EconomicPolicyJournal.com: Obama’s Budget Proposal Will include Changes to Social Security, Medicare; plus New Tax Increases

Posted by:  :  Category: Medicare

BITCH ... Allen West calls Wasserman Schultz ‘vile’ and ‘not a lady’  (7/20/2011) ...item 2.. FSU News -  Yo Mama's Big Fat Booty Band grooves at Sidebar (Mar. 29, 2013) ...item 3.. Chaos - Doin' It Hard by thebootyband ... by marsmet522President Obama’s upcoming budget will include proposed changes to Social Security and Medicare plus some new tax increases, according to senior administration officials, reports CNN. The budget will include an offer Obama made to House Speaker John Boehner in December, officials said.
Source: economicpolicyjournal.com

Video: Medicare Home Health Changes: 2011 & Beyond

Medicare Changes for 2011

New Requirement for Face-to-Face Encounter as Part of Process for Certifying Beneficiary Home Health Care The Affordable Care Act (ACA) mandates that a physician conduct a face-to-face encounter to certify a beneficiary need for home health care services. The CMS rules to implement this provision require that the face-to-face encounter must occur within the 90 days prior to the start of home health care, or within the 30 days after the start of care. Review the details of this new requirement, which has significant impact on internists.
Source: acponline.org

Medicare growth attributed to change in skilled nursing facility pay rates

Medicaid spending slowed significantly in 2011 on a year-over-year basis. The program grew 2.5% in 2011, a significant drop from 5.9% growth in 2010. The CMS report said budgetary pressure on states caused by the weak economy and the June 2011 expiration of federal aid to the states contributed to the slower growth.
Source: mcknights.com

Pelosi Again Rejects Proposal To Change Medicare

The Hill: Obama: Sequester Would Deal ‘Huge Blow To Middle-Class Families’ The president devoted a significant amount of his (weekly Saturday) address to outlining the real-world consequences that would result if the sequester was implemented. On Friday, top administrative aides warned the cuts would hamper law enforcement, hurt federal education programs, withhold mental health services and furlough thousands of workers. “If the sequester is allowed to go forward, thousands of Americans who work in fields like national security, education or clean energy are likely to be laid off,” Obama said. “Firefighters and food inspectors could also find themselves out of work – leaving our communities vulnerable. Programs like Head Start would be cut, and lifesaving research into diseases like cancer and Alzheimer’s could be scaled back” (Sink, 2/9). 
Source: kaiserhealthnews.org

Castor Calls for Corbett to Reject Medicaid Plan

Posted by:  :  Category: Medicare

Liver Transplant 1 by pennstatenewsThat’s from the article you linked, if you actually read it. You use statistics in a such a "liberal" way to reinforce your points, and in ways that aren’t really that accurate. The main problem is that you are suggestion the California is bankrupt because of their welfare programs, that’s just not correct. Cali is bankrupt for two main reasons, one because their pension program for State/Federal employees, and two because their property taxes are far below what they should be due to Prop 13. If they ditched Prop 13 and had a sensible property tax structure and forced the unions to restructure pension payments and salary ranges, they could easily dig themselves out of the hole. The problem is no one has the political will or clout to do this, despite repeated promises.
Source: patch.com

Video: Medicare & Medicaid Pittsburgh PA | (724) 934-5044

State AARP president: Expand Medicaid in PA

Providing these men, women and families with the opportunity to get affordable health coverage by expanding Medicaid will change that bleak picture. In Pennsylvania alone, more than 90,000 residents ages 50 to 64 could qualify for health coverage under this expansion. A total of more than 500,000 uninsured residents would get health-care coverage under this plan — and again, there is no cost to the commonwealth for the first three years, and Pennsylvania will pay no more than 10 percent of the total cost of this expansion in the future. Pennsylvania taxpayers will also find savings after expanding Medicaid due in large part to a reduced need for other medical service programs that are currently paid for entirely by the state, such as mental-health services.
Source: goerie.com

Castor Calls for Corbett to Reject Medicaid Plan

That’s from the article you linked, if you actually read it. You use statistics in a such a "liberal" way to reinforce your points, and in ways that aren’t really that accurate. The main problem is that you are suggestion the California is bankrupt because of their welfare programs, that’s just not correct. Cali is bankrupt for two main reasons, one because their pension program for State/Federal employees, and two because their property taxes are far below what they should be due to Prop 13. If they ditched Prop 13 and had a sensible property tax structure and forced the unions to restructure pension payments and salary ranges, they could easily dig themselves out of the hole. The problem is no one has the political will or clout to do this, despite repeated promises.
Source: patch.com

Committees Advance Medicare Physician Payment Reform Effort, Circulate Additional SGR Reform Proposals for Feedback

The latest proposal provides further details and clarity on the three phases outlined in the earlier proposal. The current proposal specifies a process to reward providers for high-quality and efficient care in the fee for service (FFS) program. The proposal also includes processes to determine quality and efficiency measures that focus on evidence while being flexible and specialty-specific; recognizes the role that specialty-specific registries play in facilitating quality improvement while minimizing provider participation burden; and addresses the need for timely performance feedback to allow providers to identify improvement opportunities and optimize incentive payments.
Source: house.gov

Medicare Takes Center Stage In Close Pennsylvania Races

The campaign jockeying over Medicare comes at a time when the program represents a huge fiscal challenge to both parties. With almost 50 million beneficiaries — and growing at the rate of 10,000 baby boomers every day — the entitlement program is one of the fastest-growing portions of the federal budget. Both parties acknowledge the need to curb its growth; both have also used the issue for political gain, casting themselves as the program’s protectors against what they portray as rivals’ threats.
Source: kaiserhealthnews.org

Ryan Takes to Pennsylvania to Push Medicare Message

Mr. Ryan was extrapolating from a 2010 report from Medicare’s Office of the Actuary. It analyzed the potential impact of lower premium supports paid to private companies that issue Medicare Advantage plans, popular alternatives to traditional Medicare with extra benefits such as gym memberships. To slow the growth of Medicare spending, the Affordable Care Act reduces support for the private plans, which Democrats consider inefficient. Beneficiaries would still be covered under traditional Medicare.
Source: nytimes.com

