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

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President Obama’s upcoming budget will include proposed changes to Social Security and Medicare plus some new tax increases, according to senior administration officials, reports CNN. The budget will include an offer Obama made to House Speaker John Boehner in December, officials said.
Source: economicpolicyjournal.com

Video: Agenda Plus: History of Medicare

Plus ACO Asks Medicare to Reconsider Benchmarks

Plus ACO has 19,000 patients who will be enrolled in the traditional Medicare plan. NTSP, which serves patients in Tarrant, Parker, and Johnson counties, has more than 10 years of experience in population health management and has participated in quality initiatives tied to financial incentives. It cares for about 30,000 Medicare Advantage patients—including 25,000 in United Healthcare’s Secure Horizons plan and about 5,000 in its wholly owned Care N’ Care plan. Plus ACO will have 19,000 patients who will be enrolled in the traditional Medicare plan.
Source: dmagazine.com

InsureBlog: Hospital Claim of the Day

Received an audit back on behalf of a client. When we can our plans only pay Hospitals their cost plus a 12% profit margin or Medicare plus 20%, which ever is greater. A member went to a new Spine Surgery Center and the bill was $8,300. Medicare + 20% was $620.28. Billed Charges are 1300% increase of Medicare allowable. Luckily this new facility was out of Network so we don’t have a PPO telling us we have to pay inflated prices. Even a 50% discount, top side for this market, would have been over a $4,000 bill.
Source: blogspot.com

One Plus Six Equals A Room Full Of Hicks

Your current Cigna Part H is a goal which provides perfect coverage for just about 94 percent of the drugs available all the way through pharmacy counters. But, you should try to procure medicines from a pharmacy which can be a part of each of our validated network. But, this is not a problem really seeing as there are as many even though 58,000 pharmacies that part of the game and you has the potential to surely find one inch your vicinity. No copayments should be made for drugs connected to commonplace illnesses and there are no insurance deductibles on the favored Cigna medicare plans. The Cigna One aspect D can turn into bifurcated into a handful of plans, namely, Part 1, Part 2, and Part numerous.
Source: huffpozer.com

The ABC’s (and D) of Medicare

Pharmaceutical managed care professional, consultant to Wall Street, SME, public speaker, biomedical ethicist. Big Pharma, Major Payer, PBM, and Biotech experience; chronic pain sufferer, and PTSD survivor. Advocate for appropriate and compassionate care for chronic pain sufferers no matter what a person’s situation may be. Passionate about patient access to medicine and appropriate/timely health care for every man, woman, and child. Committed to the prevention of suicide, interested in finding ways to bring drugs to market safely and more efficiently as well as committed to care that treats the entire patient – physical, mental and spiritual = the human condition. Deep connection with God and all of the gifts he’s provided; special place in my heart for animals and children. Strong belief that while developing employees you expose their greatness as well as your own! Fascinated by the changing healthcare environment every day!
Source: pharmamanagedcare.com

How Medicare Works With My Other Insurance

The supplemental insurance agent we use at work joined Columbia River Insurance Services over a year ago. We got some great rates on our new personal life insurance policies. Chrys suggested we get a quote on our home and auto policies. Another employee advised she had CR take a look at her policies and she saved a ton so we finally checked it out. With farm, home, residential rental, and multiple vehicles it wasn’t the easiest policy to review. This was no 15 minutes and you’re done! As it turns out we didn’t really save much if any money, but gained A LOT of necessary coverage – much of which we didn’t realize was missing under our old policy!! We couldn’t be happier. We’re recommending Columbia River to all our friends and family. Thanks Chastain & Chrys!
Source: columbiariverinsuranceservices.com

The Ins and Outs of Medicare Supplemental Insurance

Posted by:  :  Category: Medicare

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Yes! So how does this relate to Medicare’s coverage? There is a general rule of thumb that is called the “80/20 rule.” Outside of some of the preventative items like mammograms, colorectal screenings, and some psychiatric care, Medicare covers the first 80 percent of medical bills, leaving you to cover the last 20 percent. Medicare will also cover certain medically-necessary pieces of equipment like seat lift mechanisms and diabetic shoes (fitted by a specialist, of course). It doesn’t seem so bad at first, especially if you’re a healthy individual, but if something happens that requires you to need urgent medical care or even an operation, you may have to spend tens- to hundreds-of-thousands of dollars. A June 2011 report from the Kaiser Family Foundation predicted that by the year 2020 the median out-of-pocket spending for seniors with Medicare is projected to reach 26 percent of all income, with the most money being spent in the last five years of their life. This is why supplemental Medicare insurance is a necessity for every senior. Not only do you really need Medicare supplemental insurance, you need it before something happens to you, and you likely won’t use it much until the last 5 years of life. So two points to keep in mind 1) If you wait until a procedure is needed or something unexpected happens to you, you’ve waited too long, and 2) Don’t make the mistake of cancelling your Medicare supplement policy because you’ve’ paid in more than you use. It’s health insurance and in this case it works best if it’s held to its natural end point.
Source: insideeldercare.com

Video: What is a Medicare Supplement

Need Advice on How to Sell My Blue Shield Medicare Supplement Book of Business

Hi. I’m new on this forum, so please forgive me if I’m not doing this right. I currently have 16 remaining Medicare Supplement policy holders that I’ve had for years in Washington state. Blue Shield is cancelling my contract because I’ve fallen below 20 clients. Thought I’d try to sell it rather than lose everything. (I’m presuming I can do that.) The monthly income is almost $400 per month ($4,800 per year). Have been told that the selling price would be 1 to 2 times the annual income, but I’m not sure. Anyone have any advice on determining a fair selling price, where to advertise it, etc.? Anyone interested in buying it? Thanks, Ron
Source: insurance-forums.net

Medicare Supplement Plan F

Medicare Supplemental Plan F is the most popular supplemental plan because it provides the most robust coverage, and the premiums are not much higher when the benefits are compared to the plans offering less coverage. A patient with Plan F can in many situations pay nothing additional out of pocket for doctor and hospital services. People eligible for a Medicare Supplemental Plan should compare the benefits and premiums of the plans and purchase the best coverage they can afford. For many patients, that is Plan F.
Source: wastedenergy.net

Education Medicare And Supplemental InsuranceECNS 2010

Living in addition, the elderly are being motivated to pay sigificantly higher premiums during their Medicare supplement plans while stress a reduction in coverage both through the process of Medicare itself and by the assortment of supplemental plans offered by private rrnsurance policies Blue Cross adds benefits to medicare supplement plan f policies in California. Medicare has also drastically discounted its payments to specialists.
Source: ecns2010.org

