Lamar & Bob Talk Medicare Cuts and Other TN Fiscal Cliff Notes

Posted by:  :  Category: Medicare

DesJarlais, of Jasper, Tenn., was one of 234 members of his caucus who listened in on a conference call Thursday with House Speaker John Boehner of Ohio. Boehner said the House will return to work Sunday at 6:30 p.m. and remain in session in case lawmakers and President Barack Obama reach agreement on a deal to avoid more than $600 billion in tax increases and spending cuts that will otherwise take effect on Tuesday. Economists fear the combination could jar the nation’s economy back into recession.
Source: knoxnews.com

Video: 2013 Medicare Plans in Tennessee – TN Medicare Supplements and Advantage Plans

Medicare agrees to cover TMS treatment for depression in TN, GA, AL

“TMS will now be available to more patients, giving them the hope of living a life free of depression,” said Burton Hills-based Dr. Scott West, who was the first local psychiatrist to acquire the TMS machine, a space-age contraption that looks similar to a dentist’s chair. West has been using TMS to treat patients since 2010. (See our September magazine story here.)
Source: nashvillepost.com

Medicare Pay Cut Averted but Uncertainty Remains for Physicians

That increasing unreliability is already affecting physicians and patients. In Texas, for instance, the number of physicians accepting Medicare patients dropped from 78 percent in 2000, to 58 percent in 2012, according to a recent survey by Texas Medical Association. That decline in Medicare-accepting physicians would certainly have accelerated throughout the country if Congress had not delayed the SGR pay cut Tuesday.
Source: msochealth.com

Expanding TennCare would hurt patients, taxpayers

Beacon Center budget business-friendly cities charter schools corporate welfare corporate welfare reform death tax dr. milton friedman education education reform energy policy entrepreneurs estate tax government government handouts government reform government waste Governor Bredesen Governor Haslam healthcare income tax inheritance tax jobs Justin Owen legislation mass transit nashville ObamaCare pork Pork Report property rights regulation school choice small business state budget stimulus taxation tax credits taxes taxpayers tenncare reform transparency transportation Trey Moore welfare
Source: beacontn.org

Sleep Nation, Inc. Wins All 100 Medicare Competitive Bid AreasSleep Nation, Inc. Wins All 100 Medicare Competitive Bid Areas

Sleep Nation, Inc. is a health care supply company located in Franklin, TN specializing in patient care for sleep apnea. We provide patient mail order services to thousands of Continuous Positive Air Pressure (CPAP) patients throughout the U.S. for their replacement supplies through our national call center.  Sleep Nation, through our wholly owned subsidiary, CPAP Care Club, LLC, is one of the few national companies that is licensed in all required states and we have managed care contracts covering all 50 states and over 166 million patients in the United States. To learn more about the company please visit www.sleep-nation.com.
Source: sleep-nation.com

TN Rep Roe: I'm on Medicare. Repeal Congress' Health Care and ObamaCare

It was amazing and surreal all the way around. Mark Meckler, Tea Party Whore Extraordinaire, was on claiming that the “American People” supported repeal on a 2:1 basis. Adam Green of Bold Progressives did a great job challenging Phil Roe to allow them to conduct a poll of progressive versus conservative ideas, which I think Roe agreed to. Green also corrected Meckler’s misstatement about people’s attitude toward the health care bill, pointing out that most people think it didn’t go far enough.
Source: crooksandliars.com

Elder Advocates, Knoxville, Tennessee based elderly health care guides Elder Advocates

Medicaid is a joint state and federal program that, among other things, pays for nursing home care when the patient meets all the medical, income, and asset eligibility criteria. In order for the federal government to help fund the State Medicaid program, federal law requires the State to institute an estate recovery program. This is so that the State may recover funds paid out for the Medicaid patient’s care. Usually, the only asset left in the patient’s “estate” after death is the home.
Source: yourelderadvocates.com

Medicare Plan Finder for Health, Prescription Drug and Medigap plans

Posted by:  :  Category: Medicare

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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

Video: Medicare 101 – Top Things Regarding Medicare Part D Prescription Drug Plans

Analysis of Medicare Prescription Drug Plans In 2012 And Key Trends Since 2006

This report presents findings from an analysis of the Medicare Part D marketplace in 2012 and changes in drug coverage and costs since 2006. It presents key findings related to Medicare drug plan plan availability, premiums, cost-sharing, the coverage gap and availability for low-income beneficiaries, the coverage gap, benefit design and cost sharing, formularies, and utilization management, based on data from CMS for all plans participating in Part D. The analysis was conducted jointly by researchers at Georgetown University, the Kaiser Family Foundation and the National Opinion Research Center at the University of Chicago.
Source: kff.org

CMS Promotes Value for Seniors and Persons with Disabilities in Medicare Plans

With today’s regulation limiting overhead and profits for Medicare Advantage and prescription drug plans, the Affordable Care Act continues to promote value for consumers’ and taxpayers’ health care spending. These new requirements apply to Medicare health and drug plans offered by private insurance companies serving over 37 million seniors and persons with disabilities, and build on a similar regulation we issued last year requiring a minimum medical loss ratio for health plans serving consumers in the private insurance market. Medicare health and drug plans, beginning next year, must meet a minimum medical loss ratio, limiting their spending on non-health related items such as administrative costs, profit, or overhead. More specifically, this means that the plans must spend at least 85 percent of their revenue on direct benefits to Medicare enrollees such as clinical services, prescription drugs and quality improving activities.
Source: medicare.gov

Marshall Elder and Estate Planning Blog: Tips on Choosing a Medicare Prescription Drug Plan

The Plan finder allows you to enter your list of prescription drugs, your preferred pharmacies and other information related to your prescriptions. After you complete the intake information, the Plan finder will provide you with a personalized list of plans organized in order of lowest estimated cost. This greatly simplifies the process of determining which plan may best meet your needs. The Plan finder deals with the complexities of formularies and tiers and co-payments for you.
Source: blogspot.com

When Can I Join a Medicare Part D Prescription Drug Plan?

