Corrupt Lab Boss: Hundreds of Doctors Took Bribes to Help Steal Millions from Medicare

Posted by:  :  Category: Medicare

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Whipple said tests were always performed properly but admitted that doctors ordered extra blood or allergy tests in order to pump up billing. In all, Biodiagnostic Laboratory Services officials paid millions in bribes to medical professionals, and more than $100 million was earned by overbilling on blood samples and other tests.
Source: nbcnewyork.com

Video: Obama: Don’t Punish Medicare Doctors

Federal Judge Lifts Ban On Medicare Releasing Individual Doctor Data

Medpage Today: Report: Medicare Gets Doc Info Wrong Medicare provider information in two separate databases was inaccurate most of the time and generally inconsistent between the two, compromising the program’s ability to detect fraud and abuse, a government watchdog found. Data in at least one field were inaccurate in 48 percent of inspected records in the National Plan and Provider Enumeration System (NPPES) and in 58 percent of inspected records in the Provider Enrollment, Chain and Ownership System (PECOS), according to the Department of Health and Human Services Office of Inspector General. Moreover, provider data were inconsistent between NPPES and PECOS 97 percent of the time, and the Centers for Medicare and Medicaid Services (CMS) didn’t verify most provider information, the watchdog agency said in a report released Thursday (Pittman, 5/31).
Source: kaiserhealthnews.org

ABOUT MEDICARE: When a doctor doesn’t take Medicare

An opt-out doctor is one who doesn’t accept Medicare. Doctors who have opted out of Medicare can charge their Medicare patients whatever fees the physicians choose. These doctors don’t submit any health care claims to Medicare. In addition, opt-out doctors aren’t subject to Medicare laws that limit the amount they can charge their patients.
Source: times-standard.com

Sequester Cuts: Payments to Medicare Doctors

Medicare spending per beneficiary grew just 0.4% per capita in fiscal year 2012, continuing a pattern of very low growth in 2010 and 2011. Together with historically low projections of per capita growth from both the Congressional Budget Office and the Centers for Medicare and Medicaid Services (CMS) Office of the Actuary, these statistics show that the Affordable Care Act has helped to set Medicare on a more sustainable path to keep its commitment to seniors and persons with disabilities today and well into the future. The success in reducing the rate of spending growth has been achieved without any reduction in benefits for beneficiaries. To the contrary, Medicare beneficiaries have gained access to additional benefits, such as increased coverage of preventive services and lower cost-sharing for prescription drugs.
Source: talkleft.com

What happens when a Texas doctor doesn’t take Medicare? : The Katy News

Finally, if you have a Medicare Advantage plan, also known as a Medicare private health plan, you should see doctors within your plan’s network. You typically pay the least if you go to a doctor who’s in the plan network. Check with your plan to see what rules apply.
Source: thekatynews.com

Yearning for humane free market, doctors quit insurance, Medicare

The desire for liberty in the medical profession — one that years ago sold out to government-run health care insurance — is intensifying with the coming of Obamacare. In Chattanooga, Dr. Carlton Vollberg called it quits Oct. 1, saying he would no longer accept Medicare. Dr. Vollberg says he will continue to accept insurance, and so is practicing a hybrid form of “concierge practice.” A concierge physician is an independent who operates more on a cash basis rather than under price controls and reimbursement schedules.
Source: nooganomics.com

Is a Medicare Doc Fix in the Works?

One proposal, a bill introduced by Reps. Allyson Schwartz (D-Pa.) and Joe Heck (R-Nev.), would offer modest pay raises for four years before basing increases on quality and efficiency of care. The other bill, backed by members of the House Ways & Means and Energy & Commerce committees, would establish a period of predictable, defined payment rates to doctors before similarly offering incentives for better service.
Source: aarp.org

Doctors Going to Jail: Criminal Prosecutions for Quality of Care and Fraud

Under Medicare regulations, heart stents are “medically necessary” only in cases in which a patient is suffering at least 70 percent blockage of an artery and related symptoms of blockage.  In this case, the cardiologist prescribed heart stents in patients with less than 70 percent blockage, and then misrepresented the blockage percentage in the medical records to obtain Medicare reimbursement.  In other words, the cardiologist over-prescribed the heart stent medical procedure.
Source: corruptioncrimecompliance.com

When a Doctor Doesn’t Take Medicare

AAPC ACO affordable care act AWV’s CMS conference CSPI exercise florida florida department of health GAO health care coverage health care law health care laws health reform law health study healthy diet healthy eating healthy lifestyle HHS HIMSS icd-10 insurance insurance subsidies medcity medicaid medicaid services medical blog medicare medicare advantage obamacare orlando part b part d plan f preventive care private health insurance recipes sanford-burnham software tactical management weight loss wellness welltrackmd world health news
Source: tacticalminc.com

