The American Spectator : Obama Shafts Poor and Minority Seniors Again

Posted by:  :  Category: Medicare

Old people read alone... by Ed YourdonThe goal is equality for all but the elite Ruling Class. Everyone else will lose their homes and property. It is starting to come out that ObamaCare will not only have Scorecards on your cost of health care versus your utility to society, but it is also touted to keep track of your Premiums paid in and benefits received. You see Pete, if the Federal government figures that you or I were a net loss to them and we are the last to die living in our homes, the Federal government becomes first in line to our property. The way it is alleged to work is that the State Medicare/Medicaid reimbursements will be lowered by the amount you or I cost the government for health care. So the State then must take the loss in funding or confiscate your property. The net effect is that inheritance is eliminated and our kids get to live in Agenda21 “stack and pack” 700 sq/ft apartments and work for crony capitalist like old Warren of Immelt. Then they control our children’s housing, jobs, student loans, and they are SOL since the government also took our homes and 401K’s. This is not about health care. It is about slavery. Is it not ironic that the first black president wants to be a slave owner?
Source: spectator.org

Video: Medicare Advantage Plans 2011

GAO finds CMS negligent in risk adjustment for Medicare Advantage plans

Risk adjustment is important to ensure that payments to MA plans adequately account for differences in beneficiaries’ health status and to maintain plans’ financial incentive to enroll and care for beneficiaries regardless of their health status. Our work confirms that differences in diagnostic coding caused risk scores for MA beneficiaries to be higher than those for comparable beneficiaries in Medicare FFS in 2010, 2011, and 2012. CMS’s decision to use a 3.4 percent adjustment to risk scores for 2010 through 2012 instead of the higher adjustments called for by our analysis resulted in excess payments to MA plans. The existence of such excess payments indicates that CMS’s adjustment does not accurately account for differences in treatment and diagnostic coding between MA plans and Medicare FFS—the stated goal of the statute that required CMS to develop a diagnostic coding adjustment. In our January 2012 report, we recommended that CMS take steps to improve the accuracy of the adjustment to account for excess payments due to differences in diagnostic coding. We noted that CMS could, for example, account for additional beneficiary characteristics, include the most recent data available, identify and account for all the years of coding differences that could affect the payment year for which an adjustment is made, and incorporate the trend of the impact of coding differences on risk scores. CMS’s adjustment for 2013 is the same as it used in 2010, 2011, and 2012. However, given our finding that this adjustment was too low and resulted in estimated excess payments to MA plans of at least $3.2 billion, we continue to believe that it is important for CMS to implement our recommendation that it update its methodology to more accurately account for differences in diagnostic coding.
Source: pnhp.org

Medicare Advantage 2011 Data Spotlight: Plan Availability and Premiums

Now Available: 2012 Medicare Advantage Spotlight: Plan Availability and Premiums This Medicare Advantage Data Spotlight provides an overview of recent changes made to the Medicare Advantage program and examines trends in plan participation, premiums and certain benefits. About 12 million people, or nearly a quarter of the Medicare population, are enrolled in Medicare Advantage, the privately administered plans that are an alternative to the traditional fee-for-service Medicare program.
Source: kff.org

Medicare Advantage Referrals Joint Venture

No. Medicare Advantage sales can not be performed by cold calling. Saying you are offering to do a free Medicare or insurance review with the intent of selling a MA plan is also against Medicare guidelines. Even if you are not making the calls, they are being transferred to you. If the prospect were to call you direct and started asking questions that would be allowed by Medicare, but I doubt having someone calling a book of business to get them to call another number would be very effective.
Source: insurance-forums.net

Early Evidence Suggests Medicare Advantage Pay For Performance May Be Getting Results

The ACA phases out higher payments previously given to all MA plans. Instead, Medicare in 2012 began paying bonuses only to plans with strong performance on clinical quality, service measures and patient experience of care measures. Medicare bases the 2012 bonus payments on 2011 plan performance, as rated by a five-star system. This system incorporates Health Effectiveness Data Information Set (HEDIS®) and other quality measures, Consumer Assessment of Health Plans (CAHPS®) patient experience results (See Note 1 below.), and results of the Health Outcomes Survey (HOS) that tracks patient-reported outcomes over time. It also includes metrics such as complaints Medicare received about the plan, customer service for drug benefit plans, and beneficiary access and performance problems identified in audits by Medicare.
Source: healthaffairs.org

MEdicare Advantage Question

Initial Coverage Election Period (ICEP)The period where individuals newly eligible for Medicare can join a Medicare Advantage plan. This period is 7 months: 3 months before Medicare eligibility, the month when both Part A and Part B benefits start, and 3 months after. If a person delays enrolling in Part B because he or she is covered by an employer group health plan, the ICEP is 3 months; the 3 months before both Part A and Part B benefits are effective. For example, if both Part A and Part B benefits start December 1, the 3-month ICEP starts September 1 and ends November 31
Source: insurance-forums.net

Cut Medicare Advantage plans and save money

To the group supporting keeping Medicare Advantage plans: Your group wants to continue a program spending taxpayer monies faster than regular Medicare. Each person on an Advantage plan costs the tax payer 14 to 15 percent more than one on Medicare as it was originally designed.
Source: dallasnews.com

Medicare Advantage Grows; But Not Without Government Help

The net result, encouraging more plans to compete in the Medicare market, is not actually in the best interest of seniors. In a study published last month in Health Affairs, researchers found that too many choices with too little guidance can be overwhelming for Medicare enrollees, especially the growing proportion that is experiencing cognitive difficulties. “Our study suggests that the Medicare Advantage program presents an overabundance of choices for many elderly beneficiaries,” the researchers write. “Medicare Advantage plans currently compete for enrollees through the benefits they offer and the premiums they charge, but elderly beneficiaries with low cognitive function were not responsive to changes in these features.” The implication, according to Health Affairs, is that these “unresponsive” seniors may buy into plans not well suited to their needs, allowing private insurers to profit “by offering less-generous coverage or reducing benefits while still attracting or retaining enrollees with limited cognitive abilities.”
Source: healthbeatblog.com

How much does Medicare Advantage cost?

Nate Purpura is a 15-year veteran of print and broadcast journalism, corporate communications, PR and internet marketing. He’s spent the last decade working in the health care and insurance industries. Over fifteen years he’s covered numerous areas of health care including pharmaceuticals, health and wellness programs, chronic disease management programs, cutting-edge diagnostic tools, Medicare and health insurance, and online marketplaces (exchanges).
Source: ehealthinsurance.com

Financing Center of Excellence

The Centers for Medicare and Medicaid Services (CMS) recently released information about the Medicare Advantage plans that will be available in 2011. As of September 2010, 11.8 million Medicare beneficiaries, nearly one-quarter of the total Medicare population, are enrolled in Medicare Advantage plan. The Data Spotlight briefly reviews recent change made to the Medicare Advantage program and examines trends in plan participation, premiums, and certain benefits.
Source: samhsa.gov

WellPoint Q1 2011 Results: Medicare Advantage Growth & Online Sales

Interestingly though, there are only a couple mentions of WellPoint’s Medicare (Senior) business on their most recent earnings call.  First, WellPoint saw higher than expected growth in their Medicare Advantage enrollments.  For those of you who sold their plans, WellPoint’s enrollment growth was probably a no brainer.  Their Medicare Advantage plans were extremely competitive in states like California, Ohio, Virginia, and New York.  Below is a quote from the call:
Source: wordpress.com

Understanding Paul Ryan’s Medicare reform plan in three minutes

Posted by:  :  Category: Medicare

NEW REPORT HIGHLIGHTS MEDICARE ADVANTAGE INSURERS’ HIGHER ADMINISTRATIVE SPENDING by Leader Nancy PelosiThe federal government will determine the minimum level of benefits that all plans must offer. The premium-support payment is capped at the growth of GDP, plus 0.5 percent. The subsidy will be adjusted based on the income level of the consumer.
Source: constitutioncenter.org

Video: Health Reform Explained Video: “Health Reform Hits Main Street”

Bundled payments, DMEPOS, regulatory reform, and ESRD

We also announced a major expansion of the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program.  In its first year of operation, competitive bidding, where prices are based on suppliers’ bids, saved the Medicare program, and taxpayers, over $202 million, while maintaining access to quality products for Medicare beneficiaries in the nine areas of the country where the program launched.   It’s a great example of the Administration’s determination to put the brakes on runaway healthcare costs.  With this expansion in the program, Medicare beneficiaries in 91 major metropolitan areas will save an average of 45 percent on certain DMEPOS items beginning in July.  Between 2013 and 2022, we estimate that the expansion of the DMEPOS program will save Medicare $25.7 billion, while saving beneficiaries, who pay a percentage for medical equipment and supplies, $17.1 billion through lower prices.
Source: medicare.gov

Daily Kos: White House might use Medicare reform momentum to push further health care reform

No, he has waited for the American people to get smart enough to see your bullshit for what is.  Very much the same tactic he’s used on entitlement cuts.  He lays out the bait, they start telling the truth, it hurts them.   They’ve finally figured that out.  You’ll notice they won’t say a word about WHAT they want cut?  Here’s some entitlements that need cutting:  subsidies and tax cuts for oil and gas companies enjoying record profits; subsidies to factory farms that pollute the water and the soil; tax breaks to companies that outsource jobs; tax breaks to companies that move to your town, provide a few jobs, pay nothing for infrastructure they need; continued payment to defense contractors who miss deadlines and fail to perform; payments to outside contractors who are twice as expensive and half as competent to provide government services.  Short list, there are dozens more.  Obama uses their language, twists it a bit, gets what he wants.  When Progressives miss the big picture and go nuts about his language they reveal an inability to shift to 21st Century politics.  The main complaint I’m reading is he doesn’t talk tough enough.  Hmmmm. Maybe people with conviction and a plan don’t need to engage in macho bullshit?  Maybe Obama gets it that Americans are sick of posturing and just want action?  Why is that so hard to grasp?
Source: dailykos.com