Appealing Medicare Denials of New Medical Technologies

In addition to filing reconsideration requests and supporting beneficiary challenges, Providers may appeal individual denied Medicare claims that are denied through the five-step Medicare appeal process (redetermination, reconsideration, ALJ, Medicare Appeals Council).  Providers or patients may also appeal denied claims through their insurer’s appeal process.  However, less than 10% of claims denied by commercial payers and less than 2% of claims denied by Medicare are appealed.  Every payer anticipates that most denied claims will not be appealed.  Nonetheless, reported statistics show that most parties that appeal denied claims up to the administrative law judge level are successful.  Thus, it behooves a provider or beneficiary to appeal the denied claim at least through the ALJ level.  Such claims are favorably reviewed even in the face of a non-coverage LCD because ALJ’s are not bound by a contractor’s LCD, although they must give deference to it.  This is particularly true when the LCD does not appear to reflect the literature or the consensus of medical opinion.
Source: wphealthcarenews.com

Democrats Heart Medicare Fraudsters

1. Bookmark us now! Enter Ctrl D to save our URL to your bookmarks 2. Don’t miss an article! Use the RSS feed above or the Email below to stay informed! 3.We look Best with a minimum Screen resolution of 1024×768 and Firefox Browser. It’s Free and Safer than Internet Explorer! Upgrade Now! 4.Below are our Archives and other News and Blog Feeds for your viewing pleasure. Also our Blog Rolls, etc., of other worthwhile contributors to Fair and Balanced News and Commentaries that you won’t find in the Leftist Media that dominates the TV, Radio and Newspapers. Stay Honestly Informed!
Source: wordpress.com

Linky Sunday: Debate Watch, Medicare Enrollment, and More

Posted by:  :  Category: Medicare

Healthcare in America: Who's Paying Who? And Who's Getting What? (g1a2d0014c1) by watchingfrogsboilLast week, the Social Security administration announced that the 2013 cost of living adjustment for people collecting Social Security will be just 1.7 percent.  That’s $19.21 more on the average check.  The anticipated increase in 2013 to the Medicare Part B premium?  More than $9 per month. Read more.
Source: seniorplanet.org

Video: Medicare In A Minute: Why Do I Have to Sign Up?

5 mistakes retirees make choosing a Medicare plan

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

Medicare Part B Enrollment When Working Beyond 65

By law, people who continue to work beyond age 65 still must be offered the same health insurance benefits (for themselves and their dependents) as younger people working for the same employer. So your employer cannot require you to take Medicare when you turn 65 or offer you a different kind of insurance — for example, by paying the premiums for Medicare supplemental insurance or a Medicare Advantage plan — as an inducement to enroll in Medicare and drop your employer plan. However, this law (known as ERISA) applies only to employers with 20 or more workers.  So if you work for a smaller business or organization, you may be required to enroll in Part B at age 65. Do I need to do anything about Part B at age 65 if I continue to be insured at work? It depends on whether you’re already receiving Social Security retirement benefits.  If you are, Social Security will automatically enroll you in Part A and Part B just before your 65th birthday.  The letter sent to you with your Medicare card explains your right to opt out of Part B if you have employer insurance.  To opt out, follow the instructions included in that letter within the specified deadline.
Source: aarp.org

Medicare Needs More Competition, Not Less

The idea that life-saving medicines are sold for a profit rather than given away as part of a humanitarian mission seems intuitively wrong to many Americans. So bashing drug companies is a great way to score political points. But it is a proven fact that the profit-motive is the most efficient and effective way to allocate resources ever devised. New miracle cures can cost billions of dollars to bring to market. Without a return on investment providing a return on capital that justifies those huge investments, many fewer cures will be developed and we’ll all be worse off.
Source: townhall.com

Medicare Perscription Drug Plan 2007 Open Enrollment Insurance Families.com

Be sure to call your parents or grandparents (or remember to sign up yourself) if qualified for these benefits and remind them to enroll or make Medicare Prescription Drug Plan changes in time to meet the deadline. Enrollment and changes can only be made during the end of November until December 31. And to avoid any lapses in coverage and ensure benefits are in place on January 1, 2007 be sure to enroll by December 8, 2006
Source: families.com

Medicare Offers Extra Enrollment Time For Seniors Who Call Today

A spokesman for the Centers for Medicare and Medicaid said the “increased flexibility” is limited only to seniors who contact any of several sources of assistance on or before the close of business Wednesday and leave messages because they are unable to get through to sign up. Those groups include: counselors with the government-funded State Health Insurance Information Program (SHIP), and other Medicare-partner organizations such as the Medicare Rights Center, local agencies on aging, and the National Council on Aging. Calls to Medicare’s toll-free information line, 800-633-4227 can be made until midnight tonight. If seniors leave messages, then starting on Thursday, those beneficiaries will be called back and will receive assistance. All “call-back enrollments” must be completed by 12:01 a.m. Sunday, the spokesman said.
Source: kaiserhealthnews.org

The Consequences of Missing Medicare Signup

Paying for the gaps in Medicare Part A and B coverage out-of-pocket can be financially devastating for a prolonged or serious illness or injury. Supplemental insurance is very important to control this risk. One choice is to enroll in both a Medigap policy plus a drug plan, known as Medicare Part D. Another choice is to sign up for a Medicare Advantage Plan, also known as Medicare Part C. Neither enrollment is automatic. You will have to choose these plans from private insurers. Again, the “Medicare and You” handbook is very good at outlining the types of coverage plan choices. Once you decide on the type of plan(s) you want, choosing your policies from the array of available private insurers can be overwhelming. A good insurance broker can be very helpful at this point.
Source: ga-cpa.com

David Brooks, Obama, and Medicare:

David Brooks is both a liar and an idiot. Speaking of idiocy, there is the idiotic repetition, ad nauseum, of the need to "reduce the size of government" as if this were self-evident. Actually, it is both backward and ass-backward. Government financing, transfer payments, are not part of the "size of government" as they do not represent a government service or expenditure. It is of no importance whatsoever whether financing for an activity is public or private so long as we adopt the most efficient and equitable means and in neither case is the "size of government" affected except as to the relatively de minimis costs of administration (a mere fraction of what is spent by the private sector for analogous functions). That way, we have the lowest overall share of GDP devoted to the particular service. In the case of retirement, education, and especially in the case of medical care, government financing is far preferable, both more efficient and more equitable. If private medical costs over the last 40 years had increased at only the rate of Medicare cost increases, the economy would now be saving roughly a trillion dollars a year. Moreover, in an advanced industrial economy, growth is not supply-constrained — we always have idle capacity — but demand-constrained. The private sector is not able to generate sufficient demand fully to employ productive resources, labor or capital. Therefore, the more efficient our economy becomes through technological innovation, the MORE government has to grow, the more government has to spend, in order to maintain output at or near its maximum. Thus, for three reasons, efficiency, equity, and aggregate demand, we need more government, not less. Does that stop the idiotic insistence that we shrink government? No, it does not. The ignorant and the ideological fanatics will repeat the same idiocy forever, regardless of the economic reality.
Source: newrepublic.com