General Enrollment Periods: Each year, there are two general enrollment periods when anyone who is enrolled in Medicare Part A or B can sign up for a Medicare Prescription Drug Plan. The first period begins in April and continues through June. The second open enrollment is in October and continues through the first week of December. This is the easiest time to plan for coverage and change your enrollment options.
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

Promoting Greater Value for Enrollees in Medicare Advantage and Drug Plans

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

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

Obama’s Medicare Drug Rebate Plan Could Save The Government Money But Also Hit Drug Industry’s Bottom Line

The Associated Press/Washington Post: A Look At How Administration Says Automatic Budget Cuts Would Diminish Government Services The sequester law exempts Social Security, Medicaid, food stamps and Medicare recipients’ benefits from cuts, but most programs are vulnerable. … The National Institutes of Health would lose $1.6 billion, trimming research on cancer, drying up money for hundreds of other research projects and eliminating up 20,000 private research positions nationwide. Health departments would give 424,000 fewer tests for the AIDS virus this year. More than 373,000 seriously ill people may not receive needed mental health services (2/15).
Source: kaiserhealthnews.org

Strengthen Medicare: End Drug Company Price Setting

Posted by:  :  Category: Medicare

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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

Video: Senator Elizabeth Warren – The State Of The Medicare Drug Program – NEW

Medicare Drug Programs Put Seniors and Disabled at Risk

An investigation by ProPublica has found that the Medicare program, while it does a great job of making sure elderly and disabled members get the medication they need, it does not monitor who prescribes the drugs and what each person is on. ProPublica found that doctors and other prescribing health professionals are putting potentially dangerous drug combinations into the hands of those who may not understand the risks. These drugs can be disorienting, addictive and even cause adverse side effects to other medications being taken. Some doctors are even using drugs in unapproved ways. In one study, an Oklahoma psychiatrist was prescribing a medication approved to treat Alzheimer’s in patients as young as 12 years old to treat autism. Because of the Freedom of Information Act, which allows the officials of the Medicare to view patient records, medical history and prescription drugs, they believe it is up to the private health insurance plans that administer the program. Alexander Capron, a law professor and medical ethicist at University of Southern California says that if someone on a government insurance program has been prescribed a drug and then either suffered bad reactions or death, that person or their next of kin needs to hire an attorney. About Burg Simpson Burg Simpson (http://www.burgsimpson.com/colorado/workers-compensation-claims-lawyers/index.html) is one of America’s leading plaintiff trial law firms. Whether you’re looking for competent lawyers for personal injury, social security disability, or dangerous medicine, Burg Simpsons has over 35 lawyers than can help get you the compensation you deserve.
Source: sbwire.com

Analysis of Medicare Prescription Drug Plans In 2012 And Key Trends Since 2006

This report presents findings from an analysis of the Medicare Part D marketplace in 2012 and changes in drug coverage and costs since 2006. It presents key findings related to Medicare drug plan plan availability, premiums, cost-sharing, the coverage gap and availability for low-income beneficiaries, the coverage gap, benefit design and cost sharing, formularies, and utilization management, based on data from CMS for all plans participating in Part D. The analysis was conducted jointly by researchers at Georgetown University, the Kaiser Family Foundation and the National Opinion Research Center at the University of Chicago.
Source: kff.org

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

Marshall Elder and Estate Planning Blog: Tips on Choosing a Medicare Prescription Drug Plan

The Plan finder allows you to enter your list of prescription drugs, your preferred pharmacies and other information related to your prescriptions. After you complete the intake information, the Plan finder will provide you with a personalized list of plans organized in order of lowest estimated cost. This greatly simplifies the process of determining which plan may best meet your needs. The Plan finder deals with the complexities of formularies and tiers and co-payments for you.
Source: blogspot.com

Debunking Medicare Myths: Drug Rebates for Dual Eligibles 

[1] Center for Medicare Advocacy, "So, What Would You Do? Real Solutions for Medicare Solvency and Reducing The Deficit", available at: http://www.medicareadvocacy.org/2011/06/so-what-would-you-do-real-solutions-for-medicare-solvency-and-reducing-the-deficit/. [2] Senator Jay Rockefeller, Press Release, available at http://www.rockefeller.senate.gov/public/index.cfm/press-releases?ID=617fffeb-4c5a-4123-a5b3-1f8b790e5f8b. [3] Ben Adams, InPharm, "U.S. Prescription Drug Prices Rise Above Inflation", August 27, 2010, available at: http://www.inpharm.com/news/us-prescription-drug-prices-rise-above-inflation. [4] AARP Public Policy Institute, Rx Watchdog Report: Brand Name Drug Prices Continue to Climb Despite Low General Inflation Rate, available at: http://assets.aarp.org/rgcenter/ppi/health-care/i43-watchdog.pdf. [5] Committee on Oversight and Government Reform, "Private Medicare Drug Plans: High Expenses and Low Rebates Increase the Costs of Medicare Drug Coverage", October 2007, available at: http://www.allhealth.org/briefingmaterials/housemajoritystaff-965.pdf. [6] Id. [7] GAO, Prescription Drugs: Trends in Usual and Customary Prices for Commonly Used Drugs, available at: http://www.gao.gov/new.items/d11306r.pdf. [8] PhRMA, 2011 Profile Pharmaceutical Industry, available at: http://www.phrma.org/sites/default/files/159/phrma_profile_2011_final.pdf. [9] Mac-Andre Gagnon, Joel Lexchin, "The Cost of Pushing Pills: A New Estimate of Pharmaceutical Promotion Expenditures in the United States", January 2008, available at: http://www.plosmedicine.org/article/info:doi/10.1371/journal.pmed.0050001. [10] Center for Medicare Advocacy, "Keeping Medicare and Medicaid Strong?" available at: http://www.medicareadvocacy.org/2011/04/keeping-medicare-and-medicaid-strong/. 
Source: medicareadvocacy.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

