s involved in figuring out the true administrative costs of Medicare. The cost of collecting payroll taxes is one frequently overlooked element, for example. More interestingly, though, there’s a large and growing gap between the overhead calculations of the Medicare Trustees and those of the National Health Expenditure Accounts. Why is that?
Source: motherjones.com

Part D Politics: Medicare Drug Rebates or Price Controls?

While health care was barely mentioned in the recent State of the Union address, President Obama generated some interest in his proposal to cut Medicare spending by reducing “taxpayer subsidies to prescription drug companies.” That’s code for requiring pharma marketers to pay rebates on medicines provided by Medicare Part D plans to low income “dual eligibles” who previously received prescription drugs through state Medicaid plans. Savings to Medicare are calculated at about $150 billion over ten years, and many Democrats and consumer advocates think it’s a great idea.  
Source: pharmexec.com

Free Zone Media Center WFZR RADIO / TV: Report: Premium hikes for top Medicare drug plans

President Barack Obama’s health care law does not appear to be the cause of the increases. Indeed, the law is improving the prescription benefit by gradually closing a coverage gap called the “doughnut hole,” which catches people with high drug costs. Instead, the price hikes appear to be driven by market dynamics, and some insurers are introducing new low-premium options to gain a competitive advantage on plans that are raising their prices.
Source: blogspot.com

Medicare Drug Costs Going Down for Seniors

For the first time since the inception of the program the 2014 defined standard Part D prescription drug benefit will have lower co-payments and a lower deductible than in 2013. These costs are decreasing at the same time that coverage for Medicare beneficiaries in the Part D prescription drug coverage gap, or “donut hole” will continue to increase in 2014. As a result of the Affordable Care Act, in 2014, enrollees with liability in the donut hole will receive coverage and discounts of 52.5 percent on covered brand name drugs and 28 percent on covered generic drugs.
Source: moneytalksnews.com

OIG Report: Medicare Part B Overpaying for Infusion Medications

OIG recommended that CMS “seek legislative change” over reimbursement policies or include the devices used with such drugs in the next round of competitive bidding. According to “RegWatch,” CMS “partially” has agreed to ask Congress to change the rules and said it will go forward with the competitive bidding suggestion (Wilson, “RegWatch,”
Source: californiahealthline.org

Liberals Oppose Increasing Medicare Eligibility Age

Posted by:  :  Category: Medicare

The Hill reported that, at her weekly news conference, Pelosi was even more dogmatic.   “Don’t even think about raising the Medicare age,” she said.  “We are not throwing America’s seniors over the cliff to give a tax cut to the wealthiest people in America.” Pelosi must be the only person in the entire country who doesn’t know that, as part of a package to increase taxes on the wealthiest people, spending cuts in entitlement spending would be included as a way of keeping Medicare solvent.   As for Pelosi’s claim that an increase in the Medicare eligibility age would “have little to show for it in long-term deficit reduction,” you would think the House Minority Leader would consult the facts before making such a public statement.   The Congressional Budget Office calculates that, just a two year age increase, from 65 to 67, would result in a net savings of $113 Billion over the next decade. But maybe $113 Billion is “little” to Pelosi. Another issue of The Hill stated that the outgoing chairman of the House Democratic Caucus, Rep. John Larson (CT), said that Democrats are willing to cut more from entitlement programs, but warned that direct benefit cuts “would be a big leap for our caucus.” That’s the point. If the eligibility age is not increased, the alternative will be to ration benefits, i.e. deny high-cost treatments to seniors nearing the end of their lives.   There is already a dangerous mechanism in place for doing this in Obamacare, the Independent Payment Advisory Board (IPAB), which former Congressman Dick Gephardt (MO) (pictured), Pelosi’s predecessor as House Democratic Leader, said would have “devastating consequences for the seniors and disabled Americans.” To prevent IPAB from being used for euthanasia for the elderly, it is absolutely essential the eligibility age for Medicare be increased. Of course, special provision must be made for those persons whose poor health requires them to retire sooner than provided by law and to receive Medicare benefits upon retirement. The Social Security Administration states that the life expectancy in the U.S. is now 83 for men and 85 for women. There are many good reasons to raise the eligibility ages for both Social Security and Medicare. The previous issue of What’s Happening with Seniors Benefits: How to Save Medicare—And How Not To The previous issue What’s Happening with Conservatives and the Tea Party: GOP Lost 174 State Legislative Seats   Previous issues of both newsletters. Follow Art Kelly on Twitter @ArthurKellyJr
Source: 60secondactivist.com

Video: Adding Additional Payers for Eligibility in Mevsnet.com

GOP Proposal to Raise Medicare Eligibility Age, Cut $1Trillion From Program

GOP Proposal to Raise Medicare Eligibility Age, Cut $1Trillion From Program [Obama’s thinking, ‘When can I sign?’] 28 Dec 2012 A pair of GOP senators, confident Congress will head off the tax hikes set to kick in within days, are already turning their attention to ‘entitlements’ and the debt ceiling. Tennessee Sens. Bob Corker and Lamar Alexander pitched a plan on Friday to cut federal spending by $1 trillion — much of it from Medicare — in exchange for increasing the nation’s borrowing limit by that amount. The plan would raise the Medicare eligibly age to 67 and require wealthier Medicare users to pay higher premiums. Both senators were aware of how their plan might be seen by the public, and Corker corrected a reporter who posited the plan equals Medicare “cuts,” preferring instead the word “reforms.”
Source: legitgov.org

Bayonet Point Florida Medicare Advantage Plan Members eligible for Free Gym Membership

I am a mom of three teenage boys. Our family has struggled with multiple chronic health issues for many years. It was for this reason that I became interested in Xocai healthy chocolate. Our entire family eats healthy chocolate every day as a supplement and I am currently losing weight with the Xocai X-protein meal shake. I have struggled with Fibromyalgia for over 10 years. If you are struggling with your health, you owe it to yourself to check this out. This is the best way I have found to incorporate significant antioxidants into our diet. Feel free to email me if you have any questions. I look forward to hearing from you!
Source: healthchocoholic.com

Should Medicare’s Eligibility Age Be Raised?

Yes! There is no obligation to deprive all others of anything just because I could use unlimited funds to pay for the ever increasing cost for me to continue inhaling and exhaling with no contribution to anyone. Could I possibly be happy being a burden to my dear relatives or my fellow citizens? I was in the military, willing to die, even, if required to protect my fellow citizens, will I now turn around and demand they sacrifice, ever growing amounts of money for what purpose? To keep doctors on vacation in Jamaica, while I laboriously use a respirator to appear as if I am alive, for the rare visitor that wants to feel sorry for me? Or, is there any other benefit from my longevity? NO, please, do not add this burden to me. What if I lose my ability to think and stop thinking this, or any other way, will that justify anyone being deprived of school, medical care, etc.?
Source: wsj.com

Issue Worth Exploring: Raising the Medicare Eligibility Age May Harm Minorities

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Source: reportingonhealth.org

Shane Henry & Associates, PLLC

Michael J. Astrue, Commissioner of Social Security, today announced the agency is expanding the services available with a my Social Security account, a personalized online account that people can use beginning in their working years and continuing throughout the time they receive Social Security benefits. More than 60 million Social Security beneficiaries and Supplemental Security Income (SSI) recipients can now access their benefit verification letter, payment history, and earnings record instantly using their online account. Social Security beneficiaries also can change their address and start or change direct deposit information online.
Source: shanehenryandassociates.com