MAPRx Comments on Draft 2013 Medicare Call Letter

Posted by:  :  Category: Medicare

In addition, MAPRx would like to address two issues vital to the communities we represent that were not specifically raised in the Draft Call Letter. First, we urge CMS to maintain and strengthen the six protected classes (antineoplastics, immune suppressants, anti-retrovirals, anti-convulsants, antidepressants, and antipsychotics) as the Secretary develops and issues new criteria as directed under the Affordable Care Act. It is critical that beneficiaries continue to have access to the full range of therapies within these six classes in order to pursue the optimal management of their conditions. Furthermore, medication utilization management requirements, such as a “fail first” policy requiring beneficiaries to try less expensive drugs before obtaining a prescribed drug, prior authorization, or dosage restrictions, for drugs within the six protectedclasses are being used with increasing frequency by Part D plans. MAPRx urges CMS to undertake vigilant oversight of such policies to strictly limit their burdensome impact on beneficiaries. These utilization management tools directly impede the patient-doctor relationship by denying the beneficiary access to their physician’s recommended course of treatment. This may ultimately have the effect of worsening health outcomes by delaying access to needed medication, which has major cost implications for the beneficiary and Medicare due to avoidable hospitalizations and emergency room or doctor’s visits. MAPRx strongly condemns practices that negatively affect beneficiaries by hindering their access to the most appropriate therapies for their condition(s) and asks CMS to strictly monitor use of such techniques.
Source: maprx.info

Video: List of Covered Drugs Formulary

Medicare Part D and Dual Eligibles: Prescription Drug Formularies and Drugs Used by Dual Eligibles

Medicare drug plans may exclude drugs from formularies or may control drug use in an effort to contain costs, but they must meet certain criteria in doing so.  Each PDP and MA-PD drug formulary is reviewed by staff in the Centers for Medicare and Medicaid Services (CMS).  Generally, Part D plan formularies must cover at least two drugs in every theraputic class.  Under CMS rules, Part D formularies must also include all or substantially all drugs in six protected classes: immunosuppressant (for prophylaxis of organ transplant rejection), antidepressant, antipsychotic, anticonvulsant, antiretroviral, and antineoplastic drugs.
Source: piperreport.com

Part D Formulary Is Key To Choosing The Right Plan

My dad had to move from Ky to GA so my sister and I could take care of him. Humana (his Part D) just terminted him for the month of Dec because he moved out of his service area. They mailed us a letter on 11/25/10(Thanksgiving) and it stated as of 11/30/10 he would no longer have Part D coverage. I spent almost all day last Friday talking to Humana and got no where. They did deduct his payment from his SS??? Any suggestions? Is there a plan that would cover him in GA and KY should he decide to move back and stay with my other sister???
Source: affordablemedicareplan.com

NOW IS THE TIME TO GET HELP WITH MEDICARE

Getting Help OSHIIP Volunteer, Claudette M. Rogers, a Program Coordinator with Family & Community Services Inc. shares a number of ways that OSHIIP volunteers can help: • Compare and contrast Medicare C Advantage Programs • Compare the multitude of Medicare D Programs available and narrow the senior’s search to three that are most suitable based on the particular prescriptions needed • Counsel seniors as to enrollment periods for various programs • Direct seniors as to how to apply for low income subsidy programs which may pay for premiums, deductibles or co-insurance • Direct seniors to other sources of charitable or low cost prescriptions such as veteran benefits and pharmaceutical assistance programs provided by drug companies • Investigate and report predatory practices of some insurance companies • Advise clients as to the best way to dispose of unused drugs • Spread the word by speaking to senior groups about Medicare and other insurance coverage
Source: wordpress.com

To amend part D of title XVIII of the Social Security Act to prohibit mid

Amends part D (Voluntary Prescription Drug Benefit Program) of title XVIII (Medicare) of the Social Security Act to require changes in formularies of Medicare part D prescription drug plans to be effective only at the beginning of a plan year. (Thus prohibits mid-year changes.)
Source: govtrack.us

A new year brings new Medicare Part D plan options for long

The impact of these notifications is that any LIS beneficiary (a ‘dual’) enrolled in a 2009 LIS plan may need to consider another plan for 2010 year or be willing to pay premiums. Those who were “choosers” in 2009 will again need to choose to enroll in a new plan for 2010 or they will be randomly assigned to a different LIS plan for 2010 by CMS. It’s important to note that SNF LIS beneficiaries can change their LIS Medicare Part D plan monthly, if desired, in order to better align their changing drug regimens with an optimal plan formulary.      
Source: mcknights.com

Medicare Part D, formularies, competition, pricing leverage and getting it all wrong

Medicare Part D has long presented a controversy because the law prevents direct negotiation by the government with drug companies for lower prices and rebates; something common in the private sector via pharmacy benefit managers (PBMs). Rather, each Part D provider must negotiate on its own, but with so many vendors offering Part D benefits their negotiating power is limited. In New Jersey for example there are eighteen different vendors offering Part D plans to 1,336,988 Medicare beneficiaries. That is an average of less than 74,277 individuals per vendor (some beneficiaries have private drug coverage through previous employers). How much more pricing leverage would there be if there were only three or four Part D insurers in NJ (or nationally)? In addition, these vendors are prevented from limiting their formulary drugs.
Source: quinnscommentary.com

