Americans for Tax Reform : Obamacare: Taxpayers Must Report Personal Health ID Info to IRS

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 marsmet524Simply put, there is no way for the IRS to enforce Obamacare’s individual mandate without such an invasive reporting scheme.  Every January, health insurance companies across America will send out tax documents to each insured individual.  This tax document—a copy of which will be furnished to the IRS—must contain sufficient information for taxpayers to prove that they purchased qualifying health insurance under Obamacare.
Source: atr.org

Video: Health Insurance Information Session – 2011

The power of information in the new consumer health insurance market

This is not just pie-in-the-sky cost-savings speculation. A recent study published in Health Affairs suggests that patients who are actively engaged in their care cost less to treat over time. Numerous studies have shown that effective management of heart failure patients can cut the number of hospitalizations in half. And diabetes patients who effectively manage their blood sugars are much less likely to end up with vascular damage that leads to kidney failure and limb amputation. If you can prevent those complications, you can cut a huge amount of cost from the national healthcare budget.
Source: computerworld.com

Health Insurance When Working For A Temp Agency

Posted in Health Concerns, Health Reform, Insurance, Self-employed Health Insurance, You at Home, You at Work Tags: a health insurance agent in your area (California), affordable health insurance, contract work and health insurance, Health Care Reform, how to get health insurance, individual health insurance plans, individual medical insurance plan, medical insurance quotes, reasonable health insurance, temp agency employees, temp work and health insurance, who does a temp agency employee get health insurance from, working from home and health insurance
Source: eindividualhealth.com

How a Health Insurance Provider Uses Big Data to Predict Patient Needs

Basically, we get data in, and we send results back. …They’re using the InsightsOne virtual private cloud with the whole HIPAA compliance around it, which brings down the cost of deployment. … IBC has [its own] predictive analytics capability in-house.  But what we were able to do is demonstrate that in these specific cases, we were able to far outperform any capabilities that exist out there that they were familiar with—and they were using some fairly sophisticated stuff—in some cases by 400 percent. So if you’re looking at patients who are at risk of having an issue, being able to more precisely know what the patient [data reflects] so you can better address those issues makes it actionable. Now you can do something about it that has an impact on the patients and on the business.
Source: itbusinessedge.com

Model Notices of Health Insurance Options – Employers Must Distribute by October 1, 2013

Furthermore, at least some of the required information and most of the optional information can only be determined by an employer if it has already determined what the status of its plan will be under the employer shared responsibility rules and how it will comply or not comply with the shared responsibility rules for its different categories of employees. In this regard, to meet the minimum value requirements, the plan’s share of the cost of coverage must be at least 60%, and under the affordable coverage requirement, the employee’s share of the premium may not exceed 9.5% of annual household income. Many employers will likely want to modify the models to properly explain their particular situations. Employers may even find it useful to have multiple “standard” forms of notices depending on the employee’s status and terms of employment. In summary, an employer can only comply with these notice requirements if it understands its health plan’s status of compliance with the employer shared responsibility provisions of the ACA. A key aspect of that compliance for an employer intending to avoid the penalties for noncompliance with the employer shared responsibility provisions is setting the eligibility terms of the plan. Because many employers may wish to adopt permitted safe harbor methods for determining who is or is not a full-time employee (that is, employed on average at least 30 hours per week), the eligibility provisions of these plans are going to require changes and, in some cases, have rather complicated eligibility rules. Other aspects, such as whether and how to meet or not meet the affordability requirements for all full-time employees must also be addressed.
Source: jdsupra.com

Health Insurance Transparency under the Affordable Care Act

Information disclosed under Section 2715A could also help consumers understand aspects of plan coverage that may not be fully described under the SBC. An emerging trend in health plan design involves the use of tiered provider networks. Patients who seek care from network providers could end up paying more or less out-of-pocket depending on how their health plan ranks a particular hospital or doctor. Patients who seek care out of network could owe even more if they are subject to balance billing (which results when providers are not limited to charging the amount the health plan determines reasonable). This can happen inadvertently when patients are hospitalized or undergo surgery in an in-network facility, and are cared for by providers (such as anesthesiologists) who work in that facility but do not participate in the health plan network. Instructions to insurers and health plans for filling out the SBC note that accurately capturing how a tiered network plan operates may be difficult to summarize in the SBC, so plans and insurers are required to use their “best efforts” to describe rules “as reasonably as possible.” If plans were to report to regulators how frequently consumers claim care from the most preferred provider tier, less preferred tiers, and out-of-network tiers (and what out-of-pocket cost liabilities result), consumers would have additional tools to evaluate the accessibility of health plan provider networks and tiers.
Source: kff.org

Insurance Company Kaiser Permanente

Kaiser Permanente offers a variety of individual health insurance plans and family, it is your desire to choose a plan that suits you. Kaiser plan in accordance with your budget and your lifestyle needs. Kaiser Permanente provides, -The quality of care, where you can choose a primary care doctor to meet your individual health needs. -Affordable care, it is your choice to choose a plan that suits your budget and you can manage your medical expenses. -Convenient Care, for people who lead busy lives, have access to the laboratory in place, X-ray and pharmacy services, and you also have access to health and drug encyclopedias, directories doctors and facilities, making routine appointments and prescription refills anytime. So if you are looking for a reliable insurance company,
Source: appredica.com

Fox’s Baseless Report On Health Insurance Guidance Program: Unions Will Steal Your Personal Information

The Exchange regulations, at 45 CFR § 155.260(a), establish privacy and security standards for Exchanges, and § 155.260(b) provides that Exchanges must require Navigators and other non-Exchange entities to abide by the same or more stringent privacy and security standards as a condition of contract or agreement with such entities. Consistent with these requirements, we propose that the training for Navigators and non-Navigator assistance personnel must include training designed to ensure that they safeguard consumers’ sensitive personal information including but not limited to health information, income and tax information, and Social Security number.
Source: mediamatters.org

No Shortage of Health Insurance ‘Flavors’ Ahead

First, a little background. Members of Congress who drafted the Affordable Care Act (Obamacare) included a provision in the law requiring states to set up online marketplaces, referred to as health insurance exchanges in the legislation, to make it possible for Americans to evaluate and enroll in health plans in ways not possible today. The exchanges will enable us to compare one health plan with another, get cost and coverage information about the plans offered in concise, understandable language and in a standardized format, determine our eligibility for Medicaid or federal subsidies to help us pay the premiums, and sign up for the plan we think best meets our needs with the click of a mouse.
Source: wendellpotter.com

FAQ: Seniors May See Changes in Medigap Policies

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 marsmet522Advocacy groups like the Medicare Rights Center oppose restricting Medigap plans, saying it would simply shift more costs from the government to elderly and low-income people who can least afford it. “Some in government feel people in Medicare don’t have enough ‘skin in the game,’” says Ilene Stein, federal policy director for the center. In fact, she says, people on Medicare already pay 15 percent of their incomes for health care, well above the level paid by non-Medicare households. While the proposals would cap maximum annual spending per enrollee to $5,500 or $7,500, “that’s a lot of money for someone making $22,000,” the median household income for those on Medicare, she says. 
Source: kaiserhealthnews.org