Previous To You Shop That Medicare Supplement Provider

Anticipated to array of insurance policies that you will have to obtain at many moment in your. Medical coverage is one of these experts. When you get older, this may turn up in the form of Medicare. although Medicare is convenient on its own, it does though not always satisfy the needs to those who utilize. While that takes place, plans like those readily available through Medigap New jersey are at this happening to supplement urge for food furnished as as a result of Medicare therefore which is seniors can actually obtain the sort of bill protection will need. Here is a look coming from what some this new protection are able for you being a result you can proceed living over how the Mexican border.
Source: backstreetbakers.com

What is Medicare Supplement (Medigap) Insurance

In order to sign up for Medicare Supplement coverage, you must already have Part A and Part B. These plans are offered by private insurance companies and come in 10 standardized policy types that are denoted by the letters A-N. The standardization of these plans means that no matter where you shop, the Medigap policy details remain consistent. For example, the benefits associated with Plan F are the same no matter where you buy it, though costs may differ across all carriers. Not every carrier of Medicare Supplement Insurance offers all 10 plan types, and three states in the U.S. have their own version of these plans: Massachusetts, Minnesota, and Wisconsin.
Source: ehealthmedicare.com

Things that ought to be there in the best Medicare Supplement Policies

Those who have already enrolled themselves in Medicare can also get enrolled in supplemental insurance. These are marketed and sold by private firms. Traditional Medicare takes care of most of the expenses but not each and every service associated to medical supplies and health. Traditional Medicare includes hospital insurance and medical insurance which falls under Part A and Part B respectively. The ideal plan of Medicare supplement insurance should be able to provide coverage for “gaps” that are not taken care of by traditional Medicare. These includes copayments, coinsurance and deductibles, which can add up, especially for individuals who need trained nursing home services and are hospitalized. This plan can also pay for the medical services sought by an individual outside his own country along with preventive services that do not receive approval from Medicare. Those who are enrolled in both the parts of Medicare (Part A and Part B) besides best Medicare supplement insurance policy, Medicare furnishes its share of medical services approved by it. Following this, Medigap takes care of its share of the expenses.
Source: fusionswim.com

Medicare Supplemental Insurance

Another issue that should be kept in mind with Medigap policies, is that it is wiser to purchase a supplemental coverage within the first six months of being on Medicare Part B. This is when the insurers cannot deny the individual because of a preexistent health issue. Many insurance companies will tell the individual that they have better plans and better coverages. This is not true. The Medigap program is a national one and the coverage is the same no matter who one attains the policy from. The only difference may be the amount of the premium one is required to pay.
Source: youneedtoknowme.org

The Text Does Medicare Supplement Plan F Be

The most effective site for vpn reviews 2013, updates and ideas. It supplies you services, functions and options that no other website will provide you. Do bear in mind to see our site every now and then because we will be continually updated and show you the outstanding VPN provides that you might be interested in. Which VPN supplier offers the most effective Premium VPN accounts available? The only independent Best VPN Reviews site tests and reviews all premium VPN services.
Source: lipowa.org

Getting Medicare Supplement Insurance

Treatment Supplement Plan F is still significantly and away the most popular Medicare insurance Supplement Plan as it is the entire most comprehensive plan offered and any price is very affordable. Now with Medicare Supplement Plan F, you does indeed see almost no out of wallet expenses (no co-payments and no deductibles) except for your monthly payment. Medicare Supplement Plan G is a single great option and is exactly the type of same as Plan F, except you actually will have to pay the Step B deductible, which is 5 when considering 2010. However, Medicare Supplement Prepare G is cheaper than Medicare Vitamin and mineral Plan F on a monthly structure.
Source: gigglesclubs.com

Medicare Supplement Plan F

Purchasing a Supplemental Plan F policy should prevent any out-of- pocket costs for the recipient. One of the benefits covered by Supplemental Plan F is hospitalization for up to 365 days after Medicare coverage ends. The plan will cover up to 20 percent of all Medicare approved expenses. If blood is required three pints of blood each year are covered under the plan. The plan also covers the expense of a stay in a skilled nursing care facility. One of the greatest benefits is that Supplemental Plan F covers any emergency medical assistance that may be required while traveling abroad.
Source: edvox.org

The Ins and Outs of Medicare Supplemental Insurance

Posted by:  :  Category: Medicare

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Yes! So how does this relate to Medicare’s coverage? There is a general rule of thumb that is called the “80/20 rule.” Outside of some of the preventative items like mammograms, colorectal screenings, and some psychiatric care, Medicare covers the first 80 percent of medical bills, leaving you to cover the last 20 percent. Medicare will also cover certain medically-necessary pieces of equipment like seat lift mechanisms and diabetic shoes (fitted by a specialist, of course). It doesn’t seem so bad at first, especially if you’re a healthy individual, but if something happens that requires you to need urgent medical care or even an operation, you may have to spend tens- to hundreds-of-thousands of dollars. A June 2011 report from the Kaiser Family Foundation predicted that by the year 2020 the median out-of-pocket spending for seniors with Medicare is projected to reach 26 percent of all income, with the most money being spent in the last five years of their life. This is why supplemental Medicare insurance is a necessity for every senior. Not only do you really need Medicare supplemental insurance, you need it before something happens to you, and you likely won’t use it much until the last 5 years of life. So two points to keep in mind 1) If you wait until a procedure is needed or something unexpected happens to you, you’ve waited too long, and 2) Don’t make the mistake of cancelling your Medicare supplement policy because you’ve’ paid in more than you use. It’s health insurance and in this case it works best if it’s held to its natural end point.
Source: insideeldercare.com

Video: Medicare Supplement Insurance Plans – Where Do I Start?

Getting Medicare Supplement Insurance

Treatment Supplement Plan F is still significantly and away the most popular Medicare insurance Supplement Plan as it is the entire most comprehensive plan offered and any price is very affordable. Now with Medicare Supplement Plan F, you does indeed see almost no out of wallet expenses (no co-payments and no deductibles) except for your monthly payment. Medicare Supplement Plan G is a single great option and is exactly the type of same as Plan F, except you actually will have to pay the Step B deductible, which is 5 when considering 2010. However, Medicare Supplement Prepare G is cheaper than Medicare Vitamin and mineral Plan F on a monthly structure.
Source: gigglesclubs.com

Education Medicare And Supplemental InsuranceECNS 2010

Living in addition, the elderly are being motivated to pay sigificantly higher premiums during their Medicare supplement plans while stress a reduction in coverage both through the process of Medicare itself and by the assortment of supplemental plans offered by private rrnsurance policies Blue Cross adds benefits to medicare supplement plan f policies in California. Medicare has also drastically discounted its payments to specialists.
Source: ecns2010.org