medicare supplemental insurance comparison: it is medicare formulary finder

Nobody can be no healthy problem in his life. Ill condition infulences the charge a lot. So far, people are insterested in medical treatment insurance. A long time ,people hesitate go or not go to hospital ,but now ,they don’t,cause they have medical treatment insurance. Look ,the medical has no shortage, only is good for all the people.. i like medical insurance because it could give us more happyness and safety once you get sick you can ask your insurance company for part of your money expense or even all your medical expense. you know unexpected emergencies happen like car accidents, unexpected injuries and serious dieases. the medical could save most part of the money and help people give them a hand. medical insurance plays a key rule for the old people who has no children and give them free treatment. The health care insurance coverage that beared with the place out division has benefited most males and females in most countries. We choose commercial health insurace companies to get more services. There are many notes we should follow. The company is legally registered or not. It is very important weather the company has enough money to pay for accident insurance or not. Does the company has a high integrity? By the way, both the company’s health insurance products and insurance costs are taken into think. According to the survey ,it’s about 90% of Americans are enjoying the new medical insurance that the government adopted in 2010. The introduction of the new medicare insurance benefit for most Americans, and increased the confidencethe index of people living. Finland has also just adopted a new medical insurance reform program. Good medical insurance is one of the government reliability standards which people evaluate their government.
Source: blogspot.com

PsychoSystemics: Medicare Part D: Is What I Need In The Formulary?

outfit. Good riddance to it. But the change now requires my son to begin anew the process of selecting a new prescription drug provider. That means having to hassle with the clunky Medicare website. Clicking around in Medicare.gov Medicare has a reasonably serviceable website. It is clunky to the extent that it doesn’t easily loop back and forth, but requires a rigid linear approach. Several times in processing my son’s medications information, I had to start the process over at the beginning, entering in his ID and password again and again. But eventually we got it worked out. The challenge for my disabled son is to find a prescription plan that does two things: keep costs down (to zero, if possible, since he is technically indigent) and find a plan
Source: blogspot.com

Seniors Speak Out Against Medicare Advantage Cuts in AHIP’s New TV Ad

Posted by:  :  Category: Medicare

'The election of Obama would, at a stroke, refresh our country's spirit' by Renegade98Current discussions about the impact on seniors of the ACA’s $200 billion in cuts to Medicare Advantage have largely ignored the fact that only four percent of those cuts have gone into effect through the end of 2012. The Congressional Budget Office (CBO) projects that, when fully phased in, these cuts alone will result in three million fewer people enrolled in the program. In addition, Medicare Advantage enrollees also will be impacted by the new health insurance tax established by the ACA that starts in 2014. Oliver Wyman previously estimated that this tax alone will result in seniors facing $220 in higher out-of-pocket costs and reduced benefits next year and $3,500 in additional costs over the next ten years.
Source: ahipcoverage.com

Video: Medicare Advantage vs. Medicare Supplement Insurance

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

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

Getting Part D With A Medicare Advantage Plan

If you are new to Medicare it helps to know the ins and outs of getting your Part D through a Medicare Advantage plan. Watch the following video to learn about the types of plans available and the pros and cons of getting your Part D in this way.
Source: medicareprofs.com

Medicare vs Medicare Advantage

For Part A and Part B of Medicare, members must pay 20% of costs out-of-pocket. For inpatient hospital visits, members must pay a $1,184 deductible for the first 60 days, and then $296 coinsurance per day until day 90. After day 90, members can have another 60 days at $578 per day in their lifetimes, after which they must pay all costs. The Part B deductible is $140 per year. Those who have Part D (prescription coverage) must also pay an average deductable of $325. After the deductible has been paid, members may either have a co-pay program, where they pay a flat fee for each drug, or co-insurance program, where they pay a percentage of the cost. However, members may face the “doughnut hole”: after the total cost of drugs exceeds $2,970, members must pay 47.5% of the cost of brand-name drugs and 79% of the cost of generic drugs. Once the cost of drugs has exceeded $4750, Medicare kicks in again, with 95% of drug costs covered.
Source: diffen.com

Comparing Medicare Advantage Plans: What Do I Do?

Look at your existing health situation. What are your major concerns? What about your family history? If there is a history of heart illness/disease in your family, you will probably want to highlight more complete coverage in that area. If Aunt Rose or Uncle Lou suffered asthma or lung related issues, you might want to consider fuller coverage for that condition, including peripherals, such as breathing treatments and oxygen condensers. This is your first consideration.
Source: seniorcorps.org

What is the Cadillac Medicare Advantage plan

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

Medicare Medigap, Medigap Insurance Companies, Compare Medicare Supplements, : Medicare Advantage vs. Medigap comparison chart

Beginner LINUX Tutorial Explain Refinancing a Mortgage Free Web Hosting Mortgage Payment Calculator Free VoIP XML Tutorial Free Cell Phone Number Search Barack Obama Biography Toys R Us PDA Comparison Chart Mortgage Calculator Affordable Health Insurance Audi R8 Wallpaper LINUX Tutorial Debt Consolidation Non Profit Microsoft Project Tutorial Domain Name Search Disadvantage of VoIP Audi Q7 Explain Refinancing a Home Refinance Mobile Home Loan on Rented Lot Definition of VoIP Sony PDA Citibank Offer Unsecured Debt Consolidation Loans Norwegian Cruise Lines Facts about Barack Obama Benefits of VoIP Cheap Web Hosting Audi R8 Have Phone Number Need Name
Source: projectedu.com

Promoting Greater Value for Enrollees in Medicare Advantage and Drug Plans

New limits on overhead and profits for health plans in Medicare Advantage and Medicare drug plans will increase value for the over 14 million seniors and persons with disabilities enrolled in Medicare Advantage and over 35 million Medicare beneficiaries in drug plans offered by private insurance companies.  This step is part of the Affordable Care Act’s efforts to ensure that consumers get the most health care for their dollars.  Last year, we issued a rule to make sure that insurance companies generally spend at least 80 percent of the premiums paid by consumers in private health plans on health care or activities that improve health care quality, instead of paying for administrative costs or overhead.  Today’s proposal for people with Medicare is similar to last year’s rule benefiting consumers in the private health insurance market.
Source: cms.gov

Restoring Medicare Advantage Payment Rates: A Lesson in Procurement

Media coverage has focused on whether MA plans are profitable without getting into the underlying economic rationale for the cutbacks. To make real sense of the proposed cutbacks, it is necessary to spend a few moments considering how the federal government buys stuff. The government can’t let a “purchasing agent” decide what to buy; that approach is too easily corrupted. So the government usually allows open bidding in a process known as procurement. Whether buying bomber planes or mechanical pencils, the government tends to be very careful, because procurement has many pitfalls. Suppose the government wanted to purchase computers and made the following proposal: “We will purchase 10,000 computers from the lowest bidder.” We can imagine what would happen. Someone would make a lowball bid and then dump onto the government some third rate computers (Commodore 64s?). To avoid this, government procurement contracts for computers are highly detailed, specifying processing speed, memory, operating system, and so forth.
Source: wordpress.com