Doctors billing Medicare patients at higher rates, report finds

“This is an urgent problem,” Dr. Mark McClellan, who directs the Engelberg Center for Health Care Reform at the Brookings Institution in Washington, told the CPI. McClellan, a former director of the Centers for Medicare and Medicaid Services, or CMS, said the agency must send a message that it “won’t stand by and do nothing … that they are paying attention to this.”
Source: nbcnews.com

Primary Care Doctor Shortage

But in these times of shrinking federal budgets, it’s unclear how much ACA primary care money will be available as Congress juggles competing priorities. Congress, for example, already has chopped about $6.25 billion from the ACA’s new $15 billion Prevention and Public Health Fund, which pays for programs to reduce obesity, stop smoking and otherwise promote good health. In addition, federal support for training all types of physicians, including primary care doctors, is targeted for cuts by President Obama and Congress, Republicans and Democrats, says Christiane Mitchell, director of federal affairs for the Association of American Medical Colleges, who calls the proposed cuts "catastrophic."
Source: aarp.org

Doctors Fleeing Medicare, Moving to Direct Primary Care

Neil Sapin, a Glendale, Arizona, physician, charges less, about $1,500, but has a larger practice. He used to run himself ragged trying to keep up with the flow of patients necessary to cover all the expenses of his practice: “I used to see 18 patients per day, but [over time] I’m up to 24 or 25. It [became] difficult to give people as much time as I’d like to.” So he went private, dropping his workload from 1,600 patients to just 500. His patients have access to him any time of day or night and they can access their medical records from a home computer at any time and send him questions about their health via e-mail. Sapin says this allows him to spend more time with those who need him, and he also has time “to stress preventive health and dietary counseling.”
Source: thenewamerican.com

Homelessness Resource Center

Posted by:  :  Category: Medicare

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Conclusions: Greateruse of primary care and specialty care visits by disability-eligibleveterans is most likely related to greater health needs not captured bythe patient characteristics we employed and eligibility for VA care atno cost. Outpatient care patterns of disability-eligible veterans mayforeshadow care patterns of veterans returning from Afghanistan and Iraqwars, who are entering the system in growing numbers. This studyprovides an important baseline for future research assessingutilizations among returning veterans who use both VA and Medicaresystems. Establishing effective care coordination protocols between VAand Medicare providers can help ensure efficient use of taxpayerresources and high quality care for disabled veterans. (Authors)
Source: samhsa.gov

Video: Vice President Joe Biden on Medicare – Blacksburg, VA

Home Care Falls Church VA: Does Medicare or Health Insurance pay for in

Mohamed Ali − Managing Partner with 7 years experience in home healthcare along with business development and managing operations in the field. First American Home Health Care is lead by physicians with years of experience in pediatric, geriatric and acute long-term care. We are well versed with appropriate knowledge and experience to treat patients with a wide range of health problems at home.
Source: fahomehealthcare.com

Brand Name Drugs Driving Up Medicare Costs, Generic Drug Requirements

The findings echo a larger conversation among policymakers about pharmaceutical costs, since brand-named versions can cost significantly more than their generic counterpart. Both nonprofit patient assistance programs, like NeedyMeds, and government legislation, like the Physician Payment Sunshine Act, have sought to tackle the high costs of prescription drugs and physicians’ prescribing practices.
Source: aarp.org

Feds OK Va plan for Medicaid

AAPC ACO affordable care act AWV’s CMS conference CSPI exercise florida florida department of health GAO health care coverage health care law health care laws health reform law health study healthy diet healthy eating healthy lifestyle HHS HIMSS icd-10 insurance insurance subsidies medcity medicaid medicaid services medical blog medicare medicare advantage obamacare orlando part b part d plan f preventive care private health insurance recipes sanford-burnham software tactical management weight loss wellness welltrackmd world health news
Source: tacticalminc.com

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Source: federaldaily.com

Viewpoints: A Failure To Govern; Democrats ‘Moved The Goal Posts’ In Va. Deal On Medicaid Panel; Hospitals ‘Squeeze’ The Uninsured