Medicare Insurance Supplement Benefits To Gain Better Medicare Videos

A whole lot medsupp plans provide assistance for cracks in Medicare an insurance plan of skilled birkenstock care inside of a nursing home. The member have to have enter the an elderly care facility after a or even day stay in an acute care medical facility and deemed technically necessary to seem to get care in a competent nursing facility. The care would ultimately be pharmaceutical drug by an a lot of physician. Actual do not carry for custodial care. Thus, in reality despite the fact much skilled nursing care is provided within nursing homes, nursing home consideration as most think of it is instead of covered. Joining Medicare and applications F and G up to 100 days is covered by the insurers.
Source: tagamanent.org

Medicare Insurance Supplements Help Have Sense Of Medicare Insurance

Anticipated to array of health insurance policies that you will likely need to obtain at some moment in your. Medical coverage is one of these experts. When you get older, this will turn up comprising Medicare. although Medicare is favorable on its own, it does not always satisfy the needs to those who utilize it. While that takes place, offers like those provided through Medigap New jersey are at on this occasion to supplement pill furnished as as a result of Medicare therefore which is seniors can in reality obtain the form of bill protection they must. Here is a look at what some in this new protection can do for you thus you can continue to living over which the Mexican border.
Source: svrrmasjon.net

jomargupta: On Medicare And Medicare Insurance Supplement Plans

Whilst in open enrollment, the actual right to deal Medigap insurance is guaranteed. Corporations cannot refuse spend you based in the health. Cannot even charge your family higher than popular rates or constrain coverage for any pre-existing conditions. This third method of getting the best love in None of the new medicare supplement plan f programs to be affected by Obama-care can safeguard you from a large amount in medical accounts. Private, and often presented as more economical, Medicare Part Y plans known even though Medicare Advantage (MA) plans were released as an switch to the administration funded insurance. Statistics show that do MA premiums were on the rise, and will rate consumers more for you to the traditional Medicare insurance Part B structure. Since Medicare has so many policies and stipulations, you’ll want to consult your local community Illinois social safety and security lawyer to express the medicare plans available. Until this is a discussion of what can be expected away from comprehensive travel rrnsurance policy policies and those actions could be counted upon when travel misfortune or airport air travel policies are made use of by a secret agent. Brokers can offer clients a series of coverage solutions at a single premium or individuals can opt to buy different insurance protection types at separate prices. when comprehensive insurance is very much availed of its traveler is preserved from any attainable losses regardless amongst the cause just that may arise through a vacation. South carolina Medicare Supplement tactics are plans that can go with Treatment. They cover everything that Medicare insurance does not covering at the professional medical doctor and hospital so you’ve no unexpected up front costs. Structured Medicare Advantage plans, on the other hand, are dreams that replace government employees Medicare program. They are a person version of all the government’s Medicare routine. The only question is really which medicare product plan to choose. Well, this depends on a lot of of factors. You need to talk to someone offers thorough knowledge to medicare and medicare supplemental insurance insurance policies. An unbiased persons that can recommend the medigap policy and the underwriter that best you enjoy and not so as to mention, is the least expensive. Region A of Medicare insurance is a completely free insurance plan. Part A packages recipients coverage for hospital visits; in-patient hospital services, qualified nursing homes if required after a hospital stay, hospice in addition to blood transfusions since the first three pints. However Step B is gets a monthly premium become paid out amongst pocket from a person. Coverage from Part B offers coverage for changing medical coverage this as; medical expenses, laboratory services, out-patient service and preventative health exams. While you want some assurance of becoming familiar with that you will pay around 0.00 or so in addition , have every Medicare insurance approved procedure satisfied for in crammed between Medicare plus Your insurance tiny then by nearly all means get the best plan F or just similar.
Source: blogspot.com

Medicare Insurance Supplements Help Establish Sense Of Medicare

Trucking jobs array of insurance plan that you are going to obtain at some people moment in living. Medical coverage is one of them. When you get older, this should turn up via Medicare. Although Medicare is helpful on its own, it does though not always satisfy the become those who utilize. While that takes place, systems like those readily available through Medigap New jersey are at this time to supplement the product furnished as a result of Medicare therefore which is seniors can normally obtain the kind of bill protection will need. Here is a look during the what some this new protection can do for you thus you can remain living over which the Mexican border.
Source: rhodeislandsuffrage.org

Seven Choices Medicare Plans Will Need To Make In Order To Survive

Posted by:  :  Category: Medicare

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Sales channels are a good example of this. Given the recent proliferation of channels, it is critical that MA plans optimize their mix by focusing on the needs of their customers, instead of looking at what has helped sell various Medicare products in the past. Traditional channel options include direct sales, brokers, groups, and the web; emerging channels include retail stores, payor partnerships, and private exchanges. Each avenue provides a unique experience for the customer, and the right match can determine the eventual buying decision. The range of channels increases complexity, but it also allows leading plans to tailor their engagement strategy by segmenting the customers and personalizing interactions on the basis of segment needs for sales and enrollment, as well as ongoing interactions with the member to improve experience and manage health outcomes.
Source: healthaffairs.org

Video: What Is Medicare Part-C and Part-D?

Blended Medicare Plan Could Save $180B Over 10 Years, Study Finds

Both studies — the Commonwealth Fund Medicare reform proposal and the Rand analysis of others’ Medicare reform proposals — are seriously flawed and illustrate no real-world understanding of Medicare. It is good that the Commonwealth Fund includes the catastrophic coverage and annual OOP limits that are not included in Original Medicare. All Part C plans and a few Medigap plans include such protection today. In fact, the Commonwealth Fund looks like a Part C health plan — except that it costs more than the average Part C plan and does not have as many other benefits (other than the OOP limits). The one-size-fits-all drug plan proposed by Commonwealth Fund will lead many low-income seniors back to the two-tier VA-like prescription drug coverage that pre-dated Part D (one inferior tier for low-income seniors, one better plan for the rest of us seniors). Because I cannot take Essential without taking this inferior two-tier drug plan is bad news for we middle-income seniors also
Source: californiahealthline.org

Medicare Eligibility & Enrollment

Beneficiaries who are enrolled in Original Medicare have the option of enrolling in a Part D plan to cover the costs of certain prescription drugs. Every beneficiary must have creditable prescription drug coverage, which can come in the form of a Prescription Drug Plan (PDP), a Medicare Advantage Prescription Drug (MAPD) plan, or an employer health plan. Eligible beneficiaries that reside in a plan’s network may enroll in a Part D plan during their Initial Enrollment Period, the Annual Enrollment Period, or during a Special Enrollment Period for which they qualify. The Initial Enrollment Period and Annual Enrollment Period are similar to the ones for Medicare Advantage plans, and a Special Enrollment Period can occur at any time of year depending on the qualifying event. Additionally, if you drop your MA coverage during the Medicare Advantage Disenrollment Period between January 1 and February 14 each year, you may be able to enroll in a stand-alone PDP if you were not previously enrolled in one.
Source: ehealthmedicare.com