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

New Medicare Benefits and Changes for 2011

Once your total drug costs reach $4,550 (see the Ms. Medicare column "Paying Less for Drugs in the Doughnut Hole" for details about how this is calculated), you are eligible for "catastrophic coverage" and your prescription costs drop to a lower copay for the remainder of the year. Last year, when there were no doughnut-hole discounts, $250 rebate checks were sent to all affected Part D subscribers. Because of the discounts now in place, there will be no rebate checks for 2011 expenses. Another 2011 change for Part D subscribers is that if you have a high annual income (more than $85,000 for individuals and $170,000 for couples) and pay higher-income premiums for Part B, you’ll also pay a higher premium for Part D drug coverage.
Source: aarp.org

Ideas for Reforming the Medicare Benefit Design: A Historical Reminder of Bipartisan Support

“Under Medicare Parts B and D, certain beneficiaries pay higher premiums based on their higher levels of income. Beginning in 2017, this proposal would restructure income-related premiums under Medicare Parts B and D by increasing the lowest income-related premium five percentage points, from 35 percent to 40 percent, and also increasing other income brackets until capping the highest tier at 90 percent… “…Introduce Part B Premium Surcharge for New Beneficiaries Purchasing Near First-Dollar Medigap Coverage: This proposal would introduce a Part B premium surcharge for new beneficiaries who purchase Medigap policies with particularly low cost-sharing requirements, effective in 2017.” – U.S. Department of Health & Human Services. “Fiscal Year 2014 Budget in Briefing.” 2013.
Source: house.gov

PROPOSED FISCAL YEAR 2014 PAYMENT AND POLICY CHANGES FOR MEDICARE SKILLED NURSING FACILITIES (CMS

This page contains text from Wikipedia, the Free Encyclopedia – http://en.wikipedia.org/wiki/CMS This article is licensed under the Creative Commons Attribution-ShareAlike 3.0 Unported License, which means that you can copy and modify it as long as the entire work (including additions) remains under this license.
Source: wn.com

Sequestration and PECOS Update for Medicare Home Health and Hospice

Posted by:  :  Category: Medicare

A report will be provided to list your physicians and their status to help you identify the physicians associated with your agency who are not PECOS certified. Claims with non-certified physicians will be denied; a new PECOS Claims Hold will be available to help you capture problematic claims before they are generated. We will begin releasing these changes and provide updates in the next maintenance cycle on Wednesday, April 3rd.
Source: careanyware.com

Video: Audio Educator: Medicare Enrollment PECOS The CMS 855.mp4

NAHC Participates in Call with CMS on Phase II PECOS Edits

The PECOS Ordering and Referring files do not include the date of physician enrollment. Since home health payments will be based on whether the ordering physician was enrolled in PECOS at the time services were provided, rather than at the time claims were submitted, how will home health agencies identify and track the effective dates of physicians’ PECOS enrollment? CMS will not provide this information to providers. Physicians’ date of enrollment is in both physicians’ effective date for billing Medicare notification letters and in the physicians’ PECOS files. Home health agencies must contact the physicians for this information in cases where they have concerns about an initial effective date or a gap in enrollment.
Source: medbill.net

Reed Tinsley, CPA: Major Improvements to the Internet

The provider/supplier can access the enrollment information from the My Enrollment page. The information will display in an HTML view and can be saved and/or printed by the provider/supplier. Note: The CMS-855 PDF forms are no longer available and have been replaced with the new HTML views. The enrollment tutorial videos, located on the PECOS home page, have been updated to illustrate the most common enrollment scenarios completed by providers/suppliers. A new part B provider service has been established for Centralized Flu Billers. In addition, the Centralized Flu Biller Approval letter has been added as a type of Required/Supporting documentation for a CMS 855B enrollment. Centralized Flu Biller enrollments submitted via PECOS will be routed to Novitas Solutions, the designated Medicare Administrative Contractor (MAC) responsible for enrolling this provider service. A new “Durable Medical Equipment (DME) License Information” topic has been added to PECOS. This topic will display the DME license information currently on file for existing suppliers. The information is viewable only and cannot be edited or deleted by the supplier.
Source: blogs.com

In brief: CMS delays PECOS edit, TSS employees sue

NEW BRAUNFELS, Texas – The Scooter Store founder Doug Harrison and others who manage the company’s employee stock ownership plan (ESOP) now face a lawsuit by former employees. Three former employees filed a class-action lawsuit on behalf of 2,938 plan members in U.S. District Court for the Western District of Texas on April 23, seeking to recover damages and all other forms of relief as a result of “the defendants’ multiple breaches of fiduciary duty.” According to the lawsuit, those breaches include: 1.) Harrison “usurped opportunities” available to the ESOP when he sold or otherwise transferred or conveyed his shares on or after Feb. 1, 2011, to Sun Capital Partners and these shares were placed under the ownership of Sun Scooter Store; 2.) Harrison, in coordination with TSS Holdings, TSS and Houlihan Lokey Financial Advisors, manipulated the price per share for the common stock so that he and/or his family members could sell their shares at prices above fair market value; and 3.) Harrison, Principal Life Insurance Company and First Banker Trust Services failed to diversify the assets in the ESOP when they knew that the value of the common shares was very likely to diminish in value substantially from 2011 through to the present. The lawsuit also claims that $7.5 million in cash in the ESOP as of Dec. 31, 2011, has not been accounted for. The ESOP has 13.48% equity in The Scooter Store, according to the company’s recent bankruptcy filing. Members who are vested can sell their shares when they retire or leave the company. While The Scooter Store, the company, is not named as a defendant in the lawsuit, it also faces two lawsuits, another from former employees and one from the city of New Braunfels.
Source: hmenews.com

Revalidation of Medicare Enrollment

All providers who enrolled with Medicare prior to March 25, 2011, will be required to revalidate their Medicare enrollment. Providers have 60 days from the date of the revalidation notice to submit their complete enrollment information. The fastest, easiest, and most secure way to complete revalidation is by Internet-based PECOS. For this reason, WPS Medicare encourages all providers to utilize the Internet-based Provider Enrollment, Chain and Ownership System (PECOS) for revalidating with the Medicare program. For more information about revalidation to to the WPS Medicare website.
Source: mi-osteopathic.org

CMS Announces Delays in PECOS Edits for Home Health

Medicare Part B claims from laboratories, imaging centers and Durable Medical Equipment, Orthotics, and Supplies (DMEPOS) that have an ordering or referring physician/non-physician provider; and  Part A Home Health Agency (HHA) claims that require an attending physician provider.
Source: sansio.com

PECOS: A Medicare Benefit for your Practice

Henderson Medical Billing Solutions LLC is an outsourced Medial Billing and Practice Management service located in Murrieta, California.  Henderson Medical Billing Solutions provides medical billing services to solo providers to mid-level practices throughout the United States.  Henderson Medical Billing Solutions offers Full Practice Management, Medical Billing, HIPAA Compliance Auditing and Training to medical and non-medical providers.  In addition, Henderson Medical Billing Solutions offers Accounts Receivables Recovery and New Practice Start-Up services.  Our staff includes certified practice managers and billers who are committed to the success of increasing provider revenue reimbursement.  To learn more about how we can maximize revenue and increase your practices productivity Contact us today.
Source: hendersonmbs.com

