How to protect yourself against health care scams

Posted by:  :  Category: Medicare

Joe the Plumber - To Flush The System ... More scams aim to ensnare Brevard seniors - Their ingenuity is boundless, Archer said. (Jul 2, 2012) ... by marsmet524Research has shown that the aging process causes changes in the brain that might make senior citizens more vulnerable to financial scams. If an older family member may be experiencing cognitive decline, help him or her keep track of financial records and health care records, and look for possible signs of fraud or identity theft.
Source: insurancequotes.com

Video: No Cuts to Social Security and Medicare Petition Delivery

The Medicare Budget Cuts No One Likes

Sen. Pat Roberts, R-Kan., accused the administration of taking a “Lizzie Borden whack” at critical access hospitals, which provide basic emergency and inpatient care in rural areas. Democratic Sens. Maria Cantwell of Washington, Bill Nelson of Florida and Robert Menendez of New Jersey objected to cuts in graduate medical education, saying they would hurt local hospitals and reduce the number of physicians who could be trained to treat the millions of Americans expected to gain coverage under the 2010 health law. Graduate medical education funding cuts would undermine “the very essence of the goals of the [Affordable Care Act],” Menendez said.
Source: kaiserhealthnews.org

Making complaints less complex

Each plan has specific rules you’ll need to know and follow when filing a complaint.  If, after filing a complaint, your plan doesn’t address the issue, call 1-800-MEDICARE for assistance. You can also call your State Health Insurance Assistance Program (SHIP) for free, personalized help filing a complaint.
Source: medicare.gov

Phone Scams Target Medicare Beneficiaries in California

Callers claiming to be with the Medicare program tell their targets that a replacement Medicare card is coming in the mail but a bank account number is needed first, according to a press release from Ramsey’s office. Sometimes, the caller will ask for a Medicare card number, which can be used for identity theft since it’s tied to a Social Security number.
Source: medbill.net

Medicare Fraud via Phone Calls are affecting Seniors in 2013

The first thing to know is that Medicare will never call you. In the rare occasion that they may, they will never request sensitive information of you. Never carry your Medicare card in your wallet. Instead, keep it in a safe and secure spot where you’ll remember. If you have to carry your Medicare card on your person, make a copy of it and black out all but the last four digits with a marker. These cards do not expire. You are issued one as soon as you enroll and it never needs to be renewed. If you happen to lose it, contact Medicare directly in order to report a missing card. If you ever question the validity of a phone call, tell the caller you would like to call them back and ask for their direct number. This will usually make them hang up. A good rule of thumb is not to give out potentially sensitive information over the Internet, on the phone or to unsolicited strangers.
Source: ehealthmedicare.com

HHS wants $10 million potential payday for Medicare fraud whistleblowers

“In order for an individual to be eligible to receive a reward, the information must relate to the activities of a specific individual or entity and must specify the time period of the alleged activities,” the proposed rule states. “Examples of specific activities include, but are not limited to, billing for services never rendered, and billing for supplies not ordered.”
Source: mcknights.com

3 Facts About Medicare Supplemental Insurance

Posted by:  :  Category: Medicare

It always seems that Medicare Supplement Insurance is a big topic that has been floating around. The hard part is that not everyone is getting the correct information about this coverage. With so much information being thrown left and right about it, the false can get mixed up with the truth very easily. Here are three facts about Medicare Supplement Insurance.Lets talk about the first fact which is that medicare insurance will stay the same no matter who,what,where,when, and how you bought it and who you bought it for. This insurance coverage was made to help fill any gaps that were in the coverage previously. With that in your mind, they also made about twelve different levels worth of benefits. Making sure that it could fit everywhere. While there are many different levels the coverage will always stay the same no matter who you buy it from. If you are told otherwise, they are just trying to mislead you with a purpose.
Source: wastedenergy.net

Video: What is a Medicare Supplement

Everyday Synopsis Of Medicare Supplemental Insurance Insurance Functionality

Such as we put changes in older life, a feature in opposition t healthcare becomes much more critical to be able to our well-being. We all wish to the Best Medicare health insurance Supplemental Plan which often to be you can buy. When searching for the particular perfect of applications and an insurance plan company that contributes extraordinary customer service, we always give a lot from time on judging many options on the market. This is really firm when going to finally turn 65 quite possibly becoming appropriate to work with healthcare for the first occasion. However, high are minor a person can do drugs sure you decide on a plan having comprehensive benefits as a result of a health insurance policies coverage company that provides great customer satisfaction.
Source: jndtecheng.com

Medicare Supplemental Plans And Simply Medigap Plans End Up Being SameLe 1602

Seeing as we put changes in older life, a feature towards healthcare becomes much more critical to our well-being. We all want the Best Treatment Supplemental Plan which often to be that can be found. When searching for all perfect of guidelines and an rrnsurance policy company that guarantees extraordinary customer service, we always loan a lot on time on assessing many options on the market. This is really firm when going to turn 65 in addition becoming appropriate for the purpose of healthcare for the first occasion. However, there are minor an individual can do to create sure you procure a plan with comprehensive benefits everything from a health insurance policies company that includes great customer work.
Source: le1602onbloque.com

Wellness assured with Medicare supplemental insurance

We all want to be healthy, treat our pre-existing conditions and prevent further additions to this list. Health is precious and medical insurance so supplement health is a must. It is just not possible to meet medical out-of-pocket cost. Even a very high premium is not affordable for many and hence, they are dependent on Texas, gov hospitals. By looking through http://www.medigapplansguide.com so that we can cut costs and save a lot of money paid as premium. What we get through this website is a clear picture comparing different quotes and complaint which insurance companies provide for medigap and medicare policies. With a professional backing and advice, we are empowered to choose the best and most cost effective insurance.
Source: bertrand-delanoe.org

Medicare Health Insurance Supplemental Plans Together With Medigap Plans Will Be Same

It might be the most competently known governmental body insurance program is Medicaid. Proffered to low purchases individuals, it is ordinarily jointly funded through the process of both the government and state government, and managed through process of each individual position separately. Among the most important aspects for training course is that an excellent applicant be considered as to be lifetime at or read on the current federal poverty level, which probably varies from year to year. Assets will definitely be also taken into consideration, and this person or beloved ones may be considered to be ineligible if their assets exceed troubles performing amount.
Source: slackistanthemovie.com

Learn More Regarding Humana Medicare Health Insurance Part D

Might the most certainly known governmental health and well-being insurance program is Medicaid. Proffered to low wages individuals, it can be jointly funded while both the federal and state government, and managed by each individual claim separately. Without doubt one of the most most important aspects for extent is that each applicant be believed to be conform at or read on the current police arrest records poverty level, which usually varies from year upon year. Assets seem to be also taken into consideration, and a person or family members members may be thought of ineligible if their whole assets exceed an important amount.
Source: recomap-io.org