MEDICARE SUPPLEMENT INSURANCE STILL IN VOGUE

There is now what many seniors are seeing as a “best of both worlds” solution. In June of 2010 the Federal Government remodeled the Medicare supplement plan offering. Some plans which were seen as redundant were eliminated or changed, and new plans that requited cost sharing were introduced. Since this restructuring two particular plans have gained in popularity with dollar conscious consumers. Medicare supplement Plan G and Medicare supplement Plan N have seen substantial growth in new enrollments. Medicare supplement Plan G is essentially identical to Medicare supplement Plan F with the exception being that the insured must pay the Medicare Part B deductible of $147 annually with Plan G. Therefore, if the consumer can save more than $147 annually with a Medicare supplement Plan G compared to a Medicare supplement Plan F, they are financially better of with a Medicare supplement Plan G. Medicare supplement Plan N on the other hand offers a totally brand new concept in Medicare supplement insurance, and that is cost-sharing. When a Medicare enrollee purchases a Medicare supplement Plan N they are making a commitment to participate in their healthcare costs, while still maintaining their freedom to use the services of any physician or hospital. Plan N requires the insured to pay their annual Medicare Part B deductible, up to a $20 physician’s office co-pay, a $50 emergency room co-pay unless admitted to the hospital and any excess charges over and above the Medicare approved charge. One should note that Medicare excess charges very rarely even exist as almost all physicians and hospital accept the Medicare approved charge as full payment. This is called Medicare assignment and the consumer can contact their physician’s insurance billing office to confirm that they accept assignment and are considered a “participating” provider. Healthy, typically younger Medicare enrollee’s see Medicare supplement Plan N is a viable alternative to a Medicare Advantage plan. Medicare supplement Plan N offers substantially reduced premiums when compared to a Medicare supplement Plan F while maintaining the “freedom of choice” not offered by a Medicare Advantage plan.
Source: askmedicareblog.com

Sarooj Noor: Medicare elucidation with a summary of its parts A, B, C & D

Medicare is the national health insurance program, by the government for medical and health related services. These services are provided to the specific group of people. Medicare is administered by the Centers for Medicare and Medicaid Services (CMS), a division of the U.S. Department of Health and Human Services. Since 1965, Medicare guarantees access to health insurance for Americans ages 65 and older and younger people with disabilities as well as people with end stage renal disease.
Source: blogspot.com

NAIC Cautions Obama Administration Against Added Cost Sharing in Medigap Plans 

“One in five people with Medicare choose a Medigap plan to help cover Medicare cost-sharing and other health care costs not covered by Medicare. Most of these beneficiaries have modest incomes. Many are poor. Introducing further cost-sharing in Medigap plans would create a significant financial burden, but that’s not all. When required to pay beyond their means, people skip needed medical care and treatment, leading to poor health outcomes, increased emergency room visits and hospitalizations,” said Judith Stein, Executive Director of the Center for Medicare Advocacy, Inc.
Source: medicareadvocacy.org

SR Health & Wealth Strategic: How do I Register for Medicare?: Ask Medicare Bob

Posted by:  :  Category: Medicare

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Do you think that you or a family member can or should be registered with Medicare? Robert W. Bache is a healthcare insurance consultant, specializing in plans for senior citizens, and in a new youtube video series, answers some commonly asked questions. A great deal of the information available to the American public and, senior citizens in particular, is unreliable due to the fact it is presented by agents with a vested interest in selling a particular policy. Bob Bache, on the other hand, works with all major healthcare providers, and so provides not only a huge wealth of knowledge about the health system and insurance, but objectivity. In the first of his series of youtube videos answering common questions on Medicare and related topics, Bob explains that registering for Medicare is relatively simple for most people: 1)
Source: blogspot.com

Video: Medicare, How do I Register?

Register For Medicare EHR Incentive by Feb 28th

Measure: conduct/review a security risk analysis, implement security updates and correct security deficiencies.  Risk analysis includes collecting data, identifying  potential threats and vulnerabilities, determining likelihood of threat occurrence and potential impact, assessing current security measures, determining level of risk , documenting final assessment , reviewing and updating risk assessments.
Source: 1sthcc.com

Approaching 65? Time to Sign up for Medicare

age at home Assisted Living behavioral changes benefits for veteran’s spouse benefits for veterans caregiver support communication tips consumer rights Continuing Care Retirement Community depression disabled seniors emergency help everyday scams featured find a good doctor or medical facility food resources food stamps fraud protection free college courses free legal help geriatric doctor help with housing Help with Medicare costs help with medication costs help with utility costs home health aides home modification home repair important documents low-income seniors Medicaid Medicare Medicare enrollment Medicare Supplement Policy or Medigap mental confusion moderate-income seniors nursing home care at home nursing homes Prescription Drug Plan signs of neglect skilled nursing or rehab Social Security tax deductions for seniors travel discounts who to notify if you move
Source: seniorbenefitsguide.com

How to apply for the Medicare ACO program

The second call will be held April 23 from 1:30 – 3:00 p.m. CMS subject matter experts will cover tips on completing a successful application, including information on how to submit an acceptable ACO Participant List, Participation Agreement Sample, Executed Participant Agreement pages, and Governing Body Template for the Shared Savings Program application. A question-and-answer session will follow the presentation.
Source: poweryourpractice.com

CMS: Four provider responsibilities when residents want an expedited appeal of Medicare service terminations

Beneficiaries can appeal to a Quality Improvement Organization when certain long-term care providers, including skilled nursing facilities and hospices, notify them that services will no longer be covered by Medicare. Under a final rule enacted in 2005, beneficiaries have a right to an expedited determination of these appeals. In a May 24 update to the Medicare Claims Processing manual, CMS provided detailed instructions regarding these expedited determinations, identifying the following four responsibilities for providers:
Source: mcknights.com

Immigrants Help Subsidize Medicare Finances, Study Shows, Immigration

Between 2002 and 2009, immigrants generated a cumulative surplus of $115 billion for the trust fund, the study found. Most of the surplus contribution came from noncitizens. The immigrants created a net gain primarily because of demographics: There are 6.5 immigrants of working age for every one elderly immigrant, but only 4.7 working-age native citizens for every one retiree. Although that ratio could change in the future, the report notes that the Census Bureau projects that the share of immigrants in the United States will increase for the next 18 years.
Source: aarp.org