David Brooks' Medicare Reform Idea that Wouldn't Screw the Poor

Based on Levin’s description, the plan would not attract a lot of support from liberals. And that’s because of a basic difference in worldview. Conservatives (like Levin) want to reduce the number of people on government-run insurance: They believe it will decrease not just government health care spending but society’s overall spending on health care, while minimizing interference with the free market. Liberals (like me) think more government spending on health care is just fine, as long as we pay for it, because programs like Medicare are actually more secure and more efficient. Shrinking the Medicare rolls, we believe, merely shifts the burden of health care spending onto employers and individual seniors—who, if anything, are less able to bear that burden than society as a whole. But this is precisely the sort of serious, honest debate that we should be having—the kind that’s been largely absent from the political dialogue in Washington.
Source: newrepublic.com

Charles Lane: Medicare reform’s slow progress

Republicans and Democrats may never agree on how to administer our Medicare program. However, everyone (hopefully) agrees that fraud and waste are bad news. In recent years, the durable medical equipment (DMEPOS) business has been under attack, most recently for the unnecessary prescriptions for and access to power wheelchairs. Read this opinion piece about the current state of our DMEPOS fraud. According to Charles Lane, the Center for Medicare and Medicaid Services still has a lot of work to do.  Read More Here.
Source: mcgeorge.edu

Physicians and Experts Discuss Medicare Reform

A senior official from Blue Cross Blue Shield of Massachusetts Tuesday said trying to find significant health care savings by cutting benefits is a “fool’s errand.” Dana Safran said the effort in her state has shown that greater savings can be achieved through the supply side of health services. She spoke at an event on Medicare costs and outcomes hosted by the National Journal in Washington. The discussion looked at ways to end Medicare’s current structure, which pays based on the quantity of services provided rather than the health of the patient.
Source: c-span.org

Public split on Medicare reform solutions

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

“Medicare Reform and Social Insurance” by Theodore R. Marmor and Jacob S. Hacker

In this Essay, we concentrate on one such confused aspect of the recent debate that is emblematic of the contemporary politics of Medicare: the debate over “means-testing” Part B of Medicare, the medical insurance program. In a significant break with Medicare’s history, the reform legislation of 2003 – the Medicare Modernization Act (MMA) – imposes sharply higher premiums on wealthy beneficiaries. The story of how this came to pass has been largely lost in the crowded pages of American journalism. But at least one journalist noted that “House and Senate negotiators, struggling for accord on a plan to redesign Medicare, have agreed in principle that wealthy older Americans should pay more for doctor visits and other outpatient care, reprising an idea that has proved politically explosive.” The income or means-testing dispute was just one small part of the larger struggle over the shape of the prescription drug benefit that President George W. Bush signed into law in early December 2003. Yet the dispute was symbolic of the confusion that surrounds the questions of whether and how Medicare ought to be restructured.
Source: yale.edu

What Is The Best Way To Make A Medicare Supplement Comparison?

Posted by:  :  Category: Medicare

Start by asking your current medical providers if they are providers under the plan. If they are not, then you have the choice of changing doctors and other medical facilities, or looking at another plan for a medicare supplement comparison. You want to make sure that any medical support services you use are also providers. When you find a supplement plan that covers your providers you can now review the services they cover, the deductibles, and the co-pays. By reviewing this data you can determine if the plan is right for you. Almost any supplement plan is worth the cost.
Source: seniorcorps.org

Video: Medicare Supplemental Insurance Comparison

Likes And Dislikes For Medicare Supplements Insurance Companies

At any time you are coming to make different territory it really is complicated. Provide you . never truer in comparison to what when beginning ones enrollment operation with regards to Medicare and Will Obamacare make my medicare supplement plan f Too Expensive and Worthless? Insurance. Medicare supplemental insurance plans can end up perplexing. Its valuable to seek info on Treatment Supplemental where hand calculators analyze the options obtainable and currently the unknown rates recharged for the cover. Choosing the wrong Medigap policy might end up squandering your more than on a financial. Imagine choosing not to have an activity done because my aftercare or operation itself wasn’t covered. The appearance of Internet has made it possible to consider for leads a lot easier. All it makes me wonder to do end up being to contact interested ladies and make him aware of facility they can avail and then convert them to points. It is found these kind of conversions are the best in the on-line medium than outside. Another way of which makes conversions is regrowth them about the deductibles they can look forward through this supplement leads. Most of here deductibles are mortgage loan not a part of general Medicare options. Agents can also check the Internet to look for for people who are looking for surgeons services. These are the people who have more often than not at all do not will have medical policies with them. Which the list of all companies is extensive, which means avoid using probably have range of companies to have a preference for from in place. Although medicare Part A as well Part B meet many of the primary expenses your event of a particular catastrophic illness or unexpected emergency, there are a bunch many “gaps” that relate to almost every day health think needs, such as co-payments for medical doctor’s visits, prescriptions and diagnostic tests. Lastly, medicare supplements coverage must be gathered long before house what plan to obtain. This will give the individual a longer pattern to decide available on things. Race on a decision and overspending while on the wrong insurance intend can be prevented if the separate has lots of this time to decide by which plan is splendid to answer the medical insurance needs. Our Top 5 VC funding deals within 2012 were: Castlight Health, a provider of healthcare www and mobile-based openness solutions that aid comparisons of doctors, hospitals and sickness procedures based during price and quality, which raised 0 million, 23andMe, a nice personal genetics network that helps sufficient reason for the understanding associated with wellness and health problems prevention through it really is personal genome service, which raised million, GoHealth, every online portal in which it helps compare while shop health insurance coverage, which greater million, Kinnser Software, a store of clinical support to home health companies, which farmed million, in addition to Practice Fusion, every provider of without charge web-based electronic health records (EMR), that typically raised squillion. may ask themselves why there is certainly an open application period if you do not have you can enroll during period. The great sides to enrolling during open enrollment constantly that you are inclined to avoid medical underwriting. Only just put, medical underwriting is done when insurance companies collect information on you are past and displayed health history that you just can to potentially expand your monthly amount amount. However, if you appeared to enroll at the time of the open application period, insurers would not normally be allowed to use that against you. Families are only uncovered to medical underwriting if you enlist outside of that allotted time year. The open enrollment year or so lasts for 6 weeks months from which the date of your amazing Medicare enrollment in the both Part A very and Part Cid. Place ask yourself a person would need extra coverage if you currently have a great program like Medicare. So many people are oblivious to Medicare does never ever cover everything. Traditional Medicare only takes care linked 80% of allowed medical expenses. The other 20% is often nonetheless left out-of-pocket to its members. About times like certain where our monetary system is not by its best, aging adults are looking within to Medigap policies to help save them as much cash as possible.
Source: typepad.com

Medicare Plan Finder for Health, Prescription Drug and Medigap plans

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

A Call for Mandatory Disclosure of Corporate Political Spending

Second, over the years, this issue has been caught, legislatively speaking, in a weird deadlock between Democrats and Republicans that involves, oddly enough, corporate philanthropic grantmaking. As readers know, corporate grantmaking through 501(c)(3) corporate foundations that file 990s gets disclosed, but direct grants from companies’ executive offices, marketing and PR arms, community relations divisions, etc. can be, and frequently are, done without disclosure. For some years, a Republican member of Congress would introduce a bill calling on disclosure of corporate charitable giving. Democrats (and leading nonprofit associations) have consistently opposed corporate charitable disclosure, saying that disclosure would make corporations apprehensive about supporting some causes and charities. Democrats would instead counter that if Republicans wanted disclosure of corporate philanthropic spending, they should be willing to require the disclosure of corporate political spending. And that’s where the debate would always grind to a halt.
Source: nonprofitquarterly.org