Dems Disagree Doherty Can Protect SS, Medicare

Posted by:  :  Category: Medicare

Providence RI Tax Day Teabagging event by kd1sIf Doherty were serious about protecting seniors, he wouldn’t be calling for the repeal of our historic healthcare reform. Maybe he doesn’t understand the enormous benefits Rhode Island seniors have already received since its passage. Thanks to President Obama’s Affordable Care Act, 128,390 people on Medicare in Rhode Island have access to preventative health care services, such as colonoscopies and mammograms. In Rhode Island’s First Congressional District alone, 7,300 seniors have saved over $4 million on prescription drugs because the Affordable Care Act closed the donut hole.
Source: rifuture.org

Video: Sheldon Stands Up for RI Seniors Who Would be Hurt by GOP Medicare Plan

Mathematica Policy Research

Disability  Early Childhood  Education   Family Support     Health      International      Labor         Nutrition   
Source: mathematica-mpr.com

Think Bankrupt Pension Plans Can’t Cut Pensions? Look at 55% cut in Rhode Island City

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Source: capoliticalnews.com

Rhode Island’s Medicaid experiment draws raves, suspicion

JOIN THE DISCUSSION We welcome comments. To post one, you must sign in using either your McClatchyDC login or your login for Facebook, Twitter or Disqus. Just click the appropriate box below. Please keep your comment civil, short and to the point. Obscene, profane, abusive and off topic comments will be deleted. Repeat offenders will be blocked. If you find a comment abusive or inappropriate, please flag it for the moderator by placing your cursor on the comment, then clicking the “flag” link that appears. Thanks for your participation.
Source: mcclatchydc.com

State Roundup: Calif. Adult Day Care Plan?; R.I. Shift To Medicare

Los Angeles Times: State Aims To Mitigate Loss Of Funds For Adult Day Care State health officials are circulating a plan they say will help keep about 35,000 elderly and disabled Californians out of institutionalized care when Medi-Cal stops offering an adult day healthcare benefit in December. The plan released late Friday relies primarily on Medi-Cal managed care plans to find alternatives for beneficiaries, including additional hours of in-home supportive services, physical and occupational therapy, and social services. But care providers say the approach could fail because appropriate alternatives aren’t always available and families would be forced to shuttle patients around town to obtain the services now offered at more than 300 adult day healthcare centers (Zavis, 8/7). 
Source: kaiserhealthnews.org

Privately Run Medicare Plans are Really Expensive

Austin Frakt draws my attention today to a new article about the administrative costs of Medicare. Exciting stuff! Long story short, Kip Sullivan of the Minnesota chapter of Physicians for a National Health Program wants everyone to understand just what’s involved in figuring out the true administrative costs of Medicare. The cost of collecting payroll taxes is one frequently overlooked element, for example. More interestingly, though, there’s a large and growing gap between the overhead calculations of the Medicare Trustees and those of the National Health Expenditure Accounts. Why is that?
Source: motherjones.com

Medicaid in Rhode Island is Different Insurance Families.com

In 2009 and 2010, Rhode Island received an additional $320 million from a federal stimulus package that would be used on Medicaid. This probably helped the experiment. It seems to me that the big difference between Medicaid in other states, and Medicaid in Rhode Island, is that the state found a way to have a bit more flexibility in how it spends money earmarked for Medicaid.
Source: families.com

RI Supreme Court denies expedited appeal in Providence Medicare case

[W]e are constrained to observe that this case involves significant legal issues, the judicious determination of which is of the utmost importance both to the parties and to the public. Therefore, in view of the accelerated nature of the trial court proceedings and the statutory precedence already provided to matters of this nature, we see no need to engage in a precipitate consideration of issues which are best resolved with the aid of a more complete record.
Source: wordpress.com

Lower proportion of Medicare patients dying in hospitals

Joan M. Teno, M.D., M.S., of the Warren Alpert Medical School of Brown University, Providence, R.I., and colleagues analyzed Medicare claims data to document places of care and health care transitions for Medicare decedents in the last months of life to assess end-of-life care. The study consisted of a random 20 percent sample of fee-for-service Medicare beneficiaries, 66 years of age and older, who died in 2000 (n = 270,202), 2005 (n = 291,819), or 2009 (n = 286,282). Based on billing data, patients were classified as having a medical diagnosis of cancer, chronic obstructive pulmonary disease, or dementia in the last 180 days of life. The main outcome measures for the study were site of death, place of care, rates of health care transitions, and potentially burdensome transitions (e.g., health care transitions in the last 3 days of life).
Source: sciencecodex.com

Common Sense Family Doctor: Lessons from the passage of Medicare

Posted by:  :  Category: Medicare

The legislative passage of Medicare was the subject of the first of a series of monthly one-hour health policy seminars for Family Medicine fellows and residents at Georgetown University School of Medicine. The goal of this monthly series is for participants to gain a better understanding of the policy process at the federal, state, and local levels by reading and discussing real-life examples in a small group. These seminars will be led by me and the current Robert L. Phillips, Jr. Health Policy Fellow as well as selected guest faculty. Participants complete one or two short readings prior to the seminar (this inaugural session’s assignment was “The Secret History of Medicare” from David Blumenthal and James Morone’s The Heart of Power, pictured above). Remarkably, Medicare was fully implemented only 11 months after the bill’s signing, overcoming obstacles such as hospital segregation in the South, resistance from physician organizations such as the American Medical Association, and the logistical issues involved in issuing insurance cards to 18 million eligible seniors. As Medicare approaches its 50th anniversary, it faces huge budgetary challenges driven by increasing costs of health care and the demographics of the enormous “Baby Boom” generation, the first member of whom became eligible for Medicare benefits in 2011. This short video produced by the Kaiser Family Foundation summarizes changes that occurred in the program in the intervening years. Liberal legislators saw Medicare as the first step toward enacting federally-administered universal health insurance for all Americans, while others saw it as a program, like health programs for active-duty military, veterans, and Native Americans, whose benefits were appropriately limited to specific groups and therefore must be defended against encroachment by future wide-ranging health reforms. Princeton professor Paul Starr has called this resistance to change by protected groups the “policy trap” that contributed to the defeat of the Clinton health reform proposal in 1994 and the near-defeat of the Affordable Care Act 16 years later. Other points raised during the seminar included the book’s observation that “an honest economic forecast would have very likely sunk Medicare.” Like every federally financed health insurance initiative to come, Medicare ended up costing substantially more than initially projected. (In fact, the reason that most provisions of the ACA, passed in 2010, don’t take effect until 2014 was to allow the Congressional Budget Office – which didn’t exist in 1965 – to artificially score it as deficit-reducing over a 10-year time period.) Ethical or not, Lyndon Johnson’s decision to “lowball” the estimated costs of Medicare was essential to getting it through Congress. Was President Johnson – the last President to previously hold the position of Senate Majority Leader – a political anomaly, or can lessons from his deft management of the Congressional process be applied to national health care policy today? What do you think about Blumenthal and Marone’s lessons for future Presidents, listed below? 1. Presidents must be deeply committed to health reforms. 2. Speed is essential. Waiting makes reforms a lot harder to win. 3. Presidents should concentrate on creating political momentum. 4. Presidents must actively manage the Congressional process. 5. Know when to compromise and know when to push. 6. Pass the credit. 7. Muzzle your economists. First expansion, then cost control. ** The above post was first published on The Health Policy Exchange.
Source: blogspot.com