Professional Liability Insurance HQ

Multiple medical requirements that the AARP Medicare often cover are protected by AARP Medigap. New Jersey Medicare supplemental insurance is one with the best places for those who want to hold a private insurance company. To get the supplemental detail for this insurance, the New Jersey Medigap is info about the subject location to get involved touch too. The policies of this medical insurance would cover the discount of New Jersey Medicare. Brand new Jersey Medigap gives you twelve plans all in all. The What Exactly Does Medicare Supplement Insurance Cover? On the internet services is depending on the topic of where you be living. If you are questioning those plan will acquire for your requires greater to appear at subsequent paragraph.
Source: myprofessionalliabilityinsurance.net

Medicare Supplement Enrollment Periods

The best time for a Medicare beneficiary to enroll in Medicare Supplement insurance is during the Medicare Supplement Open Enrollment Period (OEP), which differs for each individual. This is a six month enrollment period that begins on the first day of the month that you are both 65 or older and enrolled in Medicare Part B. This six month period begins when you first enroll in Part B and may not be moved or changed. During this time, beneficiaries have the guaranteed issue right to a Medigap plan, meaning that insurance companies may not use medical underwriting to deny coverage or charge higher premiums to those who have any pre-existing conditions. If you do have a pre-existing condition, though, a Medigap plan may delay covering it.
Source: planprescriber.com

Pennsylvania Medicare Advantage Lead

Posted by:  :  Category: Medicare

I have a client (prospect) in the Pittsburgh area. I will be writing a Highmark PPOBlue plan on his wife and children. He turns 65 in a month or so, and wants an MA…maybe a Med-Supp. I generally don’t write Senior products, so I told him I would find another broker for him. Here’s the info he gave me about his coverage: Perhaps someone (Arn-Do you handle Pittsburgh area?) could make a suggestion and I will email it to him. And then I’ll put him in touch with you (if int.) On the latter, I’ve had a proposal from Bankers Life which would cost me about $250/mo between their monthly fee, Part B plus drug coverage, the latter of which would likely be coming from one of the following 5: CVS Caremark Complete (PDP) (077) AdvanttraRx Premier Plus (PDP) (036) Medco Medicare Prescription Plan – Access (PDP) (176) UPMC for Life (PDP) (005) AARP MedicareRx Enhanced (PDP) (093) Of those I’m probably partial to the Medco plan since that’s what we’ve been using under my company-paid plan, but I’d appreciate your thoughts. On the Advantage plans I’ve also (I think) narrowed it down to 5 that look sort of good. They are (not necessarily in order): UPMC for Life PPO Rx Enhanced (PPO) (002) SecurityBlue Deluxe n(HMO ( 021) Advantra Gold (HMO) (002) Freedom Blue PPO Platinum (PPO) (026) Freedom Blue Select (PPO) (022) I’m probably partial to the Security Blue from Keystone since that’s essentially what we’ve had for the past 15 years under the company-paid plan. Again, your thoughts would be appreciated.
Source: insurance-forums.net

Video: United Healthcare Oxford Medicare Advantage Denies Coverage

CMS Releases 2014 Capitation Rates for Medicare Advantage by County and State

Note that in 2014, the reimbursements for 5 star, 4.5 star and 4 star plans are identical (5% for most counties and 10% for double bonus counties).  There are bonuses in 2014 for 3.5 star plans and 3 star plans, however, these bonuses will be eliminated under current law in 2015.  That means that the 3.5 and 3 star plans will be reduced to the same funding level as 2.5 and lower plans in 2015 (unless the law changes or CMS extends their demonstration project).
Source: ritterim.com

TREZZA v. TREZZA, , December 26, 2012

“Preemption analysis begins, as always, with reference to the well-familiar Supremacy Clause of the United States Constitution, which provides that federal laws ‘shall be the supreme Law of the Land; and the Judges in every state shall be bound thereby, any Thing in the Constitution or Laws of any State to the Contrary notwithstanding’ “ (People v. First Am. Corp., 18 NY3d 173, 179, cert denied ––– U.S. ––––, 132 S Ct 1929, quoting U.S. Const, art VI, cl 2). “Under the doctrine of federal preemption, Congress may preempt state laws, either expressly or impliedly” (Sharabani v. Simon Prop. Group, Inc., 96 AD3d 24, 28, citing Jones v. Rath Packing Co., 430 U.S. 519, 525). “Federal preemption of state laws generally can occur in three ways: ‘where Congress has expressly preempted state law, where Congress has legislated so comprehensively that federal law occupies an entire field of regulation and leaves no room for state law, or where federal law conflicts with state law’ “ (Sharabani v. Simon Prop. Group, Inc., 96 AD3d at 27, quoting Wachovia Bank, N.A. v. Burke, 414 F3d 305, 313[2d Cir], cert denied 550 U.S. 913; see Barnett Bank of Marion Cty. N.A. v. Nelson, 517 U.S. 25, 31). “In determining whether federal law preempts state law, the United States Supreme Court has instructed that a court’s ‘sole task is to ascertain the intent of Congress’ “ (People v. First Am. Corp., 18 NY3d at 179, quoting California Fed. Sav. & Loan Assn. v. Guerra, 479 U.S. 272, 280).
Source: findlaw.com

Article > “Leverage power of Medicare, generics, for health reform/savings,” say Congressmen

Central to the BPC recommendations are proposals to “encourage the use of high-quality, low-cost drugs in Medicare and systemwide.” These include: – adjusting the Medicare Part D (prescription drug programme) low-income subsidy (LIS) to encourage LIS beneficiaries to select generic and low-cost branded drugs, and eliminating the co-payments for beneficiaries that do so. Co-payments for non-preferred drugs should be increased slightly, subject to a ceiling of $8.00. Part D plans should also have stronger incentives to ensure that lower-cost brand and generic alternatives are available for LIS beneficiaries. These incentives would produce $44.3 billion in budget savings during FY2014-23, the report estimates; – changing the reimbursement for Medicare Part B drugs (those administered by physicians). The current payment system incentivises them to use higher-cost medicines – they earn more from prescribing and administering more expensive Part B drugs, and this discourages the use of lower-cost drugs even when they are equally or more effective, says the report. The authors also point out that one of the consequences of the across-the-board sequestration cuts is that the entire Medicare payment for Part B drugs is being cut by 2%, and that this is making it uneconomical for some oncologists to administer certain lifesaving drugs; – converting from average wholesaler price (AWP) to average sales price (ASP) for remaining Part B drug and vaccine reimbursements;  – addressing pay-for-delay settlements between brand-name and generics companies. Such deals can result in higher costs for patients, health plans and federal and state governments, say the authors. The CBO has projected that addressing these issues would save around $4 billion over 10 years; and
Source: pharmatimes.com

United Healthcare Oxford Medicare Advantage Denies Coverage

barack Baton Rouge BCBSLA bill blue cross Care congress democrats Drugs for government health Health care Healthcare Healthcare costs Healthcare Reform health care reform health insurance Health Insurance Louisiana health reform house insurance Louisiana Louisiana health care Louisiana Healthcare Louisiana Healthcare Plans medical New Orleans news obama obamacare online prescriptions option politics Prescription prescription drug prices president public reform republican senate Shreveport Supplements the video
Source: louisianahealthcareplans.com