Study: Immigrants Pay More Into Medicare Than They Receive in Benefits

The authors also noted that many immigrants pay taxes that help fund the program but are not eligible for its benefits. For example, many undocumented immigrants use fake Social Security numbers to work, which means they and their employers pay Social Security and Medicare taxes. However, such residents are ineligible for either program. The Affordable Care Act also prohibits undocumented immigrants from obtaining other health benefits, such as the insurance subsidies intended to help U.S. residents purchase coverage through the health insurance exchanges that launch next year (“Politics Now,” Los Angeles Times, 5/29).
Source: californiahealthline.org

Immigrants Add Billions to Medicare

Activism America Bible Children Christian Christianity Church Community Culture Economics Environment Evangelical Faith Faith and Politics general global issues God government Human Rights Immigration Jesus jim wallis Justice Ministry Nonviolence Peace Politics Poor Poverty Prayer President President Obama Race Religion Sojourners Spirituality Theology Violence War Women
Source: sojo.net

Reducing Subsidies for Higher Income Medicare Beneficiaries

Currently, Medicare beneficiaries with incomes starting at $85,000 (or $170,000 for couples) pay higher Part B and D premiums, which start at 35 percent of program costs and peak at 80 percent of program costs for beneficiaries with incomes over $214,000 (or $428,000 for joint filers). As of now, these higher premiums affect only 1 in 20 Medicare recipients. While the thresholds for higher premiums were originally adjusted annually for inflation, a provision in the ACA froze the income thresholds through 2019, at which point almost 10 percent of beneficiaries are projected to pay income-related premiums. Starting in 2020, however, the thresholds are scheduled to bounce back upward as if they had never been frozen, thereby reducing the proportion of beneficiaries who would be subject to higher premiums.
Source: bipartisanpolicy.org

Registration Open for the Medicare National Provider Call on Transitioning to ICD

In order to receive call-in information, you must register for the call on the CMS Medicare Upcoming National Provider Calls registration web page. Registration will close at 12 p.m. on the day of the call or when available space has been filled; no exceptions will be made, so please register early.
Source: hcafnews.com

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May 31, 2013

Dumb Questions About Medicare Products…

Posted by:  :  Category: Medicare

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Medicare supplement is one the few or maybe the only health insurance product that a consumer can shop for on their own after doing a self self study .Of course I want consumers to use an agent but basically once the consumer understands standardization and they decide they either want the all you can eat plan F or the lower premium N etc. they don’t need to be a rocket surgeon to make an informed decision.And once they are on a suppplement it’s really hard to use the plan wrong- it’s basically idiot proof. IMHO consumers really need help when it comes to Part D and MA -especially when it comes to explaining the pros and cons of both MA and Med supps. It is not necessarly easy for consumers to chose the best part D plans even if they are computer savy it is very easy to make a big mistake chosing the wrong part D plan .Case in point a man I talked to last week signed up for a Part D plan that didn’t cover his 944.00 monthly Novolog cost.That’s a 10,000.00 mistake.He couldn’t have made a 10,000.00 mistake buying the wrong Med Supp if he tried.
Source: insurance-forums.net

Video: What about Medicare: Highlight from Presidential Election Results: Implications for U.S. Healthcare

Immigrants Help Subsidize Medicare Finances, Study Shows, Immigration

Between 2002 and 2009, immigrants generated a cumulative surplus of $115 billion for the trust fund, the study found. Most of the surplus contribution came from noncitizens. The immigrants created a net gain primarily because of demographics: There are 6.5 immigrants of working age for every one elderly immigrant, but only 4.7 working-age native citizens for every one retiree. Although that ratio could change in the future, the report notes that the Census Bureau projects that the share of immigrants in the United States will increase for the next 18 years.
Source: aarp.org

Nurse’s Allegations about Medicare Lead to $7.3 Million Settlement : The Consumer Warning Network

The United States contends that from January 2004 through May 2011, DCA billed for 10-11% overfill whenever it administered Epogen. However, because of the types of syringes DCA used, the United States alleges that DCA was not able to withdraw and administer 10-11% overfill every time it administered Epogen to patients, and thus submitted false claims to Medicare that overstated the amount of Epogen that it was actually providing.
Source: consumerwarningnetwork.com

Medical company declines to answer Senate questions on Medicare billing

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

Another Day, More Insurance Agents Lying about Medicare to Screw Seniors

Part C plans are additive in that they usually — but not always — cover many services not covered by Parts A and B (e.g., often they cover an annual physical). They are additive in that they usually — but not always — require much lower co-pays and co-insurance than Medicare Parts A (around $1200 per admitted-hospitalization incident plus certain fees in skilled nursing facilities) and B (20% of the Medicare-fixed price for the procedure, unless it is a physician fee for a doctor that does not accept Medicare). Part C plans are ALWAYS additive in that they include catastrophic coverage and include a cap on how much the senior can spend out of pocket in a given year (annual OOP cap). Medicare Parts A and B do NOT include either catastrophic coverage or an annual OOP cap.
Source: typepad.com

Frequently Asked Questions About Medicare Aids

We have an array of insurance plan that you will have to obtain at individuals moment in existence. Medical coverage is one of these experts. When you get older, this could turn up comprising Medicare. Although Medicare is helpful on its own, it does though not always satisfy the has to those who play with it. While that takes place, systems like those offered through Medigap Tx are at now to supplement the product furnished as consequence of Medicare therefore the seniors can previously obtain the kind of bill protection they need. Here is a look coming from what some in the new protection can do for you being a result you can remain living over which the Mexican border.
Source: thepalmbeachsteakhouse.com

Morning Action: The Truth About Medicare

Under a proposal that would cut the deficit by $1.8 trillion over 10 years, the president will offer to apply a less generous measure of inflation to calculate cost-of-living increases, the official said on condition of anonymity. That change would result in lower payments to some beneficiaries of the Social Security program for retirees and is staunchly opposed by many congressional Democrats as well as labor and retiree groups.
Source: heritageaction.com

A Primer on Medicare Financing

It also describes the expected effects of provisions in the 2010 health reform law on future Medicare spending. The primer reviews the financial obligations and out-of-pocket spending for people covered by Medicare, outlines several ways to assess Medicare’s long-term fiscal outlook, and discusses future financing challenges facing the program.
Source: kff.org

Strengthen Medicare: End Drug Company Price Setting

With Congress committed to curbing wasteful spending, our representatives should be focused on ending drug-company price setting in America. Like every other wealthy nation, the United States can negotiate prices for its citizenry without hampering vital drug research or impeding new drugs from going to market. Drug research and marketing costs do not require Americans to pay grossly inflated prices, as the pharmaceutical industry often argues. There is no data to back up their claims that patients would suffer without high prices; to the contrary, there is every reason to believe drug makers are crying wolf on this issue. At any rate, even cutting-edge pharmaceutical research is of little value to us if brand-name and specialty drugs are increasingly unaffordable to vast numbers of Americans who need them.
Source: healthaffairs.org