The Wall Street Journal: Dominion State Disaster Liberals don’t become more reasonable in their demands for spending increases when Republicans give them more revenues. They become much less so. When Senate Democrats in Richmond realized that Mr. McDonnell would stop at nothing to get his “legacy” transportation tax increase enacted, and that he couldn’t do it without their votes, they moved the goal posts. Democrats added a demand that Mr. McDonnell drop his opposition to the Medicaid expansion in Virginia under ObamaCare. Mr. McDonnell, who just two days earlier swore that he would not allow the expansion without substantial reforms, was so far out on the limb on taxes that he caved to the Democrats and agreed to kick the Medicaid issue to a commission, which almost certainly will approve the ObamaCare expansions. All this to get Democratic votes for a tax increase they long sought (Stephen Moore, 2/28).
Source: kaiserhealthnews.org

Number of the Week: Disability Fund Three Years From Insolvency

Posted by:  :  Category: Medicare

I have issues with awarding SSID to people who have drug and alcohol addiction. I also agree with the person below who suggested that people receiving benefits, unless they are clearly unable to work, need to be retrained and given jobs, particularly if they are suffering from depression, anxiety or back pain. People who work are more emotionally stable, in general. It would also help if we had universal health care so that low income people can get decent medical care.
Source: wsj.com

Video: What are the Eligibility Requirements for Medicare?

Social Security & Medicare for Adult Disabled Children

If you or your spouse are retired or disabled and receiving Social Security benefits and have a disabled adult child who has been denied the SSDI benefits, the experienced attorneys at Littman Krooks, LLP can assist you in filing an appeal, so that your child can obtain the benefits they are entitled to. Our firm represents adult children with disabilities in SSDI appeals on a contingent fee basis, which means that there is no out of pocket legal costs for filing the appeal.
Source: specialneedsnewyork.com

Medicare fund insolvency date a bit further away than last year

Then where was their plan before. Dumb azzes, think, my insurance goes up every year because all of the people without insurance still get sick and go to the doctor. ProBusiness you dumb azz, do you know what bad debt expense is????? Give you a hint, it is an expense and they charge my insurance which then raises their rates. It is all a matter of efficiency, how do you provide some limited insurance for all because we already are paying for it. The Healthcare industry spends over $5 billion every year on lobbying, to put that into perspective, the defense industry spends $1.6. Your congressman and women are bought and paid for two bit whores. We pay more per capita than any country in the world. You don’t like Obama care then what is your plan??? Fat people should lose weight, smokers should pay more and the billing should be transparent and competitiive. Just ripping things down is a sign of ignorance. People keep ripping the illegals, saw something last night driving home through the bad part of town. All the blacks are sitting out on their porches and this one little hispanic guy is pushing his little cart down the street selling whatever he is selling. The low skilled jobs are going to be taken over by the hispanics you watch. I know I am racist now. The trash that makes up the tea party from the right and the left are destroying this country and yes I said too, the extreme left is no dam different than the extreme right.
Source: nbcnews.com

Article and Policy Forum Examine Medicare, Health Reform and the Challenges Facing People With Disabilities

On Sept. 8, 2010, the Foundation held a policy forum examining the health care issues facing people with disabilities and the opportunities and challenges presented by the new health care reform law enacted earlier this year. Juliette Cubanski, study co-author and associate director of the Foundation’s Medicare Policy Project, presented findings from the study, followed by a panel discussion with Jeffrey Crowley, senior advisor on disability policy at the White House; Joe Baker, president of the Medicare Rights Center; Elizabeth Priaulx, a senior disability legal specialist with the National Disability Rights Network. PBS NewsHour co-anchor Judy Woodruff will moderate the discussion, and Tricia Neuman, Foundation vice president and director of the Medicare Policy Project, will provide opening remarks.
Source: kff.org

Blue Book Disability Benefits

More information regarding this program, call the BlueCard Worldwide Service Center at 1-800-810-BLUE (2583) or call collect at 1-804-673-1177 24 hours a day, 7 days a week. The disability benefits available to you work together to help you pay your household expenses if you become
Source: getmoredisabilitybenefits.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

Does Medicare or Medicaid Come with Disability?

Do you get Medicare coverage if you were approved for SSI? Claimants who are approved for SSI only typically receive Medicaid coverage in most states. And like SSI, Medicaid is subject to income and asset limitations. Medicaid is a needs-based, state- and county-administered program that provides for a number of doctor visits and prescriptions each month, as well as nursing home care under certain conditions. Can you ever get Medicare if you get SSI? Medicare coverage for SSI recipients does not occur until an individual reaches the age of 65 if they were only entitled to receive monthly SSI disability benefits. At the age of 65, these individuals are able to file an uninsured Medicare claim, which saves the state they reside in the cost of Medicaid coverage. Basically, the state pays the medical premiums for an uninsured individual to be in Medicare so that their costs in health coverage provided through Medicaid goes down. 
Source: disabilitysecrets.com

How Do You Get Medicare Part D?