Aetna Announces Lifetime Renewals on Medicare Advantage and PDP Policies

Actually, I have had many stay on for over 7 years. But, I also think that there are variables involved like 1) the stability of your market – my markets Los Angeles Cty and San Antonio, Tex have both been high capitation markets, making them stable with their benefits and not leaving the service area high and dry. 2) the stability of the companies that you place your business with- I put a lot of my SoCal ppl with Caremore (which has always given away the store with benefits) and SCAN, which had held unique status for many years as a "social HMO". The Secure Horizons mbs from the 2004-2005 enrollment period have long since scattered. I’m down to about 4 of those. In my current market (San Antonio), there are ONLY 4 players. Secure Horizons is very dominant because it gets a ton of support from its powerful medical groups. They have excellent retention because the medical groups help so much. Most of my SH business would still be on SH if I hadn’t switched them years ago. Humana is constantly cutting down the docs’ capitations and making the referral process tougher. As a result, it’s getting harder to retain those members as doctors drop Humana left and right. Aetna is really investing $$ and effort in the Texas markets. I like them a lot at this point. They recently added Hermann Memorial in Houston- a big coup. 3) the importance of serving your customer base (goes without saying) If a company only pays for 6 years, it would be much harder to ask a client to switch simply because they will have been on a plan for too long and will not change because they don’t like to switch plans. It’s a trait that all ppl have, but espec the elderly. Then again, anything could happen with Medicare Advantage. But I’d rather sell for one that offers lifetime renewals than 6 years "just in case".
Source: insurance-forums.net

Medicare Advantage Plan Loses Again

The Supreme Court of New York Kings County in Janine Trezza v Dana Trezza, E Roth Rodriguez, Guillermo Rodriguez and Jackeline Rodriguez extinguished the purported claim/right/lien of reimbursement of Oxford and Rawlings.
Source: lienresolutiongroup.com

Complaints about Medicare Advantage Mount…While Congress Contemplates Slashing Fees Traditional Medicare Pays Docs

Some private insurers are suffering, the Times pointed out, because “corporate customers are cutting back on the medical coverage they give employees.”  So insurers need taxpayer dollars to keep their bottom line strong.  “Humana is transforming itself into a big-time government contractor.  It will get almost three-fourths of its projected $1.28 billion in pretax profit this year from Medicare, mainly from the Advantage program,” the Times reported, “while UnitedHealth, the industry giant, draws about 15 percent of this year’s projected pretax profit of $7.48 billion from Medicare.”  One in five of the nation’s 43 million Medicare enrollees is now in the Medicare Advantage program and by 2009 “government spending on Medicare Advantage is projected to exceed $100 billion annually.”
Source: healthbeatblog.com

Medigap Plans Guide on Prescription Medicine Coverage

Posted by:  :  Category: Medicare

meds: it's obscene by fallsroadMedicare has been an extreme necessity, especially for the elderly. premium pays of supplement services cover Common medical fees according to AARP. Out-of-pocket expenditures are deductible. Disability plans may also be include in the service. The website http://www.medigapplansguide.com discusses prescription copayments in detail. Employer relations are better at bridging the needs by offering retirement plans for healthcare and wellness visits. Hospital payments and charges are lowered. Limitations to the service may depend on the employee requirements. To prevent fraud and determine eligibility, application request should be processed by local HMO or any medicare-approved insurers. Nursing websites for Oregon and York are useful for email support and screening. Customer savings are therefore guaranteed.
Source: precisiongastesting.com

Video: Medicare Prescription Drug Coverage — Nancy Oliker — UHC TV

Medigap Plans Guide on Humana’s Medicare Prescription Drugs Plan

People with medicare (http://tuathadedanaan9698.postbit.com/medicare-quotes.html) can opt to get a prescription drug coverage. Only insurance companies and other private companies (insurer)ncan offer this plans. It is important to contact your insurer before your application to a Medicare prescription supplement plan because the action you take may affect your benefit with your current plan. It is best to understand the basics, eligibility requirements, exclusions and limitations of the plans. If you have limited income, you may qualify for EXTRA HELP for your Medicare prescription drug coverage. Each Medicare Prescription Drug Plan has its own list of covered drugs (called a formulary). Many Medicare drug plans place drugs into different tiers. Drugs in each tier have a different cost.A drug in a lower tier will generally cost you less than a drug in a higher tier. If your prescription is on a higher tier and your doctor thinks that you need that drug instead of a similar drug on a lower tier, you can ask your plan for an exemption for a lower copayment.
Source: bgtango.com

Five Ways The President’s Budget Would Change Medicare

Provider Cuts: Hospitals are none too happy about Obama’s plans to cut their Medicare payments for bad debt and graduate medical education over the next decade. Medicare now pays hospitals 65 percent of debts resulting from beneficiaries’ non-payment of deductibles and co-insurance after providers have made reasonable efforts to collect the money. Starting in 2014, the president’s plan would decrease that amount to 25 percent over three years, which the administration says would be closer to private payers that typically pay nothing on bad debt. The reductions would be in addition to those hospitals and other providers face as part of the 2010 health law.
Source: kaiserhealthnews.org

Proposed Rule Imposes Spending Ratio on Insurers in Medicare Contracts

Health insurers who fail to establish a MLR of .85 may have to pay CMS a “remittance” fee under the proposed rule.  The remittance fee would be based on the difference between 85 percent of the total revenue and the contract’s actual ratio spent on direct benefits, multiplied by the contract’s annual revenue.  If a contract fails to meet the .85 MLR requirement for three years in a row, CMS will stop permitting Medicare beneficiaries to enroll in any plan covered under the contract for a year.  CMS will terminate a contract if it continues to miss the requirement for five consecutive years.
Source: upenn.edu

Medicare Prescription Drug Plan

People with medicare can opt to get a prescription drug coverage. Only insurance companies and other private companies (insurer)ncan offer this plans. It is important to contact your insurer before your application to a Medicare prescription supplement plan because the action you take may affect your benefit with your current plan. It is best to understand the basics, eligibility requirements, exclusions and limitations of the plans. If you have limited income, you may qualify for EXTRA HELP for your Medicare prescription drug coverage. Each Medicare Prescription Drug Plan has its own list of covered drugs (called a formulary). Many Medicare drug plans place drugs into different tiers. Drugs in each tier have a different cost.A drug in a lower tier will generally cost you less than a drug in a higher tier. If your prescription is on a higher tier and your doctor thinks that you need that drug instead of a similar drug on a lower tier, you can ask your plan for an exemption for a lower copayment.
Source: shenping.net