CMS Promotes Value for Seniors and Persons with Disabilities in Medicare Plans

With today’s regulation limiting overhead and profits for Medicare Advantage and prescription drug plans, the Affordable Care Act continues to promote value for consumers’ and taxpayers’ health care spending. These new requirements apply to Medicare health and drug plans offered by private insurance companies serving over 37 million seniors and persons with disabilities, and build on a similar regulation we issued last year requiring a minimum medical loss ratio for health plans serving consumers in the private insurance market. Medicare health and drug plans, beginning next year, must meet a minimum medical loss ratio, limiting their spending on non-health related items such as administrative costs, profit, or overhead. More specifically, this means that the plans must spend at least 85 percent of their revenue on direct benefits to Medicare enrollees such as clinical services, prescription drugs and quality improving activities.
Source: medicare.gov

What is the Cadillac Medicare Advantage plan

Posted by:  :  Category: Medicare

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

Video: Information on Senior Supplemental Health Insurance : Medicare Insurance Questions

Population Health Management In Medicare Advantage

Wellnesss promotion.  A key component of PHM is the ability to promote health and wellness among all individuals, and MAOs reported extensive activities directly for members, including smoking cessation, wellness discounts, and the promotion of healthy lifestyles (exercise and nutrition).  In addition to promoting wellness, PHM requires monitoring of population risk and designing and implementing programs that manage sub-populations based on their risk.  Health risk assessments used universally by MAOs serve to segment populations at risk for disease.  For patients identified as being at risk for chronic conditions, common interventions include targeted health education or outreach to engage members in activities intended to reduce risk factors, enrollment in care management programs, and working with nurses in health education.
Source: healthaffairs.org

Medicare: Definition from Answers.com

Program enacted in 1965 under Title XVIII of the Social Security Amendments of 1965 to provide medical benefits to those 65 and older. The program has four parts in 2007: 1. Part A, Hospital Insurance, contributes to the payment of inpatient hospital, skilled nursing expenses, hospice, and other ancillary expenses. The deductible is $992 for 60 or less days in a benefit period. For days 61–90, the deductible is $248 per day, and for more than 90 days, the deductible is $496 per day up to the lifetime maximum days. No premium is paid if the beneficiary has at least 40 quarters of Medicare covered employment. 2. Part B, Medical Insurance, provides coverage for medical services that Part Adoes not cover for a premium and subject to a deductible ($93.50 per month standard premium and a deductible of $131 per benefit payment in 2007). Coverage includes ambulance services, ambulatory surgery center, blood, bone mass measurement, cardiovascular screenings, limited chiropractic services, clinical laboratory services, clinical trials, colorectal cancer screenings, diabetes screenings, diabetic supplies, doctor services, durable medical equipment, emergency room services, limited eyeglasses, flu shots, foot exams and treatment, glaucoma tests, hearing and balance exam, Hepatitis B shots, home health services, kidney dialysis services and supplies, mammograms, medical nutrition therapy services, outpatient mental health care, occupational therapy, outpatient hospital services, outpatient medical and surgical services and supplies, pap test and pelvic exam, one-time physical exam within the first six months, physical therapy, pneumococcal shot, practitioner services, limited prescriptions (injectable drugs), prostate cancer screenings, prosthetic/orthotic items, second surgical opinions, smoking cessation, speech-language pathology services, surgical dressings, telemedicine, tests (X-rays, MRIs, CT scans, EKGs, and other diagnostic tests), transplant services, and urgently needed care (nonmedical emergency illness or injury). The initial enrollment period for Medicare Part B begins three months before age 65 and continues for the next seven months. If enrollment is not effected in this time period, there is a waiting time until the general enrollment period from January 1 through March 31 every year. Coverage then begins the following July 1. 3. Part C, Medicare Advantage, provides for individuals with Part A and Part B coverage to receive all of their health care coverage through a single health care provider. See also medicare plus choice (medicare part c). 4. Part D, Prescription Drug Insurance, contributes to the payment of medication/prescription expenses as prescribed by a physician. Coverage added for drugs by joining a Medicare Prescription Drug Plan through private insurance companies. A separate monthly premium (varies by plan) is required. Each plan must cover at least two drugs in all of the classes of drugs that are the most commonly prescribed. For those people covered under Medicare A, coinsurance or copayment is required and a yearly deductible may be in force. Retired workers qualified to receive Social Security benefits, and their dependents, also qualify for the hospital insurance portion. The program is paid for by payroll taxes on employees and covered workers. Parts B, C, and D insurance provides additional coverage on a voluntary basis for physician services. The Prescription Drug Plans are optional and can be added by paying an additional premium. Those enrolled in the program pay a monthly premium. Coverage is also available to persons younger than 65 who are disabled and have received Social Security disability benefits for 24 consecutive months.
Source: answers.com

The Dilemma in Choosing A Private Fee

Whether you choose a network based plan or a private fee-for-service Medicare Advantage plan, you have enrolled in the plan for that calendar year. The plans can change from one year to the next and are not required to renew. If you have a Medicare Advantage plan it makes good sense to speak with an independent agent during your Annual Enrollment Period that runs from Nov. 15 to Dec. 31 each year to see if there is a better alternative out there. Its your right and every dollar counts so you can Retire as Planned.
Source: myplannedretirement.com