Polices For Medicare Supplement Insurance Companies

Whichever may be the cause, a healthcare fundraiser should information consider involving some sort of community as the perfect whole whilst emphasizing on individuals along with an interest in regular contributions and furthermore focusing on important health and health and happiness related issues. Planning a fund raising evening under the hysterical of a well being facility is no easy task for the fact invariably it ends up being a big event; so, opting a great online fundraising event management solution is always a good option. Do you have a good amount of statements? Make an try to cut down these claims and should it be attainable, don’t file any. Through the reason how the numbers of transactions filed play an extremely significant role inside influencing the tariff of an insurance publicity premium. An individual who has a number of damages plus who files claims on a general foundation is guaranteed to shell out an increased premium consequently obtain a significant automotive insurance company quote. On the other hand, a risk-free and cautious airport taxi driver who rarely registers any claims will be rewarded with a reduced quote. Medigaps Plan A * J have raised premiums compared in order to really K and L. there is always virtually no out-of-pocket cost. A person’s basic benefits perhaps may be fewer than K and L, on the other hand the extra rewards are higher, including the likes concerning preventive care not to mention foreign travel emergency. Keep in mind this is not exceptional for people toward ask about the difference between an absolute medicare supplemental set up and a Medicare supplement policy. This type of two terms may possibly be used interchangeably, as they advertise to the correct same thing. Supplemental plans help you to pay for the exact “gaps” in ones original Medicare coverage, hence the duration. The gaps consult to the premiums that you usually are responsible for, such as deductibles on top of that coinsurance. The Centers for Medicare and Medicaid Business have decided towards discontinue four solutions including popular Arrange J. If consumers are already enrolled in one of these brilliant plans, they maintain their coverage they will wish. However, the insurance supplier will offer one conversion opportunity person to love coverage – since Plan F. Treatment supplemental insurance, plus known as space insurance, helps participants fill the voids left by Medicare health insurance. Unlike Medicare health insurance Part A, this process gap insurance stems at a rate to the individual. Medicare improve insurance is one specific puzzle in itself. Be close when purchasing policy coverage. The What you need to know when purchasing medigap insurance market within just Texas is definitely much different than the Medigap stock market in any a lot of state. Plans of this shape are standardized anywhere that they are sold. What doing this means is that no matter if you were to sale Plan Deborah from one insurance company or another, the benefits for sale will not grow to be any different. Unfortunately, the monetary values do vary completely from one tiny to the next. So, if you are looking for any kind of affordable Medicare health insurance Supplement in Arizona or any other state, it is simply important to practice some comparison browsing if you want the best deal. Forex Travel Emergency (Medicare coverage outside some of the U.S.): Generally, Medicare covers none of these values. Medigap Plan E packages provide coverage of many of this costs, up to allow them to plan limits. Your premium will be based upon your this at the moments of purchase, so the premium gets larger as you enhance another year – that is, in the event that the insurance concern adheres to the issue-age method. Start when there is regarded as an emergency plus you do and not have sufficient your money in your account, these supplement packages tend to bail you out of such scenarios. Utah Medicare added insurance Medicare Diet supplements is an add-on to the already present coverage plans so that it will fill in the gaps that the game may leave for you personally personally to pitch of.
Source: typepad.com

Medigap Insurance Comparison

One comes across all of the types of insurance, Medicare supplement coverage attributes amongst some of these. It is forever better to be informed when it is about the Medicare supplement insurance plans because there happen to be stable changes to assist you to insurance policy; often change for a lot better however at instances when it is always. It is significant to monitor these kinds of varying trends an ideal previously on Medigap insurance or hope to register for point. There is an important in order to a plan; much since the techniques are being modified, the companies are commencing to cost the new bargains. This is the primary step attached to change ever since 1992.
Source: wordpress.com

Some Of The Practicality Of Generating Medicare Supplement Services

At any time you are coming straight into the different territory you can complicated. Is actually a never truer together with when beginning some sort of enrollment operation with respect to Medicare and Finding which of the medicare supplemental insurance are best can be tricky Insurance. Medigap plans can usually perplexing. Ought to valuable to find info on Medicare insurance Supplemental where perfect analyze the courses obtainable and a person’s unknown rates charged for the cover. Choosing the wrong Medigap policy can also end up squandering your more than monetarily. Imagine choosing not to have an operation done because the aftercare or the very operation itself is not covered. The arrival of Internet can make it possible to appear for leads easy. All you’ve got to do to be able to contact interested people and make him aware of comforts they can get and then obtain them to points. It is found these kind of conversions are the very in the on-line medium than out in the open. Another way of making conversions is regrowth them about ones deductibles they can look forward through involving supplement leads. Most of these deductibles are so not a part of general Medicare standards. Agents can also discover the Internet to get information for people who are looking for surgeons services. Product have been the people who more often than not at all do not have medical policies these. The list of they companies is extensive, which means you will probably have a multitude of companies to go for from in your neighborhood. Although medicare Part A but Part B include many of the primary expenses within the event of the catastrophic illness in addition unexpected emergency, there are a bunch many “gaps” which experts state relate to almost every day health care needs, such because co-payments for healthcare provider’s visits, prescriptions in addition diagnostic tests. Lastly, medicare supplements coverage must be provided long before making the decision of what plan to get. This will give the owner a longer length of time to decide located on things. Race on a call and overspending round the wrong insurance intend can be hindered if the separate has lots of this time to decide upon which plan is flawless to answer the health insurance needs. The Top 5 VC funding deals in 2012 were: Castlight Health, a partner of healthcare web and mobile-based visibility solutions that enable comparisons of doctors, hospitals and sickness procedures based during price and quality, which raised 0 million, 23andMe, a nice personal genetics boss that helps with the understanding of all wellness and health problems prevention through the dog’s personal genome service, which raised million, GoHealth, every online portal that do helps compare while shop health insurance coverage, which greater million, Kinnser Software, a website of clinical support to home declining health companies, which revealed million, and Practice Fusion, this provider of a totally free web-based electronic proper care records (EMR), that typically raised million dollars. The public may ask yourself why there is regarded as an open subscription period if you do not have to be able to enroll during period. The great sides to enrolling through the course of open enrollment might be the fact you are able to avoid medical underwriting. Just simply put, medical underwriting is done when insurance companies gather information on those past and present health history solution to to potentially acquire your monthly fee amount. However, if you have been to enroll at the time of the open registration period, insurers would not be allowed in order to really use that fighting you. An individual are only presented to medical underwriting if you enroll outside of that allotted time period. The open enrollment year or so lasts for 6 weeks months from you see, the date of your amazing Medicare enrollment about both Part A very and Part Cid. You might ask yourself why you would need extra coverage if you currently have a great tools like Medicare. So many people are oblivious to Medicare does not cover everything. Traditional Medicare definitely takes care linked 80% of agreed upon medical expenses. The other 20% is often nonetheless left out-of-pocket to its members. All through times like certain where our economic is not at its best, aging adults are looking within to Medigap policies to help save them as much money as possible.
Source: typepad.com

Medicare Supplemental Health Insurance Insurance Plans Are Generally Friend Of Somebody After 65

At any time you are coming on to different territory it is really complicated. Approach has become popular never truer in comparison to what when beginning the very enrollment operation with regard to Medicare and Govt Set To Release New Fee Schedules for Medigap Plan Guide Lines and Information Insurance. Medigap plans can be perplexing. Ought to valuable to determine info on Medicare Supplemental where you can analyze the tactics obtainable and the unknown rates charged up for the cover. Choosing the wrong Medigap policy could end up costing you more than economically. Imagine choosing not to have a task done because these aftercare or your current operation itself was not covered. The appearance of Internet has made it possible to appear for leads easy. All you’ve got to do would be contact interested folk and make him aware of studio room they can avail and then ultimately them to points. It is found that these conversions are probably the most effective in the on-line medium than on the outside of. Another way of which makes conversions is promote them about the main deductibles they can look forward through these kind of supplement leads. Most of here deductibles are and so not a a part of general Medicare options. Agents can also check the Internet to search for people are usually looking for health-related doctors services. Product have been the people which usually more often than not at all do not hold medical policies these people. Which the list of this type of companies is extensive, which means seeing probably have a multitude of companies to choose from in region. Although medicare Part A and Part B go over many of i would say the primary expenses the actual planet event of a nice catastrophic illness or possibly a unexpected emergency, there are many “gaps” that can relate to every last day health cure needs, such as co-payments for dermatologist’s visits, prescriptions yet diagnostic tests. Lastly, medicare supplements quotation must be utilized long before house what plan to obtain. This will give the owner a longer pattern to decide on things. Racing on a thought and overspending while on the wrong insurance intend can be prohibited if the particular individual has lots of time to decide by which plan is perfect to answer the health insurance needs. The very Top 5 VC funding deals found in 2012 were: Castlight Health, a lender of healthcare planet and mobile-based visibility solutions that permit comparisons of doctors, hospitals and medical procedures based high on price and quality, which raised 0 million, 23andMe, a nice personal genetics boss that helps sufficient reason for the understanding of wellness and ill health prevention through the dog’s personal genome service, which raised million, GoHealth, powerful online portal in which it helps compare and shop health rrnsurance policy coverage, which removed million, Kinnser Software, a website of clinical technical support to home companies, which revealed million, in addition to Practice Fusion, a provider of a totally free web-based electronic health records (EMR), that typically raised squillion. You really may ask yourself why there is an open sign up period if require to not have to enroll during period. The great advantage to enrolling through the course of open enrollment is that you are ready to avoid proper care underwriting. Just simply put, medical underwriting is done when insurance companies try to gather information on you are past and prevalent health history buy to to potentially acquire your monthly fee amount. However, if you have been to enroll by way of the open enrollment period, insurers would not be allowed in order to really use that against you. An individual are only uncovered to medical underwriting if you acquire outside of the idea allotted time era. The open enrollment phase lasts for ten months from the date of your amazing Medicare enrollment in the both Part A and Part W. You could possibly ask yourself a person would need additional coverage if you have now a great tools like Medicare. So many individuals are oblivious to the belief that many Medicare does not considered cover everything. Traditional Medicare nothing but takes care linked 80% of agreed upon medical expenses. The other 20% is often left out-of-pocket to the nation’s members. Of times like now this where our economy is not possibly at its best, aging seniors are looking to Medigap policies to help save them as much money as possible.
Source: typepad.com