Medicare Prescription Drug Plan

People with medicare can opt to get a prescription drug coverage. Only insurance companies and other private companies (insurer)ncan offer this plans. It is important to contact your insurer before your application to a Medicare prescription supplement plan because the action you take may affect your benefit with your current plan. It is best to understand the basics, eligibility requirements, exclusions and limitations of the plans. If you have limited income, you may qualify for EXTRA HELP for your Medicare prescription drug coverage. Each Medicare Prescription Drug Plan has its own list of covered drugs (called a formulary). Many Medicare drug plans place drugs into different tiers. Drugs in each tier have a different cost.A drug in a lower tier will generally cost you less than a drug in a higher tier. If your prescription is on a higher tier and your doctor thinks that you need that drug instead of a similar drug on a lower tier, you can ask your plan for an exemption for a lower copayment.
Source: smcfdn.org

Rural Resources on Medicare Part D Prescription Drug Benefit Introduction

Medicare Part D is the prescription drug benefit added to Medicare in 2006. It was created through the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) and provides elderly and disabled people on Medicare access to prescription drug coverage from private prescription drug plans.
Source: raconline.org

Medicare Prescription Drug Coverage, Medicare Part D, Doughnut Hole

Medicare has an optional program — called Medicare Part D — that provides insurance to help you pay for prescription drugs. If you select to have the coverage, you pay a monthly premium. This guide explains how the program works and helps you make decisions in choosing a plan that’s right for you.
Source: aarp.org

Survey: Nine out of Ten Seniors Satisfied with their Medicare Advantage Coverage

Medicare Advantage is the part of Medicare through which private health plans provide comprehensive medical coverage to seniors and other Medicare beneficiaries.  More than 14 million Americans, or roughly 28 percent of all Medicare beneficiaries, are enrolled in a Medicare Advantage plan because of the better services, higher-quality care, and additional benefits these plans provide. Research clearly demonstrates that these plans are more effective than the fee-for-service part of Medicare at addressing crucial patient care issues, including reducing preventable hospital readmissions, increasing primary care visits, and managing chronic illnesses.
Source: ahipcoverage.com

Dr. Antonio Fatallucciauno's Weblog

Hideous toenail fungus need not become an embarrassment and affect the way you live. A problem about nail fungus treatment is that it can be quite embarrassing for patients to have it treated. There is no social stigma about having this disease, but it is often seen as a result of improper hygiene practice so patients would rather not have other people know about their condition. They try to hide symptoms like discolored and brittle nails and refuse to get treatment. Because of this, their problem often worsens. Nonetheless, if the affected area is small, getting rid of nail fungus can be done at home. If you have tried all the alternative cures, there are topical medications that you can buy on TV or through Amazon and apply them yourself. However, if the fungus spreads to a wider area, you must seek the help of a physician for treatment. There is no worry about your privacy at all because of the patient-doctor confidentiality clause, and you can rest assured knowing that you will be fungus free in no time.
Source: fatallucciauno.com

Marci’s Medicare Answers

Posted by:  :  Category: Medicare

'tis I by McBethOriginal Medicare, the traditional fee-for-service Medicare program offered directly through the federal government, only covers eyeglasses after you have had cataract surgery. Original Medicare generally does not cover routine eye care, such as examinations for prescribing or fitting eyeglasses. However, Original Medicare will cover a standard pair of untinted prescription glasses or contacts, if you need them after cataract surgery. If considered medically necessary, Medicare may cover customized eyeglasses or contact lenses following the procedure.
Source: homeboundresources.com

Video: Part C Medicare by 1-800-MEDIGAP

AHIP Statement on Medicare Advantage

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

Medicare has Limited Vision Coverge

• Medicare Advantage Plans: These plans are run by private insurers that receive money from the government to provide Medicare-equivalent benefits, such as hospitalization, doctor visits and prescription drugs. Unlike traditional Medicare, some Advantage plans typically cover routine exams and eyeglasses. But their network of participating hospitals and providers can be limited in some areas. If you have a significant vision problem, make sure that the specialists and facilities that are important to you are in the plan.
Source: insuranceconnectionusa.com

Ways For Elderly To Increase Medicare Vision

Adult Day Care Alzheimer’s / Memory Care Assisted Living Cancer Treatment Chiropractic Dental Services Dialysis Services Elder Law, Medicaid, Estate Financial Services Funeral Pre-Planning Geriatric Consultants Hearing Services Home Care Non-Medical Home Health Care Medical Home Modifications Hospice/Palliative Hospitals/Rehabilitation House Cleaning/Repairs Insurance Services Meals & Nutrition Services Medical Alert/Home Safety Medical Supplies Mobility / Wheelchairs / Stair Lifts Nursing Homes Pain Management Personal Care Homes Pet Care Services Pharmacies Physical Therapy and Rehabilitation Physicians and Surgeons Real Estate & Downsizing Retirement/Care Communities Senior Apartments Transportation Vision Services and Ophthalmology
Source: eldercareresourcespittsburgh.com

Proposed Rule Imposes Spending Ratio on Insurers in Medicare Contracts

Health insurers who fail to establish a MLR of .85 may have to pay CMS a “remittance” fee under the proposed rule.  The remittance fee would be based on the difference between 85 percent of the total revenue and the contract’s actual ratio spent on direct benefits, multiplied by the contract’s annual revenue.  If a contract fails to meet the .85 MLR requirement for three years in a row, CMS will stop permitting Medicare beneficiaries to enroll in any plan covered under the contract for a year.  CMS will terminate a contract if it continues to miss the requirement for five consecutive years.
Source: upenn.edu

Medicare HMO may be in the future for Community Hospital

Limesand was speaking Friday as part of the “Focus on the Economy” event at the Portola Hotel & Spa, which featured speeches from leaders of the Naval Postgraduate School, CSU Monterey Bay and the Monterey County Economic Development Department, as well as Assemblyman Mark Stone, D-Scotts Valley.
Source: montereyherald.com

Daily Kos: Remembering the Medicare Catastrophic Coverage debacle: What happens when you piss off seniors

Thus far, the traditional media has reported on opposition to President Obama’s inclusion of Social Security cuts in his budget as “liberal backlash.” Even Rachel Maddow, in introducing this segment that included an interview with David Alexrod, frames it so: “President Obama releasing today what he describes as his compromise budget, compromising with Republicans on cuts to Social Security especially, and in the process enraging some of his own liberal base. Is this a president who thinks he has much to lose by angering the otherwise loyal left, or is this a president who sees having a big visible fight with the left as a way to see himself look centrist, and therefore stronger?” A pissed off liberal base is the least of Obama’s worries, he doesn’t have to worry about running for election again. In fact, a pissed off anybody isn’t his worry. Sure, it could severely weaken him politically and turn him into a lame duck well before necessary, but at least he doesn’t have another race to worry about. However, it’s a bit more of a worry for Democrats who might be willing to support him on this, on two fronts. The first problem is the liberal base the traditional media loves to see get punched, which could most definitely get behind primary challenges to those supporting Social Security cuts. The flip side is a liberal base discouraged and frustrated and unenthused about turning out for a midterm election. See 2010.
Source: dailykos.com

Do you know your Medicare ABC’s…..and D’s?