Medicare Advantage Insurance

By definition Medicare Advantage provides all of your Part A and Part B coverage. A Medicare supplement on the other hand, fills in the gaps of original Medicare and generally pays the hospital deductible and the 20% of Part B charges that would be your responsibility.
Source: affordablemedicareplan.com

News About Final Expense, Medicare and Life Insurance Leads

This training program will be highly useful to agents who are selling Medicare advantage or life insurance leads to customers. This training method will help newcomers in the insurance sales industry and people who are highly experienced in insurance sales but new to Medicare selling to recipients. Our company specializes in training certified insurance agents in Medicare advantage using simple and common sense techniques and advice. Most of the telemarketing companies know that there is high risk because the agents lack awareness and knowledge on how to tackle preset appointments due to lack of training from their companies. We provide the most sophisticated training on how to be an excellent sales person using our professional and successful training techniques. Our advanced marketing techniques makes sure that our clients receive only high quality Medicare leads and life insurance leads and we make sure that the sales pipeline is always full with fresh leads. Our leads given to a particular company is not shared with competitors and each leads details are send via email given by the company.
Source: briefingwire.com

Medigap vs Medicare Advantage

On the other side of Medigap vs Medicare advantage, the Medicare Advantage plan is also offered by the insurance company and this offers standard hospitalization and coverage of both Parts A and B. In certain cases, this could include services beyond the Original Medicare. Therefore, with Medigap vs Medicare advantage, MA has an advantage in terms of the extent of coverage since it can cover beyond the basic plan where supplemental coverage only offers added coverage to existing plans. The MA comes in PPO and HMO formats, both managed care plans. With HMO, you have to work with doctors within their preferred network while PPO allows you to choose your preferred doctors.
Source: quotes-center.com

Medigap vs. Medicare Advantage Plan

Medicare Advantage comprises a variety of private health plans — most often HMOs and PPOs — that Medicare offers as a coverage alternative to the traditional program. Every plan must cover all the same benefits that traditional Medicare covers. But the plans can charge different copayments (often lower than the traditional program but not always) and offer extra benefits. Most charge a monthly premium in addition to the Part B premium, but some don’t. Most include prescription drug coverage at no additional cost. Some cover routine hearing and vision services, usually as a separate package for an additional premium. Another difference from the traditional program is that most plans require you to go to doctors and other providers within their service network or pay higher copays for going out of network.
Source: aarp.org

How to Transform Medicare into a Modern Premium Support System

In the FEHBP, the capped amount of the government’s contribution to employees’ health plans is based on 72 percent of the weighted average premium of health plans competing in the program. This formula, allowing for changes in the market, also provides that the government’s contribution cannot exceed 75 percent of the cost of any given plan. If federal workers or retirees buy a plan that is more expensive than the government contribution, they pay the extra costs. OPM determines “reasonable minimal standards” for plans, ensures that the health plans are fiscally solvent, and enforces rules for consumer protection. It does not set prices, standardize health benefit packages, or apply detailed guidelines for doctors or hospitals. Compared to Medicare’s rules, OPM’s regulatory role in FEHBP is light, and it is focused on providing a level playing field for health plans to compete. Walton Francis, a prominent Washington-based health care economist, writes that “the FEHBP has outperformed original Medicare in every dimension of its performance. It has better benefits, better service, catastrophic limits on what enrollees must pay, and far better premium cost control.”[11] 
Source: heritage.org

Obama’s budget would raise Medicare premiums of rich

Posted by:  :  Category: Medicare

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Reader comments on sltrib.com are the opinions of the writer, not The Salt Lake Tribune. We will delete comments containing obscenities, personal attacks and inappropriate or offensive remarks. Flagrant or repeat violators will be banned. If you see an objectionable comment, please alert us by clicking the arrow on the upper right side of the comment and selecting “Flag comment as inappropriate”. If you’ve recently registered with Disqus or aren’t seeing your comments immediately, you may need to verify your email address. To do so, visit disqus.com/account. See more about comments here.
Source: sltrib.com

Video: Why Did I Receive a Bill for My Medicare premiums?

Medicare High Income premiums

As many no doubt know Medicare charges higher premiums for Part B and Part D if your income is above a certain amount. DH went on Medicare late last year. For 2013 they base premiums on the 2011 tax return which has an income high enough to trigger the extra premium. For 2014, they will use the 2012 tax return which will also be high enough to trigger the extra premium. However, if you have what is referred to as a "life changing" event then you can prove that to SS and then your Medicare premiums will be based upon that lower amount. One of the life changing events if is a spouse stops work. I plan to stop work sometime during this year. Our income for this year will not be high enough to trigger the extra premium. I know that once I stop work he can provide proof to SS and therefore his 2014 medicare premiums will be based upon this year’s income instead of being based upon 2012 income. But – here is my question – If I quit work during 2013 can the reduced income in 2013 cause his current 2013 premiums to be reduced during 2013? That is, I know that my quitting work will reduce premiums for 2014, but will it do anything to reduce the 2013 premiums (I am thinking not but wonder if anyone has experienced this).
Source: early-retirement.org