Posted by:  :  Category: Medicare

As the nation’s largest drugstore chain with fiscal 2012 sales of $72 billion, Walgreens (www.walgreens.com) vision is to become America’s first choice for health and daily living. Each day, Walgreens provides more than 6 million customers the most convenient, multichannel access to consumer goods and services and trusted, cost-effective pharmacy, health and wellness services and advice in communities across America. Walgreens scope of pharmacy services includes retail, specialty, infusion, medical facility and mail service, along with respiratory services. These services improve health outcomes and lower costs for payers including employers, managed care organizations, health systems, pharmacy benefit managers and the public sector. The company operates 8,077 drugstores in all 50 states, the District of Columbia and Puerto Rico. Take Care Health Systems is a Walgreens subsidiary that is the largest and most comprehensive manager of worksite health and wellness centers and in-store convenient care clinics, with more than 700 locations throughout the country.
Source: womanaroundtown.com

Video: Medicare Part D

Could Your Medicare Part D Costs Be Reduced? (infographic)

Thank you to Walgreens, who has provided editorial sponsorship for the writing of this article.  Walgreens  is in the network of hundreds of Medicare prescription drug plans and participates in the preferred networks of four national Part D sponsors. They offer savings of up to 75 percent on prescription co-pays over select pharmacies for a number of plans in which they are a preferred pharmacy so that is why we felt it was important to bring you this information.
Source: intentionalcaregiver.com

Part D, Without Paying a Dime

The study, published in JAMA Internal Medicine, used data gathered from 2006 to 2010 for the national Health and Retirement Study, which includes information on respondents’ household income and incorporates a telephone version of a common cognitive test. The researchers identified 2,206 Medicare beneficiaries whose low income and few assets would likely qualify them for a full Part D subsidy but who were not automatically receiving it; those people were divided into four groups based on their cognitive scores.
Source: nytimes.com

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

Part D: Bending the Medicare Cost Curve

Part D’s 10-year projection has now been reduced by over $100 billion the past three years, and these projections are almost half of their initial estimated cost when the program was enacted seven years ago.  Through market-based competition, Part D is successfully able to offer a mix of plans to help seniors access medicines which, in turn, helps them adhere to doctors’ orders. This improved use of medicines helps lower other health costs, such as hospitalizations and expensive procedures.
Source: phrma.org

Sr Contract Monitoring Analyst

Five to seven years experience in quantitative business analyses and statistical modeling (preferably healthcare related).Proven analytical experience using Enterprise Guide SAS, database query capabilities and ability to evaluate data at various levels of detail (preferably Enterprise Guide SAS) *Subject Matter Expert on Medicare Part D and CMS requirements and Pharmacy Benefit Manager (PBM) technical and operational experience is preferred
Source: kdnuggets.com

Analysis Finds Lax CMS Oversight of Prescribers in Medicare Part D

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

Medicare 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

Be an Educated Caregiver with Help from Walgreens and Medicare Part D

Melinda is half of the mom & dad blogging team from LookWhatMomFound…and Dad too! Over 4 years ago Melinda left the corporate world to focus on raising her children while being a SAHM. With 17 years of parenting practice to 3 kids life has provided her many experiences that are used to educate the family on morals, ethics and the difference between right and wrong. While academics are very important, a full education goes beyond books and grades. Melinda strives to raise children with good hearts, strong principles and a foundation built on love and respect for others. Don’t miss any of the fun, stay connected by signing up for LookWhatMomFound…and Dad too! RSS Feed or visiting us on LookWhatMomFound…and Dad too! Facebook Page .
Source: lookwhatmomfound.com

A Medicare Part D Cost Saving Success Story

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Source: thrivinginthemiddle.com

How Do You Get Medicare Part D?

Posted by:  :  Category: Medicare

As the nation’s largest drugstore chain with fiscal 2012 sales of $72 billion, Walgreens (www.walgreens.com) vision is to become America’s first choice for health and daily living. Each day, Walgreens provides more than 6 million customers the most convenient, multichannel access to consumer goods and services and trusted, cost-effective pharmacy, health and wellness services and advice in communities across America. Walgreens scope of pharmacy services includes retail, specialty, infusion, medical facility and mail service, along with respiratory services. These services improve health outcomes and lower costs for payers including employers, managed care organizations, health systems, pharmacy benefit managers and the public sector. The company operates 8,077 drugstores in all 50 states, the District of Columbia and Puerto Rico. Take Care Health Systems is a Walgreens subsidiary that is the largest and most comprehensive manager of worksite health and wellness centers and in-store convenient care clinics, with more than 700 locations throughout the country.
Source: womanaroundtown.com