Medicare Lags In Project to Expand Hospice

Posted by:  :  Category: Medicare

Denied coverage because of a pap smear by Paul SchreiberThe 2010 health law required Medicaid to pay for joint hospice and curative treatments, called concurrent care, for children. More than half the states have taken steps to implement that in the joint federal-state program for low-income residents. It also instructed the secretary of Health and Human Services to select up to 15 sites to test concurrent care for patients in Medicare, which provides health coverage to seniors and disabled people. That test is to last for three years, but Medicare has yet to take any concrete steps toward beginning it.
Source: kaiserhealthnews.org

Video: Understanding Healthcare Costs: Medicare Advantage

Settlement Reached to End Medicare’s “Improvement Standard” 

Since 1987, Mrs. Berkowitz, an 81 year-old woman with Multiple Sclerosis, has frequently been told that her Medicare coverage and home health services are being discontinued because her MS "is not improving."  Each time, she has called on the Center to fight for her and ensure that her care continues.  Each time, the Center has successfully advocated to keep her Medicare and home care in place. People like Mrs. Berkowitz help the Center to know first-hand how harmful this illegal basis for Medicare denial is for people with long-term and chronic conditions.   As a result of working with her, and many other people with long-term conditions, the Center has been able to seek, and obtain, systemic change to help ensure fair access to Medicare coverage and necessary health care for all beneficiaries in similar circumstances.
Source: medicareadvocacy.org

Supplemental Medicare coverage leads to spending growth

Golberstein and his collaborators from Harvard Medical School used data from the Medicare Current Beneficiary Survey from 1992 to 2005, before Medicare Part D prescription drug benefits were introduced, and analyzed a sample of 104,365 observations. The researchers found significantly higher rates of spending growth in all supplemental insurance categories compared to the category without supplemental insurance, even while controlling for sociodemographic status, disease, disability, and health behavior characteristics.
Source: umn.edu

Medicare Essential: Is it Essential to the Future of Medicare?

Entitled “Medicare Essential: An Option to Promote Better Care and Curb Spending Growth,” the study was the result of efforts by Karen Davis, Ph.D., director of the Roger C. Lipitz Center for Integrated Health Care at The Johns Hopkins Bloomberg School of Public Health, and Cathy Schoen and Stuart Guterman, researchers from Commonwealth Fund. The impetus of the study was not only the high costs and convoluted coverage, but also that ‘[r]esearch has shown that Medicare beneficiaries are more satisfied with their coverage than are working-age people with employer coverage,” but are concerned with the high costs and inefficiency of managing these types of coverage. The researchers propose that combining the coverage options would not only help beneficiaries, but would also help with the federal budget deficit because it is funded by premiums. Further, providers that are classified as “high-value providers,” providing high-quality, efficient care would be incentivized.
Source: wolterskluwerlb.com

Medicare Essential – Is this the future of Medicare?

The combined deductible idea is echoed in a recent article in Health Affairs that proposes unification of Parts A and B, and Part D drug benefits. The Health Affairs article also proposes reducing beneficiary cost sharing to levels comparable to Medicare Advantage plans, eliminating the need for Medicare Supplemental coverage. The new Medicare plan, called Medicare Essential, would become the default for people who qualify for Medicare for the first time. New Medicare beneficiaries could opt out and take old traditional Medicare, and go buy their own Part D and Medicare Supplement plans, or they could buy Medicare Advantage plans. Medicare Essential would have a much higher premium than Medicare Part B, but the authors of the article claim that the overall cost would be less than Part B plus Part D plus the full-coverage Medicare Supplement Plan F that most seniors select. So proponents could argue that the added cost of the increased premium is a bargain and that people could always opt out and avoid the higher cost if they wanted to. Medicare Essentials could show significant savings by avoiding the broker commissions that add to the cost of Medicare Supplemental and Medicare Advantage plans. Whether the new program would be able to achieve the supposed 2% administrative cost ratio sometimes claimed for Medicare is highly suspect, but elimination of the need to re-process claims to pay Supplement benefits, along with simplification of coverage rules overall, would probably yield some further efficiencies.
Source: gormanhealthgroup.com

Report: Private Medicare Advantage Plans Make Progress in Combating Chronic Disease

Since its start in 2003, Medicare Advantage has gained popularity because of its high quality, coordinated benefits and patient-centeredness.  Its central role for private health plans makes MA extremely popular with seniors.  The best practices of these plans should be integrated into conventional Medicare.  That’s the only hope if Medicare is to contain its costs without sacrificing quality and care in the process.
Source: hlc.org

ERISA Wonk Welfare Benefits ERISA Compliance

The MSP Act contains specific rules about when and how group health plans, automobile and liability insurance, no fault insurance policies and amounts recovered from tort actions are coordinated with benefits under the Medicare Statute.  The MSP Act’s Secondary Payor Rules require group health plans, automobile and liability insurance and no fault insurance policies to treat their coverage as  the “primary plan” for purposes of coordinating their coverage with the benefits provided under the Medicare Statute. Under certain conditions benefit [plans could] face double damage for improperly coordinating their benefits and coverage with those provided under the Medicare Statute.  The MSP Act generally dictates the conditions under which these coverages are primary to benefits provided under the Medicare Statute and obligates primary plans and individuals receiving judgment or settlements that include payment for medical expenses for which benefits were received under the Medicare Statute to repay Medicare. Violation of these rules exposes the applicable plan to double damages and other costs of recovery.
Source: erisawonk.com

Trial against Da Vinci Robot, Medicare Costs and Benefits, Tough Week for Hospitals, HHS Fundraising, But there’s Plenty of Money out There

Since its inception in March 2007, the Medicare Fraud Strike Force, now operating in nine cities across the country, has charged more than 1,480 defendants who have collectively billed the Medicare program for more than $4.8 billion. In addition, HHS’s Centers for Medicare and Medicaid Services, working in conjunction with HHS-OIG, are taking steps to increase accountability and decrease the presence of fraudulent providers. To learn more about the Health Care Fraud Prevention and Enforcement Action Team (HEAT), go to: www.stopmedicarefraud.gov.
Source: oconnorreport.com

5 Reasons to Care About Medicaid Expansion

So what is AARP doing? We’re fighting for Medicaid expansion in more than 40 states, with early wins in Arkansas, North Dakota and New Mexico which extended affordable health coverage to more of their residents due to strong cooperation and bipartisan agreement among their governors and legislators. We also witnessed victory in Kentucky last week, when Gov. Steve Beshear expanded Medicaid through executive order, and noted our strong support during his announcement.
Source: aarp.org

Therapy Plateau No Longer Ends Coverage

Beneficiaries also often lose Medicare coverage for outpatient therapy because they hit the payment limit. But under the exceptions process Congress continued for another year, the health care provider can put an additional code on the claim that indicates further treatment above the $1,900 limit is medically necessary. When treatment costs reach $3,700, the provider can submit medical documentation to support a request for another exception to cover 20 more sessions. (A Medicare fact sheet provides some additional details, but has not been updated for 2013.)
Source: nytimes.com