As Hill Panels Focus On Medicare, Marketplace Examines How Part D Changed The Pharmaceutical Industry

MedPage Today: Focus On Medicare Cost Drivers, Congress Told A congressional hearing on increasing patient cost sharing as a mechanism for Medicare reform turned into a call for broad changes to provider incentives in the program. Health policy experts told lawmakers Tuesday that payments need to move away from a volume-based fee-for-service if policymakers want to generate savings in Medicare. The House Ways and Means Health Subcommittee called the hearing to examine bipartisan proposals for Medicare reform. Specifically, they wanted to discuss increasing the Part B deductible, increasing Part B and D premiums for wealthier seniors, and establishing a copay for home health services, subcommittee chair Kevin Brady (R-Texas) said. But experts called before the subcommittee called the proposals short-sighted and said they wouldn’t do much other than cause beneficiaries to pay more (Pittman, 5/21).
Source: kaiserhealthnews.org

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May 31, 2013

MEDICARE SUPPLEMENT INSURANCE STILL IN VOGUE

Posted by:  :  Category: Medicare

There is now what many seniors are seeing as a “best of both worlds” solution. In June of 2010 the Federal Government remodeled the Medicare supplement plan offering. Some plans which were seen as redundant were eliminated or changed, and new plans that requited cost sharing were introduced. Since this restructuring two particular plans have gained in popularity with dollar conscious consumers. Medicare supplement Plan G and Medicare supplement Plan N have seen substantial growth in new enrollments. Medicare supplement Plan G is essentially identical to Medicare supplement Plan F with the exception being that the insured must pay the Medicare Part B deductible of $147 annually with Plan G. Therefore, if the consumer can save more than $147 annually with a Medicare supplement Plan G compared to a Medicare supplement Plan F, they are financially better of with a Medicare supplement Plan G. Medicare supplement Plan N on the other hand offers a totally brand new concept in Medicare supplement insurance, and that is cost-sharing. When a Medicare enrollee purchases a Medicare supplement Plan N they are making a commitment to participate in their healthcare costs, while still maintaining their freedom to use the services of any physician or hospital. Plan N requires the insured to pay their annual Medicare Part B deductible, up to a $20 physician’s office co-pay, a $50 emergency room co-pay unless admitted to the hospital and any excess charges over and above the Medicare approved charge. One should note that Medicare excess charges very rarely even exist as almost all physicians and hospital accept the Medicare approved charge as full payment. This is called Medicare assignment and the consumer can contact their physician’s insurance billing office to confirm that they accept assignment and are considered a “participating” provider. Healthy, typically younger Medicare enrollee’s see Medicare supplement Plan N is a viable alternative to a Medicare Advantage plan. Medicare supplement Plan N offers substantially reduced premiums when compared to a Medicare supplement Plan F while maintaining the “freedom of choice” not offered by a Medicare Advantage plan.
Source: askmedicareblog.com

Video: Medicare Supplement Insurance Plans – Where Do I Start?

Getting Medicare Supplement Insurance

Treatment Supplement Plan F is still significantly and away the most popular Medicare insurance Supplement Plan as it is the entire most comprehensive plan offered and any price is very affordable. Now with Medicare Supplement Plan F, you does indeed see almost no out of wallet expenses (no co-payments and no deductibles) except for your monthly payment. Medicare Supplement Plan G is a single great option and is exactly the type of same as Plan F, except you actually will have to pay the Step B deductible, which is 5 when considering 2010. However, Medicare Supplement Prepare G is cheaper than Medicare Vitamin and mineral Plan F on a monthly structure.
Source: gigglesclubs.com

Education Medicare And Supplemental InsuranceECNS 2010

Living in addition, the elderly are being motivated to pay sigificantly higher premiums during their Medicare supplement plans while stress a reduction in coverage both through the process of Medicare itself and by the assortment of supplemental plans offered by private rrnsurance policies Blue Cross adds benefits to medicare supplement plan f policies in California. Medicare has also drastically discounted its payments to specialists.
Source: ecns2010.org

How to Get Affordable Senior Medicare Supplemental Health Insurance

Another option for seniors is a managed care plan. This means that a group of doctors and hospitals have agreed to provide medical care to senior citizens in exchange for payment from Medicare. These plans require you to only use certain hospitals and doctors who are participants in the managed care plan. This is often a good choice if your preferred hospital and doctor are participants. If they are not, you may want to go with a different form of supplemental insurance.
Source: goldenautosinsurance.info

What is Medicare Supplement (Medigap) Insurance

In order to sign up for Medicare Supplement coverage, you must already have Part A and Part B. These plans are offered by private insurance companies and come in 10 standardized policy types that are denoted by the letters A-N. The standardization of these plans means that no matter where you shop, the Medigap policy details remain consistent. For example, the benefits associated with Plan F are the same no matter where you buy it, though costs may differ across all carriers. Not every carrier of Medicare Supplement Insurance offers all 10 plan types, and three states in the U.S. have their own version of these plans: Massachusetts, Minnesota, and Wisconsin.
Source: ehealthmedicare.com

Medicare Supplement Plan F

Medicare Supplemental Plan F is the most popular supplemental plan because it provides the most robust coverage, and the premiums are not much higher when the benefits are compared to the plans offering less coverage. A patient with Plan F can in many situations pay nothing additional out of pocket for doctor and hospital services. People eligible for a Medicare Supplemental Plan should compare the benefits and premiums of the plans and purchase the best coverage they can afford. For many patients, that is Plan F.
Source: wastedenergy.net

Medicare Supplemental Insurance

Another issue that should be kept in mind with Medigap policies, is that it is wiser to purchase a supplemental coverage within the first six months of being on Medicare Part B. This is when the insurers cannot deny the individual because of a preexistent health issue. Many insurance companies will tell the individual that they have better plans and better coverages. This is not true. The Medigap program is a national one and the coverage is the same no matter who one attains the policy from. The only difference may be the amount of the premium one is required to pay.
Source: youneedtoknowme.org

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May 31, 2013

First in Series on Medicare DSH and Top Cost Report Appeal Issues

Posted by:  :  Category: Medicare

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One key appeal rule change requires cost reports ending on or after December 31, 2008 to have all appeal issues included as Protested Items in Line 30 on Worksheet E, Part A.  Please ensure that your potential appeal issues are being preserved when you file your cost report.  It is also possible to file an amended cost report prior to the issuance of the NPR for that year.  If you protest more than one issue, please ensure that you are itemizing each issue and the impact.
Source: hallrender.com