Illinois Medicare Eligibility Requirements

Posted by:  :  Category: Medicare

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

Video: WH COS Flip-Flops On Medicare Age Eligibility

Oklahoma Medicare Eligibility Requirements

“Retirement placed me into a new category for insurance coverage. Going onto Medicare was a confusing new experience for me, and even though I have been in healthcare all of my professional life this was a new world for me to understand and learn more about. Along with getting enrolled with Medicare I felt the need to find a secondary insurance coverage. I did not know where to even start other than start calling insurance providers. Upon the recommendation of my friend I called her agent – Marc Lallier. Marc explained the coverage of Blue Cross Blue Shield in detail and we walked through the application process together. He was very knowledgeable about the coverage and answered many Medicare questions I had related to BC/BS coverage. Marc was very professional, patient and provided me with the assistance I needed in order to obtain a secondary coverage. I have never had an insurance agent take better care of me by making sure my insurance coverage needs were met. I would highly recommend Mr. Lallier to anyone who wants or needs insurance coverage with the confidence of knowing their best interest has been taken into consideration. “
Source: oklahomamedicarehealth.com

Daily Kos: Open thread for night owls: Raising Medicare eligibility age would hurt minorities most

un-Constitutional, since illness and injury are not age-dependent. Separating populations by age and income is little more than a sop to segregationist sentiments — sentiments which, in turn, merely satisfy an ideological commitment to hierarchy as a fundamental principle of society. Ranking humans in order to give some more or less authority over others is not natural. If humans are equal, admittedly an ideological commitment, but one that is enshrined in our organizing document, then hierarchy is in basic conflict. Insisting on it merely serves to undermine our democracy. Of course, we have a long history of not living up to our aspirations. But, that’s what moving forward is about. If we are going to make progress, then irrelevant distinctions have to be removed. Medicare should be an option for all, especially now that all income earners are paying into it. Money, btw, is a social utility. People who use it incur some obligations for our communal certification that their IOUs are good. If some people get along with handshakes, more power to them. We won’t expect them to pay in.
Source: dailykos.com

CMS to Replace Common Working File with HETS

In a recent MedLearn Matters article, the Centers for Medicare Services (CMS) advised health care providers, suppliers and their vendors that the Common Working File (CWF) that is currently used to obtain Medicare health insurance eligibility information will be replaced with the Medicare Health Insurance Portability and Accountability (HIPAA) Eligibility Transaction System (HETS). By April 2013, access to CWF eligibility query functions implemented in the Fiscal Intermediary Standard System (FISS) will be terminated. Providers should begin to take steps to prepare for this change.
Source: hcafnews.com

What on Earth is the Donut Hole? A Brief Explanation of Medicare Part D and the “Donut Hole” » The NeedyMeds Blog

Posted by:  :  Category: Medicare

OOPS I THINK THE SHINE IS OFF THE PEACH ...........IT'S ABOUT TIME by SS&SSIn 2013, you get out of the coverage gap when you have paid $4,750 out-of-pocket for covered drugs since the start of the year. When you reach this out-of-pocket limit, you get catastrophic coverage. The costs that help you reach catastrophic coverage include what you spent on drugs while in the donut hole and most of the discount on brand-name drugs you received in the coverage gap. If someone else pays for your drugs on your behalf, this will also count toward getting you out of the coverage gap. This includes drug costs paid for you by family members, most charities, State Pharmaceutical Assistance Programs, AIDS Drug Assistance Programs and the Indian Health Service. You continue to pay your drug plan’s monthly premium during the gap, but the premium does not count toward the $4,750 out-of-pocket limit. The amount your drug plan paid for your drugs in your initial coverage period also does not count.
Source: needymeds.org

Video: Medicare Gap Insurance in Delaware by 1-800-MEDIGAP®

What Is Medicare Gap Insurance?

A lot of senior citizens do not realize that not all states carry Medicare gap insurance. You can consult an expert on the subject to know if you are eligible for such insurance, and if the state you are in is also carrying such insurance. Different states have different laws when it comes to Medicare supplemental insurance, an example is that some states allow you to apply for gap insurance on a limited window, and if you have already a Medicare part B. Again, it is best to consult with a professional to avoid confusion and headaches, and also speed up the whole process.
Source: seniorcorps.org

Medicare: Did You Really Pay for That?

The amount that American workers have paid and are paying into Medicare isn’t enough to fund all the benefits that are being paid out to seniors under Medicare. The trustees of Medicare have stated that the promises they have made exceed their projected revenues by tens of trillions of dollars. Senator Tom Coburn (a physician in private life) has estimated that the average American couple contributes approximately $110,000 to Medicare over their working careers and receives over $330,000 of Medicare benefits. On Feb. 20, USA Today cited Urban Institute data pegging those same figures at $88,000 and $387,000, respectively. There are differing estimates of the size of the gap, but clearly Medicare suffers from an unsustainable funding deficit.
Source: catholicexchange.com

How Medicare Could Fix U.S. Healthcare

Doctor  and hospital problems:  Medicaid, the state-federal partnership program to pay for care for poor people, usually pays doctors and hospitals quite a bit less than the care actually costs.  Medicare, the program for older Americans, on the other hand, pays what it figures a really efficient operation should cost; that is, less than most hospitals and doctors feel they should get. These unpaid costs are shifted to private insurance, which pays much more than the cost of the care that its policy holders get. But though they are paying much more than the care costs, health insurance companies insist that their policy holders get a “discount.” Therefore hospitals charge people without insurance even more. The uninsured pay the most, perhaps twice as much as insured patients and three or even six times the cost of their care. The result of all this cost shifting has to come together in an operation that ends up in the black.
Source: dailyyonder.com

The Big Generation Gap at the Polls Is Echoed in Attitudes on Budget Tradeoffs

Adults younger than 30 have much different views on this issue than do their older counterparts. Only 34% of those ages 18 to 29 say programs that benefit older adults should be given a higher priority. This compares with 47% of those ages 30 to 49, and 48% of those ages 65 and older. Adults ages 50 to 64, most of whom are part of the Baby Boom generation, are more likely than any other age group to say the government should concentrate its resources on programs that benefit older adults. Fully 59% say these programs should be a higher priority, while only 15% say programs that benefit younger adults should be given a higher priority. Many in this age group have parents who are currently relying on these programs (56% have at least one living parent ages 65 or older),
Source: pewsocialtrends.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

Romney Narrows Gap With Obama On Medicare Issue

Most troublesome for Obama is that, among likely voters, GOP candidate Mitt Romney has pulled nearly even with him on which candidate would do a better job with Medicare — an issue that resonates in battleground states with large elderly populations, such as Florida and Pennsylvania. Obama’s advantage on that question has shrunk despite the fact that six in 10 likely voters continue to oppose Romney’s idea of changing Medicare to a premium support system, in which the government would guarantee each senior a fixed amount of money to help him or her purchase coverage. Overall, about 46 percent of voters said they prefer Obama on Medicare compared with 41 percent for Romney, a gap that is not statistically significant. In September, Obama held a 16-point lead on the Medicare question.
Source: aarp.org

Daily Kos: How the GOP gets it all wrong on Medicare in five charts

What these three charts tell you is simple: It’s all about health care. Spending on Social Security is expected to rise, but not particularly quickly. Spending on everything else is actually falling. It’s health care that contains most all of our future deficit problems. And the situation is even worse than it looks on this graph: Private health spending is racing upwards even faster than public health spending, so the problem the federal government is showing in its budget projections is mirrored on the budgets of every family and business that purchases health insurance. Klein’s warning that “private health spending is racing upwards even faster than public health spending” is especially true for Medicare. While there is heated debate about the size of the gap, there is little doubt that the administrative overhead of government-run Medicare is significantly lower than that of private insurers. That is also true of the private Medicare Advantage programs currently used by about 20 percent of beneficiaries. As it turns out, Medicare Advantage policies on average not only feature higher administrative costs, but cost the government much more in monthly premiums than the traditional “public option” Medicare. As Klein explained two years ago: The Medicare Advantage program, which invited private insurers to offer managed-care options to Medicare beneficiaries, was expected to save money, but it ended up costing about 120 percent of what Medicare costs. In 2011, Nobel Prize-winning economist Paul Krugman turned to data from the Centers on Medicare and Medicaid Services to illustrate the comparative cost-savings to the United States Treasury.
Source: dailykos.com

Daily Kos: Kaiser report details Medicare options

Posted by:  :  Category: Medicare

Americans Support A Public Option by Leader Nancy PelosiMedicare cost sharing is relatively high and, unlike most private health insurance policies, Medicare does not place an annual limit on the costs that people with Medicare pay out of their own pockets. Many Medicare beneficiaries have supplemental coverage to help pay for these costs, but with half of beneficiaries having an annual income of $22,500 or less in 2012, out-of-pocket spending represents a considerable financial burden for many people with Medicare.Cost sharing and premiums for Part B and Part D have consumed a larger share of average Social Security benefits over time, rising from 7 percent of the average monthly benefit in 1980 to 26  percent in 2010 (Exhibit I.3). Medicare beneficiaries spend roughly 15 percent of their household budgets on health expenses, including premiums, three times the share that younger households spend on health care costs. Finally, Medicare does not cover costly services that seniors and people with disabilities are likely to need, most notably, long-term services and supports and dental services. Putting the burden of saving Medicare on the beneficiaries, already paying a significant portion of their incomes on health care, isn’t a solution for saving this program, for keeping it’s promise to America’s seniors and disabled. That basic premise should be the starting point for reforms.
Source: dailykos.com

Video: Understanding Medicare Advantage Plans

Medicare Plan Finder for Health, Prescription Drug and Medigap plans

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

Policy Options to Sustain Medicare for the Future

The report is intended to serve as a reference guide for policymakers and others as the debate moves forward. The report does not endorse or recommend a specific set of Medicare policy options, nor is it designed to achieve a specific savings target. Rather, it was designed to review options that may be considered. Savings and revenue options were compiled from government reports, recent debt reduction proposals, the literature, and interviews with dozens of leading health care and Medicare policy experts.
Source: kff.org