Probe Of Medicare Advantage Leak Finds Wide Speculation On Deal

Posted by:  :  Category: Medicare

The Wall Street Journal: Health-Policy Move Widely Shared More people than previously thought predicted a major change in U.S. health-care policy that led to a federal insider-trading probe, according to new documents assembled by congressional investigators. Justin Simon, a policy analyst with Height Securities, said in a previously unreported email that was reviewed by The Wall Street Journal that he heard about the policy change before it was made official from “like 30 people.” Mr. Simon sent an alert to Wall Street traders just before markets closed April 1, sending health-insurance stocks on a tear. This and other emails indicate the extent to which Washington’s insular world of health-care policy experts was buzzing about a possible deal that would result in the Centers for Medicare & Medicaid Services reversing course on previously announced Medicare funding cuts (Mullins and McGinty, 5/13).
Source: kaiserhealthnews.org

Video: Medicare Part D Comparison Tutorial Video

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

Medicare Fraud Bust at Least Gave Holder Something Good to Report

It was the latest in a string of similar announcements by Health and Human Services Secretary Kathleen Sebelius and Attorney General Eric Holder as federal authorities crack down on fraud that’s believed to cost the program between $60 billion and $90 billion each year. Stopping Medicare’s budget from hemorrhaging that money will be key to paying for President Barack Obama’s health care overhaul. Sebelius and Holder partnered in 2009 to increase enforcement by allocating more money and staff and creating strike forces in fraud hot spots around the country.
Source: reason.com

Mental Health and Medicare

After meeting your yearly Medicare Part B deductible ($147.00), the amount you pay for mental health services depends on whether the purpose of your visit is to diagnose your condition or to get treatment. For visits to diagnose your condition, you would pay 20% of the Medicare-approved amount. For outpatient treatment of your condition, like psychotherapy, you would pay 35% of the Medicare-approved amount in 2013. If you have a Medicare Supplement Insurance policy or Medicare Advantage, contact your plan for information on your out of pocket responsibilities.
Source: patch.com

89 Individuals Charged With About $233M in Alleged Medicare Fraud

The Strike Force is part of the Health Care Fraud Prevention & Enforcement Action Team, a joint initiative between HHS and the Department of Justice. Since its inception, the Strike Force’s operations — in nine locations — have charged more than 1,500 individuals for defrauding Medicare of more than $5 billion through false billing (HHS release, 5/14).
Source: californiahealthline.org

Study: Cuts to Medicare trim costs to insurers

Chapin White, a senior health researcher at the Center for Studying Health System Change, analyzed data on payment rates from 1995-2009 and found a widening gap between Medicare rates and private rates. Medicare had an average annual growth rate of 3 percent while private insurance grew more quickly — at 3.56 percent — he found.
Source: politico.com

89 Charged in Medicare Fraud Busts in 8 Cities, Including Houston

It’s the latest in a string of similar announcements by Health and Human Services Secretary Kathleen Sebelius and Attorney General Eric Holder. Tuesday’s bust marks the sixth national Medicare fraud takedown. Nearly 600 individuals have been charged in schemes involving almost $2 billion.
Source: kbtx.com

The Medicare and NII Tax: How are your funds affected?

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 marsmet526However, like everything tax related, there are exceptions to the rule and you may find it worthwhile to explore these exceptions. For instance, income received as a distribution with respect to a limited partnership interest is not subject to self-employment tax. Thus, many investment management companies have been set up as limited partnerships to receive the management fee with a 99%:1% split in income between the limited partners and general partner, as only the general partnership interest is subject to the self-employment tax (although it is highly recommended that the management company pay the managers reasonable compensation which is taxed as ordinary income and subject to self-employment tax). Similarly, distributions with respect to a carried interest have been exempt from self-employment tax.
Source: frankandtothepoint.com

Video: Social Security, Medicare and Other Taxes – www.atcmathprof.com

Federal Taxes 2011 Calculator

All of your gross income from all sources of worldwide income will be reported on your correctly completed 1040 federal income tax return. In general, taxpayers may deduct the ordinary and necessary expenses for conducting a trade or business. An ordinary expense is an expense that is common and accepted in the taxpayer s trade or business. A necessary expense is one that is appropriate for the business. Generally, an activity qualifies as a business if it is carried on with the reasonable expectation of earning a profit. The independent contractor self employment income will be reported on the schedule C of the 1040 tax form and you will be responsible for the 15.3% of the social security and medicare tax on your net profit from the business operation you also may need to make some quarterly estimated tax payments for the tax year 2010. The last payment would be January 18 2011. You would have to be sure that you handle your business deductions correctly for your business operation. For instructions and forms go to the IRS.gov website and use the search box for publication 334 a very good place to start with examples. Publication 463 Travel, Entertainment, Gift, and Car Expenses Use the search box at the www.irs.gov website for Small Business and Self-Employed Tax Center Filing Season Central is your one stop assistance center for filing your business returns. This includes Highlights of Tax Law Changes, Tax Tips, and more. 2 of the seven tax tips for starting a business enclosed below. #4 Good records will help you ensure successful operation of your new business. You may choose any record keeping system suited to your business that clearly shows your income and expenses. Except in a few cases, the law does not require any special kind of records. However, the business you are in affects the type of records you need to keep for federal tax purposes. #7 Visit the Business section of the IRS gov website for resources to assist entrepreneurs with starting and operating a new business. Go to the IRS gov website and use the search box for the below referenced material *Starting A Business *Operating A Business *Closing A Business *Publication 4591, Small Business Federal Tax Responsibilities (PDF 470.1K)
Source: sumgait.net

The effect of the Medicare tax rate increase when exercising non qualified stock options

Each blog includes the special feature,  “Dan’s Moral”,  as a wrap-up commentary, direct from blog author, Dan Langworthy.   Check “Dan’s Moral” in other blogs on Equity Compensation Advisor by category of interest.  We hope you find what you are looking for, however, Dan welcomes your requests for new equity reward topics that may interest you.  Contact Dan Langworthy by commenting below.
Source: equity-compensation.com

Social Security and Medicare tax rates

Alabama    Alaska    Arizona    Arkansas    California    Colorado  Connecticut    Delaware    Florida    Georgia    Hawaii    Idaho    Illinois    Indiana    Iowa    Kansas    Kentucky    Louisiana    Maine  Maryland    Massachusetts    Michigan    Minnesota    Mississippi    Missouri   Montana    Nebraska    Nevada    New Hampshire    New Jersey    New Mexico    New York    North Carolina    North Dakota    Ohio    Oklahoma    Oregon    Pennsylvania    Rhode Island    South Carolina    South Dakota   Tennessee   Texas    Utah    Vermont    Virginia    Washington    West Virginia    Wisconsin    Wyoming
Source: socialsecurityoffices.us