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 PREMIUM COSTS 2013

Element C:  Medicare Benefit Plan, normally recognized as “Part C” strategy or “Medicare + Choice” prepare, this prepare makes it possible for the beneficiary to choose on from where to get their rewards.  Instead of opting for Element A or Element B strategies of Medicare, beneficiaries can pick to obtain their Medicare positive aspects via any non-public insurance policies companies that supply the exact same provider as that of Medicare.  In addition to this type of strategy, a beneficiary can get gain of its prescription drug protection which then makes it a Medicare Benefit Prepare.  Enrollees to this program have the option to pay $ fifty five.ninety two month-to-month, this will entitle the member to a private Price-for-service along with the positive aspects of Medicare Advantage Strategy that have further protection and other health-related advantages in contrast to the standard Component A and Portion B Medicare programs.
Source: 2013m.org

Are Medicare Premiums Deductible As SE Health Insurance

Medicare is basically the health insurance provided by the federal government for senior citizens above 65 years of age and the disabled. Are Medicare premiums tax deductible? A number of people who pay into Medicare on a monthly basis can claim for deductions on their taxes for these payments. There are a number of factors that determine whether you receive deductions or not and the amount of deductions that you are entitled to receive such as age, the type of Medicare and whether you receive any Social Security benefits or not.
Source: taxpremium.com

Deductibility of Medicare premiums as Self Employed Health Insurance Deduction

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

Medicare Supplement Insurance Premiums Are Not Standardized

Unsure whether to enroll in a Medicare insurance Advantage plan or a Medicare aid when you are Medicare-eligible? The exact Medicare Advantage plan often has never premiums to pay, and it generally includes prescription-drug features. A Treatment supplement, on the other hand, require a releatively high premium. All of your total out-of-pocket costs, though, will diverge aaccording to the extent that most people use hospitals, physicians, and other health-care providers. The deductibles and coinsurance could amount to more within a nice Medicare Advantage plan than you pay in premiums for a Medicare insurance supplement, which often pays what Medicare health insurance does not.
Source: huffpozer.com

Are Medicare Premiums on the Rise?

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

Roundup: Feds Cut N.Y. Medicaid Payments $1.2B; 93,000 Fewer Kids Enroll In CHIP In Pa.

Posted by:  :  Category: Medicare

California Healthline: Changes Set Stage For ‘Shakeout’ Of Medical Suppliers, Services Shifts in contracting practices — part of the trickle-down effects of health care reform — are going to change the landscape of medical equipment and service suppliers in California, stakeholders predict. … Bob Achermann, executive director of the California Association of Medical Product Suppliers … predicted the number of California businesses providing medical supplies and services may be cut in half over the next few years. Two changes are at the heart of the “thinning of the herd,” as Achermann calls it. One is state-driven: California is shifting beneficiaries of Medi-Cal — California’s Medicaid program — from fee-for-service to managed care. The second is a federally mandated change in the way Medicare contracts with suppliers (Lauer, 4/1).
Source: kaiserhealthnews.org

Video: Proposed Changes to Medicare Observation Status Law

SCHUMER: MEDICARE’S ‘OBSERVATION STATUS’ FORCES SENIORS TO PAY THOUSANDS EXTRA FOR REHAB THAT IS NOT REIMBURSED – NY’S OVER 3 MILLION MEDICARE RECIPIENTS COULD BE LEFT HIGH & DRY, UNABLE TO PAY FOR POST

Today, during a conference call, U.S. Senator Charles E. Schumer pushed his plan to change a flawed Medicare law, so that seniors with Medicare across Upstate New York are not charged unfairly for receiving needed nursing home care after being hospitalized. Schumer noted that “observation stay” cases in hospitals, when the elderly individual is not technically an inpatient, have been on the rise in recent years, costing America’s seniors thousands of dollars in medical bills for post-hospital therapy and rehab. Currently, Medicare will only cover post-acute care in a skilled nursing home facility if a beneficiary has three consecutive days of hospitalization as an inpatient. Schumer pushed his plan, the Improving Access to Medicare Coverage Act, which would allow “observation stays” to be counted toward the three-day mandatory inpatient stay for Medicare to cover rehabilitation post-hospital visit.
Source: ltpbazzo.com

Single Payer Advocates Says Medicare for All Remains the Solution in Light of US Supreme Court Ruling : Single Payer New York

Only a single payer system can provide truly universal comprehensive coverage without regard to age, income, health or employment status. It is a publicly administered non-profit system, accountable to the people, with no premiums, no deductibles, no co-pays and no co-insurance. It will comprehensively cover all medically necessary health care services. All Americans will have access to medical care when they need it with a right to choose physicians and hospitals.
Source: singlepayernewyork.org

New York Medicaid and Medicare Part D: Working Together

Typically, as part of Medicare Plan D, the patient must pay a nominal amount, like a copayment, for the medication. Individuals who have full coverage from Medicaid while living in a residential home, an adult living or assisted living facility will likely be required to pay a small medication copayment for each medication. If an individual has full Medicaid coverage and resides in a nursing home, they will not be required to pay anything for covered prescription drugs.
Source: lawfirmnewswire.com

Many Years Young: MA Managed Care Tied to Medicare Savings, Study Says

Incentives to coordinate care prompt investments, such as information technology, and widespread adoption of new delivery models that ultimately benefit all patients, regardless of insurance, a trio of Harvard University researchers wrote in a paper published by the National Bureau of Economic Research.
Source: manyyearsyoung.com