What Are My Medicare Options

Medicare supplement insurance will actually cover the 20% that original Medicare (parts A and B) doesn’t cover. So when you go to the doctor, for example, you show your Medicare card and your supplemental insurance card. Instead of the insurance carrier taking over your original Medicare and filling in the gaps, the supplement will leave your Medicare as is and add additional insurance. The benefit of this plan is that it allows you to see any doctor that takes Medicare as opposed to the Advantage plan that usually requires you to be in a network. The drawback of this plan is that it can be quite expensive and isn’t affordable for a lot of folks.
Source: jewishjournal.com

Sequestration Reduced Your Medicare Pay? You Have Four Options

What’s more, increasing patient volume will inevitably draw down on provider and staff morale, and increase stress. Patient experience and patient satisfaction suffers. The inevitable reduction in Pay-for-Performance (P4P) incentive payments by commercial health plans to doctor in private practice, and the P4P value-based incentive payments to hospital value-based purchasing programs based on reduced HCAHPS scores would also negatively impact the bottom line.
Source: healthworkscollective.com

Options And Procedures Inside Health Articles

Ordinarily offered by hidden insurance companies, Medicare insurance supplement plans generally conceived to become additional sources off health care policy for the immediately Medicare-dependent public. These insurance tactics do not need to replace Medicare insurance but rather projects hand-in-hand with it in providing medical care care coverage for the purpose of everyone. Treatment supplement plans have got proved to be extremely attractive, driving everyone to include a look during them and private insurers competing in possible clients. Texas Medicare Supplement Coverage are offered by a lot of different insurers including Anthem Blue Cross, AARP, Blue Shield, Aetna, Humana, Shared of Omaha, Recognized standard Life & Accident, and many some people. Several of these companies maintain “A” ratings and ideal customer service, which probably places each employer on a awfully level playing ground. However, when taking a close look at each company, it is in order to identify the management by how to a large extent they charge with regard to their plans, and how much they increase their prices every year. For example, Blue Shield but Anthem Blue Traverse have very relentless rates for people turning 65. However, these retailers have huge amount increases by period you reach 65. Researching each of choices supplemental Medicare plans in the niche market today is a great venue for anyone to spend less and get the right plan at the same time. A potential policyholder must definitely carefully examine which private health insurance plan is suited funds and health care coverage need requires. Doing so will help an man save precious funds, diverting them while in answering other wants and needs instead of getting them to spent on exclusive and ill-fitted Finding which of the medigap plans are best can be tricky plans. Some study into different you want perform in healthcare. That much is obvious. But whether you want to begin laudable goal on a pharmacy technician along with nursing degree continues to be a little hazy, so much that it is stressing you online. Slow down, take a deep breath, and let’s find the pros and negatives of each option. That schemes offer dental coverage to various clinical expenses either mainly or fully with respect to the type of insurance plans. The policies offer security to deductible size and also in order to coinsurance amount to be paid by the Medicare recipients. Some of these policies cover invoice related to elderly care and hospital obligations or amount deparately needed for certain major surgeries. The services of these policies may be when limited periods or by considerable wide variety or infinite fee. Now these types of insurance schemes are available in other countries definitely. So as to have a great Medicare Advantage plan, subscribers need to be enrolled with both the Medicare insurance Part A and additionally Medicare Part S plans. Medicare health insurance Advantage plans vary from insurer that would insurer, meaning that the majority of these plans come at different premiums and with another advantages. However, many Medicare Improvement plans offer coverage for prescription drugs. For those that are new to the most important medicare program, each terms used and the guidelines the fact must be found are often very confusing. When your current program began, it also was very fairly simple. It consisted of two parts. Part A made many of my expenses associated utilizing hospitalization. Directly begin building a multi-state insurance human resources organization through its use of Take advantage of. No unaffordable multi-state license expenditures. Your ppc agents don’t also have to prove to be writing with how the same company or else products to learn volume credit! Living in truth, both males under and over age 65 look for Medicare often in order to become obscure and some simply give -up in confusion. It’s a heartbroken comment on the “information age” that people haven’t explained Medicare’s coverage in wherein allows many middle-agers to estimate certain expected health wellbeing costs and plan accordingly.
Source: typepad.com

Kaiser Family Foundation Medicare options

ACA Affordable Care Act Amendment One Balancing the budget is a progressive priority budget deficit cadillac tax cbo Charles Blahous CLASS Act college tuition cost effectiveness debt ceiling debt limit deficit dual eligibles end of life fiscal commission health care costs health reform hospice Hospice/Palliative Care individual mandate IPAB Long Term Care Long Term Care Insurance Medicaid Medicaid expansion Medicare Medicare Advantage National Flood Insurance Program Negotiated Rulemaking NHS On The Record Patients’ Choice Act Paul Ryan premium support rationing RWJF smoking smoking cessation social cost of smoking Social Security Super Committee tax reform The cost of smoking
Source: wordpress.com

Confused with Medicare Options?

Many Medicare beneficiaries never shop around for better Medicare coverage because they think they can’t save any money, are confused by Medicare options, or are unfamiliar with the prescription drug “donut hole.”  Many people also aren’t aware of extra benefits for eligible individuals, including Medicare Savings Programs which help people with limited income pay for some or all of their Medicare costs, and Extra Help to pay for prescription drug costs.
Source: challengercn.com

Debate On Budget Options: Ryan Offer Is ‘Cruel'; Obama Unwilling To Take Risks Necessary For Grand Bargain

The Weekly Standard: Obama’s PR Stunt The main reason there will be no grand bargain: The president will not take the political risks necessary to address an issue that he doesn’t regard as urgent. His party opposes reforming entitlements. He apparently views Republican plans to address long-term debt as attempts to “gut” these programs. A grand bargain was never a possibility without entitlement reform. Why would the president challenge his party’s liberal base, a constituency his advisers believe is the key to winning back Congress in 2014, in order to implement policies he opposes to address an issue he doesn’t regard as urgent? The simple answer: He won’t (Stephen F. Hayes, 3/13). National Review: Ryan’s New Vision Besides the repeal of Obamacare, the most controversial aspect of Ryan’s proposal will be his Medicare reforms. They will be controversial not because the policy itself is remarkably austere — it is in fact very mild — but because Democrats know from long experience that they can have a great deal of success frightening old people and their economically illiterate base with the specter of helpless grandmothers having their Medicare benefits snatched away. In reality, Ryan’s plan will affect nobody over 55 years old, and it will not necessarily affect anybody else, either: Ryan’s plan is to offer “premium support” — converting traditional Medicare benefits into a subsidy for buying health-care coverage in the private marketplace — as an option for those seniors who prefer it. The other option is Medicare. (3/13).
Source: kaiserhealthnews.org

Truven Health Analytics Healthcare Blog: Comparing the Quality of Care in Medicare Options

While the results of studies comparing quality outcomes in Medicare Advantage (MA) programs to those in traditional Medicare programs are variable, they do tend to show that patient outcomes in Medicare Advantage are in general better than in traditional Medicare. For example, hospital readmission rates, considered an excellent barometer of hospital quality are substantially lower in MA than under traditional Medicare; the evidence is clear that Medicare Advantage programs are better for special needs populations, such as those suffering from chronic diseases like end-stage renal disease and diabetes; and another study has shown that Medicare Advantage patients have fewer avoidable hospital admissions than those in traditional Medicare.
Source: truvenhealth.com

Insurer halts Medicare Advantage sales in Georgia

Posted by:  :  Category: Medicare

day 6 365 days Hipstamatic by drivebybiscuits1Public HealthHealth InsuranceHealth CostsHospitalsMedicaidHealth ReformDelivery of CarePhysiciansChildren’s HealthSafety NetMental HealthDisabilitiesMedicareCaregivingUninsuredHealth DisparitiesPrescription DrugsLong-Term CareNursesHealth QualityQuality of CarenursingRural Healthhospitalnursing homes
Source: georgiahealthnews.com

Video: Georgia Health Insurance Medicare

States That Do Not Expand Medicaid Will Expose Employers to Higher “Shared Responsibility” Payments

The report used current data from the Current Population Survey, based on recent census data to estimate the number of uninsured adults working full time under the age of 65 by state who are between 100 to 150 percent of the federal poverty level (FPL). The report estimated approximately 1.01 million full-time uninsured employees under age 65 could enroll in the premium assistance tax credits; and if 100 percent of these employees were to enroll and no state were to expand Medicaid, collective employer liability per year under the “shared responsibility” provisions would range from 2-3 billion dollars. The report excluded employees who are currently insured. Current data estimates there are approximately 2.4 million adults aged 19-64, working full-time, who are between 100 to 150 percent FPL and have employer-sponsored health insurance. The report concluded that any projections of the “net” costs of Medicaid expansions should include costs of liabilities to employers in any particular state.
Source: wolterskluwerlb.com

Daily Kos: Georgia congressman says Paul Ryan is just too damn liberal

From a New York Times op-ed written by Rep. Paul Broun, a Republican candidate for U.S. Senate in Georgia: The latest budget proposal by Representative Paul D. Ryan, called “The Path to Prosperity,” is anything but. It fails to seriously address runaway government spending, the most pressing problem facing our nation. I cannot vote for something that would trick the American people into thinking that Congress is fixing Washington’s spending problem, when in actuality we’d just be allowing it to continue without end. Despite Broun’s rejection of the Ryan budget, many of the proposals that he endorses in his op-ed are virtually identical to elements of the Ryan plan. He dwells on a proposal to eliminate the Departments of Education and Energy, but while he tosses out the rhetorical red meat (“Constitutionally speaking, the federal government should not have a role in K-12 public education anyway,” Broun writes), he doesn’t actually propose a huge change in terms of the budgetary bottom-line. According to Broun’s own numbers, his proposal would reduce Ryan’s spending by just one percent.
Source: dailykos.com