Medicare Spending and Financing Fact Sheet

The Part A Trust Fund is projected to be depleted in 2024—eight years longer than in the absence of the health reform law—at which point Medicare will not have sufficient funds to pay full benefits, even though revenue flows into the Trust Fund each year.  Part A Trust Fund solvency is affected by growth in the economy, which directly affects revenue from payroll tax contributions, and by demographic trends:  an increasing number of beneficiaries, especially between 2010 and 2030 when the baby boom generation reaches Medicare eligibility age, and a declining ratio of workers per beneficiary making payroll contributions.  Part B and Part D do not have similar financing challenges, because both were structured to be funded by beneficiary premiums and general revenues, set annually to match expected outlays.  However, future increases in spending under Part B and Part D will require increases in general revenue funding and higher premiums paid by beneficiaries.
Source: kff.org

2013 Form 941 And Instructions Include New Line For Additional Medicare Tax

In addition to withholding Medicare tax at 1.45 percent, employers must withhold a 0.9 percent Additional Medicare Tax (AMT) from wages paid to an employee exceeding $200,000 in a calendar year. AMT withholding must begin in the pay period in which wages exceeding $200,000 are paid and must continue for each pay period until the end of the calendar year. AMT is only imposed on employees; there is no employer share of AMT. All wages subject to Medicare tax are subject to AMT withholding if they exceed the $200,000 withholding threshold.
Source: jdsupra.com

What are FICA & Medicare Payroll Tax Rates for 2013?

Employers must withhold a 0.9% additional Medicare from wages paid to an employee in excess of $200,000 in a calendar year. Employers are required to begin withholding additional Medicare Tax in the pay period in which wages in excess of $200,000 are paid to an employee and continue to withhold it each pay period until the end of the calendar year.
Source: osyb.com

Payroll Tax Extension Includes Important Provisions for Medicare Beneficiaries 

Qualified Individual program extension.  Over 400,000 low-income Medicare beneficiaries rely on the Qualified Individual (QI) program to pay their Medicare Part B premium ($99.90 for most people for 2012) each month.  Those eligible for this assistance are Medicare beneficiaries with incomes between 120% and 135% of federal poverty limits (between $1089 and $1226/person/month in 2011; 2012 figures are not yet available) and limited assets. The program, a fixed-amount block grant to states to administer through their Medicaid programs, has been extended for short periods ever since its initial authorization expired in 2002.  The extension legislation authorizes $150 million dollars to continue the program through February 29, 2012.
Source: medicareadvocacy.org

Payroll Tax increases in 2013

All faculty and staff will notice an increase in the OASDI /EE taxes to a rate of 6.2% on earnings paid on or after January 1, 2013.  The temporary rate reduction to 4.2% in effect during 2011 and 2012 for the employee portion of OASDI taxes expired at the end of 2012.  The American Taxpayer Relief Act of 2012 did not extend this temporary tax cut for employees, so employees will pay the full rate of 6.2% for that portion of the Federal Insurance Contributions Act (FICA) tax.  The maximum earnings subject to OASDI taxes are capped at $113,700 in 2013.  In 2012, the cap was $110,100.
Source: umsystem.edu

Income Thresholds For Medicare Part B And Part D Premiums

While the surtax due to higher Medicare premiums that resulted from the Roth conversion was not huge, at only 1.6%, it nonetheless represents an entirely manageable – and potentially avoidable – surtax that planners and clients should carefully consider. For instance, the client might have decided to convert only $27,000 in the prior example – rather than $39,350 – to keep from exceeding the $87,000 AGI threshold that triggers the first Medicare premium increase, allowing the conversion to have a cost of "only" the 25% marginal tax bracket, and not 26.6%. On the other hand, if the client’s income was higher, the impact would have been more severe. For instance, if AGI was already $85,000, then a $5,000 conversion would result in $1,250 of taxes (at a 25% tax) plus the same $619.20 (for additional Medicare premiums), which leads to a marginal "tax" of $1,869.20 and a marginal tax rate of 37.4%; on the other hand, if the conversion was $10,000, the marginal rate would only be 31.2% (since the additional taxes would rise to $2,500 but the Medicare premium impact would still be the same $619.20/year). The end result: the closer clients are to an income threshold, the better it is to either stay right below the line, or rise far above it until the next threshold (or a new tax bracket) approaches, because the additional Part B and Part D premiums are a flat additional amount even if clients are just $1 across the line (unlike tax brackets, which are always a percentage of additional income). And because the premium adjustments are calculated based on AGI, anything that increases AGI can impact exposure, from IRA withdrawals and Roth conversions, to capital gains, to dividends and interest and income from pass-through entities; on the other hand, any deductions that are taken above the line, such as capital losses or certain business losses, can also reduce exposure.
Source: kitces.com

Medicare Levy Legislation

In addition, the legislation will establish the DisabilityCare Australia Fund in which the additional Medicare levy proceeds will be invested. The DisabilityCare Australia Fund will be managed by the Future Fund Board of Guardians, so that funding can only be used to meet the costs of delivering DisabilityCare Australia.
Source: australiasmassmedia.com

“Reading Your Medicare Summary Notice” Workshop

Posted by:  :  Category: Medicare

The Monmouth County Connection is located at 3544 State Highway 66 in Neptune, in the strip mall adjacent to the Home Depot and across the street from Walmart.  This new office of Monmouth County government offers a variety of services including passports, passport photos, free notary public, veterans’ IDs, election/voter information, senior and veterans’ services, public access computers and more.
Source: patch.com

Video: What is an MSN?

Understanding Medicare Statements

You should compare the information on your MSN with bills, statements and receipts from your health care providers and suppliers. Do the dates, billing codes and the descriptions of services you received match? In some instances, your MSN may include valid charges for services or supplies you weren’t aware of having received — such as for medical consultations or tests. But, as a general rule, the dates and codes should match. If you don’t see codes on your provider’s paperwork, ask for copies that include them.
Source: aarp.org

Cutting the clutter – the newly designed Medicare Summary Notice

gives you faster access to your Medicare claims information—you can check it 24 hours a day, 7 days a week, 365 days a year. Customize your MSN to see procedures broken down by single claim, or by a time period you choose, and print out your own statement anytime. Reviewing your MSN online means a shorter wait to see what you were charged for health care services, medical supplies or equipment, and how much Medicare paid.
Source: medicare.gov

Medicare Summary Notice Made Easy

This post was written by Jim Blazer, Executive V.P. of Bermel, Inc.  Since joining Bermel, Inc. 18 years ago, Blazer has led the company in its steady expansion. He is recognized for managing one of two major US hospital networks for Medicare Select. Bermel, Inc’s Medicare Select Supplements significantly reduce the premium outlay for policyholders.
Source: medicareecompare.com

New Medicare Summary Notice Designed to Help Fight Fraud

“Consumer protection starts with making sure consumers not only get timely and accurate information, but that they understand what services they’re receiving from Medicare,” said Acting Administrator Marilyn Tavenner.  “The new Medicare Summary Notice empowers Medicare’s seniors and people with disabilities.  The statement is easier to understand and navigate, and makes clear what information to check and how to report potential fraud.  The new MSN also makes it easier for people with Medicare to understand their benefits and file appeals if a claim is denied.”
Source: wolterskluwerlb.com

CMS announces new Medicare Summary Notice (sometimes referred to as an Explanation of Benefits)