Video: Medicare Part D and Pharmaceutical Advertising

Medicare Seminars in Connecticut 2013 « Insurance News from Crowe & Associates

Meeting Content:   The seminars will provide a high level overview of Medicare A and B with a greater focus on Medicare Supplements (Medigap) and Medicare Advantage plans.  We will discuss the strengths and weaknesses of each program and why someone may choose one over the other.  The meetings pertain to United Healthcare Medicare products.  For those that wish to discuss other companies products, we may do so after the meeting.  Crowe & Associates is an independent agency which works with all Medicare Advantage and Supplement companies in CT.
Source: croweandassociates.com

Medicare Seminars For Senior Market

Only a small percentage of our total Medicare Advantage certified agents have success with seminars. Most them have deep roots in their markets or already have large blocks of enrollments that need to move. The key is getting seniors to attend your seminar and that takes money. Medicare Advantage companies can help you with CMS approved marketing material and your FMO should be able to connect you to the right departments at the companies. If seminar selling was easy, every agent would do them. The presentation is the easy. Getting people to attend is hard part. Also – If you end up having seminars, make sure you file them with the Medicare Advantage plan you are presenting. There are several CMS rules around seminars and the company will be able to point you in the right direction.
Source: insurance-forums.net

HIPAA/COBRA/MEDICARE *Upcoming Seminars*

Kate Bardsley, Association Manager of MAIA’s sister association MassAHU, came to me this morning with some information for MAIA members. Actually, she must have been in early, because she tracked me down in the hallway while I still had my coat on. But that’s the way Kate is…she gets things done, no matter the time or place!
Source: wordpress.com

Owassoisms.com: Medicare part D seminar scheduled

OMC Pharmacy is a professional clinic pharmacy located in the Owasso Medical Center at 86th Street North and  just east of 129th East Avenue. The pharmacists and staff of OMC Pharmacy are the drug information experts and look forward to assisting in this very important and complicated process. You will need to bring your Medicare card and a listing of your current medications to this meeting.
Source: owasso411.com

Medicare Seminar, Tuesday January 22, 2013

Dear Friends: I will be having a Medicare Educational Seminar on Tuesday, January 22, 2013 at 7 PM. Please call me to RSVP at 386-860-0001 X 7 and ask for Ron. If I am not there – please leave your name and phone and I will call you back. Medicare is getting very complicated and my Seminar makes it easy to understand all the questions that have you perplexed. I want to remind everyone that this is not a sales seminar — it is an educational seminar. Please join me for an educational evening – for about an hour and a half, and there will be coffee, soft drinks and cookies for a snack. I look forward to seeing you. Ron Silverman, 386-860-0001 X7 for RSVP. Thanks and have a wonderful Christmas and a great New Year!
Source: silvermaninsurance.com

Free Seminar Thursday on Medicare Perscription Drug Coverage

A share of your prescription costs: Once you’ve satisfied the annual deductible, if any, you’ll generally need to pay 25% of the next $2,610 of your prescription costs (i.e., up to $652.50 out-of-pocket) and Medicare will pay 75% (i.e., up to $1,957.50). After that, there’s a coverage gap; you’ll need to pay 100% of your prescription costs until you’ve spent an additional $3,727.50. (Some plans offer coverage for this gap.) However, once your prescription costs total $6,657.50 (i.e., your out-of-pocket costs equal $4,700–you’ve paid a $320 deductible + $652.50 + $3,727.50 in drug costs–and Medicare has paid $1,957.50), your Medicare drug plan will generally cover 95% of any further prescription costs. For the rest of the year, you’ll pay either a coinsurance amount (e.g., 5% of the prescription cost) or a small co-payment for each prescription.
Source: patch.com

Provider idenification Numbers 

Posted by:  :  Category: Medicare

NPI Number-National Provider Identifier Number was created in order to simplify all the different ID number for each insurance.  Effective May 23, 2007  all providers had to have an NPI number to bill insurance and also to identify themselves as referring physicians.  A new uniform billing form was created to accommodate these new NPI numbers.(see Uniform Billing Forms).  The doctor or group associated with the NPI will be the address in box 33 a of the CMS form/ or for a facility box   of the UB-04 form.  that is who will receive the insurance payment.
Source: survivinghealthinsurance.com