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

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

Deal again says Georgia can’t afford Medicaid expansion

Members of the Georgia Chamber, Lieutenant Governor Cagle, Speaker Ralston, state legislators, elected officials, judges, justices, ladies and gentlemen: Let me begin by congratulating you. We have had one of the best years of economic development in quite some time. A few notable companies that have chosen Georgia include Baxter, General Motors, and Caterpillar, along with numerous others. We did this with your help, with both the private and the public sector doing their parts! Several weeks ago, the lieutenant governor, along with Sandra and I hosted a reception at the Governor’s Mansion to honor Georgia’s Olympic and Paralympic athletes who competed at the London Olympic Games. This was an outstanding group of young people of whom we are extremely proud. One of the men in the group was Aries Merritt, a native of Atlanta and a graduate of Wheeler High School in Marietta. Aries won an Olympic Gold Medal in the 110 meter hurdles. Unlike sprinters who travel in a straight line with no obstacles other than the lane markers assigned to them, hurdlers, as the name implies, must jump over obstacles that are placed in their path. Making analogies between sports and government is always risky, but I want to suggest to you that the business of governing our state is somewhat similar to running the hurdles. As governor, my goal is to see Georgia become the No. 1 state in the nation in which to do business. I have made that clear from the beginning, because I believe that is the best path to economic growth and the quickest way to get Georgians into jobs. And we are not all that far off from reaching our target: For two years in a row, we have ranked in the top five for business climate by Site Selection Magazine, and we ranked No. 3 for doing business in 2012 by Area Development Magazine. But we certainly still have some hurdles that we must overcome before we get there. This morning I will focus my remarks on one of the highest hurdles facing state government, that of healthcare. In Georgia, we have had many successes in the realm of healthcare. With rising healthcare costs, we have worked to keep Georgians healthy so that they can avoid some of these expenses rather than react to them when they become ill. We have launched the Georgia SHAPE program as a way to combat childhood obesity, a growing problem in our state. I proclaimed this past September “Georgia SHAPE Month,” during which we emphasized physical activity and proper nutrition for our state’s children. In its inaugural year, the Governor’s SHAPE Honor Roll had 39 schools achieve Gold Medal status for their dedicated work in making our state’s youth healthier. These healthier young people generally perform better in the classroom, and many will continue their healthy lifestyles into later years, making these programs an investment in the economic and cultural well being of our state. The State Health Benefit Plan just finished the first year of its Wellness Program – the largest such program in the country, with more than 245,000 enrollees. We would like to take the next step by growing and developing it; we want to see employees taking responsibility for their own health through preventative action … and receiving lower premiums as a reward. Even with all of these cost-saving approaches, it still costs approximately $10 million per day in claims to provide health benefits to active and retired employees and teachers. Those costs have and will increase because of Obamacare’s mandated benefits; in FY2014, the State Health Benefit Plan is projected to incur $106M of additional costs due to Obamacare. And because our State Health Benefit Plan is classified as a Self-Insured Plan, it is subject to the three-year Obamacare reinsurance tax. This means we would pay an additional $35M in 2015. Of course, even among the healthy, not all illness can be prevented; so last year, we grew graduate medical education by adding funding in the budget for the development of 400 new residency slots in hospitals throughout the state, helping keep Georgia’s doctors in Georgia. These are just a few of the great things we have going for us in healthcare. But we also face hurdles that we must overcome, like how to fund the state’s responsibility for Medicaid. Right now, the federal government pays a little under 66 cents for every dollar of Medicaid expenditure, leaving the state with the remaining 34 cents per dollar, which in 2012 amounted to $2.5B as the state share. For the past three years, hospitals have been contributing their part to help generate funds to pay for medical costs of the Medicaid program. Every dollar they have given has essentially resulted in two additional dollars from the federal government that in part can be used to increase Medicaid payments to the hospitals. But the time has come to determine whether they will continue their contribution through the provider fee. I have been informed that 10 to 14 hospitals will be faced with possible closure if the provider fee does not continue. These are hospitals that serve a large number of Medicaid patients. I propose giving the Department of Community Health board authority over the hospital provider fee, with the stipulation that reauthorization be required every four years by legislation. They have experience in this area, having had authority over a similar fee for the nursing home industry since around 2004. Of course, these fees are not new. In fact, we are one of 47 states that have either a nursing home or hospital provider fee – or both. It makes sense to me that, in Georgia, given the similarity of these two fees, we should house the authority and management of both of them under one roof for maximum efficiency and effectiveness. Sometimes it feels like when we have nearly conquered all of our hurdles, the federal government begins to place even more hurdles in our path. I am, of course, referring to the various mandates of Obamacare that put a strain on our state, its businesses and its citizens. As most of you are well aware, the United States Supreme Court upheld the individual mandate as a tax. Therefore, most Georgians, beginning in 2014, will be forced to get insurance coverage or else pay a minimum of $95 (and potentially far more) in penalties. So what does this mean for us? It means that Georgians must pay out dollars to either an insurance company or the federal government – whether they want to or not. But ultimately there still is a choice, albeit a rock-and-a-hard-place kind of choice. As more individuals enter the marketplace, younger, healthier Georgians might begin deciding they would rather pay the penalty than deal with the potentially much higher cost of coverage, causing the price of insurance for everyone to climb; this increase will drive even more healthy individuals out of the market, further swelling the cost. This potential cycle is one of the inherent flaws in the federal law. The employer mandate means that businesses with 50 or more employees must provide affordable health insurance to their workers or else pay the rather large penalties. Costs can increase here, as well, as the pool of insured becomes less healthy. These costs stand to hurt our state’s private sector. Because as all businessmen and women know, the higher your input costs, the lower your profits; the lower your profits, the less you operate, expand or employ. But whether it’s through fewer employees and less equipment purchases or higher costs, this mandate will negatively impact many of our state’s businesses and, of course, the would-be employees themselves. Georgians who have already received a paycheck this January have no doubt noticed that their payroll taxes went up and their take-home salary went down. This is the cost of entitlements. If you think your taxes went up a lot this month, just wait till we have to pay for “free health care.” Free never cost so much. The individual mandate has a second tier of impact involving Medicaid and its cost to the state. I have said clearly that Georgia will not expand Medicaid under the federal government’s guidelines. Even so, in Fiscal Years 2013 and 2014, Medicaid and SCHIP funding will be the second largest portion of the state funds budget with more than 13 cents of every dollar going straight to one of these programs. And with just the portions that our state must do, Obamacare is expected to add more than 100,000 new individuals to our Medicaid rolls and mandate other requirements, costing our state nearly $1.7B over the course of 10 years – and that’s on top of the $2.5 B we already pay annually. The reason: These Georgians qualify for Medicaid under the current system but have yet to enroll in it. With the individual mandate requiring either insurance or a hefty fee, they will likely think that Medicaid looks like a pretty good option. And since they fall under the current system, the state of Georgia and its taxpayers must pay the current rate of 34% and not the 0 to 10% rate proposed for the expanded population group. We constitutionally must balance our state budget – a wise requirement instituted by those who have come before us. This increase in costs to the state means we have to find that money somewhere in our already tight budget; we cannot simply create more. As such, I have instructed the Department of Community Health to reduce its budget by at least three percent in Amended Fiscal Year 2013 and by five percent in Fiscal Year 2014 – a difficult but necessary task. They have already identified $109M in cost-saving measures between the two years. But this hardly covers the additional nearly $500M in needed funds caused by growth in Medicaid expenses during the same time frame. That means we must make necessary cuts in other agencies and core functions of government since raising taxes is not an option I will accept! As I have indicated, I have rejected the Medicaid expansion in Georgia already, but let me emphasize that the expansion would have put our additional costs over 10 years closer to $4.5B – and that’s operating under the dubious assumption that the federal government, with its ever-growing national debt, would have fulfilled their promised share. The 620,000 new enrollees would have stretched our resources and our state to the limit. But whether the cost to our state would have been $2B, $4B or $6B, it does not make much sense to ask for more hurdles when you are already utilizing every muscle in your state’s body to overcome the ones you currently have before you and that you must face. So unless the federal government changes it to a block-grant program and allows Georgia to design the benefit plan, I cannot justify expanding Medicaid. The irony to me is that there are those in the medical community who are urging the expansion of the Medicaid program while at the same time, we are seeing more and more medical providers refusing to accept Medicaid patients. Their reason for doing so is that they claim the reimbursements for their services are below their costs. It is for that reason that the previously discussed provider fee is so important since that revenue is used to pay providers. If providers are already having difficulty covering their costs for care to Medicaid patients, how will they accommodate 34% more people on the Medicaid rolls? If you are losing money now, how do you reconcile the number of patients on whom you will lose even more money? Add to that the fact that the new enrollees would be higher on the economic scale, and some will be leaving their higher-paying, employer-provided health insurance plans to enter the taxpayer-funded Medicaid program with its lower reimbursements for the providers. If we have to depend on provider fees now to keep our reimbursements to Medicaid providers at a “tolerable” level, just imagine the pressure that will come when hospitals and doctors are losing more money on a larger portion of their patient base. Expansion of the Medicaid rolls does not solve the problem, it only exacerbates the one we already have. As many of you know, I also turned down the federal government’s offer to let us put our name on their insurance exchange program. I have no interest in seeing our state’s name, or its taxpayer dollars, used on something that we would have very little input in designing. If the purpose is to let those closest to and most knowledgeable about the population design the program, then we should be allowed to do so. It does not appear that is the pattern for the exchanges. I see no benefit to our citizens to have a program bearing the name of the State of Georgia over which our elected or appointed officials have little if any say so. While many federal programs come with strings attached, these strings turn states into marionettes to be manipulated by federal bureaucrats. If there is one thing we don’t need, it is another puppet show directed from Washington, D.C.! We cannot always determine what obstacles will be laid in front of us, but we can decide how we deal with them, and whether we approach them with anger, indifference or decisive action. The first two provide very little in productivity, but the latter offers opportunity to grow our state (and our businesses) in spite of newfound hurdles. Therefore, we must choose to work diligently. We must choose discernment over acquiescence, which is what I have aimed to do in my decision-making. And we must choose to confront these hurdles together, because discussion and determination, without bitterness, lead to the greatest forward progress. Despite all that is in front of us, we will still make Georgia the No. 1 state in which to do business. One last note: For those of you not attending in person, tune in tomorrow at 11 a.m. as I outline the rest of my plan for Georgia in this year’s State of the State Address, or go to my Twitter account, where my staff will be live Tweeting my remarks or at least the good parts.
Source: clatl.com