Video: Videos matching: medicare pard d

Could Your Medicare Part D Costs Be Reduced? (infographic)

Thank you to Walgreens, who has provided editorial sponsorship for the writing of this article.  Walgreens  is in the network of hundreds of Medicare prescription drug plans and participates in the preferred networks of four national Part D sponsors. They offer savings of up to 75 percent on prescription co-pays over select pharmacies for a number of plans in which they are a preferred pharmacy so that is why we felt it was important to bring you this information.
Source: intentionalcaregiver.com

Part D, Without Paying a Dime

The study, published in JAMA Internal Medicine, used data gathered from 2006 to 2010 for the national Health and Retirement Study, which includes information on respondents’ household income and incorporates a telephone version of a common cognitive test. The researchers identified 2,206 Medicare beneficiaries whose low income and few assets would likely qualify them for a full Part D subsidy but who were not automatically receiving it; those people were divided into four groups based on their cognitive scores.
Source: nytimes.com

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

Part D: Bending the Medicare Cost Curve

Part D’s 10-year projection has now been reduced by over $100 billion the past three years, and these projections are almost half of their initial estimated cost when the program was enacted seven years ago.  Through market-based competition, Part D is successfully able to offer a mix of plans to help seniors access medicines which, in turn, helps them adhere to doctors’ orders. This improved use of medicines helps lower other health costs, such as hospitalizations and expensive procedures.
Source: phrma.org

Sr Contract Monitoring Analyst

Five to seven years experience in quantitative business analyses and statistical modeling (preferably healthcare related).Proven analytical experience using Enterprise Guide SAS, database query capabilities and ability to evaluate data at various levels of detail (preferably Enterprise Guide SAS) *Subject Matter Expert on Medicare Part D and CMS requirements and Pharmacy Benefit Manager (PBM) technical and operational experience is preferred
Source: kdnuggets.com

Analysis Finds Lax CMS Oversight of Prescribers in Medicare Part D

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

Medicare 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

Be an Educated Caregiver with Help from Walgreens and Medicare Part D

Melinda is half of the mom & dad blogging team from LookWhatMomFound…and Dad too! Over 4 years ago Melinda left the corporate world to focus on raising her children while being a SAHM. With 17 years of parenting practice to 3 kids life has provided her many experiences that are used to educate the family on morals, ethics and the difference between right and wrong. While academics are very important, a full education goes beyond books and grades. Melinda strives to raise children with good hearts, strong principles and a foundation built on love and respect for others. Don’t miss any of the fun, stay connected by signing up for LookWhatMomFound…and Dad too! RSS Feed or visiting us on LookWhatMomFound…and Dad too! Facebook Page .
Source: lookwhatmomfound.com

A Medicare Part D Cost Saving Success Story

agencies on aging aging issues aging parent aging parents Alzheimer’s disease care chair caregiver care caregiver help caregiving Certified Senior Advisor change chaos companion care Dream elder care exercise family finances fitness friendship geriatric care managers Goal Goal setting grief healthy body healthy mind healthy spirit home health aides investment Kathleen Cleary life purpose money organization parents professional women relationships sandwich generation saving time the balancing act time management travel trends walking working moms working women
Source: thrivinginthemiddle.com

Medicare growth attributed to change in skilled nursing facility pay rates

Posted by:  :  Category: Medicare

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

Video: MEDICARE SUPPLEMENTAL INSURANCE RATES

Medicare Hospital Payment: MedPAC Recommends One Percent Rate Increase for FY 2014

Hospitals face another year of tight Medicare reimbursement, with rates for FY 2014 falling farther behind cost increases and margins declining as a result.  Most hospitals already lose money on caring for Medicare and Medicaid patients.  Hospitals are entering a far more challenging new business environment under the Affordable Care Act, which will cut Medicare and Medicaid payments, cover millions of new consumers, fundamentally transform the health insurance marketplace, and force consolidation.  Meanwhile, purchasers and payors are reforming payment methods to drive increased efficiency in the hospital industry.
Source: piperreport.com

Medicare readmission dropped in 2012, CMS reports » Healthcare Scheduling Solutions Blog

According to "Medicare Readmission Rates Showed Meaningful Decline in 2012," the 30-day all-cause hospital readmission rate among fee-for-service Medicare beneficiaries remained stable at 19 percent between 2007 and 2011. However, during 2012, the average monthly readmission rate decreased to 18 percent in October and hit 18.4 percent for the year. CMS stated this one-half percentage point decline represented 70,000 fewer return hospital visits among Medicare patients.
Source: apihealthcare.com