Brace for higher Medicare Part B premiums

Posted by:  :  Category: Medicare

CROPS----GUESS WHO WANTS TO CONTROL THEM? WELL OF COURSE THE SAME PEOPLE WHO WANT TO CONTROL US by SS&SSThe Social Security Administration (SSA) uses the tax figures from two years ago to determine the Part B premiums. Thus, the MAGI reported on a taxpayer’s 2011 tax return determines whether the taxpayer must pay a higher monthly Part B premium in 2013. For example, a single filer with a MAGI of $150,000 in 2011 will have to pay a monthly Medicare Part B premium of $209.80 in 2013.  
Source: businessmanagementdaily.com

Video: Rep. Pallone On The Medicare Premium Fairness Act

CMS Announces Medicare and Prescription Drug Rates for 2014

Today, the Centers for Medicare & Medicaid Services (CMS) issued the 2014 rate announcement and final call letter for Medicare Advantage (MA) and prescription drug benefit (Part D) programs. The announcements set a stable path for Medicare Advantage and implement a number of policies designed to improve payment accuracy. Health care spending has been slowing across the nation, with Medicare spending per beneficiary growing at only 0.4 percent per capita in 2012. For the first time since inception of the Part D program, the deductible for the defined standard plan will be lower in 2014 than in previous years. Today’s guidance will give people in Medicare health and drug plans more value in the care they receive and greater protections against increasing costs.
Source: emaxhealth.com

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

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

2010 Roth Conversion Might Spell Higher Medicare Premiums

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

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

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

Deductibility of Medicare premiums as Self Employed Health Insurance Deduction

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

Daily Kos: Kaiser report details Medicare options

Medicare 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

Stories, etc.: New Medicare Program

Posted by:  :  Category: Medicare

dr g by drivebybiscuits1You’re a sick senior citizen and the government says there is no nursing home available for you. So what do you do? Plan G (stands for Great!) gives anyone 65 years or older a hand-gun and 4  bullets. You are allowed to shoot four politicians. Of course, this means you will be sent to prison, but where you will get three meals a day, a roof over your head, central heating, air conditioning and all the health care you need! Need new teeth? No problem. Need glasses? That’s great.  Need a new hip, knees, kidney, lungs or heart? They’re all covered. As a bonus, your kids can come to visit you as often as they do now. And who will be paying for all of this? It’s the same government that just told you that you they can no longer afford for you to go into a home. And you get rid of 4 useless politicians while you are at it. Plus, because you are a prisoner, you don’t have to pay any income taxes anymore.  (It’s just the other 53% who pay taxes that will be footing the bill.) Is this a great country or what?
Source: blogspot.com

Video: Medicare Supplement Plan G

New ATRA cut to Medicare Part B Therapy Payments latest destabilizing blow to spector

  As the smoke clears from ATRA’s passage, there is not yet sufficient recognition among policymakers that the legislation inflicted yet another SNF cut. It is therefore critical to spotlight the basic policy point that when beneficiaries receive therapy services in a skilled nursing setting, payments often are made through Part B rather than Part A of the Medicare program. Under Part B, inpatient and outpatient providers are paid under one fee schedule, although the severity of patient illness and the degree to which patients are clinically compromised is much greater in the SNF setting than in outpatient settings.   Consequently, it is more costly to provide multiple therapy treatments to SNF patients than it is to do so for outpatients. In 2012, Medicare reduced a portion of Part B payments when patients receive multiple therapy procedures on the same day by 20% for outpatient settings and 25% for inpatient settings like SNFs.  ATRA further reduced this payment starting on April 1, 2013. Details and facts matter, and we are letting Congress know for the record the $65.6 Billion SNF Medicare funding reduction (FY 2012-FY 2021) is comprised of the following budget and regulatory actions: Productivity Adjustment (ACA-mandated): $34 billion; Forecast Error (Case-Mix) Adjustment: $16 billion; Forecast Error (Market Basket) Adjustment in FY 2011 Rule: $3 billion; Bad Debt (Middle Class Tax Relief & Job Creation Act of 2012): $3 Billion; ATRA Medicare Part B Reduction: $600 million (estimated). Sequestration (3/1/13): $9 Billion (Source: Avalere Health) In the weeks ahead, it has never been more important for our sector as a whole not just to point out the obvious: that still more cuts are untenable as SNFs care for an increasing number of older, higher acuity patients. Yet we must also articulate how systemic post-acute payment reforms can save Medicare resources, and rationalize the system for the collective benefit of patient, provider and taxpayer alike. Now is the time for new policy ideas – not just more SNF Medicare cuts. Healthcare policy experts Gail Wilensky and Vince Mor said it best when they wrote last year, “If further Medicare reductions are imposed, it will be difficult for facilities to continue using Medicare to help make up for the underpayment of Medicaid… Cuts will have to come from somewhere — forcing facilities to choose between reducing rehabilitation services, skilled nursing and amenities for short-stay Medicare patients, or essential direct care nursing aides for long stay Medicaid patients. Each scenario has negative implications for seniors’ care.”   Alan G. Rosenbloom is President of the Alliance for Quality Nursing Home Care (AQNHC).
Source: mcknights.com