Video: Understanding Medicare Advantage Plans

The Folly Of Medicare’s One

Under Medicare’s payment system, however, a specialist can bill Medicare the full fee only for treating one of the five conditions during a single visit. If she treats the other four, she can only bill half price for those services. It’s even worse for primary care physicians. They will generally get no payment for treating four additional problems. Since doctors don’t like to work for free or see their income cut in half, most have a one-visit-one-condition policy. Patients with five morbidities are asked to schedule additional visits for the remaining four problems with the same doctor or with other doctors. The type of medicine that would be best for the patient and that would probably save the taxpayers money in the long run is the type of medicine that is penalized under Medicare’s payment system.
Source: albanytribune.com

Another Day, More Insurance Agents Lying about Medicare to Screw Seniors

Part C plans are additive in that they usually — but not always — cover many services not covered by Parts A and B (e.g., often they cover an annual physical). They are additive in that they usually — but not always — require much lower co-pays and co-insurance than Medicare Parts A (around $1200 per admitted-hospitalization incident plus certain fees in skilled nursing facilities) and B (20% of the Medicare-fixed price for the procedure, unless it is a physician fee for a doctor that does not accept Medicare). Part C plans are ALWAYS additive in that they include catastrophic coverage and include a cap on how much the senior can spend out of pocket in a given year (annual OOP cap). Medicare Parts A and B do NOT include either catastrophic coverage or an annual OOP cap.
Source: typepad.com

Sarooj Noor: Medicare elucidation with a summary of its parts A, B, C & D

Medicare is the national health insurance program, by the government for medical and health related services. These services are provided to the specific group of people. Medicare is administered by the Centers for Medicare and Medicaid Services (CMS), a division of the U.S. Department of Health and Human Services. Since 1965, Medicare guarantees access to health insurance for Americans ages 65 and older and younger people with disabilities as well as people with end stage renal disease.
Source: blogspot.com

Death Panels? Of Course…

Recently the debate about “death panels” has been heating up as Republican Congressional leaders express their opposition to implementing the Independent Payment Advisory Board (IPAB) by refusing to appoint members to serve on it. The IPAB, which was referred to as a death panel by Republicans during the 2010 Congressional elections, is a committee that was to be created as part of health care reform and consists of 15 full-time members appointed for staggered six-year terms. The IPAB must provide a report to Congress about how to hold Medicare spending within legislated limits. Congress is given a strict timetable within which it must consider the board’s recommendations and either vote to accept them or come up with alternatives that achieve comparable savings. Although the IPAB might not be the best way to do it, as long as the government pays for health care, someone must have the responsibility of making decisions about which health care will not be paid for even in cases where the care might prolong the person’s life.
Source: catholicexchange.com

Medicare Plan C or Part C??Are They the Same or Different? » Toni Says

, 2013 answers questions such as the difference in Plan C or Part C., donut hole, difference between “Original” Medicare, a Medicare supplement or Medicare Advantage Plan. These questions and many more will be answered at the Confused about Medicare Workshop to be held at The Abbey at Westminster Plaza, 2865 Westminster Plaza Dr., Houston, TX 77082 on Wednesday, May 15th
Source: tonisays.com

Medicare Eligibility & Enrollment

Beneficiaries who are enrolled in Original Medicare have the option of enrolling in a Part D plan to cover the costs of certain prescription drugs. Every beneficiary must have creditable prescription drug coverage, which can come in the form of a Prescription Drug Plan (PDP), a Medicare Advantage Prescription Drug (MAPD) plan, or an employer health plan. Eligible beneficiaries that reside in a plan’s network may enroll in a Part D plan during their Initial Enrollment Period, the Annual Enrollment Period, or during a Special Enrollment Period for which they qualify. The Initial Enrollment Period and Annual Enrollment Period are similar to the ones for Medicare Advantage plans, and a Special Enrollment Period can occur at any time of year depending on the qualifying event. Additionally, if you drop your MA coverage during the Medicare Advantage Disenrollment Period between January 1 and February 14 each year, you may be able to enroll in a stand-alone PDP if you were not previously enrolled in one.
Source: ehealthmedicare.com

Committee Continues Transparent Medicare Physician Payment Reform Process – Releases Draft Legislative Framework

WASHINGTON, DC – House Energy and Commerce Committee leaders today unveiled draft legislation to repeal the current Sustainable Growth Rate (SGR) system and replace it with a fair and stable system of physician payment in the Medicare program. The draft legislation is the latest step in the transparent process to reform the system and reward providers for delivering high-quality, efficient health care. On February 7, the Energy and Commerce and Ways and Means Committees outlined a framework to reform the current Medicare system that is fiscally responsible and free of politics. Committee leaders sought feedback and in early April outlined additional details of a proposal to repeal and replace the current Sustainable Growth Rate system. The Subcommittee on Health has scheduled a hearing on the draft legislation for June 5.
Source: house.gov

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May 31, 2013

Medicare’s Role for Dual Eligible Beneficiaries

Posted by:  :  Category: Medicare

This brief examines overall and per capita Medicare spending for these beneficiaries, including variations reflecting their diverse circumstances. It describes the characteristics of those with the relatively high and low Medicare costs and includes state-specific data on the share of Medicare beneficiaries who are also Medicaid-eligible.
Source: kff.org

Video: Dual-Eligible Budget Cut Crushing Patients, Doctors Across Texas

Immigrants subsidize, rather than drain, Medicare

The researchers wrote that changes in the nation’s immigration policy that would create a path to citizenship for undocumented immigrants would increase revenues for the trust fund, as many workers would shift from under-the-table employment to work where payroll taxes were collected. Also, they would have an easier time getting higher-paid jobs. However, letting the undocumented become citizens would also increase the number eligible for Medicare and, therefore, the expenditures on their behalf.
Source: kplu.org

Medicare Health Insurance Experts Guide Texas Woman Through Medicare Insurance Maze

Treatment Advantage Plans can be obtained to individuals are generally eligible and have in effect Medicare Plan A real and B and that live in one place that offers final results . plan. when enrolled in Medicare health insurance Advantage Plan on the receiving end are still an area in the government as long as Medicare insurance however are not eligible get hold of extra supplemental insurance such as usually the Medigap policies described earlier. Treatment Advantage is all of the simplest term a progression of study in which Treatment offers contracts specific area hospitals and additionally doctors for recognized amounts. In turn individuals enrolled in this particular insurance plan am obliged to attend to the facilities of these particular medical professionals.
Source: salonstylesforyou.com

Does Medicare Call Your House? » Toni Says

            **I have been invited to participate in a panel discussion about small businesses and healthcare reform.  Westchase Biz Zone is sponsoring a healthcare reform workshop for small businesses at West Houston Medical Center on Tuesday, June 11th from 9:30 AM to 12:30 pm. Small business owners nearing retirement or Medicare eligible should attend. $10 advance reservations only.  Seating is limited. For more information, contact Theresa Allen at 832-495-9934 or email theresa@westchasebizzone.com.
Source: tonisays.com