This MSN redesign is part of a new initiative, “Your Medicare Information: Clearer, Simpler, At Your Fingertips,” which aims to make Medicare information clearer, more accessible, and easier for beneficiaries and their caregivers to understand. CMS will take additional actions this year to make information about benefits, providers, and claims more accessible and easier to understand for seniors and people with disabilities who have Medicare. This MSN redesign reflects more than 18 months of research and feedback from beneficiaries to provide enhanced customer service and respond to suggestions and input.
Source: quinnscommentary.com

Medicare Part D: Coverage, Costs, Eligibility

Posted by:  :  Category: Medicare

wordy informative signage by damian mRoss Blair has applied more than 26 years of technology experience to develop PlanPrescriber.com, a website that makes it easier for seniors and their caregivers to select and enroll in the best Medicare products for their specific needs. In his role as CEO, he has worked closely with pharmacists, insurers, physicians, caregivers and seniors to identify the most critical and complex aspects of Medicare and create a system that delivers this information to consumers in a format that is easy to use and understand. Google+
Source: ehealthmedicare.com

Video: Medicare Part D Prescription Drug Coverage

Why the Politics of Obamacare Implementation Could Be Very Different From Medicare Part D

On the other hand, the implementation of Obamacare was designed to feature a mix of winners and losers. Low income people who qualify for Medicaid will be clear winners, yet many other people will see themselves as worse off because of the law. Certain middle income people who buy their own insurance could see big premium increases. Some business owners will be hit with a significant penalty for not providing insurance, while some workers might see their hours cut to avoid this penalty. Parts of the health care industry will also face new taxes.
Source: firedoglake.com

Part B Versus Part D Coverage Determinations

Here’s what’s concerning me about your situation: Part B vs Part D drugs is a slightly grey area, but the line is generally drawn at if it’s provided in a physician office vs picked up at a pharmacy. I’ll admit I’ve been out of the Medicare game for a little while at this point, but I can’t think of how the drug can be covered under both. Either it’s a Part B drug or it’s not. Another question that comes to mind is that if he’s on a supp with such an expensive drug, how would he qualify for a different supp? Each state has it’s own rules and situations can vary, so that may not be important, but that’s a flag that’s going up for me. What I think answers your question is that a supp pays after Medicare. If Part A/B are covering something, they pay what’s left (such as they have to). If Medicare A/B pay 80% and the client has a plan F (to make things simple) then the supp is on the hook for the 20%. The supp can’t go back and cry foul because it’s up to Medicare A/B. If Medicare A/B kicks rejects the claim, then the supp will deny the claim because Medicare A/B kicked it. That make sense? That help? To put it another way, of patient was receiving XYZ drug at their doc with Medicare paying primary, changing supp wouldn’t change that and the new supp (provided they went through underwriting and any other applicable requirements) would be on the hook for the gap up to the coverage amounts. That answer your question?
Source: insurance-forums.net

MEDICARE PART D COSTS 2013

To be in a position to participate in Part D, Medicare members are typically needed to confirm their enrollment.  The annual interval for enrollment commences on November 15 and concludes on December 31 each and every 12 months.  However, effective 2013, the enrollment period of time will now be from October fifteen up to December 7.  Suitable Medicare beneficiaries who are unsuccessful to make it within the enrollment period of time can nevertheless enroll for Part D protection by paying out a late enrollment penalty or LEP.  The LEP is computed as one% of the nationwide average high quality multiplied by the number of full months of eligibility in which no enrollment was made.  
Source: 2013m.org

Analysis Finds Lax CMS Oversight of Prescribers in Medicare Part D

Further, the data showed that 50% of the top 20 prescribers of OxyContin in 2010 have been either criminally charged, convicted or settled fraud claims, or have been disciplined by their state medical boards. Among those, eight have been charged, convicted or barred from prescribing controlled substances, or been disciplined by licensing boards. However, all but one of those doctors still are able to prescribe drugs for Medicare.
Source: californiahealthline.org

Medicare Essential – Is this the future of Medicare?

The combined deductible idea is echoed in a recent article in Health Affairs that proposes unification of Parts A and B, and Part D drug benefits. The Health Affairs article also proposes reducing beneficiary cost sharing to levels comparable to Medicare Advantage plans, eliminating the need for Medicare Supplemental coverage. The new Medicare plan, called Medicare Essential, would become the default for people who qualify for Medicare for the first time. New Medicare beneficiaries could opt out and take old traditional Medicare, and go buy their own Part D and Medicare Supplement plans, or they could buy Medicare Advantage plans. Medicare Essential would have a much higher premium than Medicare Part B, but the authors of the article claim that the overall cost would be less than Part B plus Part D plus the full-coverage Medicare Supplement Plan F that most seniors select. So proponents could argue that the added cost of the increased premium is a bargain and that people could always opt out and avoid the higher cost if they wanted to. Medicare Essentials could show significant savings by avoiding the broker commissions that add to the cost of Medicare Supplemental and Medicare Advantage plans. Whether the new program would be able to achieve the supposed 2% administrative cost ratio sometimes claimed for Medicare is highly suspect, but elimination of the need to re-process claims to pay Supplement benefits, along with simplification of coverage rules overall, would probably yield some further efficiencies.
Source: gormanhealthgroup.com

Medicare Part D, Prescription Drug Plan Coverage, PDP

It is best to sign up for a Part D plan as soon as you become eligible. In some circumstances, members may be charged a penalty or face higher premiums if they sign up after their initial eligibility. If necessary, you can make changes to your plan in the fall when providers announce upcoming changes during the Annual Election Period (AEP). Few exceptions allow enrollments outside of an enrollment period, but it is important to enroll as soon as possible to avoid potential penalty fees.
Source: bradeninsurance.com

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

Medicare Supplement & Medicare Part D: Medigap Drug Coverage

In most cases, since Medicare Supplement plans cannot work with MA plans, beneficiaries enrolled in Medigap policies who do not have other drug coverage opt to enroll in a stand-alone Part D plan for creditable prescription drug coverage. The best time for Medigap policyholders to enroll in a PDP is when they are first eligible to enroll in a Part D plan to avoid potentially paying more to join a drug plan later. Beneficiaries can enroll during their Initial Enrollment Period, during Special Enrollment Periods, during the Annual Enrollment Period (October 15th to December 7th), or anytime if they qualify for the Extra Help program.
Source: planprescriber.com

[OPINION] Making “Patient Protection” Essential In Obamacare

HHS needs to comprehensively and quickly address the problems with its EHB rules. Meanwhile, department officials must ensure that the appeals process is robust and patient-friendly. If HHS fails to act, Congress needs to take action to explicitly guarantee patient access to important medications. Inaction will limit access to the medicines that people living with HIV and other chronic conditions need to survive and thrive, keeping the promise of Obamacare from becoming a reality.
Source: njtoday.net

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

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

Appealing Medicare Denials of New Medical Technologies

Posted by:  :  Category: Medicare

Code Pink R-E-P-P-E-N' ENDS! by eyewashdesign: A. GoldenIn 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