Video: Videos matching: medicare ptan lookup

Epic Beard — BFS Beard

If you would like to remedy impotence you don’t need medicines, you can get a hard hard-on by getting the enclosed herbs and not only do they get you a tougher hard-on, these herbal remedies will do something which medicines simply can’t do and that’s increase your libido at the same time – lets consider a take a look at how they work. Herbal remedies about the other hand, improve your libido so you benefit from the total sexual experience. Numerous males get frustrated when they take medicines simply because there is no increase in sexual intercourse generate plus they need manual stimulation of the penis to get hard. Nitric oxide performs the vital function of opening up the blood vessels which lead to the penis, so they are wide enough to consider the increased quantity of blood in, to stiffen the penis. Firstly to get a hard hard-on, you have to have higher amounts of nitric oxide produced within the body and the reason for this really is simple – no erection can consider place if amounts are too low. Testosterone is the key male sexual intercourse hormone and is required for sex drive and sexual stamina and the good news is – Horny Goat Weed and Cnidium (which we have already mentioned) will give amounts a increase. You ought to also however take Tribulus, simply because not just is it the greatest testosterone boosting herb, it also contains a unique blend of nutrients which increase sex drive and increase intensity and pleasure from orgasm. If you would like to remedy impotence rapidly and normally, you are able to get all the above herbal remedies in the best organic erection pills and they will get you a harder erection and also improve your sexual intercourse generate in the exact same time – try them and you’ll be glad you did. he cause herbs are a much better option to man made drugs is – they have no dangerous side affects and simply because they improve sexual intercourse drive which is something guy created drugs merely cannot do, lets take a take a look at how the herbs work. If you want to obtain an erection, you need to boost your amounts of nitric oxide. Nitric oxide may be the crucial natural chemical which permits an erection to arrive to fruition – no erection can consider place without having it. Prescription drugs do this but you don’t require them, the herbal remedies Horny Goat Weed, ginseng and Cnidium, will do this as well as well as better news is – they do it safely and naturally. Herbal remedies can get you a hard hard-on and treat impotence naturally – but they can also improve your libido which can be important, for that complete all round sexual experience. Numerous males are left frustrated by man made medicines because, they get them hard but they often need manual stimulation and this leads to an incomplete sexual encounter. The good news is – herbal remedies can get you difficult, without guide stimulation plus they do this in several methods that are outlined under. Testosterone is required for sexual stamina andlibido and Horny Goat Weed and Ginseng (which we have already mentioned) improve amounts but you ought to also take an additional couple of herbs which are Tribulus and Tonkgat Ali. Last bit not least, the mind also plays a crucial role in terms of sexual health and if you are stressed, anxious worried or depressed, you won’t have the ability to focus on sex. You can consider herbs that will enhance your mood and two good ones are – Maca and Ginkgo Biloba which both enhance mood and give the physique an energy increase at the exact same time. In the greatest organic libido supplements and not only will they treat impotence and provide you with a difficult hard-on, they will also improve sexual intercourse drive and general amounts of wellness in the exact same time. psychological impotence is nearly guaranteed to impact men at least as soon as in their existence. Prior to people didn’t see this as an actual concern, they merely chalked it up to old age. But in today’s society this is actually treated as a problem. There are numerous methods for individuals to recover from psychological impotence. Through recent many years mental treatments have arrive a long way through long arduous research and practice. Now that we know both the reasons for the problems and the way to alleviate them, it’s imperative that you simply consider benefit of them. A large issue that can trigger psychological impotence is either related to a past issue or it’s temporary. It can truly be a cycle of fear. A single issue can result in the fear of re-occurrence can create anxiety which will cause the initial issue just as we feared. Even tough this kind of psychological impotence is fairly stream lined. You ought to never be ashamed of this problem, and numerous men around the world suffer from it each single day. This is the result of your emotions effecting you physically. A great way to solve this problem would be to become relaxed prior to you become physical. Music and atmosphere is a great method to get into a seductive mood. Things for example these are great for lowering tension which may trigger the problems. Also you’ll need to become wary of exactly how a lot you are drinking. A man can lose his capability to turn out to be aroused whilst consuming alcohol. No matter what you do, too much alcohol can kill it for you. If depression may be the reason you are suffering, it is greatest to solve that problem prior to you are able to use a real actual relationship. Basically mental impotence stems from a problem with your mental outlook. You’ll not preform well at all if you’re depressed. Also, you have to realize that other relationship difficulties can stem from depressive disorders. But all in all the best way to offer with mental impotence is to visit your physician. The physician will let you know what you can do to offer with your problems and how you are able to go about treating it. Realize that you simply are not alone, and also you have many routes about the path of curing your mental impotence. Do not let embarrassment maintain you from finding out the way to offer with this issue. If you want to remedy impotence naturally, the good news is you are able to and not just can you get a difficult hard-on, just like you can with man made medicines; herbal cures will improve your sexual intercourse generate and your overall level of wellness which can be some thing prescription medicines merely can’t do. Man made medicines increase nitric oxide secretion and allow a lot more blood into the penis but so Ginseng, Cnidium and Horny Goat Weed which being organic herbal remedies have none of the side affects of man created drugs. If you want to cure impotence, you should improve your levels of nitric oxide because nitric oxide regulates blood flow to the penis and it does this by relaxing and widening the blood vessels which supply the penis with blood. Numerous men who consider guy created medicines get a difficult erection but have no sexual desire plus they end up needing guide stimulation to get an hard-on and this really is frustrating. If you would like to appreciate the all round sexual experience you need to have a strong sex drive and herbal remedies can improve this as well. Herbal remedies improve sexual intercourse generate simply because they improve testosterone and also the Ginseng and Horny Goat Weed are excellent testosterone boosters but you should also consider Trubulus which is seen as the best testosterone enhancing herb of all. The best herbal sexual intercourse pills for men that will give you much better sexual wellness and better levels of wellness in the exact same time – so if you would like to remedy impotence naturally try them and get more from sex and more from existence. Unfortunately many males will endure diabetes impotence before they do something about their blood sugar level. The diabetic has a poison within their bloodstream known as glucose. Diabetes impotence is when the poison is cutting of existence to the male organ. The bloodstream is coming polluted and it is affecting the circulation. Males might lose the capability to maintain intimacy. They might be able to start but then won’t be able to finish. Studies show the body without typical blood sugar levels is aging faster than 1 having a typical sugar range. Male impotence refers towards the problem referred to also as Erectile Dysfunction, where for one reason or an additional, blood is not flowing to the penis properly, to ensure that an hard-on can be achieved. Leads to for that illness range from 8 out of 12 of the top prescribed medicines of our day to the outcome of psychological disorder and actual deformity. Countless medicines list impotence as a side impact from the treatment, and a number of nerve damaging conditions can trigger ED. Depressive disorders, anxiety, and tobacco use are all stated leads to for impotence also. Male impotence has a number of different causes for the hydraulic problem that leads to the penis to not function correctly. Smokers are 85% a lot more at risk to be in this group. The most shocking statistic nevertheless, is that only a mere 10% of those afflicted with Erectile dysfunction or a similar concern seek remedy and help. Impotence is really a serious condition that affects 25% of our population sixty five years of age and older. 5% of middle aged males and older today are afflicted by ED as well. After reading a couple of facts about the subject one hopes it is enough to consult your physician or begin to make changes to stifle the results of the problem and better your high quality of life immediately. If it is just a couple of times then it should not be worried upon but if it is frequent or enough to bring you worry and stress then you need to look into just what is causing it. Impotence or Erectile Dysfunction happens to most males occasionally and for a variety of causes. It’s interesting to note that most men as well as doctors (is it because they are male?) believe that most impotence causes stem from the mental aspects or way of life aspects of the man’s existence. But it can also be interesting to note that 60% from the men that do go to their doctor with impotence difficulties wind up becoming diagnosed with diabetes. So my recommendation is that if you’re getting a issue with impotence that’s causing you concern at least go to your doctor to obtain the physical reasons out from the way. It is also interesting to note that 80% of men with impotence problems have a physical reason for getting them. Not performing any exercising and being a couch potato. That is lots of leads to to go through, but if you have or are performing any of them then the first thing you are able to do is stop doing them or go to your doctor for help. However, consuming alcohol or utilizing any other intoxicants or adulterants can make it difficult for the human body to achieve an hard-on. Alcohol and recreational drugs are recognized to be some from the most infamous libido enhancers for many years and many years. Getting a glass of wine or two during social events may not be this kind of a poor idea, but the rate to which the alcohol affects your libido negatively or positively truly is dependent upon your physique kind and size and weight. For example, should you weigh 165 pounds or so you could consume as much as about a half of the bottle of wine before seeing a reduce in your erectile functioning, Getting a glass of wine or two during social events might not be this kind of a bad idea, however the rate to which the alcohol impacts your libido negatively or positively really is dependent upon your physique type and size and weight. Anything that affects a man’s testosterone in any way could possibly negatively have an effect on that man’s sexual intercourse generate in a negative way. Whilst drugs and alcohol could lead to sexual interaction in many circumstances. No matter what you choose to drink or what you plan to accomplish following drinking takes location, positive decisions about consuming and drug usage are of utmost importance when considering your impotence. Consider making existence changes immediately should you ever hope to determine complete improvement without having the use of medication. Nitric oxide and Impotence go hand in hand, simply because no man can ever get an erection without having it however the good news is you do not need to consider guy made medicines to increase amounts, you can improve nitric oxide naturally and safely. These herbs will not only increase amounts of nitric oxide, they may also improve amounts of the crucial male sexual intercourse hormone testosterone, enhance blood flow all around the body, keep sperm healthy and reduce tension and anxiety which can often cause impotence. You’ll discover all of the above herbs in the best men’s sex pills and they may also contain L Arginine; this isn’t a herb but a natural amino acid which assists the physique produce nitric oxide and if you boost amounts by getting it being a supplement. It’s been known as natures Viagra and with good cause – it helps you obtain a tougher hard-on and boosts sexual desire and is really a supplement all males ought to consider, for much better sexual wellness. You are able to get all of the above libido enhancers and a lot more, in the greatest natural hard erection pills that will help you remedy impotence safely and normally plus they may also boost your general degree of wellness in the same time. 1000s of men endure with impotency, frequently turning to potentially risky drugs. That�s why the Blakoe Ring is revolutionary. It�s verified to become the safest and most effective solution to these problems. This increases blood circulation to the sexual organs, helping the physique to regain its organic capabilities. It also improves conditions for example: low sexual intercourse generate, reduced sperm count, underdeveloped genitals, and premature ejaculation. Male impotence remedies are an very popular subject right now simply because numerous males are treating their erectile dysfunction naturally. Simply because male impotence is triggered by a lack of blood circulation below the belt, these remedies may assist you to by tomorrow. Start your physical exercise program today! Remember the rush following a good function out? It is proven that exercising has thousands of advantages such as: boosting flow, flushing cholesterol, reducing stress and increasing endorphins happy chemicals. Begin at 30 minutes a day and work up to an hour. Practice breathing methods like only breathing via your nose for five minutes. You are able to do this at your function desk and you’ll be decreasing stress and boosting circulation amounts. Start your exercise program these days! Remember the rush after a good function out? It’s proven that exercising has 1000s of advantages such as: boosting flow, flushing cholesterol, reducing tension and growing endorphins happy chemicals. You are one of the few but there are 1000s of men who suffer from youthful male impotence. Don’t be discouraged because there are numerous ways to increase circulation downstairs and increase your libido. Erectile dysfunctions are usually a physical problem like poor circulation. You will find a variety of leads to for ED but most individuals are afflicted by this typical disease because of poor circulation. Lower flow amounts could be triggered by as well a lot stress, a bad diet, bad way of life choices or even a lack of vitamins or nutrients. Vitamin therapy is also well-liked with this remedy for erectile dysfunctions. Investigation is showing a powerful correlation that most males who are afflicted by this disease are deficient in vitamin A. You will find numerous things you should know about your diet however the greatest rule of thumb is to keep your eating habits simple and fresh. Attempt to avoid fattening foods which are fried. Avoid certain things like alcohol, cigarettes and caffeine. All of these listed items are drugs which alter the body in same shape or form. Investigation does display that avoiding these can help increase circulation downstairs. You will find also plenty of herbs which have been shown to have a good impact. For instance, horny goat weed is really a common and effective herb that is shown to become a testosterone booster, aphrodisiac and also tension reducer. Deep breathes Did you know that simply trying deep breath exercises every day can help increase flow levels and reverse impotence? Start with large exhales and inhales for 5 minutes and do this 3 times daily. All males over the age of 30 experience impotence as least once within their lifetime. Estimating the numbers is difficult simply because less than 2 men in 10 seek remedy for impotence difficulties. The conclusion is impotence is a very typical problem in males. The big issue is it seems that for a big quantity of men, their ability to obtain an erection and have sex is viewed as an integral part of their masculinity and potency and can be debilitating to his mental wellness. Very first reaction of a man dealing with impotence is to create excuses or avoid sexual situations with his partner in an effort to forget about the condition. This tendency can often leave the partner feeling unloved, unattractive and unwanted. Encountering this problem, males should think very first that this really is a really typical male problem. He is neither alone nor unusual. There are over hundred million partners of impotent males. consequence, the man’s failure to communicate his problem might contribute to frustration, stress or depression in his partner, or even cause relation failure. Couples who can talk openly about this condition have a great benefit. Sharing fears and worries is a very first step toward feeling better. Woman’s emotions regarding the impotence of her partner could be complex as nicely. But she should not overlook that the male partner is heading through similar powerful emotions. Woman’s assist and understanding of situation is really essential. Inside a spirit of friendly cooperation, she should offer her support in solving partner’s problem going together to determine a doctor. Male impotence is a problem whereby a guy is not capable of sexually pleasing the woman in his life. This may be simply because of a weak erection more popularly known as erectile dysfunction. Whenever you believe about it for a while you slowly realise that a large portion of the male population prides itself for being effectively dangerous in bed. And while some of those allegations may be true a large whole lot of them are false. These substances greatly decrease the circulation of blood close to the physique because of the deposition of fats in major arteries. The moment blood pressure decreases the veins in the penis are starved of the rapid flow they have to erect a penis that’s stiff sufficient for successful sexual penetration. Substance abuse has been cited being a trigger of erectile dysfunction. Alcohol; cigarettes; and difficult drugs like cocaine should be gotten rid of correct way. Not so long ago it was discovered that impotence and diabetes go hand in hand. This means decreasing ones intake of foods with a lot of sugar is one way of fighting impotence. When you have diabetic issues and continue to abuse sugar your diabetic issues will worsen and so will impotence affect you a lot more adversely. If you do not know if you have diabetic issues it would be a good tie to know so that you simply head straight into insulin treatment. The following time you’ve sexual intercourse be certain to be calm and confident. Occasionally sex related problems are attributed to anxiety and nervousness. Perhaps you’re as well embarrassed about showing a particular component of the body you believe she will laugh at. Forget about everything and try to have fun. A carefree attitude is essential when it comes to sexual intercourse. Viagra is really a pharmaceutical drug that’s utilized by a lot of males to trigger and preserve a stiff hard-on. For some males this works truly well but there are individuals who don’t have that a lot success with it. But sometimes the problem of getting a hard hard-on stems from getting too a lot intercourse inside a short period of time. To have the ability to get a quick and difficult erection you ought to have the space of about 3 days until you have sex again. Impotence is happen when a man can not achieve or preserve an hard-on within sufficient time to please himself and obviously, his partner. Impotence is often only though of affecting older males, nevertheless it is quite common place in young men as well. Impotence in young men can be really stressful and it can also become a downward spiral due to the fact that 1 poor experience can cause a huge quantity of self doubt and anxiety. Impotence in young men can cause further difficulties with low self esteem and other life issues in themselves as nicely as their relationships. But, possibly because impotence is not something which can be openly discussed. Most males will develop impotence at some point in their life. But in the majority of cases it’s a 1 off occurrence, not a lengthy term one. When impotence occurs over the long term it is deemed a problem and this really is when professional advice and testing is needed. The options for impotence treatment in youthful males are usually not to take strong prescription drugs. An alternative is herbal remedy as these are gentler and don’t cause side effects. A youthful male is also extremely unlikely to want to take Viagra as they consider being an older mans impotence drug. The next choice is to have a healthy lifestyle. Avoid high consumption of alcohol and drugs. Exercise frequently to make your blood flow smooth. Take a wholesome and balance diet. Impotence in young men usually disappears as they gain encounter and confidence in sexual situations and is really rarely triggered by a serious actual problem. At the same, practicing a wholesome lifestyle is better option then to remedy the impotence later. Exercise has literally hundreds of benefits but 1 particular 1 is that it will increase flow amounts towards the penile regions. It has also been shown to reduce stress.
Source: epicbeard.net