How much for joints, heart attack or pneumonia? Compare how Maine hospitals charge for common services — Health — Bangor Daily News — BDN Maine

The site will still be viewable but certain elements might display incorrectly. In order to enjoy all the features of our site, we recommended you upgrade to a newer, more secure browser. Read more ». If you don’t have administrator privileges for your computer, you can still take action. Google has developed a free plugin for Internet Explorer called Google Chrome Frame. You can install it on any computer, even if you can’t install applications, and it will ensure your computer stays secure and that you can still visit our website. Enable Google Chrome Frame now »
Source: bangordailynews.com

Medicare Announces 2011 Deductible and Coinsurance Rates

Last week, Medicare announced on CMS.gov in a fact sheet titled “Medicare Premiums, Deductibles for 2011″. This fact sheet gives detailed information on the increases to the yearly premium and deductible Medicare patients will have to face in the coming year.
Source: about.com

FAQ On Medicare Doctor Pay: Why Is It So Hard To Fix?

Today’s problem is a result of yesterday’s efforts to control federal spending – a 1997 deficit reduction law that called for setting Medicare physician payment rates through a formula based on economic growth and known as the “sustainable growth rate” (SGR). For the first few years, Medicare expenditures did not exceed the target and doctors received modest pay increases. But in 2002, doctors reacted with fury when they came in for a 4.8 percent pay cut. Every year since, Congress has staved off the scheduled cuts.  But each deferral just increased the size – and price tag – of the fix needed the next time.
Source: kaiserhealthnews.org

Medicare Advantage Fact Sheet

Since 2006, Medicare has paid plans under a bidding process.  Plans submit “bids” based on estimated costs per enrollee for services covered under Medicare Parts A and B; all bids that meet the necessary requirements are accepted.  The bids are compared to benchmark amounts that are set by a formula established in statute and vary by county (or region in the case of regional PPOs).  The benchmarks are the maximum amount Medicare will pay a plan in a given area. If a plan’s bid is higher than the benchmark, enrollees pay the difference between the benchmark and the bid in the form of a monthly premium, in addition to the Medicare Part B premium.  If the bid is lower than the benchmark, the plan and Medicare split the difference between the bid and the benchmark; the plan’s share is known as a “rebate,” which must be used to provide supplemental benefits to enrollees.  Medicare payments to plans are then adjusted based on enrollees’ risk profiles.
Source: kff.org

Hospital Readmission Rates Take a Big Dip in 2012

Not only were readmission rates lower in 2012, but the absolute number of index admissions and readmissions per beneficiary has been dropping over the six-year period analyzed, according to the study. There are many possible reason for the drop. One possible explanation for the observed reduction in rates in 2012, the study points to, is that payment reforms and other initiatives aimed at reducing avoidable readmissions are starting to have a measurable impact on provider behavior and are resulting in improved care. Also, more beneficiaries are receiving post-discharge care through emergency departments, observational stays, or other non-inpatient settings without material improvements in quality of care, also slowing the need for readmission.
Source: wolterskluwerlb.com

Medicare Data Show Huge Disparity in Charges by North Texas Hospitals for Inpatient Procedures

“The complex and bewildering interplay among charges, rates, bills and payments, across dozens of payers, public and private, does not serve any stakeholder well, including hospitals,” said Rich Umbdenstock, president of the American Hospital Association, in a statement. “This is especially true when what is most important to a patient is knowing what his or her financial responsibility will be.
Source: dmagazine.com

Medicaid Expansion in Colorado Means More Opportunities for Job Seekers

Posted by:  :  Category: Medicare

Patients are not the only beneficiaries of this new law. The Medicaid expansion is also projected to be a boon for health care job seekers as more people access health care. In fact, The Colorado Health Foundation recently conducted a study on the economic impact of Colorado’s Medicaid expansion. Their analysis forecasts that 14,357 jobs will be added to the Colorado economy in the first 18 months following expansion (i.e. January 1, 2014 – June 30, 2015). Most of these jobs are predicted to be in the direct health care sector.
Source: missiondrivencareers.org