Private insurance companies sell policies called Medicare Supplements or termed “Medi-Gap” plans by Medicare and they are designed to fill in the gaps for things that are not covered under Medicare Parts A and B.  The advantage is of these plans is that your out-of-pocket expense does decrease and sometimes covers all of the out-of-pocket expenses.  All Medicare Supplement plans have been standardized by the Government, so no matter what insurance company you go with, the supplements will cover you the same.  There are 10 standardized plans. The disadvantage of a Medicare Supplement plan is that the cost of the insurance goes up every year on your birthday.  After your first year of beign covered under a Medicare Supplement plan the insurance carrier may also raise your rate if they have had bad claims experience on a particular block of business that was not priced right for the risk.
Source: abwahumble.org

Highmark change in Medicare eye exam coverage irks some

UPMC Health Plan, the second-largest insurer in the region, does not cover refraction as a medical benefit under the Medicare Advantage plans it markets as UPMC for Life, spokeswoman Gina Pferdehirt said. All UPMC for Life plans come with vision insurance that cover refraction, she said.
Source: triblive.com

anthem medicare prior authorization form ohio

Posted by:  :  Category: Medicare

MORE DIRTY TRICKS FROM YOUR SOCIALIST/MARXIST   PRESIDENT AND HIS NASTY LITTLE ADMINISTRATION HACKS by SS&SSBelow is a summary of the national Medicare Prescription Drug Only plans (PDP) for Residents of Ohio – CMS PDP Region 14. Click on the enroll icon or plan name below Compare Medicare Advantage plans & Medicare Part D plans, enroll in coverage for individuals, groups and employers at Coventry Medicare.  Affordable Health Insurance & Medical. Find the perfect plan: individual health insurance, dental insurance, pharmacy, medicare and disability. With Aetna, the power of health is in your hands. Quality health care coverage for Seniors, Medicaid eligible people and their families. Anthem is a trusted health insurance & health care plan provider. Our portfolio features a line of health care, pharmacy, dental, life and disability insurance products.
Source: rediff.com

Video: Anthem Medicare Advantage Plans | Enroll in Medicare

Medicare Advantage Plans Connecticut

[…] AARP AARP Connecticut AARP Medicare AARP Medicare Complete AARP Medigap AARP Medigap 2013 AARP Rates 2013 AARP Supplement AARP Supplement 2013 aetna Medicare Anthem Anthem High F plan Anthem Medicare Anthem Medigap Anthem Supplement Donut Hole High Deductible F supplement how to choose a Medicare Advantage plan How to choose a Medicare plan how to choose a plan How to choose a supplement how to enroll in a medicare plan MAPD Med Advantage Medicare Medicare Advantage Medicare Advantage plans Medicare Complete Medicare Complete connecticut Medicare Connecticut Medicare part B Medicare part D Medicare plan Medicare prescription drug plans Medicare Supplement Medicare Supplement Connecticut Medigap Medigap rates 2013 Medigap rates NY 2013 Original Medicare Part D united healthcare United Healthcare AARP United medicare complete United Medicare complete 2013Source: croweandassociates.com […]
Source: croweandassociates.com

Get 'rock solid' with Medicare Advantage

When providers partner with Benefits365, they receive educational pieces on Medicare Advantage that they then provide to beneficiaries. One way to do that is through monthly statements. The idea: A beneficiary calls Benefits365 to switch from Medicare to Medicare Advantage, and both the beneficiary and the provider benefit from working with the latter vs. the former.
Source: hmenews.com

Medicare Advantage: Anthem Medicare PPO Alternative in Las Vegas, NV

The second option is to upgrade to a Medicare Supplement.  Because your plan is not renewing, you have the guarantee issue right to a supplement.  You cannot be denied for health history.  The monthly cost will be higher than that of the PPOs, but a supplement will give you freedom to see any doctor that accepts Medicare and you will no longer have co-payments if you select a Medicare Supplemental Plan F.
Source: suncityfinancial.com

Anthem Suddenly Changes Medicare Advantage Plan Insurance Families.com

Two weeks later, Anthem sent out a second letter, to the same customers. This one was labeled “Important Notice”, (two words you never want to hear from your insurance company). The letter explained “Your Medicare coverage is changing.” It went on to say that Anthem Blue Cross would no longer be offering the Medicare Advantage plan in 2012. So much for wanting to provide outstanding service “for years to come”!
Source: families.com

Anthem medicare prior authorization forms for medications

blue cross blue shield of michigan medication prior authorization form (PDF download) Aetna Prior Authorization Form Papers and Research , find free PDF download from the original PDF search engine. Please have your physician complete and fax the attached document. If your doctor should need to contact Humana regarding a particular medication, they can call 1-800 blue cross blue shield of michigan.  
Source: rediff.com

Medicare Advantage Plans From Anthem Blue Cross

An Anthem Medicare Advantage HMO offers low or no monthly premiums, so your dollars can really stretch. You’ll be using doctors and hospitals that are within the Anthem network, so you’ll find that the savings are substantial. You will also have access to hundreds of preventive and wellness programs, discounts on products and services, and tools and kits that can help educate and guide you about ways to live a healthier lifestyle. Part D Prescription Drug Coverage is included.
Source: medicareoptionsnow.com

Dave Fluker’s California Health Insurance Blog: Anthem Medicare Advantage LPPO and Sutter Health Group

Sutter Health Group and Anthem Blue Cross MAPD LPPO (Medicare Preferred PPO and Medicare Preferred Select LPPO) have been unable to reach agreement on a new contract. As of February 1, 2012, Sutter will no longer be a participating provider for Anthem Blue Cross CA hospital and professional network. The ancillary services for Sutter will continue to be a participating provider. Again, this contract issue affects Medicare Advantage PPO and Medicare Advantage LPPO subscribers. The following Sutter Health facilities are affected: Sutter Roseville Medical Center – Roseville, CA Alta Bates Summit Medical Center – Alta Bates/Herrick – Berkeley, CA Alta Bates Summit Medical Center – Summit Campus – Oakland, CA California Pacific Medical Center – California – San Francisco, CA California Pacific Medical Center – Davies – San Francisco, CA California Pacific Medical Center – Pacific -San Francisco, CA California Pacific Medical Center – St. Lukes – San Francisco, CA Eden Hospital Medical Center – Castro Valley, CA Memorial Hospital Medical Center – Modesto – Modesto, CA Memorial Hospital of Los Banos – Los Banos, CA Menlo Park Surgical Hospital – Menlo Park, CA Mills Hospital – San Mateo, CA Novato Community Hospital – Novato, CA Peninsula Hospital & Medical Center – Burlingame, CA San Leandro Hospital – San Leandro, CA Sutter Amador Hospital – Jackson, CA Sutter Auburn Faith Hospital – Auburn, CA Sutter Coast Hospital – Crescent City, CA Sutter Davis Hospital – Davis, CA Sutter Delta Medical Center – Antioch, CA Sutter General Hospital – Sacramento, CA Sutter Lakeside Hospital – Lakeport, CA Sutter Maternity & Surgery Center – Santa Cruz, CA Sutter Medical Center of Santa Rosa – Santa Rosa, CA Sutter Memorial Hospital – Sacramento, CA Sutter Solano Medical Center – Vallejo, CA Sutter Tracy Community Hospital – Tracy, CA I expect that at some point a contract agreement will be reached and will post when that happens.
Source: blogspot.com

Medicare Advantage – or DISAdvantage?