Have the Tides Turned for Medicare Advantage Plans in New York? By Myco Dang

The Court then concluded that the New York statute is preempted as it applies to MAOs and that the Plaintiffs claims concerning MAOs reimbursement rights arise under the Medicare Act. (Potts, page 13). In its ruling, the Court looked at the Supremacy Clause of the Constitution, U.S.Const.Art. VI, cl.2, “[w]here a state statute conflicts with, or frustrates, federal law, the former must give way.” CSX Transp., Inc. v. Easterwood, 507 U.S. 658, 663 (1993). “If the statute contains an express preemption clause, the task of statutory construction must in the first instance focus on the plain wording of the clause, which necessarily contains the best evidence of Congress’ preemptive intent.” CSX Transp., 507 U.S. at 664. In turn, the Court ruled that the Medicare Act contains a very broad, express preemption clause. The statute provides that “[t]he Secretary shall establish by regulation other standards . . . for [MA organizations] and plans consistent with, and to carry out, this part.” 42 U.S.C. § 1395w-26(b)(1). The statute further provides, under a sub-paragraph headed “Relation to State Laws”: “The standards established under this part shall supersede any State law or regulation (other than Case 1:11-cv-09071-JPO Document 33 Filed 09/25/12 Page 13 of 22 14 See also 42 C.F.R. § 422.402. (Potts, page 13-14).
Source: xerox.com

Medicare Supplemental Insurance Comparison New Plans & Different The Price

Posted by:  :  Category: Medicare

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You may get up to 500 times more reveratrol in some of the health wellbeing than you can in any with the common food sources. Laboratory medical tests are using this level of resveratrol supplement. You have a couple options when you look for a resveratrol supplement. You can get a supplement that just has resveratrol or get a supplement that combines resveratrol supplements with other ingredients like acai super berry to create a high antioxidant nutritional supplement. There are free trial offers available sometimes getting resveratrol for the price of handling and shipping. Just make sure you look at typically the terms of the trial so however cancel the resveratrol supplements it should you not want future charges.
Source: icben2011.org

Video: Learn about the 2011 Medicare Open Enrollment Period: Get a Plan that Meets Your Needs

FAQ: Seniors May See Changes in Medigap Policies

Advocacy 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

Medicare Health Insurance Changes For 2011

Any kind senior with grandchildren knows that ideas like Medicare coverage, Medicare supplement insurance, Social Security, and healthcare dont fully appeal to the younger generation. So, if youre looking to get in touch with your grandchildren, its a good conception to let some of those senior-oriented subjects go and focus on one that appeals to them (and in which could appeal to you). My husband and i all know that most of each grandchildren enjoy games, and few pastimes are more popular than Skyrim appropriate now. Never heard of Skyrim? Dont worry. We should tell you what you need on the way to know.
Source: sankalpindustries.com

GAO finds CMS negligent in risk adjustment for Medicare Advantage plans

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

Humana Medicare Supplement Plans for 2011

For people over the age of 65, there can be nothing more stressful than dealing with Medicare. If health insurance for seniors was as easy as simply registering for the government program, then there would be no problems. Unfortunately, the government program does leave a gap. You have probably heard various specialists and professionals in the healthcare industry talk about this gap. What they are referring to is the fact that Medicare does not cover costs such as deductibles and co-pays. The good news is that the private insurance providers offer Medicare supplement plans. These are federally regulated plans that are meant to help you pay for the extra costs that Medicare does not cover.
Source: allabout101.com

Medicare Plans: What You Need to Know for 2011; Changes, Costs, Premiu…

Will my plan still be there next year? Some drug and health plans will disappear in 2011 for specific reasons — though not as a result of the new health care law. Drug plans: Some won’t be available next year, because of new Medicare rules that officials say are designed to offer consumers clearer choices between plans. Any insurer offering two or three plans must now make each plan’s benefit package significantly different — for example, by offering a much lower premium in one plan or coverage in the gap known as the "doughnut hole" in another.
Source: aarp.org

CMS Promotes Value for Seniors and Persons with Disabilities in Medicare Plans

With today’s regulation limiting overhead and profits for Medicare Advantage and prescription drug plans, the Affordable Care Act continues to promote value for consumers’ and taxpayers’ health care spending. These new requirements apply to Medicare health and drug plans offered by private insurance companies serving over 37 million seniors and persons with disabilities, and build on a similar regulation we issued last year requiring a minimum medical loss ratio for health plans serving consumers in the private insurance market. Medicare health and drug plans, beginning next year, must meet a minimum medical loss ratio, limiting their spending on non-health related items such as administrative costs, profit, or overhead. More specifically, this means that the plans must spend at least 85 percent of their revenue on direct benefits to Medicare enrollees such as clinical services, prescription drugs and quality improving activities.
Source: medicare.gov

The Text Does Medicare Supplement Plan F Be

Posted by:  :  Category: Medicare

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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

Video: Preserve Social Security & Medicare – AARP WA Speaks Out

New Report Finds Cutting Social Security and Medicare Would Hurt Washington Small Business Owners

#6 I know you are a troll and all, but wtf? Stop drinking the Rush Limbaugh Kool-Aid and the vapors and cob webs may clear out of your brain. Anyway, if cutting Social Security was just a republican priority, I’d have nothing more to say. But unfortunately the main impetus right now in Washington DC for cutting Social Security is Barack Obama and his stubborn pursuit of a ‘Grand Bargain.’ I think there is a very big misconception out there among both dems and repubs about the president’s agenda. Cutting Social Security is a priority for him and has been from the very get-go. The sequester is just the latest tactic in pursuit of this policy and is intended to force liberal/progressive legislators to accept cuts to Social Security and Medicare as much as it is intended to force republicans to accept new revenue. This is third way, triangulation, new democrats, DLC all over again. And Wall Street is behind it all. So yea, republicans are amoral, greedy anti-American hypocrites. That much is obvious. Too bad the leadership of the democratic party ain’t much better, at least when it comes to protecting Social Security, Medicare, and Medicaid.
Source: thestranger.com

Obama’s pick for Medicare and Medicaid finally gets a hearing

“Her skill in doing that [controlling costs] is a skill that’s very precisely matched with the need of the moment," Kaine said. "How to keep patient care first – because that’s her first attribute – but nevertheless wrestle with difficult cost control issues…Cost control is ultimately about health care access and Marilyn understands that.”
Source: mcclatchydc.com