フェスティバル開催 : onedotzero_nippon2004 team blog

onedotzero_nippon 2004 official site roppongihills tokyo city view spiralhall Levi’s(R) redloop Levi Strauss Japan sound republic about_onedotzedro「adventures in moving image」 このキーワードを持つフェスティバルonedotzero(ワンドットゼロ/ UK)。常に世界のトップクリエイターに注目される存在であり、且つ映像クリエイティブに敏感な世界の若者達を刺激し続ける圧倒的な存在感。実験的なアーテリジェンス、先進的な映像表現、インタラクティブ、G、アニメーション、モーショングラフィック、ショートストーリー、ミュージックビデオ、クロスメディアクリエイティブなどが、世界中から集結する最大規模のムービングイメージフェスティバル、青山スパイラルにて10月1〜3日に開催決定! 9月23日〜30日 エキシビジョン 六本木ヒルズの各所にて、毎時19時よりスタートする映像と建築を一体化させたエキシビジョン。今年のonedotzero8タイトルシークエンス(作:オウテカ×アレクサンダー・ラタフォード)等、フェスティバル開催前にいち早く体験。30日のみ、翌日より開催するフェスティバルの各プログラムから、選りすぐりの作品をリミックスした特別先行上映があります! 9月30日 前夜祭 20時30分〜24時40分 10月1日より開催のフェスティバルに先駆け、六本木ヒルズ大展望台(東京シティビュー)にて、『onedotzero』ならではの都市と映像と音楽が交錯する前夜祭を開催します。大展望台(東京シティビュー)入場料のみでパーティーへ参加できます(同入場料で森美術館の観覧も可能)。 10月1,2,3日 フェスティバル 本年度は映像クリエータ集団、“シャイノーラ”の特別上映プログラム「sh*te+shynola」の他、本国でも大人気の日本人クリエーター作品を紹介する「J-star04」、ミュージッククリップを中心とした「wavelength04」など、人気のプログラム全8プログラムをスパイラルホール(青山スパイラル3F)で3日間にわたって上映。 profile team onedotzero onedotzero_nippon 2004を中心に目玉のプログラムからワークショップ参加のアーティスト情報まで、表から裏まで色々な視点からお届け致します。 team sound republic エキシビジョンから前夜祭の企画を担当。アート・音楽・映像・ファッションを得意分野とする彼らが、今回はonedotzeroとチームを組み暗躍。
Source: co.jp