Following a 20-year career as a corporate insurance executive, Wendell Potter left his position as head of communications for Cigna in 2008 to advocate for comprehensive health care reform. He is now an analyst at the The Center for Public Integrity and president of Wendell Potter Consulting. He has also served as a consumer representative to the National Association of Insurance Commissioners. His book, Deadly Spin: An Insurance Company Insider Speaks Out on How Corporate PR Is Killing Health Care and Deceiving Americans, was awarded the Ridenhour Book Prize for “outstanding work of social significance” in 2011. Previously, he wrote A helping hand for Marsha Blackburn and  Want to fix health care? Watch this movie. for the Health Insurance Resource Center Blog.
Source: healthinsurance.org

Bridgeway Health Solutions Standard Claim Forms or “Black Forms”

Posted by:  :  Category: Medicare

Joe the Plumber - To Flush The System ... More scams aim to ensnare Brevard seniors - Their ingenuity is boundless, Archer said. (Jul 2, 2012) ... by marsmet524Paper claims received by the plan are scanned using Optical Character Recognition (OCR) technology. This scanning technology allows for the data contents contained on the form to be read while the actual form fields, headings, and lines remain invisible to the scanner. Photocopies cannot be scanned and therefore will no longer be accepted by Bridgeway Health Solutions effective April 1, 2013. You can find Medicare CMS-1500 and CMS-1450 completion and coding instructions, as well as the print specifications in Chapter 26 of the Medicare Claims Processing Manual (Pub.100-04). Blank copies of the form may also be available through office supply stores in your geographic area.
Source: bridgewayhs.com

Video: “How to Complete a CMS 1500 Form”

– Why can’t Tricare and Medicare pay for VA care?

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Source: militarytimes.com

Buckeye Community Health Plan Claim Form Policy Change Effective April 1, 2013

Therefore, effective April 1, 2013, Buckeye will be changing our policy as it relates to the acceptance of black and white or copied UB-04 or HCFA-1500 paper forms and handwritten red forms to align with the Centers of Medicare and Medicaid Services (CMS). Moving forward, Buckeye will only accept original red forms with computer generated printing in the customizable fields. Any UB-04 and HCFA-1500 forms received by our Centene Farmington mail center that do not need the CMS printing requirements* will be rejected back to the provider or facility upon receipt.
Source: bchpohio.com

CT Medicare Home Health TPL Project Year Five Instruction Packet 

Except for “adjusted” bills as described above, you must submit RAPs to Medicare for all episodes as necessary to include all of the services identified for TPL review.  Except for Condition Codes, the information on the RAP must be consistent with the information on the final claim. (Condition Codes are not to be included on the RAP, but only on the final claim.) For this reason, you should read the instructions relating to final claims (see Section 10 below) as well as the instructions relating to RAPs before submitting the RAPs themselves. If a final claim is not accepted by Medicare because it contains information which is not consistent with the original RAP, then the original RAP may need to be canceled, a new RAP submitted, and the final claim (now consistent with the RAP) resubmitted. The process of correcting and resubmitting RAPs and claims will cause delays, which might jeopardize your ability to get your final claims filed timely.  Therefore, it is crucial that accurate PPS episodes be identified when RAPs are submitted.
Source: medicareadvocacy.org

Medicare postpones enforcement of new ordering/referring rule

Although a recent Medicare Learning Network Matters article, using terminology common in Medicare documents, indicated the new identification requirement applies to “ordering/referring” providers, the regulation actually applies to any provider who “orders” non-physician items or services for the beneficiary (such as DMEPOS, clinical laboratory services, or imaging services) or ”certifies” patients for home health services, according to the AOA Advocacy Group.
Source: newsfromaoa.org

MHS Indiana CMS Printing Requirements Effective February 1, 2013 for All Paper Claims

The printing requirements are outlined by CMS regulations within the Medicare Claims Processing Manual Chapter 26 – Completing and Processing Form CMS-1500 Data Set (Pub.100-04). This requirement includes first time and resubmitted claims. The only acceptable claim forms are those printed in Flint OCR Red, J6983, (or exact match) ink. Copies of the form cannot be used for submission of claims, since your copy may not accurately replicate the scale and OCR color of the form. Also, hand written red claim forms will not be accepted.
Source: mhsindiana.com

Implementation of Medicare Ordering/Referring Provider Edits (March 20 Call) : Health Industry Washington Watch

Effective May 1, 2013, Medicare contractors will activate edits that will deny claims for Medicare Part B (including imaging and lab services), DME, and Part A home health agency (HHA) services if the ordering/referring physician or other professional is not identified, is not in Medicare’s enrollment records, or is not of a specialty type that may order/refer the service/item being billed. Concerns have been raised by physicians and suppliers that they could experience claims denials and delays after May 1 based on discrepancies between the names of the ordering physician on the 1500 claim form and in Medicare’s enrollment records. CMS is holding a March 20, 2013 National Provider Call to discuss these new requirements.
Source: healthindustrywashingtonwatch.com

Medigap: Providing Financial Protection and Peace of Mind to Medicare Benificiaries

3rd Party Studies ACOs Admin Costs affordability Age Rating Cadillac Tax Delivery System Reform Employers Essential Benefits Exchanges GRP Health Insurance Tax Health Plan Innovations Health Plan Satisfaction House hearings House legislation KI MA Medical Prices Medical Tests medicare medigap MLR Morning Headlines Patient Safety premiums Profits Provider Consolidation Quality Rate Review Reform RZ Senate hearings Senate legislation Small Business The Link Vilification Waste Fraud and Abuse
Source: ahipcoverage.com

Fact Check on Administrative Costs

Posted by:  :  Category: Medicare

Newsweek Magazine (February 16, 2009) ... Lenders Add Bigger Fannie, Freddie Fee – Thanks to Payroll Tax Cut (January 15, 2012) ...item 2.. Dupuy: GOP trying to sell pyrmaid scheme to voters (September 3, 2012) ... by marsmet526And according to a BNA study, “Popular comparisons of Medicare and private group health plan ‘overhead’ costs wrongly compare only a part of administrative expenses related to the Medicare program to the whole of private sector administrative expenses for comparable large group health plans.” The report also says that Medicare’s costs for claims administration “are really about the same as claims administration costs in the private large group health plan market.” Moreover, some of Medicare’s general administration costs are expensed elsewhere in the federal budget, and others, like premium taxes, do not apply to the Medicare program.
Source: ahipcoverage.com

Video: What Does Medicare Cost?

Are Medicare Premiums on the Rise?