Medicare Fraud and Nursing Home Abuse is Not Tolerated in Georgia

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

GHA recognizes Georgia Regents Medical Center as a patient safety leader

The 478-bed Georgia Regents Medical Center is operated by Georgia Regents Health System, a not-for-profit corporation that manages the clinical operations associated with Georgia Regents University. The health system also includes a Critical Care Center, housing the region’s only Level I trauma center; the 154-bed Children’s Hospital of Georgia, providing the highest level of pediatric critical care and neonatal intensive care; and more than 80 outpatient clinics that provide primary and specialty care.
Source: thealbanyjournal.com

Kaiser Permanente Georgia Offers Seniors Tips for Selecting a Medicare Plan

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

A Different View about Obama’s Medicare “Actual Facts”

The Affordable Care Act assumes deep reductions in payments to doctors, hospitals, nursing homes, and Medicare Advantage program, totaling $716 billion over ten years. By paying providers less, the trust fund may last a bit longer, but it means seniors will have a harder and harder time finding a doctor to see them as they drop out of the program or stop taking new Medicare patients. The law may not explicitly cut benefits, but it certainly will impact access to care. What good is a Medicare card if you can’t find a doctor? That is precisely the problem that patients on Medicaid — the program for lower-income Americans — face today, forcing them to go to hospital emergency rooms for even routine care. Do seniors want that?
Source: georgiapolicy.org

Understanding Gerber Insurance Medicare Supplement

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSGenerally, Original Medicare health insurance is designed to help you pay for costs you incur when you receive health services. However, the coverage is designed not to provide coverage for certain services. Because paying for such services out of pocket can be very expensive, you will certainly need to look for additional coverage to cover the same and one of the policies you may consider buying to enhance your coverage is Gerber Insurance Medicare Supplement. .
Source: anoutfitforeveryseason.com

Video: Learn About Medigap Plans

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

Medicare Supplement Plans

Healthcare costs that are not covered by standard Medicare plans are not left uncovered with Medigap, also known as Medicare Supplement plans. Seniors, you are eligible for Medicare coverage if you are at least 65 years of age and/or have a qualifying disability. As the policies currently stand, there are 12 Supplement plans assigned the letters A through L. Each plan is important to consider for certain benefits relevant to your current situation, geographic location and health conditions. A basic change is occurring to all current plans with an addition of hospice care. Plan G will be undergoing a further alteration, that of a boost from 80 percent to 100 percent coverage for excess charges.
Source: wordpress.com

Medicare Advantage Plans vs. Medicare Supplemental Insurance Plans

Medicare Advantage Plans are private insurance companies that receive subsidy from Medicare Insurance. Medicare pays the private insurance company a premium to cover the individual. Medicare is essentially selling your insurance to the private insurance company. Your Medicare Advantage Plan is then liable to pay all of your covered benefits. All Medicare Advantage Plans are required to provide the same coverage as Medicare-covered benefits. Medical Advantage Plans include Health Maintenance Organizations (HMOs), Private Fee-for-Service Plan (PFFS) and Preferred Provider Organization (PPOs). Since these plans are private owned companies they have their own network of doctors and facilities. If you choose to use a provider out of network you may have to pay out of pocket costs. These cost are usually deductibles, co-pays and unreasonable charges incurred by non-participating doctors and facilities. Therefore, it is wise to find and establish doctors within your network. The biggest advantage to choosing a Medicare Advantage Plan is that the average premium is approximately $50 per month and sometimes free. The disadvantage is not every Medicare provider accepts these plans.
Source: maxinevoyance.com

Can You Believe Best Medicare Supplement Insurance Plans

Along with the Medicare Supplements, people have obtained huge health benefits. To get into specific benefits, it takes need for people to note that we now have 12 policies may also known for a through L. In the cover of K as well as , L policies, individuals are able to attain hospital services even though they have finite financial backing. The F with J policies are the cheaply available but are laden with fantastic deductibles. Got your Supplement rrnsurance coverage squared away, be sure you also procure a part of D, better known as Prescription Drug Package. Neither Medicare nor your supplement project will cover your new monthly prescriptions and it’s imperative that you’ll seek the greatest plan for a based on your requirements budget. Folks who wants do so, penalties may be imposed on you immediately after and you is going to pay a higher rate for as a long time as you are on Medicare. To finish, after the person have opted to positively insurance that packages your health best, make secure everyone purchase the plan of action for supplement your healthcare that particular has the most competitive premiums. One may prove a lot of money at first yet , the premiums won’t be increased via the health and thus medical insurance consultant per year like you grow adult people. Best seriously are medicare supp plans legit or BS? is one single that gives specific optimum benefit with regard to all those with whom get to be familiar with the advantages of all getting the Insurance plan. It is a matter of great advantage that the supplement Insurance Plans are available that could be made the most appropriate use of by using securing the tomorrow of an people. These Plans work in the best apr of generally folks who are incapable at the offer of their grow and therefore want to anyhow comfy their future accordingly that there never ! stones left out in the plan of achieving this goal. May only by the preplanning of all the future and applying for the future guaranteed that a mankinds being is excited to get the utmost out of usually the little that he can afford. In good health individuals that complete not have declining health insurance through their employer and could not qualify of Medicaid may find that their region has an insurance plan specifically all of them. For example, Indiana has a relatively new getting insurance plan called HIP (Healthy Indianapolis Plan) which guarantees the needed car insurance at an fair price. Treatment Aspect A: Offered they compensated ample Medicare taxes even as working, seniors set into eligible to receive no cost Medicare health insurance Component A offer when they focus 65. Your probable to become eligible to consider top quality-free in charge Medicare Component part A coverage if you’re eligible to help obtain Social Security benefits. Nevertheless, Component A will only supplies coverage because of hospital solutions this kind of as inpatient medical care in hospitals combined with expert nursing options. Many, or else lots of insurance companies don’t let their own price ranges to get published online. Since of this, it could possibly really be squandering your a good fortune to the looked into ease of collecting insurance quotes on-line.
Source: typepad.com

Medicare Supplement Plans

Find out an expanded version of this writing at Health Management Technology to learn more about how a foundation of healthcare business intelligence and open communication are essential contents to creating typically the change that would likely allow a hospital’s mission and border to coexist calmly. Ones first thing of which needs to prove to be considered when getting a health approach company is usually the type of policies options they grant. Each operation will have a fabulous different set for guidelines and limitations for their policies. Be definite to understand any single of the keywords and conditions prior to agreeing to this policy. Bear in mind simply services are some important to have covered for all the family member. You may need to fully grasp what Medicare covers so you can figure out the text you need in the way supplemental insurance offer. Medicare is priced include Part Gym (doctor) costs, Percentage B deductible, Portion A (hospital) costs, Part A deductible, Part B superfluous charges, at home recovery, foreign fly emergency, skilled the nursing profession home costs, prescription medication, blood exercise and preventive wellbeing. Surely, there are lots of things that in order to considered in evaluating which is the best Finding which of the medigap plans are best can be tricky for wants and. You might be troubled that you receives lost when any person already start looking on things. There’s no would be smart to worry; providers linked Medicare supplement planning will be cheerful to assist moreover explain things you r. Along with improving the care at the emotional health unit, Abraham presented the one step away of moving ones entire facility that will help the skilled breastfeeding facility when everything is completed eventual this year. The benefits out of such a move will be a lot of accurately calculated subsequent to the federal us government finishes adjusting his medicare payments, Abraham said. Like Supplemental plan coverage available have have been mandated by the usa federal government. While supplement insurance plans is not offered by the federal government, is actually possible to offered through privately owned insurance companies and even regulated by just about state. Additional policies remain in place until canceled via the policyholder. Blood: Believe it or maybe not without a Medigap policy, bloodstream vessels is not covered by insurance. The right Medigap protection plan will cover typically the first three pints of blood the customer need each year. Yet though money really should not be an concern when it arrives to protecting a complete family’s health, one unfortunately must indeed be factored in when choosing an insurance package policy or when obtaining a mixed healthcare insurance policy. Take the working hours to fully analyse each policy at different providers of insurance to read which one definitely cover each family member’s needs before costing an adjustable rate mortgage and a joint. Just about all companies will need to offer all of your ten plans cited above. Some providers will carry some, but not other businesses. Additionally, insurance companies may choose use a high deductible Plan F for people that desire lower prices. And finally, a few carriers will continue to offer “select plans” where each insured will expenses by staying in any network of medical service providers. Run through the terms and conditions pointing to each of a majority of these policies of a person’s Medicare supplement rrnsurance policies very carefully. See what each of these protocols is covering. Check which at covers the calls for that are different to you. Be very certain to compare that this different supplement program quotes. Analyze the quotes see which you works out optimal for you in terms of often the money. Do not let each of our agent talk you into getting per more expensive quote or a twice policy. Choose to be aware of that which you really should have and what quite a number of medical health life insurance policies are bragging. That should certainly help you take an informed picking.
Source: typepad.com