Mandatory Insurer Reporting in 2013 :Gould & Lamb

Posted by:  :  Category: Medicare

DC Voting Rights by dbkingIn December 2012, the House and Senate passed the Saving Medicare and Repaying Taxpayers (SMART) Bill and it was signed into law by President Obama on January 10, 2013. Details regarding SMART can be found in Russell Whittle’s blog here. In brief, MMSEA Section 111 reporting will be affected by changes to the standard for the application of civil penalties and requires the Secretary of HHS to set forth circumstances under which sanctions will not be imposed. The Bill also sets forth a statute of limitations indicating that the United States may not bring an action regarding payment owed unless a complaint is filed not later than three years after the date of the receipt of notice of a settlement, judgment, award, or other payment for cases brought on or after the timeframe set out in the legislation. There are many components to this Bill; promulgation and implementation will likely occur over the course of 2013 and beyond.
Source: themedicarecomplianceblog.com

Video: Consumer Financial Protection Efforts: Answers Needed (Part 1 of 2)

The Official Medicare Set Aside Blog And Information Resource: Section 111 Enforcement in 2013?

Another point of interest in the OIG’s plan is the compendia utilized to determine Part D off-label exclusion exceptions. One compendia in particular basically publishes any study; therefore, few drugs are excluded from coverage despite lack of FDA approval for the specific use. Because the compendia are not required to publish conflict information, and it is unclear whether CMS conducts any oversight of the strength of the compendia’s conflict policies, the OIG will be looking next year to determine “the extent to which the prescription drug compendia oversee conflicts of interest through reporting requirements and/or mitigation policies and the number and nature of the compendia’s reported conflicts.” We can only hope that this might resolve that one study of 16 people that determined that Lidoderm patches were effective for treating general pain that causes us to have to fund them in MSAs for life.
Source: medicaresetasideblog.com

New Law Spells MSP Relief For Private Sector : Life Sciences Legal Update

There seems to be growing awareness that engaging in a “business, trade, or profession,” can easily subject any person or entity to what is known as the Medicare secondary payer ("MSP") law—a series of provisions in Title XVIII of the Social Security Act, governing the hierarchy of who pays first among applicable insurers. Given its scope and complexity, understanding and complying with the MSP law can be overwhelming. Further, although failure to comply carries obvious risk, conforming to what the law requires may also trigger certain risks of its own.
Source: lifescienceslegalupdate.com

Section 111 Medicare Secondary Payer Reporting Update

The Centers for Medicare and Medicaid Services (“CMS”) announced an option which will allow for payment of a simple fixed percentage on small dollar liability insurance or self-insurance settlements for physical trauma-based injuries. Effective November 7, 2011, in cases where the settlement is $5,000 or less, a Medicare beneficiary may opt to resolve Medicare’s recovery claim by paying Medicare 25% of the total settlement instead of using the standard recovery process.
Source: dritoday.org

Section 111 of the MMSEA & Medicare Liens: A Harbinger of Settlement Delays?

, 2009 WL 1117399 (M.D.Fla.) where the defendant put Medicare’s name on the settlement check even though the settlement agreement made no mention of Medicare.  The defendant insisted that federal law (namely 42 CFR 411.24) forced it to put Medicare’s name on the check.  The plaintiff assured the defendant that Medicare would be reimbursed out of the settlement proceeds and went so far as to agree to indemnify the defendant for any Medicare claims.  The defendant refused to remove Medicare as a payee on the check.  Predictably, the attorneys went back to the judge.
Source: wordpress.com

Medicare, Medicaid & Subrogation Compliance Blog: CMS delays Section 111 reporting on certain liability claims of under $100,000

The September 30, 2011 memo is copied in full below. For the uninitiated TPOC stands for Total Payment Obligation to the Claimant. Also please keep in mind this additional reporting requirement falls squarely on the shoulders of the liability insurers (including self-insurance). It is not an additional requirement for the plaintiff:
Source: plaintiffsresource.com

Medicare Section 111 Reporting Software

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Source: smlperspectives.com

CMS Update on MMSEA Section 111 Mandatory Insurer Reporting : Health Industry Washington Watch

CMS recently issued updated information regarding the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA), Section 111 "Mandatory Insurer Reporting" requirements. The recent updates address: (1) a revised implementation timeline for certain liability insurance (including self-insurance) total payment obligation to claimant settlements, (2) revised guidance on claims involving exposure, ingestion, and implantation issues, (3) upcoming improvements to the Medicare Secondary Payer (MSP) program, (4) a new exception for certain settlements paid into a qualified settlement fund and (5) a new way for certain injured Medicare beneficiaries to satisfy their past and future MSP obligations. For more information, see Reed Smith’s summary on our Life Sciences Legal Update blog
Source: healthindustrywashingtonwatch.com

Putting the Medicare Cards On the Table: Court Rules That L

However, from the author’s review of CMS’ statements (both oral and written) on the issue, the question may not necessarily be “is an L-MSA required?” That answer is seemingly “no”— even from CMS’ perspective. Id. Rather, the “issue” may more appropriately be: “Is there an obligation to protect Medicare’s ‘future interests’ as part of a liability settlement?” or, from a more practical position, “Does CMS believe there is an obligation to protect Medicare’s ‘future interests’ as part of a liability settlement?” See id; and Charlotte Benson, CMS Memorandum: Medicare Secondary Payer: Liability (Including Self Insurance) Settlements, Judgments, Awards, or Other Payments and Future Medicals, September 30, 2011. As part of this, consideration should also be given to the fact that recent versions of the MSP manual have included references to both L-MSAs and no fault Medicare Set-Asides. Also, at the time of this article’s publication, CMS has advised that it is in the process of developing regulations surrounding Medicare Secondary Payer compliance regarding future medicals. See pending rule; “Medicare Secondary Payer and ‘Future Medicals’ (CMS-6047-ANPRM),” May 3, 2012. Thus, while CMS may acknowledge that L-MSAs, are not “required,” this other evidence would seem to suggest that on some level, to some extent, and in some manner, the agency believes there is some obligation to consider Medicare’s interests with respect to certain liability settlements, with the “MSA” being just one vehicle or option available toward that end. Assuming that this in fact CMS’ position, the question would then become; “are they correct legally?”
Source: lexisnexis.com

The Differences Between Medicare and Medi

Posted by:  :  Category: Medicare

David L. Lynch, an attorney with over seventeen years of experience as a litigator and transactional attorney, established Desert Elder Law in 2010. After moving to Rancho Mirage, Mr. Lynch was inspired by personal events to apply his unique skills to the needs of seniors struggling with the complexities of California’s Medi-Cal system. His goal for his clients is to help them obtain the benefits they are entitled to while also protecting their home and assets to the greatest extent possible. Prior to founding Desert Elder Law, Mr. Lynch practiced both as a sole practitioner and as an associate with a “Top Twenty” law firm as ranked by The American Lawyer magazine.
Source: desertelderlaw.com

Video: Debunking the “Raise the Medicare Eligibility Age” Argument

Obama and CA Congressman McNerney: Cutting Health Care to Seniors

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Source: capoliticalnews.com

Prime hospital chain acknowledges it faces 2 federal investigations

In November, California regulators fined Prime $95,000 for violating state confidentiality laws in the case. Disclosing a patient’s medical records without consent also violates federal law. The chain denies wrongdoing and is confident it will win on appeal, wrote Glassman, Prime’s lawyer. He also contended that the SEIU had urged the patient to complain about her diagnosis.
Source: californiawatch.org

Daily Kos: Are Democrats abandoning raising the Medicare eligibility age?