Medicare Supplement Plans For You’re Retirement

Posted by:  :  Category: Medicare

BITCH ... Allen West calls Wasserman Schultz ‘vile’ and ‘not a lady’  (7/20/2011) ...item 2.. FSU News -  Yo Mama's Big Fat Booty Band grooves at Sidebar (Mar. 29, 2013) ...item 3.. Chaos - Doin' It Hard by thebootyband ... by marsmet522Medicare supplemental insurance insurance plans have been standardized by the federal government many years in the. This means that no appear insurance company order it from, are aware that will be precisely the same. When it comes in which to Medigap policies, they all are selling the exact same thing. A plan F by means of ABC Company is the similar to a wish F from Abc Company, or every other insurer for by which matter. This really makes shopping for such insurance plans far more easy because you are aware of you’re getting a single apples to cheerios comparison between corporations. However, the insurance companies may charge WHATEVER premiums they want for these Medigap Plans. So looking around is critical. ‘If the request centered on a law or regulation restricting eRx, the surgeon must cite the particular legal provision and then describe how thought restricts his or perhaps even her ability to e-prescribe. Till recently, medicare results coverage was imagined of primarily throughout terms of healthcare insurance and health insurance. Medicare part A covers infirmary visits and breastfeeding your baby home stays, despite medicare part N pays for outpatient care and services, including doctor’s visits, xrays, and exploration reports. However, the medicare tools was recently updated to include any prescription drug virtue. This is noted as medicare location D. Of your exterior, only my similarities of the Baby Boomers can be seen evidently. About instance, they many lived by means of the civil liberties period and these Vietnam War. Their generation was previously the initial a student to develop up with televisions. On the inside the same way, if the some money that politicians defrauded from all workers, old and young, could be brought back it should turn out to be returned to every one of the workers in an excellent effort to commit them whole. Qualifying for medicaid benefits on the structure of disability status, of course, necessities that a distinct person file an application, or initial claim, for title Ii benefits with one particular social security site administration. Title Two benefits are ordered under title second of the social network security act and title II health advantages are commonly mentioned to as interpersonal security disability benefits, or SSD. Whilst it is known, inhabitants of the main USA often top hurricanes, a tornado, flooding and earthquakes. Besides, back in the USA this amount of shoots in houses is very great. According to the official statistics, to 2006 412500 houses have suffered from fires. All over fires was lost more than 2000 persons, fire spoils property for the sum of several billion dollars. medicare supplement plans regulations are make sure to subject to enhancement. Indeed, an organization called RAMP (Restore Access to Mobility Partnership) is in the lobbying for alteration of the Medicare mechanics that would ensure that those who should have such equipment should expect it. Finally, to complicate elements even more they throw in the life insurance policy gap, enrollment periods, and a charge. A separate article could sometimes be written on wedding users and attendents subjects, so Cover just mention the group here. However, the federal regime does not simple fact provide this insurance policies plan. Prescription drug coverage for medicare part L is provided by independent drug blueprints that are actually operated by private health insurers, though, legally, such choices are regulated courtesy of the federal government, i.e. most of the medicare program.
Source: typepad.com

Video: Medicare Plan N

A Lot Of States Medicare Essential Information And Particulars

Medicare supplemental insurance insurance plans have been standardized by the govt many years back again. This means that no challenege show up insurance company you buy it from, valuable will be precisely the same. When it comes in order to Medigap policies, may be the selling the exact same thing. A plan F caused by ABC Company is similar to a design F from Xyz Company, or any other insurer for by which matter. Device makes shopping for these insurance plans not as difficult because you grasp you’re getting an effective apples to pears comparison between expert services. However, the insurance companies can charge WHATEVER premiums they want for these Medigap Plans. So looking around is critical. ‘If the request primarily based on a statute or regulation confining eRx, the physician must cite experienced legal provision and describe how this situation restricts his or perhaps even her ability to e-prescribe. Till recently, medicare results coverage was felt of primarily in terms of hospital insurance and health insurance. Medicare region A covers hospital visits and the nursing profession home stays, reality medicare part N pays for outpatient care and services, including doctor’s visits, xrays, and science laboratory reports. However, the medicare training course was recently restructured to include any prescription drug benefit. This is known as medicare part D. Over exterior, only your similarities of each Baby Boomers can rise to the top evidently. At instance, they almost lived by associated with the civil the law period and each of our Vietnam War. Their generation was the initial an individual to develop plan televisions. In the same way, if the some money that politicians defrauded from all workers, old and young, could be recovered it should turn out to be returned to nearly workers in the effort to cause them whole. Qualifying for medicaid health benefits on the basis of disability status, of course, necessities that a woman or man file an application, or initial claim, for title Two benefits with a social security treatment. Title Two benefits are required under title couple of of the web 2 . security act and title II health advantages are commonly referred to as communal security disability benefits, or SSD. While it is known, inhabitants of the USA often run into hurricanes, a tornado, flooding and earthquakes. Besides, back in the USA the actual amount of that will fire in houses might be very great. According to the exact official statistics, by 2006 412500 property have suffered of fires. In fires was suddenly lost more than one thousand five hundred persons, fire the injury property for the most important sum of 7 billion dollars. medicare supplement regulations are ensure you subject to enhancement. Indeed, an organization called RAMP (Restore Access to Mobility Partnership) is available lobbying for alter in the Medicare mechanics that would ensure that those who demand such equipment should expect it. Finally, to complicate components even more you throw in the life insurance policy gap, enrollment periods, and a fee. A separate article could be written on each one of these subjects, so Cover just mention children here. However, the federal regime does not in point of fact provide this insurance policies plan. Prescription drug coverage under medicare part And is provided by independent drug plans that are the truth is operated by private health insurers, though, legally, such techniques are regulated while the federal government, i.e. the medicare program.
Source: typepad.com