Plans Medicare, Medicare Advantage, and Medicare Supplement

is when politicians Medicare supplement Medicare supplement policy to go to fill the gaps in the traditional cover Medicare. There are many different types of Medicare supplement policies. Currently, they are designated by the letters L, although M through P will be introduced in the coming years. Each of these programs has different Medicare supplement combination of benefits, including services, premiums, deductibles, etc. Therefore, it is important that consumers shop around carefully to find out what Medicare supplement policy will best meet their needs. Many of these strategies Medicare supplement and help cover the cost of the recipe, which is part of the traditional D Medicare.
Source: kameran-iraq.com

An Summary On The Medicare Supplemental Insurance Plans

Find out an expanded form of this writing at Health Remedies Technology to gain knowledge of more about how a foundation because of healthcare business thinking ability and open confidence are essential contents to creating the main change that will allow a hospital’s mission and perimeter to coexist peacefully. The entire first thing who needs to be considered when choosing a health insurance company is the most important type of photos options they offer. Each operation will have a different set of guidelines and obstacles for their policies. Be sure to understand just about every single of the keywords and conditions before agreeing to a functional policy. Always in mind services are almost all important to offer covered for every one family member. You need to understand what Medicare spreads over so you can figure out the text you need through the way from supplemental insurance offer. Medicare values include Part B (doctor) costs, Part B deductible, A member A (hospital) costs, Part A deductible, Part B super charges, at interior recovery, foreign fly emergency, skilled the nursing profession home costs, sanctioned medication, blood run and preventive treatments. Surely, there are lots of things that should be considered in considering which is probably the most Why In Gods Name Will My Medicare Supplement Insurance Plan Increase 27% Under President Obama for you’ve got. You might be surprised that you is certain to get lost when the individual already start looking on things. There’s no need worry; providers of Medicare supplement plans will be relieved to assist moreover explain things you r. Besides improving the concern at the subconscious health unit, Abraham presented the danger of moving our entire facility to help you the skilled breastfeeding facility when information technology is completed subsequent this year. The benefits out of such a tactic will be a lot of accurately calculated just after the federal govt . finishes adjusting its medicare payments, Abraham said. For example Supplemental plan guidelines available have been for a while mandated by us states federal government. While supplement insurance coverage is not offered by the federal government, it is offered through distinctive insurance companies and regulated by each of these state. Supplement policies remain in place until canceled by the policyholder. Blood: Believe it also not without one particular Medigap policy, blood flow is not hidden. The right Medigap protection will cover the first three pints of blood the customer need each calendar year. Yet though money probably will not be an release when it arrives to protecting a family’s health, understand it unfortunately must indeed be factored in when choosing an program policy or when obtaining a usa healthcare insurance policy. Take the times to fully compare each policy from different providers because of insurance to consider which one will cover each group member’s needs have to have costing an adjustable rate mortgage and a calf. Not all companies will have to offer all of your ten plans cited above. Some providers will carry some, but not others. Additionally, insurance companies may choose to offer a high deductible Blueprint F for people that desire lower prices. And finally, a few carriers continue to offer “select plans” where each insured will simultaneously by going green by staying in any network of medical service providers. Disappear through the keywords and phrases and conditions from each of the following policies of the exact Medicare supplement insurance very carefully. See what nearly of these policies is covering. Check which attached to covers the has to have that are selected to you. Be very careful to compare those different supplement approach quotes. Balance the quotes see which you works out optimal for you all over terms of often the money. Can do not let each of our agent talk you into getting a fabulous more expensive quote or a double the policy. Be aware of what you really want and what these medical health insurance policies are offering. That are going to help you make absolutely an informed decision.
Source: typepad.com

Greatest Medicare Supplemental Indemnity For Better Benefits

Casually that there could be more to our own actual cost akin to Medicare than an initial premiums with regards to Medicare Part Any and B. You will have co-pays and subjected office visits to meet. This is even the different picks in Medicare extra insurances come on the road to play. Medicare insurance supplemental plans while policies help that will cover deductible and additionally co-pays. Individual policy offers a variety of coverage options. You will would prefer to determine exactly what policy will give good results best for your situation.
Source: plaintiffs-law.com

House Budget Panel Considers Higher Age for Medicare Transition

Posted by:  :  Category: Medicare

ILGWU senior female members and retirees holding placards urging "fair play for the aged", "hands off social security", "don't mess with medicare", "keep your promises Mr. President", and more. by Kheel Center, Cornell UniversitySource: Bloomberg House Republicans are considering increasing the age at which Americans approaching retirement would be protected from changes in Medicare, one member said today. Budget Committee Chairman Paul Ryan promised last year that people age 55 and older would continue to get traditional Medicare, the health-care plan for retirees. People younger than that would be offered subsidies to buy private insurance. The panel is considering raising that age to 56, said New Jersey Repubican Scott Garrett, a member of the committee. …….

North Carolina Medical Society

Posted by:  :  Category: Medicare

Harry Reid, Health Care narrow by Truthout.orgThough beneficiary payments for deductibles and coinsurance are not subject to the 2 percent payment reduction, Medicare’s payment to beneficiaries for unassigned claims is subject to the 2 percent reduction.  CMS encourages Medicare physicians, practitioners, and suppliers who bill claims on an unassigned basis to discuss with beneficiaries the impact of sequestration on Medicare’s reimbursement.
Source: ncmedsoc.org

Video: NC: Duane Adkinson, Medicare saved family from catastrophe – Raleigh Vigil Against Cuts

NC GOP rejects federal $ for Medicaid and sends back $45 million to federal gov’t

When the president and congress began to discuss what must be cut, at the top of the list must be medicaid, medicare and defense. Adam knows the federal government cannot assume more cost from medicaid. Even if the taxes on the rich were increased to 45%, we would still be falling off the cliff without more being added to the governments expense account. This is the tool from Bluepoint/Blueprint to demonize Republicans. Demonize! Demonize! The truth is not to be found. We are broken with a 17 trillion dollar debt. Even Democrats who are now reading the ACA are concerned about the debt it will create. Adam how is this going to be paid? One shake in the interest rate moving upward and more trouble for the debt.
Source: ncpolicywatch.org

North Carolina rejects Medicaid expansion, partnership exchange

The Obama administration has worked hard to allay those fears, even backing away from Medicaid cuts it had previously endorsed. And it has succeeded in convincing a few high-profile Republican governors to accept the Medicaid expansion, including Arizona’s Jan Brewer and Ohio’s John Kasich.
Source: thehill.com

NC Healthcare service costs soar, Hospitals buy out doctors, Medicare rules let hospitals charge more than independent doctors, Indigent care cost shifting

Why would Muslim oil billionaires finance and develop controlling relationships with black college students? Well, like anyone else, they would do it for self-interest. And what would their self-interest be? We all know the top two answers to that question: 1. a Palestinian state and 2. the advancement of Islam in America. The idea then was to advance blacks who would facilitate these two goals to positions of power in the Federal government, preferably, of course, the Presidency. And why would the Arabs target blacks in particular for this job? Well, for the same reason the early communists chose them as their vanguard for revolution (which literally means “change”) in America. Allow me to quote Trotsky, in 1939: “The American Negroes, for centuries the most oppressed section of American society and the most discriminated against, are potentially the most revolutionary element of the population. They are designated by their historical past to be, under adequate leadership, the very vanguard of the proletarian revolution.” Substitute the word “Islam” for the words “the proletarian revolution,” and you most clearly get the picture, as Islam is a revolutionary movement just like communism is. (Trivia: it is from this very quote that Van Jones takes his name. Van is short for vanguard. He was born “Anthony”). In addition, long before 1979, blacks had become the vanguard of the spread of Islam in America, especially in prisons.
Source: wordpress.com

North Carolina legislator’s ‘BrandonCare’ bill a response to GOP

“Obamacare’s changes to Medicaid would cost North Carolinians close to a billion dollars through 2019,” Berger said in a news release earlier this week. “The federal government is trying to bait us in with ‘free’ federal money that switches to state money after a few years, leaving our taxpayers holding the bag.”
Source: medcitynews.com

ONLY ON 3 UPDATE: Injured man on Medicare is able to stay in hospital to await surgery

Tom, I know portions have kicked in, like the part that removed the lifetime cap on benefits. This alone saved us from financial ruin when my wife came down with cancer. I am sure more provisions will be forthcoming. What gets me is all these people have moaned and groaned for years about having to foot the medical bills for those who choose not to carry insurance. Obama did something about it and they are still whining. Probably most of those who are complaining the most are the ones that will have to slack off on their Marlboros, cheap beer, tattoos and piercings and use that money to buy insurance.
Source: wwaytv3.com