Medicare Advantage Plans Texas – Eligibility and Plan Options

The Medicare Advantage plan comes as a significant part of the original medicare policy, and incorporates the coverage benefits of the traditional Plan A and Plan B Medicare plans, and other supplemental coverage as well. Any Texas resident can secure a medicare advantage policy, given that the individual qualifies the standard eligibility criteria for the same. To qualify for Medicare Advantage plans Texas, you must live in the constituency or area that has the plan, and must also have both the Medicare Plans Part A and B. However, if you are suffering from some end-stage renal disease, you may not qualify for the same. But a plan cannot drop you if you are diagnosed with the disease while already being a part of the plan.
Source: mclaininsurancegroup.com

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May 31, 2013

Medicare Part D oversight works against Iowa patients

Posted by:  :  Category: Medicare

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The study demonstrated that physicians have administered elderly dementia patients extremely dangerous antipsychotic drugs in clear disregard of government warnings. Other doctors used pharmaceuticals in ways that medical experts claim have little scientific basis and may be harmful. In 2010, drugs that had been pulled from other markets years earlier were still being given to elderly patients en masse, even though professional organizations knew that seniors should not be taking them. In the past, nursing home abuse of this nature has resulted in deaths and multimillion-dollar court judgements against care providers.
Source: iowa-injury.com

Video: Medicare Information for Iowa by Medicare Pathways

A Cancer Doctor’s Take on Medicaid Expansion

Third, compromise.  I agree with the governor that we need to reform health care and make it more accountable.  We at Mercy are “all in” when it comes to accountable care.  We have already developed an accountable care plan for our own employees.  We have developed an accountable care plan for our Medicare patients and we have developed an accountable care plan for a segment of our privately insured patients.  We have already had a meeting with the Medicaid office to discuss developing accountable care around Medicaid.
Source: iowahospital.org

Viewpoints: Slowing Health Costs; What Causes Genetic Testing To Be So Expensive; Iowa Governor Offers Medicaid Supports A ‘Glimmer Of Hope’

The New York Times: The Outrageous Cost Of A Gene Test Angelina Jolie’s revelation that she had had a preventive double mastectomy was eloquent and brave. She had learned that she inherited a faulty copy of a gene, BRCA1, that put her at high risk for invasive breast cancer as well as ovarian cancer. Now women everywhere are asking: Should I get the same test? What will it cost? … Unlike routine tests for diabetes or high cholesterol, however, the BRCA gene evaluation — performed by only one company in the United States, Myriad Genetics — is phenomenally expensive, with a “list price” close to $4,000 when a related genomic-rearrangement test is included in the analysis, which oncologists typically recommend. The question is why? Today, molecular scientists like me can sequence all of an individual’s genes — at least 20,000 of them — for about $1,000. About five cents per gene (David B. Agus, 5/20). 
Source: kaiserhealthnews.org

Bleeding Heartland:: Latest Iowa Medicaid expansion news and discussion thread

Our estimates of new federal and state spending resulting from Medicaid expansion in Iowa differ from the Milliman, Inc. estimates.7 For example, this report uses the Urban Institute estimates of $459 million in direct Medicaid savings from 2014 to 2020 due to the Medicaid expansion, while Milliman estimates that the state will save $118 to $206 million, exclusive of the “woodwork” enrollment effect which would occur regardless of whether the state expands Medicaid.8 While the estimates vary in magnitude, they are similar in that they indicate a net state savings associated with a Medicaid expansion because of the higher federal matching rates for those who are newly eligible in an expansion. In contrast, our estimates for additional federal matching revenues generated by the Medicaid expansion ($4.1 billion from 2014 to 2020) is in the range of the federal revenue estimates produced by Milliman ($2.7 to $4.8 billion), so those are closer. All estimates-others and ours-are approximate since it is impossible to know in advance exactly what the condition will be of the state’s economy, how many people will participate or how high medical costs will be in the future. However, our projections provide a general sense of the overall magnitude and direction of expected economic and budgetary impacts.
Source: bleedingheartland.com

Iowa would fully subsidize newly eligible Medicaid beneficiaries for exchange plans

adverse selection American Health Benefit Exchanges Anthem Blue Cross blue shield of california California California Department of Insurance California Health Benefit Exchange California HealthCare Foundation chronic conditions commuting Covered California employer-based health insurance exchange marketplace exercise health benefit exchanges health benefit exhanges health care costs health care reform health insurance crisis healthy lifestyle choices individual health insurance market individual mandate individual market Interim High Risk Pool Kaiser Family Foundation major medical Massachusetts Medicaid medical care costs medical care utilization medical costs medical underwriting multi-state plans Patient Protection and Affordable Care Act PCIP PPACA Pre-existing Condition Insurance Plans pre-existing conditions premiums schedule control self insurance SHOP small group market state health benefit exchanges workplace wellness
Source: healthinsurancecrisis.net

Groups push for Medicaid expansion

The loose coalition that included AARP, the American Cancer Society and Iowa Catholic Conference, has support of Democratic lawmakers. Sen. Jack Hatch, D-Des Moines, and Rep. Lisa Heddens, D-Ames introduced legislation Tuesday that would make more Iowans eligible for the program that provides health benefits for about 400,000 Iowans.
Source: thegazette.com

Iowa Medicaid Expansion Puts People in Private Plans

American Medical Association cancer CBO consumer driven health care diabetes doctors drugs electronic medical records email emergency room EMR ER exercise FDA genetics Health Care Access Health Care Costs health care quality health insurance health IT health policy Health Reform Health Savings Accounts heart disease hospital HSA insurance life expectancy Massachusetts Medicaid Medicare medicare advantage NHS ObamaCare obesity pay for performance public option SCHIP seniors socialized health care Social Security stimulus tax unemployment Uninsured
Source: ncpa.org

Braley: Entitlement reform equals tax increases

Craig Robinson serves as the founder and Editor-in-Chief of TheIowaRepublican.com. Prior to founding Iowa’s largest conservative news site, Robinson served as the Political Director of the Republican Party of Iowa during the 2008 Iowa Caucuses. In that capacity, Robinson planned and organized the largest political event in 2007, the Iowa Straw Poll, in Ames, Iowa. Robinson also organized the 2008 Republican caucuses in Iowa, and was later dispatched to Nevada to help with the caucuses there. Robinson cut his teeth in Iowa politics during the 2000 caucus campaign of businessman Steve Forbes and has been involved with most major campaigns in the state since then. His extensive political background and rolodex give him a unique perspective from which to monitor the political pulse of Iowa.
Source: theiowarepublican.com

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