Video: Medicare denial code

Daily Kos: Cancer patients on Medicare denied care at clinics because of sequester

patients will also be effected since the medications for dialysis can run beyond $10,000.00 per month and sometimes within two treatments.  Dialysis patient automatically get Medicare for ESRD.  Does anyone know?  I guess those who want Medicare and Social Security slashed are doing a fine job of making sure the message gets sent that if you just an average American and not wealthy then you not worth medical treatment.  They have been sending this message to the poor for a long time and now they are moving up the tier.  I’m ashamed of my country.  I will always remember the times we actually made progress toward being a better nation for all.  I guess those days have gone fishing and won’t be back for a very long time.
Source: dailykos.com

duke irb: For all physicians or students who want to practice medicare denial codes in Germany, either for re

Pocket medical dictionary medicare denial codes German-Romanian, Romanian-German For all physicians or students who want to practice medicare denial codes in Germany, either for residency or to practice his specialty, this pocket medical dictionary German-Romanian, Romanian-German, edited by Hans Neumann signature is the perfect tool. This book was published in 2010 and contains Polirom medicare denial codes publishing no less than 436 pages. Although the format of a book pocket dictionary is easy to go and contains medicare denial codes the most commonly used medical terms. Because it is so German-Romanian, Romanian-German and it can be used to translate literature and to prepare a job interview in one of the clinics in Germany. It comes at a price to emag.ro revolves around the amount medicare denial codes of 35 RON, so is accessible to all healthcare professionals who want to learn or solidify their knowledge in the field of German medical terms. Unlike other similar dictionaries, the manuscript by Hans Neumann
Source: blogspot.com

Medicare Issues Guidance to Hospitals for Part B Rebilling of Denied Inpatient ClaimsHall Render

The article contains important information for coding and submission of claims, including timing, bill types, condition codes, treatment authorization codes and required remarks.  Further, the article makes clear that hospitals may also bill separately for outpatient services provided in the three-day (or one-day) payment window and that rebilling of denied inpatient claims will not impact skilled nursing facility eligibility.  Finally, hospitals submitting Part B  inpatient claims during the interim rebilling policy are acknowledging that the Part B claim is a duplicate of a denied Part A claim, that no payment will be made for items and services included on the Part A claim and that any amounts collected from the beneficiary for the Part A claim will be refunded to the beneficiary.  CMS will establish permanent policy changes through notice and comment rulemaking.  The associated Proposed Rule was published in the Federal Register on March 18, 2013, and comments are due by 5 P.M. on May 17, 2013.  
Source: hallrender.com

Medical Billing Codes: Medical Billing Codes Medicare

Medicare may have overpaid an estimated $424 million to PacifiCare of California’s Medicare Advantage plan based on risk assessments that in many cases made patients seem sicker than they were, according to a federal oversight agency. Medicare Advantage plans send patient diagnosis codes to Medicare, which boosts plan rates if clients are affected by serious medical conditions. A new report by
Source: blogspot.com

Tamgho at Montgeron, Farah for Bupa London 10k, Dibaba at Bupa Manchester and a bio on Churandy Martina? by Alfons Juck, note by Larry Eder

Posted by:  :  Category: Medicare

Bupa AdSense banner gone wrong by engineroomblog.54 set in Heusden back in 2004.   SYDNEY (AUS): AIPS writes that the organisers of the Cayman International have come to their senses and revoked ridiculous and naive guidelines requiring media not to question Usain Bolt about injury concerns, or mention Bolt’s training partner Yohan Blake in any capacity. Following pressure from AIPS and Caribbean media, organisers Tower Marketing revised media guidelines late yesterday with an email statement from event media officer Jenna Lucas. RESULTS CHONBURI (THA, May 8): At the second leg of Asian Grand Prix series at IPE Chonburi Campus Stadium Australia with olympic winner Sally Pearson on the 3rd leg clocked 44.06 in the 4×100 m. They missed the Moscow standard by 0.06. Hong Kong made a world championship qualification as their men clocked 39.17 to win over Singapore (39.45 national record) and China (39.79). Reza Ghasemi of Iran won the 100 m in 10.32 (-1.9). Against strong -1.9 wind also good 13.69 at 110 m hurdles by Kuweit Abdulaziz Almandeel. Roman Valiyev beat Indian record holder Renjith Maheswary by 1 cm in the triple jump (16.69 and 16.68).  Women technical winners from Uzbekistan Nadezda Dusanova 186 high jump and 642 Darya Reznichenko in the long jump. Chinese Su Xinyue won the discus 61.67. RIYADH (KSA, Apr 30): Heinrich Hubbeling informs about top pole vault talent from Saudi Arabia. Hussein Assem Al-Hizam who is 15 years old cleared 515 cm what is also senior national record for his country. ANSAN (KOR, May 5): At Korean Championships the best result in men long jump as Kim Suk-Hyun leaped to 808 cm (+1.7). In the women 400 m hurdles heats new national record for Choi Eun-Ju 57.34. She did not finish the finals. NAMUR (BEL, May 8): Rhys Williams of Great Britain clocked at 17th Atletissima meet (EAP Circuit) European leading time at 400m hurdles 49.11. It is his third fastest of the career. Sudanese African Games winner Mohamed Idris cleared 222 cm in the high jump. Lindsay De Grande returned after battle with leukemia in 
Source: runblogrun.com

Video: The Bupa story

Il Blog di Alberto Stretti: Farah targets fifth Bupa London 10,000 title

Mo Farah will target his fifth straight victory at the 2013 Bupa London 10,000 road race on Bank Holiday Monday, 27 May, when he headlines an elite field containing some of Britain’s finest distance runners. The double Olympic champion has been an ever-present at this 10km central London road event since it started in 2008. After finishing third in the inaugural race, he has dominated ever since, winning four in a row and notching up British records in 2009 and 2010. His winning time three years ago of 27 minutes 44 seconds remains the men’s course record. Last year he chose to cruise home in a relatively modest 29:21 as he geared up for a glorious summer which climaxed at the Olympic Games last August when he won gold at 5000m and 10,000m. This year’s race will give the poster boy of British distance running a chance to assess his form and fitness ahead of the IAAF World Championships in Moscow where he hopes to retain his 5000m title and add the world 10,000m crown to his growing collection of honours. Farah’s main threat will come from fellow-Briton and former training partner Scott Overall. Overall was runner-up behind Farah last year in 29:26 just a couple of months before he represented Team GB over the same central London course in the Olympic marathon last August. The Blackheath and Bromley athlete finished 61st at the Games and dropped out of this year’s Virgin London Marathon after 25km with a knee injury. But he was in good form earlier in the year when he retained the adidas half marathon title at Silverstone. If Overall has returned to fitness his 10km PB of 28:49 could come under threat. British international Amy Whitehead leads the women’s field on her Bupa London 10,000 debut. The 34-year-old Sale Harrier was 13th in the 2013 Virgin London Marathon last month, the second Briton home behind Susan Partridge. Once a junior cross country international snapping at Paula Radcliffe’s heels, Whitehead emerged from an enforced break due to injuries, motherhood and teaching to smash her marathon best at the 2011 London Marathon despite setting off from the mass start. It has been a long road back for Whitehead who was 15th at the World Cross Country Championships in 1999 before enduring three stress fractures. She quit running to start a career as an English and drama teacher and only returned to action after giving birth to her daughter, Holly, in 2009. This is her first appearance at the Bupa London 10,000 but she was third over 10km in Brighton last November when she set her PB of 33:48. Whitehead will line up against Steph Twell, another athlete who’s faced injury troubles in recent years. The former world junior 1500m champion won the European junior cross country title three times between 2006 and 2008. She was also a member of Britain’s Beijing 2008 Olympic team, but a fractured ankle in 2011 and a further foot injury in June last year ended her hopes of competing at London 2012. Twell will make her Bupa London 10,000 debut just 24 hours after competing in the Westminster Mile. The Scot has a 10km road PB of 32:35 so should be considered a real contender for the women’s title. Alongside the elites will be teams of up to six runners from UK clubs competing for places in the UK 10km championship race, with the cumulative times of the first three finishers counting towards the team prize. Behind them all will be some 10,000 fun runners, celebrities and charity fund raisers looking for lifetime bests and personal satisfaction on the roads where the world’s best marathon runners raced for Olympic glory just 10 months ago. – ends -
Source: albertostretti.org