Meteor Blades, skybluewater, SME in Seattle, bink, Renee, Angie in WA State, cslewis, Sylv, chuck utzman, Irfo, hester, slinkerwink, Gooserock, PeterHug, Andrew C White, eeff, willyr, TX Unmuzzled, Duncan Idaho, jancw, expatjourno, eyeswideopen, bronte17, cyberKosFan, Einsteinia, susakinovember, whenwego, pedrito, Nate Roberts, Eddie C, revsue, psnyder, figbash, 2laneIA, defluxion10, RebeccaG, grrr, lcrp, inclusiveheart, ybruti, lonespark, Wife of Bath, Sybil Liberty, Skennet Boch, drofx, radarlady, 3goldens, ichibon, irate, sc kitty, Alice Venturi, wallys son, Flint, dewtx, Dobber, Laurence Lewis, ratzo, bleeding blue, Sun Tzu, skyounkin, markdd, Ozzie, spunhard, xaxnar, Jim R, splashoil, Jim P, begone, Born in NOLA, velaski, Patriot Daily News Clearinghouse, vigilant meerkat, Kimball Cross, rl en france, martyc35, kestrel9000, DarkestHour, triv33, twigg, real world chick, el cid, sceptical observer, Timothy J, Clive all hat no horse Rodeo, bstotts, ms badger, sea note, BentLiberal, ammasdarling, Tamar, One Pissed Off Liberal, phonegery, fabucat, Habitat Vic, tgypsy, puakev, beth meacham, dclawyer06, deepeco, jedennis, leonard145b, madgranny, trueblueliberal, JDWolverton, MKinTN, CroneWit, mconvente, TruthFreedomKindness, also mom of 5, HappyinNM, wayoutinthestix, zerone, prettyobvious, Involuntary Exile, elwior, treesrock, KJG52, jamess, Therapy, Lujane, tofumagoo, petulans, venger, Tonga 23, JamieG from Md, Nica24, Mike Taylor, maggiejean, prettygirlxoxoxo, Rhysling, cybrestrike, J M F, Throw The Bums Out, Scott Wooledge, Alex Budarin, maryabein, Zotz, mkor7, papahaha, kevinpdx, sfarkash, Lacy LaPlante, emptythreatsfarm, FogCityJohn, flitedocnm, Crabby Abbey, Progressive Pen, Polly Syllabic, sunny skies, ATFILLINOIS, melpomene1, gulfgal98, Lady Libertine, ItsSimpleSimon, Puddytat, Egalitare, sharonsz, addisnana, Betty Pinson, ericlewis0, cocinero, Oh Mary Oh, fiercefilms, stevenaxelrod, Onomastic, mama jo, Liberal Capitalist, Mr MadAsHell, BlueJessamine, OhioNatureMom, smiley7, marleycat, thomask, Wolf10, whaddaya, ratcityreprobate, stlsophos, Willa Rogers, Mentatmark, SouthernLiberalinMD, allergywoman, SycamoreRich, wolf advocate, Cordyc, anodnhajo, SparkyGump, cwsmoke, pistolSO, Siri, Citizenpower, IndieGuy, rustypatina, S F Hippie, effervescent, Trotskyrepublican, JGibson, congenitalefty, Mr Robert, BobSoperJr, geojumper, radical simplicity, MartyM, pittie70, Vote4Obamain2012, avsp, marty marty, dotdash2u, George3, wasatch, Marjmar, fauve, Sue B, simple serf, Illinois IRV, jbob, Linda1961, Panama Pete, goodpractice, The Hamlet, alice kleeman, Jollie Ollie Orange, marcr22, chicklet, pragmaticidealist, MBishop1, Catkin, Chas 981
Source: dailykos.com

AIDS Patients Need Access to Medicare :
Eastern Group Publications

Comments are intended to further discussion on the article topic. EGPNews reserves the right to not publish, edit or remove comments that contain vulgarities, foul language, personal attacks, racists, sexist, homophobic or other offensive terminology or that contain solicitations, spam, or that threaten harm of any sort. EGPNews will not approve comments that call for or applaud the death, injury or illness of any person, regardless of their public status. Questions regarding this policy should be e-mailed to service@egpnews.com.
Source: egpnews.com

GAO: Medicare remains ‘high

“CMS has not met GAO’s criteria to have the Medicare program removed from the High-Risk List. For example, although CMS has made progress in measuring and reducing improper payment rates in different parts of the program, it has yet to demonstrate sustained progress in lowering the rates,” according to GAO’s written testimony before the House Subcommittee on Health, Committee on Energy and Commerce on Wednesday.
Source: dailycaller.com

Liberals Oppose Increasing Medicare Eligibility Age

The Hill reported that, at her weekly news conference, Pelosi was even more dogmatic.   “Don’t even think about raising the Medicare age,” she said.  “We are not throwing America’s seniors over the cliff to give a tax cut to the wealthiest people in America.” Pelosi must be the only person in the entire country who doesn’t know that, as part of a package to increase taxes on the wealthiest people, spending cuts in entitlement spending would be included as a way of keeping Medicare solvent.   As for Pelosi’s claim that an increase in the Medicare eligibility age would “have little to show for it in long-term deficit reduction,” you would think the House Minority Leader would consult the facts before making such a public statement.   The Congressional Budget Office calculates that, just a two year age increase, from 65 to 67, would result in a net savings of $113 Billion over the next decade. But maybe $113 Billion is “little” to Pelosi. Another issue of The Hill stated that the outgoing chairman of the House Democratic Caucus, Rep. John Larson (CT), said that Democrats are willing to cut more from entitlement programs, but warned that direct benefit cuts “would be a big leap for our caucus.” That’s the point. If the eligibility age is not increased, the alternative will be to ration benefits, i.e. deny high-cost treatments to seniors nearing the end of their lives.   There is already a dangerous mechanism in place for doing this in Obamacare, the Independent Payment Advisory Board (IPAB), which former Congressman Dick Gephardt (MO) (pictured), Pelosi’s predecessor as House Democratic Leader, said would have “devastating consequences for the seniors and disabled Americans.” To prevent IPAB from being used for euthanasia for the elderly, it is absolutely essential the eligibility age for Medicare be increased. Of course, special provision must be made for those persons whose poor health requires them to retire sooner than provided by law and to receive Medicare benefits upon retirement. The Social Security Administration states that the life expectancy in the U.S. is now 83 for men and 85 for women. There are many good reasons to raise the eligibility ages for both Social Security and Medicare. The previous issue of What’s Happening with Seniors Benefits: How to Save Medicare—And How Not To The previous issue What’s Happening with Conservatives and the Tea Party: GOP Lost 174 State Legislative Seats   Previous issues of both newsletters. Follow Art Kelly on Twitter @ArthurKellyJr
Source: 60secondactivist.com