Video: Colorado Medicaid Infographic Video

Selling “Excluded Assets” And Colorado Medicaid

Sometimes it is hard to predict where we will be in a years’ time – let alone in five to ten years. This can cause some serious anxiety among our Medicaid Planning clients. They often fear that, once an asset is “excluded,” such as the family home, it can be dangerous to do anything with it down the road. Let’s talk a little more about these fears. What would happen if the community spouse decided that they wanted, or needed, to sell the family home – an excluded asset – a year after the nursing home spouse had qualified for Medicaid assistance in Colorado? According to federal law, so long as the community spouse’s home is sold after the nursing home spouse has qualified for Colorado Medicaid, the sale will have no effect on the nursing home spouse’s eligibility. Additionally, it is worth noting that the community spouse will not be obliged to reinvest the proceeds from the sale of their home. The newly-acquired money will, essentially, be treated as if it were an inheritance. Having a professional Colorado Medicaid attorney in your corner will not only help to ensure that you or your loved one is receiving the maximum benefit possible – it will also guarantee your peace of mind. Call (303) 945-3242 today to get in touch with a Medicaid attorney in Denver or visit our Medicaid website to learn more about Medicaid eligibility, Medicaid crisis planning, and asset protection.
Source: thehugheslawfirm.net

Colorado Makes Medicaid Expansion law of the land

As year’s turn to months, and soon to days until the most contentious parts of Obamacare is implemented, Many Governors are now starting to sign various Medicaid Expansion bills into law. As such is the case in the state of Colorado, Democratic Gov. John Hickenlooper signed the Medicaid Expansion measure into law outside the States Capitol. Gov,. Hickenlooper said “This is going to support working Coloradoans and improve economic security for individuals and families and ultimately even for businesses,”
Source: medicaidexpansion.com

Colorado Medicaid expansion signed into law

The expansion is part of the federal health care overhaul. Supporters of the expansion say it will reduce health care costs in the long run. But most Republicans voted against the expansion, saying the state’s cost can balloon once the federal government stops paying for growing the program.
Source: nbc11news.com

Colorado Springs Independent

IN HOME ASSISTANCE Need help with your daily activities and taking your medications but want to remain at home? I can help you. Experienced medical and nursing assistant, certified to administer medications. Sitting for CNA exam soon. Light housekeeping and laundry as well. Caring, non judgemental person waiting to help you. Reasonable rates. Please call 719-339-9405.
Source: csindy.com

The Case for Medicaid Self

In recent years, self-direction has emerged as a game-changing strategy in organizing and delivering Medicaid funded services, a means of affording people with disabilities enhanced opportunities to live fulfilling lives of their own choice in local communities. Yet, despite the growth in self-directed services, many key questions remain to be answered about the most effective ways of promoting individual choice and control within a Medicaid funding environment.  This paper from the National Council on Disability summarizes key study findings, conclusions, and recommendations.
Source: alliancecolorado.org

What You Should Know About Choosing a Medicare D Plan

Posted by:  :  Category: Medicare

President of Deborah Fins Associates, PC, since 1995, Deborah Liss Fins is a licensed independent clinical social worker and certified geriatric care manager. Drawing on more than 30 years of professional experience in geriatric care management, DFA offers comprehensive assessments and planning, guidance in selecting appropriate care, help identifying resources for financial support and professional consulting. Please contact usto set up a complimentary initial telephone consultation.
Source: finseldercare.com