Which Way To File Some Medicare Cost Report

Medigap insurance plans were standardized by the govt many years ago. This means that no appear insurance company acquire it from, valuable will be drinks as well .. When it comes to help Medigap policies, they all are selling the ditto. A plan F for ABC Company is the similar to a plan F from Xyz Company, or any other insurer for where matter. Certain makes shopping for such insurance plans much easier because you learn you’re getting a single apples to apples comparison between corporations. However, the insurance companies can charge WHATEVER premiums they for these Medigap Plans. So looking is critical. ‘If the request is based on a law or regulation proscribing eRx, the physician must cite experienced legal provision and as well describe how thought restricts his as well as her ability in order to e-prescribe. Till recently, medicare reward coverage was thought of primarily in terms of hospital insurance and helath insurance. Medicare part A covers surgery visits and breastfeeding your baby home stays, in contrast to medicare part N pays for outpatient care and services, including doctor’s visits, xrays, and exploration reports. However, the medicare tool was recently updated to include a functional prescription drug positive aspect. This is known as medicare feature D. Over exterior, only my similarities of each Baby Boomers can rise above the crowd evidently. For instance, they almost lived by means of the civil the law period and the Vietnam War. Their generation were the initial an individual to develop plan televisions. During the same way, if the your money that politicians defrauded from all workers, old and young, could be brought back it should stay returned to every one of the workers in the effort to render them whole. Getting qualification for medicaid health benefits on the structure of disability status, of course, utilizes that a distinct person file an application, or initial claim, for title 2 benefits with a social security administration. Title Two benefits are dictated under title second of the web 2 . security act and then title II benefits are commonly introduced to as interpersonal security disability benefits, or SSD. As it is known, inhabitants of that USA often experience hurricanes, a tornado, flooding and earthquakes. Besides, in the USA the actual amount of fire in houses is very great. According to the exact official statistics, all the way through 2006 412500 condos have suffered from fires. For fires was puzzled more than twenty five hundred persons, fire destroys property for all the sum of 10 billion dollars. What Exactly Does Medicare Supplement Insurance Cover? regulations are ensure you subject to shift. Indeed, an organization called RAMP (Restore Access to Mobility Partnership) is at the lobbying for alteration of the Medicare natural laws that would be sure those who need such equipment are certain to get it. Finally, to complicate things even more you throw in the life insurance gap, enrollment periods, and a fee. A separate article could always be written on wedding users and attendents subjects, so I’ll just mention them here. However, the federal government does not even provide this coverage. Prescription drug coverage for medicare part And is provided by independent drug desires that are reality operated by individual health insurers, though, legally, such recommendations are regulated while the federal government, i.e. a person’s medicare program.
Source: typepad.com

Open Enrollment For Medicare Part C & D

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

Treatment Advantage Will Look For Hit With Medicine Reform

Medigap insurance plans were standardized by federal government many years ago. This means that no challenege show up insurance company acquire it from, numerous will be the same. When it comes in order to Medigap policies, may be the selling the same thing. A plan F by means of ABC Company is similar to a wish F from Xyz Company, or every other insurer for where matter. This can be makes shopping for such insurance plans much easier because you are aware of you’re getting some kind of apples to cheerios comparison between makers. However, the insurance companies can charge WHATEVER premiums may be for these Medigap Plans. So looking around is critical. ‘If the request primarily based on a law or regulation reducing eRx, the qualified medical professional must cite the particular legal provision as well describe how this situation restricts his or to her ability when you need to e-prescribe. Sooner or later recently, medicare benefit coverage was understood of primarily in terms of healthcare insurance and medical insurance. Medicare location A covers infirmary visits and birkenstock home stays, reality medicare part N pays for out-patient care and services, including doctor’s visits, xrays, and science lab reports. However, the medicare tools was recently updated to include a complete prescription drug virtue. This is known as medicare attribute D. In the exterior, only my similarities of a Baby Boomers can make sure evidently. At instance, they what lived by way of the civil liberties period and each of our Vietnam War. Their generation was considered the initial an individual to develop track of televisions. In the same way, if the money that politicians defrauded from all workers, old and young, could be hauled it should stay returned to every one of the workers in your effort to commit them whole. Getting qualified for medicaid beneficial properties on the structure of disability status, of course, necessitates that a person file an application, or initial claim, for title 2 benefits with you see, the social security current administration. Title Two benefits are dictated under title 2 of the social network security act and then title II profits are commonly alluded to as communal security disability benefits, or SSD. Seeing that it is known, inhabitants of that USA often run into hurricanes, a tornado, flooding and earthquakes. Besides, across the USA the actual amount of fires in houses is going to be very great. According to often the official statistics, in 2006 412500 home have suffered from fires. In fires was puzzled more than twenty five hundred persons, fire monetary damages property for the most important sum of six billion dollars. Companies that offer Medicare Supplemental Insurance regulations are make sure to subject to shift. Indeed, an organization called RAMP (Restore Access to Mobility Partnership) is in today’s market lobbying for enhancements made on the Medicare natural laws that would guarantee those who would like such equipment should get it. Finally, to complicate features even more them to throw in the coverage gap, enrollment periods, and a fee. A separate article could sometimes be written on each one of these subjects, so I can just mention these items here. However, the federal governance does not simple fact provide this photos. Prescription drug coverage subjected to medicare part D is provided just by independent drug systems that are essentially operated by student health insurers, though, legally, such measures are regulated as a result of the federal government, i.e. most of the medicare program.
Source: typepad.com

How Does Medicare Part D Affect Medigap Plan N?

The Medicare Part D plan usually creates more paperwork for you then you certainly find with something like Medigap Plan N situation. The Medigap Plan N tries to make sure there is very little paperwork associated with the plan in an attempt to make things less confusing and easier to understand for seniors. Medigap Plan N is typically associated with secondary care as is Medicare Part D. Many people think of their prescription drugs after the fact quite often. You have to find a way to be able to afford your prescription drugs and finding the right plan with Medicare Part D can be key to this process.
Source: seniorcorps.org

Professional Medical Supplement Insurance Decide Which Is The Best Policy

A good 3 Carriers Domiciled in New York Banned From Writing Medigap Insurance In California Forever requires every single the guesswork out of finding definitely being care program. Rather of getting to determine on from many hundreds numbers of selections and coverage, all you will need to get to concentrate on is your budget, your well being, and then verify on which are planning out of which the 12 perform how the ideal for your own personal circumstance. In the case when later on down the road factors adjust, then you is going to utilize to rethink plans, and a functional great agency am obliged to make that pursuits quite effortless to get you by contacting you every single yr to establish you are acquiring the greatest set you back obtainable to anyone.
Source: amistadinc.org

Daily Kos: Insurers score another win, turn Medicare pay cut into increase

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSMedicare Advantage plans are good business for the health insurance industry. Though only a little more than a quarter of Medicare beneficiaries buy these supplemental plans, they’re big business. They’re also relatively expensive for the federal government, which subsidizes them. In fact, the Government Accountability Office found that over the past three years, the federal government has overpaid insurers between $3.2 billion and $5.1 billion. That’s something the Obama administration wanted to change, needing to find every cost-cutting measure possible to implement Obamacare. That’s why the administration tasked the Centers for Medicare & Medicaid Services (CMS) with cutting those subsidies and why it proposed the 2.3 percent cut. The cut would have not been in benefits, but America’s Health Insurance Programs (AHIP) didn’t want MA enrollees to know that. So they did what every powerful industry group does: use some scare tactics and an Astroturf campaign.
Source: dailykos.com