California Federal Judge Dismisses Medicare Claims, Remands State Law Claims

FRESNO, Calif. – A California federal judge on Feb. 13 dismissed all federal claims in a health insurance reimbursement suit that included allegations that a health insurer violated Medicare regulations and remanded the remaining state law breach of contract claims to state court (Doctors Medical Center of Modesto Inc. v. Kaiser Foundation Health Plan, No. 12-1381, E.D. Calif.; 2013 U.S. Dist. LEXIS 20351). Full story on lexis.com
Source: lexisnexis.com

LeadingAge: Adult Day: Opportunities to Contract with Certain Medicare Advantage Plans

We are pleased that the Centers for Medicare and Medicaid Services (CMS) concurred with LeadingAge’s position that Medicare should allow Fully Integrated Dual Eligible Special Needs Managed Care Plans (FIDE-SNPs) to offer additional supplemental home and community-based benefits, such as adult day services, to its eligible subscribers beyond those supplemental benefits that Medicare Advantage (MA) plans are allowed to offer. 
Source: leadingage.org

Medicare supplement leads may be generated by direct mail campaigns

Posted by:  :  Category: Medicare

Newsweek Magazine (February 16, 2009) ... Lenders Add Bigger Fannie, Freddie Fee – Thanks to Payroll Tax Cut (January 15, 2012) ...item 2.. Dupuy: GOP trying to sell pyrmaid scheme to voters (September 3, 2012) ... by marsmet526One major con in using direct mail campaigns is that chances are your competition may also be using them, and by the time all is said and done, the nation’s seniors have a mailbox full of flyers about Medicare supplements. From your point-of-view, it’s good information. From their point-of-view, it’s just another flyer trying to sell them something. Often, when working Medicare supplement leads it is best to be able to touch base with the actual party that requested the information. That means sourcing your leads from a respected lead generation company is your best bet to earn the kind of income you want.
Source: benepath.net

Video: Medicare Supplemental Insurance | Medicare Benefits Direct

Looming Cuts Fuel Debate Over Medicare And Medicaid Spending

The New York Times: Budget Cuts Seen As Risk To Growth Of U.S. Economy Sequestration would slash agencies’ “budget authority” by about $85 billion, but the Congressional Budget Office this month estimated that actual outlays would fall by only about $44 billion in the 2013 fiscal year, with the rest accruing over time. That is still about 1 percent of total federal spending to be squeezed out in a matter of months. Many economists argue that the same cuts could be made with less pain by postponing some of them until later in the decade, when the economy is likely to be stronger. Many argue that growing spending on health care programs like Medicaid and Medicare is the real threat to the federal budget, not domestic spending on areas like education and support for poor families (Appelbaum and Lowrey, 2/20).
Source: kaiserhealthnews.org

Medical Student News Article

Fuchs E – The Medicare program is the largest explicit financial contributor to GME through its payments to teaching hospitals. Because teaching hospitals incur significant costs as a result of their educational and other missions, lawmakers devised two Medicare methods to assist with their added financial burden: direct graduate medical education (DGME) and indirect medical education (IME) payments.
Source: mdlinx.com

Lifeline Direct Insurance Now Sheds Light on Medicare Supplement Insurance Programs

Lifeline Direct Insurance Services provides clients transparency in their insurance options by finding the appropriate insurance plan for their specific situation at the most competitive prices on the market. Lifeline Direct released a post this week titled Understanding Medicare Supplemental Insurance Programs.Medicare supplemental insurance will help safeguard you against all the costs that might be accrued because of health care needs. Even so, Medicare supplement plans usually are not all inclusive. They cannot be found as stand-alone policies. These supplemental plans can only be purchased as add-on supplements to your original Medicare insurance policy. However, to acquire Medicare supplemental health insurance coverage, you will need to talk to your Medicare agent so you are aware of all expected requirements. Though these supplemental programs are not free, it will be worth it to know you are covered from certain medical expenses, stated by Matthew Loughran, from Lifeline Direct Insurance Services. To get an instant Medicare supplement insurance quote visit http://www.lifelinedirectinsurance.com/medicare-supplement-insurance.About Lifeline Direct Insurance Direct Insurance Services was founded to assist clients in finding the right life insurance plan for their specific situation at the most competitive prices on the market. Lifeline Direct Insurance remains diligent in their goal to deconstruct and speed up the process of acquiring insurance for their clients. To obtain more information please contact Lifeline Direct Insurance Services at 877-805-9624 or http://www.lifelinedirectinsurance.com.
Source: jcpenneygiftcarda.com

CMS Announces Medicare Advantage and Prescription Drug Program MLR Proposed Rule

Unlike the commercial MLR statutory requirement, the Medicare MLR statutory provision does not include language regarding expenditures on quality improvement activities. Nevertheless, the proposed rule provides that MAOs and Part D sponsors may include certain quality improvement expenses in the numerator of the MLR. Like the commercial MLR rules, the proposed rule would permit MAOs and Part D sponsors to count a non-claims expense as a quality improvement activity if it is designed to improve health outcomes, prevent readmissions to hospitals, improve patient safety, promote health and wellness, or enhance the use of health care information technology. In addition to fitting within one of those broad categories, the activity must be designed to meet all of the following criteria: (1) improve health quality; (2) increase likelihood of desired health outcomes in ways that are capable of objective measurement and producing verifiable results; (3) target individual enrollees or specified segments of enrollees or provide benefits beyond the population of enrollees without increasing costs to enrollees; and (4) be grounded in evidence-based medicine. Quality improvement activities may satisfy more than one category, but may not be double-counted. Moreover, any shared quality improvement expenses must be apportioned among entities and lines of business or products.
Source: crowell.com

Daily Kos: Public health on the sequester chopping block

Here’s what austerity has achieved for the nation so far: 46,000 lost public health jobs in five years. The latest manufactured budget crisis, the sequester, is likely to take another big chunk out of public health. While direct benefits to patients were not included in the sequester agreement, the administrative cuts from Medicare to the CDC to public health clinics will take a big bite out of health care—second only to defense. Although the Medicare program will account for the largest chunk of dollars cut from healthcare simply because of its great size, the scheduled 2% reduction in its payments to doctors and hospitals is significantly smaller than what many public health and research programs face.
Source: dailykos.com

Dr Synonymous: End Stage Medicare Frustration

We haven’t received any pay for Medicare services since October 1, 2012.  We’re only able to sustain the practice for 3 or 4 more weeks, then will make drastic cuts in services to government insured patients (100%) and try to survive by replacing those patients. We will replace them with Direct Family Medicine Patients- families without outpatient insurance who join our subscription practice.  This uses a Direct Primary Care business model (see www.dpcare.org), is NOT INSURANCE, and requires no hassles with insurance companies or the Federal government. We haven’t paid our local taxes, due this month, yet.  We paid the mortgage on the practice building late.  We are late on a few other payments.  Things are tight for us, folks.  I am sad to hit this point in the 13 year life of our practice which serves about 3,000 patients.  BUT, here we are, having depended on third party payers who have continually squeezed and squeezed, we feel sad and somewhat betrayed. But, also we’re blessed to have had wonderful relationships with thousands of patients over the years.  Family Physicians get touched by the hearts of their patients and generally feel good about the human condition. One day at a time.
Source: blogspot.com

Aging and Parkinson’s and Me: Medicare: the Hero in TIME’s Healthcare Exposé

My diagnosis with Parkinson’s Disease in September 2009 at age 80 gave my life a new focus and challenge. Finding ways to meet this challenge helped make 2010 the best year of my life. I hope this blog will be a place where I can connect with others who also are dealing with aging and its afflictions and attractions so that we can share our “experience, strength and hope.”
Source: blogspot.com

Medicare Cuts and Hospice Closures

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Source: heritage.org