BUPA Junior Manchester Run

Alex Waddacor, who is 13, has chosen to run the BUPA Junior Manchester Run that takes place on 27 May.  Alex has decided to raise money for the Limbless Association because her uncle is a bilateral amputee and she wants to raise funds to allow us to help people like her uncle.
Source: limbless-association.org

GlutenSwitch App from FoodSwitch by Bupa

If I had this gem of an app then I know if would have made life so much easier. What you do is install the FoodSwitch app, available on both iTunes and Google Play, click on the GlutenSwitch option , scan the barcode of the product and then it will bring up the ingredients of the product, whether it is gluten free or not and if not, some gluten free alternative suggestions. Genius right?
Source: nellbe.com

21st December 2012: LUX MED to be acquired by BUPA

LUX MED Group, the biggest private healthcare provider in Poland will be acquired by BUPA, the global leader of healthcare sector worldwide. BUPA has more than 10 mln clients in UK, Spain, Australia, New Zealand, Latin America, Saudi Arabia, Thailand and India. The deal will be finalized in the first quarter of 2013.
Source: iehr.eu

Private health cover from BUPA

banking market British business broadband business case business insurance contractor Domain Registry Services e-business e-business strategy employees employment law employment legislation family business identifies investment cash investor interest managing director online trading profit reduce tax retail business Search Engine Optimisation self-employed senior manager SEO small business starting your own business tax planning technology UK business UK retailers your business
Source: nimbusonline.org

Nominate My Blog for the Bupa Blog Awards!

Sign up to get your FREE REPORT  “10 Tips for Moving Out of Relationship Pain” and you’ll also receive Clinton’s monthly newsletter, Relationship Matters, with lots of information, tips and advice on how to create great relationships.
Source: com.au

Max Bupa strengthens leadership team

PRLog (Press Release) – May 6, 2013 – DELHI, India — Max Bupa Health Insurance Company Limited announced today the appointment of Somesh Chandra as Director – Customer Services, Operations and Technology. This is in line with Max Bupa’s focus on strengthening its customer service portfolio. In this capacity, Somesh will be responsible for Customer Services, Operations and IT functions.   Somesh’s key responsibility will be to ensure proactive and high quality service to customers by strengthening the IT platform to ensure seamless service delivery. Max Bupa is committed to providing high quality service with SevaBhav to its increasing customer base and Somesh’s contribution will be key to achieve this.  Somesh will report to Manasije Mishra, Chief Executive Officer, Max Bupa and will be based out of the office headquarters in Delhi. Somesh joins Max Bupa from Religare Corporate Services and brings with him over 15 years of experience in the field of Management Consulting, IT and Operations. Speaking about Somesh’s appointment, Manasije Mishra, Chief Executive Officer, Max Bupa said, “I am delighted to welcome Somesh on board. Customer centricity is at the heart of what we do at Max Bupa and with his rich experience Somesh will play a pivotal role in our continued efforts towards providing an unmatched customer service experience in health insurance. ” An Electronics Engineer and a certified Project Management professional by qualification, Somesh has handled key portfolios in leadership roles at Religare, McKinsey, CSC and TCS. Note to Editors: About Max Bupa Health Insurance Max Bupa Health Insurance is a, 74:26, joint venture between Max India Limited, a multi-business corporate with expertise in life insurance and health care and Bupa, a leading international healthcare provider with 65 years of healthcare knowledge. Max Bupa brings together a combination of Bupa’s global health insurance expertise and customer service expertise with Max India’s understanding and experience of the Indian health and insurance sectors. Max Bupa offers quality health insurance services through a dedicated team of over 1000 people and its network of 21 offices across 13 cities – Delhi, Mumbai, Hyderabad, Chennai, Bangalore, Pune, Ludhiana,Chandigarh, Jaipur, Surat, Kochi, Kolkata and Patna. Max Bupa offers individual and family oriented health insurance policies for Indians across all age groups. Strong Network of 1800 hospitals Max Bupa Health Insurance has a direct working relationship with a network over 1800 top quality hospitals and healthcare providers and at the same time the company plans to extend its network of hospitals to other parts of the country. Max Bupa services customers directly without third party involvement. About Max India Max India Group is a multi-business corporate, driven by the spirit of enterprise and focused on people and service oriented businesses. The Company is headquartered in New Delhi, India. Max India is in the ‘Business of Life’ with its vision is to be one of India’s most admired corporates for Service Excellence. It ‘Protects Life’ through its Life Insurance subsidiary Max Life, a joint venture between Max India and Mutsui Sumitomo; ‘Cares for Life’ through its Healthcare company, Max Healthcare, a joint venture between Max India and Life Healthcare, South Africa; ‘Enhances Life’ through its Health Insurance company, Max Bupa Health Insurance, a joint venture between Max India and Bupa Finance Plc., UK; ‘Rejuvenates Life’ through its Senior Living business Antara, a fully owned subsidiary of Max India and ‘Improves Life’ through its Clinical Research business, Max Neeman, a fully owned subsidiary of Max India. The Group also continues its interest in manufacture of Specialty Products for the packaging industry through its strategic business unit Max Specialty Films. The flagship company Max India Limited is a widely held public listed entity, with the owner sponsors, led by Analjit Singh holding over 39% stake. Its other shareholders include some of world’s best Institutional Investors such as, Goldman Sachs, International Finance Corporation, Washington (IFC) and Temasek Holdings. About Bupa: 65 years of Health and Care Bupa’s purpose is to help people lead longer, healthier, happier lives. Established in 1947, it has over 11.3 million customers in more than 190 countries. Employing over 52,000 people, Bupa has operations around the world, principally in the UK, Australia, Spain, New Zealand and the USA, as well as Hong Kong, Thailand, Saudi Arabia, India, China and across Latin America. A leading international healthcare group, Bupa offers personal and company health insurance, runs care homes for older people and hospitals, and provides workplace health services, health assessments and chronic disease management services, including health coaching, and home healthcare. With no shareholders, Bupa invests its profits to provide more and better healthcare and is committed to making quality, patient-centred, affordable healthcare more accessible in the areas of wellness, chronic disease management and ageing. For more information, please contact: Elizabeth Chen –9560021116 Khushboo Bhutani –9560012988
Source: prlog.org