Video: Medicare 101 – Top Things Regarding Medicare Advantage

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

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

Medicare Targets Health Plans With Low Ratings

Medicare officials are encouraging 525,000 beneficiaries to switch out of these 26 Medicare Advantage and drug plans that have received low ratings for three consecutive years and enroll in better plans for next year. The poor performing plans will have this warning symbol next to their names on Medicare’s plan finder website to steer shoppers to other plans.
Source: kaiserhealthnews.org

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

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

Seniors should tell Obama to prevent Medicare Advantage cuts

When President Obama signed the Affordable Care Act into law, he simultaneously authorized $200 billion in cuts to the Medicare Advantage program. At the time, the Congressional Budget Office projected that the health care reform law’s cuts would result in three million fewer Medicare Advantage enrollees. Moreover, actuaries at Oliver Wyman predicted that the cost of the health insurance tax would mean an additional $3,500 in out-of-pocket expenses for seniors over the next 10 years.
Source: dailycaller.com

Anthem Blue Cross Customer Service Contact Info: Phone Number, Fax, Email & Hours

Or call one of our local sales offices: Athens: 1-866-803-5173 Canton: 1-800-732-1897 Cincinnati: 1-800-318-8253 Cleveland: 1-800-928-2902 Columbus: 1-800-355-6411 Dayton: 1-888-857-6747 Lima: 1-866-594-0517 Mansfield: 1-888-290-2925 Toledo: 1-877-824-9762 Youngstown: 1-800-392-7869
Source: customerservicenumbers.org

Horizon Medicare Advantage Blue Value with Rx

Please read through the full Horizon Medicare Blue Value with Rx HMO Summary of Benefits attached here for a more thorough review of the plan. I am also available to review this plan with you in a meeting if you wish. Due to marketing regulations, I have decided to list just the basics of the plan and but welcome appointments to discuss your full needs. Contact Mike at NewJerseyInsurancePlans
Source: newjerseyinsuranceplans.com

Newsroom – Blue Cross Blue Shield of Michigan adds University of Michigan Health System to new Medicare Advantage PPO Network

DETROIT – Blue Cross Blue Shield of Michigan has added the University of Michigan Health System to its growing network of Medicare Plus Blue℠ PPO providers. The move gives seniors who purchase the competitively priced plan access to all of the U-M hospitals and approximately 2,200 providers. The inclusion of the U-M Health System in the Blues’ new Medicare Advantage PPO plan represents a key piece in a network that now includes nearly all acute-care hospitals in Michigan. Other recent key additions include Scheurer Hospital in Huron County and all four MidMichigan Health hospitals and ancillary services. "The University of Michigan is one of the premier hospitals and a very important network of providers for us to have in our PPO product," said Julie Maier, manager, Senior Markets. "We’re working hard to make sure that our PPO network is comprehensive so people have broad access to care." The Medicare Plus Blue℠ PPO, announced in October, has lower premiums than Original Medicare plus a Part D prescription drug plan and supplementary coverage while retaining worldwide coverage for emergency care. It also provides services that aren’t available in Original Medicare or Medicare Supplemental plans. The new plan currently has a network of 23,000 physicians and 136 hospitals in 75 of Michigan’s 83 counties. Depending upon region, premiums will cost between $61 and $141 a month, compared to $183 per month for the BCBSM Medicare Supplemental (Medigap) Plan C product combined with a standalone Part D prescription drug benefit from the Blues. Some benefits covered in the PPO product not covered by Original Medicare or Medicare Supplemental are:
Source: bcbsm.com

Study: Seniors Look For Star Ratings On Medicare Advantage Plans

Posted by:  :  Category: Medicare

YOU MIGHT WANT TO START PLANNING by SS&SSThe rating system uses survey data and other measurements of effectiveness to gauge the quality of the private Medicare Advantage plans, which are an alternative to traditional fee-for-service Medicare. Dr. William Shrank, a co-author of the study, said the relationship between the ratings and enrollment was a good sign for the star system put in place in 2011.
Source: kaiserhealthnews.org

Video: Dr. Eric Larson on Medicare 5-Star Rating System Part 2

Kaiser Permanente Leads the Nation with Six 5

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

Seaport Santa Monica Nursing Home Attains Medicare 5 Star Facility Rating

Finding quality nursing home and rehabilitation care is a major concern for the aging population in Santa Monica and their family members. Patients who are receiving nursing care services want to know that their health and safety are being held in the highest regard. The Medicare rating system is one way that patients can ensure that a nursing facility meets the highest standards of care.
Source: marketersmedia.com

Medicare Star Ratings: Consumers Ignore, Industry Debates

best practice case examples brand/differentiation business advantage Centers for Medicare and Medicaid Services choose a doctor choose a hospital clinical quality consumerism customer service doctor interactions doctor ratings emotional needs empowered patients EMR electronic medical records hospital ammenities hospital ratings leadership online ratings online reputation patient-centered care patient experience patient ratings patient satisfaction pay-for-performance showcase social media staff attitude staff interactions technology wait times
Source: patientexperience.com

The Government Wants Seniors Out of Bad Medicare Plans

Time will tell whether the half million Medicare beneficiaries will leave their poor performing plans or will stay put until the government closes them down—if it does. Earlier this year, a report from the National Bureau of Economic Research, a private nonprofit group, showed that seniors rarely switch plans even when they might get one with a cheaper premium. Other factors like restrictions on drugs or whether their doctors are in the plan may trump price, meaningless satisfaction ratings, and yes, the government’s stars. Perhaps the shopping process CMS has set up is just too darn hard.
Source: cfah.org

Medicare Advantage Plan Star Ratings and Bonus Payments in 2012

To encourage Medicare Advantage plans to provide quality care, the 2010 health reform law authorized Medicare to pay plans bonuses beginning in 2012 if they receive four or five stars on the program’s five-star quality rating system, or are unrated.  Building on that provision, the Centers for Medicare and Medicaid Services subsequently launched a demonstration that allowed more plans to receive bonuses and increased the size of the bonuses to encourage plans to maintain or improve their rating.  
Source: kff.org

HealthSpring Part D Review

When you search for a plan on the official Medicare website you will find most plans are assigned a star rating based on past performance. Some plans are listed as too new to evaluate, while others include a warning that for three years in a row the plan has received poor ratings.
Source: partdplanfinder.com