Aside from the higher income brackets, inflation poses the most significant impact on retirees. While the intent of the proposal is to only affect those people considered upper-income, the rising inflation will in time affect individuals who today are only considered middle class.  A total of 20 million Medicare beneficiaries could end up paying higher premiums for outpatient and prescription costs due to their higher income.
Source: gohealthinsurance.com

What is Medicare Advantage (Part C)?

Health Maintenance Organizations (HMO): Provide access to a range of doctors and hospital insurance through a flat monthly rate with no deductibles. HMO plans have the strictest network guidelines, meaning all visits and prescriptions are subject to the plan’s approval. Going outside the established network of doctors, labs, hospitals, and pharmacies will result in a higher cost to the beneficiary. When enrolling in an HMO, the beneficiary must select a primary care physician who must approve all referrals to specialists.
Source: ehealthmedicare.com

On The Topic Of Medicare And Medicare Supplement Plans

medigap plans are the optimum health care products that provide specific amount of serenity to seniors in addition , disabled people to protect your life all over health care plans. This specific type of supplemental health insurance programs covers the gaps between original Medicare payments and has comfortable planning to find providing interesting help and advice to Medicare supplemental plans. May very challenging time period taking health really do care thrillingly, which creates the process of applying health maintenance plans very easy and simple. Moreover, you will take advice from expert insurance agents, who provide smart guidance for safeguarding your life thankfully.
Source: isn-buenosaires-2012.org

Wellness assured with Medicare supplemental insurance

We all want to be healthy, treat our pre-existing conditions and prevent further additions to this list. Health is precious and medical insurance so supplement health is a must. It is just not possible to meet medical out-of-pocket cost. Even a very high premium is not affordable for many and hence, they are dependent on Texas, gov hospitals. By looking through http://www.medigapplansguide.com so that we can cut costs and save a lot of money paid as premium. What we get through this website is a clear picture comparing different quotes and complaint which insurance companies provide for medigap and medicare policies. With a professional backing and advice, we are empowered to choose the best and most cost effective insurance.
Source: bertrand-delanoe.org

Affordable Care Acts Effect on Medicare

The savings for Medicare recipients is expected to happen in several ways. First, preventive care services will now be offered to seniors, free of charge, saving potentially thousands of dollars per year and helping to detect any challenges as quickly as possible. Next, the cost of prescription medication will be significantly reduced under the Affordable Care Act. This change alone could save a Medicare recipient thousands of dollars, especially for those seniors who require several different prescriptions monthly or whose treatments are especially costly.
Source: wiasg.com

Enjoy To Get That Best Medicare Medigap Insurance Plan

Posted by:  :  Category: Medicare

As we put approaches in older life, a feature to healthcare becomes far more critical to assist you to our well-being. We all really want the Best Medicare Supplemental Plan which to be you can buy. When searching for the perfect of recommendations and an insurance company that provides extraordinary customer service, we always give a lot of time on assessing many options on the market. This is really hard when going to turn 65 or becoming appropriate when considering healthcare for to begin with. However, correct are minor a person can do to create sure you procure a plan in comprehensive benefits as a result of a health insurance policies company that generates great customer service.
Source: iranfemschool.com

Video: Learn About Medigap Plans

The Savvy Senior: How to choose a Medigap supplemental policy

If, however, you live in Massachusetts, Minnesota or Wisconsin, you have different standardized Medigap plans that you can buy. For more information on the different types of plans, call Medicare at 800-633-4227 and ask them to mail you a free copy of the “Choosing a Medigap Policy” guide (publication 02110), or see medicare.gov/pubs/pdf/02110.pdf.
Source: bradenton.com

Dr. Margaret Mariani's Medical Weblog

Have you been under stress over the thought of paying your impending medical bills? Well, medicare additional insurance companies such as UnitedHealthcare will free you from the space between medical benefits and out-of-pocket expenses. Some of the policies such as CDPHP do not require referrals and pre-authorizations. The customer has the option of selecting policies that will be accepted at medicare-approved centers. There unique policies that are designed especially for seniors and disabled citizens. So, dont fester over spending your savings on medicare supplements, simply take out a policy that will cover unexpected expenses. These policies have extremely low premium which one can select while asking for a supplement quote.
Source: margaretmariani.com

Medigap Plans Guide on Humana’s Medicare Prescription Drugs Plan

People with medicare (http://tuathadedanaan9698.postbit.com/medicare-quotes.html) can opt to get a prescription drug coverage. Only insurance companies and other private companies (insurer)ncan offer this plans. It is important to contact your insurer before your application to a Medicare prescription supplement plan because the action you take may affect your benefit with your current plan. It is best to understand the basics, eligibility requirements, exclusions and limitations of the plans. If you have limited income, you may qualify for EXTRA HELP for your Medicare prescription drug coverage. Each Medicare Prescription Drug Plan has its own list of covered drugs (called a formulary). Many Medicare drug plans place drugs into different tiers. Drugs in each tier have a different cost.A drug in a lower tier will generally cost you less than a drug in a higher tier. If your prescription is on a higher tier and your doctor thinks that you need that drug instead of a similar drug on a lower tier, you can ask your plan for an exemption for a lower copayment.
Source: bgtango.com

one two three four five six seven Medigap Plans Guide medicare supplemental insurance

If you decide to acquire an Original Medicare and you also like a prescription drug coverage you will be needing to join a Medicare Prescription Drug Plan. Or you may prefer to enroll in a Medicare Advantage Plan, this may consist of Medicare prescription medicine coverage. Most of the time you are required to get the medicine coverage that is included in the Medicare Advantage Plan. You can also enroll on other types of Medicare Health Plan, if you are not joining Medicare Advantage plan or Medicare Health plan, you can still have the Original Medicare.
Source: greygardensmerch.com

Medigap Plans Guide on Medicare Advantage Plan

Medicare has been an extreme necessity, especially for the elderly. premium pays of supplement services cover Common medical fees according to AARP. Out-of-pocket expenditures are deductible. Disability plans may also be include in the service. The website http://www.medigapplansguide.com discusses prescription copayments in detail. Employer relations are better at bridging the needs by offering retirement plans for healthcare and wellness visits. Hospital payments and charges are lowered. Limitations to the service may depend on the employee requirements. To prevent fraud and determine eligibility, application request should be processed by local HMO or any medicare-approved insurers. Nursing websites for Oregon and York are useful for email support and screening. Customer savings are therefore guaranteed.
Source: bertrand-delanoe.org

Medicare Health Insurance Supplemental Plans Together With Medigap Plans Will Be Same

It might be the most competently known governmental body insurance program is Medicaid. Proffered to low purchases individuals, it is ordinarily jointly funded through the process of both the government and state government, and managed through process of each individual position separately. Among the most important aspects for training course is that an excellent applicant be considered as to be lifetime at or read on the current federal poverty level, which probably varies from year to year. Assets will definitely be also taken into consideration, and this person or beloved ones may be considered to be ineligible if their assets exceed troubles performing amount.
Source: slackistanthemovie.com