Orrin Hatch Justifies Hiking Medicare Age By Citing Democrat Who Opposes Doing So

BIPARTISAN SUPPORT: This policy was supported by the bipartisan Simpson-Bowles National Commission on Fiscal Responsibility and Reform.  It was also included in the bipartisan Biden-Cantor deficit reduction negotiation, the bipartisan Obama-Boehner negotiations, and the Coburn-Lieberman Medicare proposal from last Congress. Prominent Democrats, such as Budget Committee Chairman Kent Conrad (D-N.D.) and House Budget Committee Ranking Member Chris Van Hollen (D-Md.), suggested that this policy should be part of the discussion to reform entitlements.  The nonpartisan Congressional Budget Office (CBO) has provided this as an entitlement reform option.
Source: boldprogressives.org

Libertarian Party Calls on Washington Legislature to Nullify Obamacare, Repeal Medicare

States such as: Ohio, Florida, Louisiana, and Nebraska, to name a few, have been promised a similar match in Medicaid funds by the federal government. The recurring cost to the federal government through its promise in matched Medicaid funds for just the four states mentioned above – including Washington State – is estimated (if combine how much it pays for just five states) to be well-over a billion dollars, something which the federal government can’t possibly pay due to its insurmountable debt. If you include the dozens of other states offered the same match in Medicaid funds up to 2020, the federal government’s recurring cost begins to climb astronomically. Moreover, the federal government has promised millions in funds for local, county, and state public works projects. These funding promises made by the federal government should not be taken lightly, and for good reason:  The estimated national debt for Fiscal Year 2013 is approximately $17.5 trillion – a number that is rising by $3 billion daily. The federal deficit is $744 billion and its annual spending tops $3.8 trillion. The federal government’s promise to match the cost of states’ Medicaid expansions with federal funds is audacious when it is already spending far beyond its means.
Source: spreadlibertynews.com

Senior Care in Bellevue WA: Open Enrollment for Medicare –Now through Dec 7, 2012

Would a small increase in premiums result in a large reduction in health care costs you pay? Check, for example, what coverage is available for prescription drugs you take. Medicare representatives can create a report containing the costs and benefits of various insurance products if you supply them with a list of your drug prescriptions. Ask questions about participating doctors and clinics. Some Medicare Advantage plans limit which physicians a patient can visit.
Source: andelcare.com

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June 04, 2013

Rate Boost To Medicare Advantage Plans Powers Insurers’ Stock Surge

Posted by:  :  Category: Medicare

Medpage Today: More $$$ Going To Medicare Advantage Plans Payments to Medicare Advantage plans will increase by 3.3% in 2014, Medicare officials said late Monday. Officials at the Centers for Medicare and Medicaid Services (CMS) based the payment increase on the assumption that Congress will override scheduled cuts in physician reimbursements for an 11th consecutive year, the agency said. “The policies announced today further the agency’s goal of improving payment accuracy in all our programs, while at the same time ensuring program stability and preserving beneficiary choice,” Jonathan Blum, PhD, CMS’ acting principal deputy administrator, said in a press release (Pittman, 4/2).
Source: kaiserhealthnews.org

Video: Jed Weissberg, MD, Talks About Medicare Advantage Health Plans and the Special Enrollment Period

Kaiser receives ‘excellent’ status from NCQA

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Source: hawaii247.com

Kaiser Permanente Leads the Nation with Six 5

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

Kaiser Permanente of Georgia Hosts Medicare Straight

**Plan performance Star Ratings are assessed each year and may change from one year to the next. Centers for Medicare & Medicaid Services Health Plan Management System, Plan Ratings 2013. Kaiser Permanente contract #H1170. Kaiser Permanente is a health plan with a Medicare contract. You must reside in the Kaiser Permanente Senior Advantage (HMO) service area in which you enroll. A sales person will be present with information and applications. For accommodations of persons with special needs at sales meetings, call toll free (TTY 711). Kaiser Foundation Health Plan of Georgia, Inc., Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305.
Source: patch.com

Kaiser ranked highest Colorado health plan, says J.D. Power

Kaiser Permanente Colorado has been widely recognized within the health care industry for delivering top-quality care. According to the National Committee for Quality Assurance Health Insurance Plan Rankings 2012-2013, Kaiser Permanente Colorado is the highest-rated private health insurance plan in Colorado, and No. 6 in the nation for quality and member satisfaction. The Kaiser Permanente Medicare plan in Colorado also earned five stars from the Centers for Medicare & Medicaid Services, the highest overall rating for quality and service for 2013 plans.
Source: csbj.com

Daily Kos: Kaiser report details Medicare options

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

Firm Perspectives on the Medicare Advantage Market

Based on interviews with senior executives at 14 large firms, the issue brief finds that insurers anticipate continuing to offer Medicare Advantage plans in 2012, in part because of a Medicare demonstration project that will award bonus payments to plans based on their quality standards.
Source: kff.org

Kaiser Permanente Receives Highest Rating for Medicare Plan in Mid

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

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June 04, 2013

Medicare and the Federal Budget: Comparison of Medicare Provisions in Recent Federal Debt and Deficit Reduction Proposals

Posted by:  :  Category: Medicare

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Many of the budget proposals and debt-reduction plans being considered by Congress and the Administration include proposals that would achieve substantial savings from the Medicare program over time. This brief features a side-by-side comparison of the key Medicare provisions in four major budget and debt-reduction plans:
Source: kff.org

Video: Medicare Supplemental Insurance Comparison

What to Look for When Comparing Medicare Part D Costs

Information presented on Personal Finance Blog by MoneyNing is intended for informational purposes only and should not be mistaken for financial advice. While all attempts are made to present accurate information, it may not be appropriate for your specific circumstances. Any offers and rates shown on this site can change without notice and may contain information that is no longer valid. For further validation, always visit the official site for the most up-to-date information. This site may receive compensation from companies to offer an opinion about a product or service. We strive to provide honest opinions and findings, but the information is based on individual circumstances and your specific experiences may vary. We also treat your privacy seriously. Please take some time to understand our full policies and disclaimers by clicking here.
Source: moneyning.com

Uwe E. Reinhardt: Comparing the Quality of Care in Medicare Options

Both traditional Medicare and Medicare Advantage plans are monitored annually through surveys of patients, using the Consumer Assessment of Health Care Providers and Systems, known in the trade as Cahps. The findings from this survey make it possible to compare traditional Medicare with Medicare Advantage plans on quality. As Medpac reports in Table 12-8 of Chapter 12 of the March 2012 report, the commission found little difference in the relatively few quality-performance scores of the traditional Medicare and Medicare Advantage plans.
Source: nytimes.com

Medicare Supplemental Insurance Comparison New Plans & Different The Price

You may get up to 500 times more reveratrol in some of the health wellbeing than you can in any with the common food sources. Laboratory medical tests are using this level of resveratrol supplement. You have a couple options when you look for a resveratrol supplement. You can get a supplement that just has resveratrol or get a supplement that combines resveratrol supplements with other ingredients like acai super berry to create a high antioxidant nutritional supplement. There are free trial offers available sometimes getting resveratrol for the price of handling and shipping. Just make sure you look at typically the terms of the trial so however cancel the resveratrol supplements it should you not want future charges.
Source: icben2011.org

Medicare Health Insurance Supplemental Insurance Plan Are Easily On The Market

Well being care bills can get frustrating especially when you do certainly have enough resources to settle straight the expenses. This is your reason why people go for medicare plans or Medicare supplements. These are generally Medicare policies the fact that help one throughout paying off their medical bills. The Medicare option insurance policy kicks off at the age of 65. In case you and your family have bought a Medicare supplement policy, then your cover will automatically focus on on the very day when users turn 65, which it does not legal matter which month it will be. If you will almost certainly be turning over 60 in the 4 weeks of June went out with 23rd then this Medicare supplement health insurance policy will get started off on that related date and time.
Source: bul-ich.net

CONNECTURE ACQUIRES DRX, A LEADING PROVIDER OF INFORMATION SYSTEMS FOR MEDICARE

Connecture is the leading provider of Web-based information systems used to create health insurance marketplaces and exchanges. Its industry-proven solutions enable consumers, employers and brokers to more easily shop for, purchase and renew health insurance while minimizing back-office administrative expenses for health plans.  Connecture’s solutions are provided to health plans, state insurance exchanges, private exchanges and insurance brokers.  More than 25 million Americans shop for their health insurance through systems built by Connecture, and more than half of the nation’s 20 largest plans rely on them to sell, administer and manage their plans and products effectively.  For more information, visit www.connecture.com.
Source: drx.com

Health Affairs Blog: “Variation in Medicare Costs Suggests Inefficiencies That Might Be Corrected Through More Administrative Spending”

“Ironically, Medicare’s low administrative costs — about 3 percent compared with 17 percent in the private sector — may be to blame for the high spending.  The private sector uses these funds to do a better job controlling excessive use. Tomas Philipson and colleagues have shown that the variation in Medicare hospital use is four times larger than the private sector when it comes to heart disease. Because it can rely on its monopsony power to control overall spending, Medicare has a weaker incentive to limit overuse.  Meanwhile private insurers have become more efficient, employing tools such as utilization review and case management (which count as administrative costs) to assess patient needs and then either restrict services or steer patients towards more cost-effective care. In a world without private insurance, we would likely see more money wasted on care that produces no benefit for patients.”
Source: ahipcoverage.com

Comparison Friction: Experimental Evidence from Medicare Drug Plans

Consumers need information to compare alternatives for markets to function efficiently. Recognizing this, public policies often pair competition with easy access to comparative information. The implicit assumption is that comparison friction—the wedge between the availability of comparative information and consumers’ use of it—is inconsequential because information is readily available and consumers will access this information and make effective choices. We examine the extent of comparison friction in the market for Medicare Part D prescription drug plans in the United States. In a randomized field experiment, an intervention group received a letter with personalized cost information. That information was readily available for free and widely advertised. However, this additional step—providing the information rather than having consumers actively access it—had an impact. Plan switching was 28 percent in the intervention group, versus 17 percent in the comparison group, and the intervention caused an average decline in predicted consumer cost of about $100 per year among letter recipients—roughly 5 percent of the cost in the comparison group. Our results suggest that comparison friction can be large even when the cost of acquiring information is small, and may be relevant for a wide range of public policies that incorporate consumer choice.
Source: nber.org

Comparing Medicare prescription drug plans

Also, be aware that if you’re a low-income beneficiary and your annual income is under $16,755 or $22,695 for married couples living together, and your assets are below $13,070 or $26,120 for married couples, you may be eligible for the federal Low Income Subsidy known as “Extra Help” that pays Part D premiums, deductibles and copayments. For more information or to apply, call Social Security at 800-772-1213 or visit socialsecurity.gov/prescriptionhelp.
Source: pomeradonews.com

Comparing Medicare Advantage To Medigap

A Medicare Advantage plan is merely another way to receive your Medicare benefits. Rather than getting your benefits directly from original Medicare, a private insurance company, which is approved and contracted with Medicare, delivers your benefits.
Source: medicareprofs.com

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