An Assessment In Between Medigap And Also Medicare Advantages Options

You are able to the fact is get a variety of medicare health supplement leads online if you only have got to seek performed by persons regarding getting medical care insurance. A good thing just about any medicare insurance professional are capable of doing is aim to find some of the medicare health insurance insurance leads as well as medicare supplements prospects. In case you move through looking for a lot of the health care insurance leads you could consider sorting out those who are old above 60mph five and enquire these to choose medigap strategies. These types of prospects will definitely mean medigap qualified prospects as most of people just have no idea of the idea.
Source: carreiradaindia.net

Medigap Guaranteed Issue Rights & Protections

Because Medicare Supplement is an enhancement to Original Medicare, guaranteed issue rights only apply to those seeking Medigap coverage to complement Medicare Parts A and B. We have covered previous Medicare Supplement Insurance topics on the PlanPrescriber blog, including an introductory post, a discussion on the cost of Medigap plans and an examination of Medicare Supplement Insurance vs. Medicare Advantage plans.
Source: planprescriber.com

entertainment in hawaii: Health budget spends on mental health; cuts Medicare

Posted by:  :  Category: Medicare

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Source: blogspot.com

Video: Healthcare: Plain & Simple “Medicare” – Hawaii News Now, KGMB and KHNL

Kaiser named top rated Medicare plan in Hawaii

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Source: hawaii247.com

CMS limits innovative designs to multi

The Innovation Center created the State Innovation Models initiative for states that are prepared for or committed to planning, designing, testing, and supporting evaluation of new payment and service delivery models in the context of larger health system transformation. The Innovation Center is interested in testing innovative payment and service delivery models that have the potential to lower costs for Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP), while maintaining or improving quality of care for program beneficiaries. The goal is to create multi-payer models with a broad mission to raise community health status and reduce long term health risks for beneficiaries of Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP).
Source: pnhp.org

How Medicare is Improving Coordination of Your Care

Like the Patch many boards now require bloggers to post under our real names and photos, but still allow commentators to anonymously post under an alias or avatar. So I’m very happy to see so many standing up to the multi-alias cyber bullies & haters. For the record I have no problem with anyone posting under an alias/avatar as long as they add to the discussion, even by way of a heated disagreement. As long as it’s respectful. However, if you’re going to throw insults & lob hate bombs, then at least have the courage to post under your real name & photo. That way your friends, mother, boss and everyone else will see and know the real you. But we all know that won’t happen because such people are cowards of the highest order to begin with. In my perfect world everyone would be required to post under their real name & photo, but even I hope the need for that day never comes. Boards like this are at the heart of what the framers of the Constitution had in mind when they wrote the 1st Amendment. Although they never could have possibly dreamed of the internet & blogging as a media. Which in itself is ironic, because that is the same & most common argument applied to the 2nd Amendment! But I digress… Daylight and disclosure are what such vermin fear most, so charge on blog warriors! Because the mods can only do so much to keep this a safe & open environment. The real challenge is up to ‘we the posters’ to keep our house clean & hospitable for "everyone" to visit.
Source: patch.com

Funding Details: Senior Medicare Patrol Projects

Aging, Medicare, Alabama, California, Connecticut, Hawaii, Illinois, Indiana, Iowa, Louisiana, Maryland, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New York, North Carolina, North Dakota, Pennsylvania, Rhode Island, South Carolina, South Dakota, Utah, Vermont, Wisconsin, Wyoming
Source: raconline.org

How Medicare is Improving Coordination of Your Care

Like the Patch many boards now require bloggers to post under our real names and photos, but still allow commentators to anonymously post under an alias or avatar. So I’m very happy to see so many standing up to the multi-alias cyber bullies & haters. For the record I have no problem with anyone posting under an alias/avatar as long as they add to the discussion, even by way of a heated disagreement. As long as it’s respectful. However, if you’re going to throw insults & lob hate bombs, then at least have the courage to post under your real name & photo. That way your friends, mother, boss and everyone else will see and know the real you. But we all know that won’t happen because such people are cowards of the highest order to begin with. In my perfect world everyone would be required to post under their real name & photo, but even I hope the need for that day never comes. Boards like this are at the heart of what the framers of the Constitution had in mind when they wrote the 1st Amendment. Although they never could have possibly dreamed of the internet & blogging as a media. Which in itself is ironic, because that is the same & most common argument applied to the 2nd Amendment! But I digress… Daylight and disclosure are what such vermin fear most, so charge on blog warriors! Because the mods can only do so much to keep this a safe & open environment. The real challenge is up to ‘we the posters’ to keep our house clean & hospitable for "everyone" to visit.
Source: patch.com

How Medicare is Improving Coordination of Your Care

Like the Patch many boards now require bloggers to post under our real names and photos, but still allow commentators to anonymously post under an alias or avatar. So I’m very happy to see so many standing up to the multi-alias cyber bullies & haters. For the record I have no problem with anyone posting under an alias/avatar as long as they add to the discussion, even by way of a heated disagreement. As long as it’s respectful. However, if you’re going to throw insults & lob hate bombs, then at least have the courage to post under your real name & photo. That way your friends, mother, boss and everyone else will see and know the real you. But we all know that won’t happen because such people are cowards of the highest order to begin with. In my perfect world everyone would be required to post under their real name & photo, but even I hope the need for that day never comes. Boards like this are at the heart of what the framers of the Constitution had in mind when they wrote the 1st Amendment. Although they never could have possibly dreamed of the internet & blogging as a media. Which in itself is ironic, because that is the same & most common argument applied to the 2nd Amendment! But I digress… Daylight and disclosure are what such vermin fear most, so charge on blog warriors! Because the mods can only do so much to keep this a safe & open environment. The real challenge is up to ‘we the posters’ to keep our house clean & hospitable for "everyone" to visit.
Source: patch.com

Hawaii to get funding from Centers for Medicare and Medicaid Services

Hawaii will receive a planning grant of $ 937,691 from the Centers for Medicare and Medicaid Services as part of the State Innovation Model program created by the federal Affordable Care Act. Hawaii is one of 25 states to share in nearly $ 300 million in awards that will help them “deliver high-quality health care, lower costs and improve their health system performance,” the U.S. Department of Health and Human Services said in a statement. Starting April 1, Hawaii will have six months to design…
Source: onestopnewsstand.com

Woman From Hawaii Killed in Suspected DUI Crash

U.S. economic growth accelerated from January through March, buoyed by the strongest consumer spending in more than two years. The strength offset further declines in government spending that are expected to drag on growth throughout the year.
Source: 8newsnow.com

Video: Medicare Advantage Cuts Will Impact Seniors By as Much as $90 Per Month

3rd Party Studies ACOs Admin Costs affordability Age Rating Cadillac Tax Delivery System Reform Employers Essential Benefits Exchanges GRP Health Insurance Tax Health Plan Innovations Health Plan Satisfaction House hearings House legislation KI MA Medical Prices Medical Tests medicare medigap MLR Morning Headlines Patient Safety premiums Profits Provider Consolidation Quality Rate Review Reform RZ Senate hearings Senate legislation Small Business The Link Vilification Waste Fraud and Abuse
Source: ahipcoverage.com