Video: Wiz Khalifa – Medicated (Feat. Chevy Woods And Juicy J) ONIFC 1080P HD

Medicare D and the Internet

I recently helped my parents enroll in their new Medicare prescription drug plans using the Medicare.gov website. It was a good-news, bad-news experience. Overall, the good news is that the Medicare.gov website provides very thorough information, is mostly easy to use, and includes efficient functionality. The bad news is that successfully enrolling online requires the guiding hand of a practiced internet user, includes several unanticipated offline data-gathering moments, and probably also includes a few false starts. Here is my mom’s story. Bad news: Before starting, a list of necessary information would have saved several phone calls and re-starts: name, address, social security number, date of eligibility for Medicare’s Hospital Part A and Medical Part B, list of regular drugs and dosages, and individual drug costs, current prescription coverage, preferred pharmacy (if important), and decision on option to deduct plan costs from monthly Social Security check. Good news: First step, to search for and compare plans. I plugged in my mom’s south Florida zip code, which later revealed there are 44 plans available in her area, and her current coverage, “none of the above” — a blessing in disguise as we avoided comparing possible plans to the specifics of any current plan. We were also lucky that, because of her relatively simple drug requirements, she fell into the category easiest to maneuver. There was no need to worry about gaps in coverage beyond certain expenditures. Bad news: I did not know how to answer the polite, but fuzzy Medicare question asking “Did you get a letter from either Medicare or the Social Security Agency that said you are either eligible for or qualified for “extra help” paying for your Medicare prescription drug care costs.” Huh? My mom wasn’t sure, and one very long telephone call to the toll free Medicare number eventually interpreted “extra help” as jargon for Medicaid eligibility. Why not just say that? Good news/bad news: We clicked to “choose a plan” and then “Enter medications”, two steps which seem entirely reasonable in retrospect, but were presented in succession as one of several options where we could easily have tripped up and had to backtrack to get our desired information. Good news: Plugging in the drugs. The process includes excellent, transparent functionality to plug in drugs (including a search-by-alphabet aid for cases where the exact name doesn’t quite match the one on the bottle), the dosage (including a drop-down menu to adjust the dosage, although one dosage that my mom takes wasn’t an exact match), and a query asking if you’ll accept the generic version. (Note to self: Glitch – phone physician to see if generic is acceptable and if it affects ultimate costs.) Excellent news: Comparing coverage plans. (Fair warning: don’t be sidetracked. We chose to bypass the chance to select a specific pharmacy and see what Medicare had to offer. Right choice! The pharmacies are not all current on the website, and you can cross-check for your favorite one later. The point here is to get a cost comparison of the plans.) Eureka! We were quickly offered 44 plans, listed according to estimated annual costs. Clicking within individual plans reveals a goldmine of details of annual costs, including deductibles, monthly co-pays per drug (as price points of different drugs vary wildly among plans, revealing why individually-tailored plan selection is critical), mail-order options, special notes, and many more things. You can also click to compare specifics of up to 3 plans at a time. Bad news: Finding cooperating pharmacies can be frustrating and requires a leap of faith. The website’s pharmacy list wasn’t current, and I was derailed from the internet to the telephone. I called my mom’s favorite pharmacy, talked to her favorite pharmacist, and learned that they expected to cooperate with the plan we liked. Ya gotta love small town south Florida; I know I would not have such quick or trustworthy service where I live. Good news: Enroll. Just plug in the usual information, which included a rather puzzling and unexplained bonus question of whether or not you lived in a nursing home. Total time elapsed: Internet time about 30 minutes. Other time included calls to parents for information and decisions: 30 minutes; call to Medicare: 45 minutes; call to pharmacist: 3 tries and 10 minutes; call to physician re generic drug possibility: did not try. Total cost savings: My mom was self-paying for drugs at a cost of about $3000 per year. Under her new Medicare D plan, it will cost her less than one third of that. Epilog: My mom received her new Medicare D prescription drug enrollment card in the mail. Her pharmacist said the pharmacy does cooperate with her plan. She has not yet tried to get any prescriptions filled. Reality check from findings from the Pew Internet Project: • As of September, 2005, 30% of people age 65 years and over use the internet. • As of 2002, 39% of internet users have helped another person with online medical issues • As of November, 2004, 54% of internet users have gone to a government website to look for information. • In August, 2003, more internet users had visited government websites for information (66%), statistics or documents (41%), and recreation or tourist information (34%), than health or safety issues (28%).
Source: pewinternet.org

El gobernador de Michoacán se ausentará del cargo para recibir atención médica. : Red Generacion

Andrés Granier Melo Corrupción Crimen organizado Derechos Humanos Desvió de recursos El Nuevo PRI Enrique Peña Nieto EPN Estado Fallido Estados Impunidad Inseguridad México Nacional Narco Narcoguerra Narcotráfico PAN Pemex Peña Política Nacional PRD PRI Red Expansión Red Generación Seguridad Tabasco TELEVISA Torre Pemex Violencia
Source: redgeneracion.com

Oportunidad de Inversión en Belize

Unidad de radiologia, 32KW integrate tube stand and table, 4 way floating table top, cassette holder with fixed grid, console, x-ray tube and collimator cables ( rx- fix).paraban de plomo con cristal para x-rays, reveladora, lampara de cuarto  obscuro  para revelado, y chaleco de plomo para tecnico.
Source: ganar360.com

Medicare D and the Penn Transplant Patient

Medicare D is purchased as a stand-alone prescription? plan. This is important to discuss because the patients of Penn Transplant Institute are prescribed costly life-sustaining drugs, and the amount of drugs prescribed is typically larger than many other patient populations. These factors can contribute to large out-of-pocket expenditures experienced annually by patients.Medicare D is a stand-alone prescription drug plan available to anyone entitled to benefits under Medicare part A, or for those who are currently enrolled in Medicare part B. Some highlights of Medicare D include:
Source: blogspot.com

First, Do No Harm: Leave Medicare D Alone

Medicare Part D is that rarest of government programs: One that has worked better than expected and cost less than expected. Prescription drugs are provided by private insurance plans that compete for customers among enrollees. The profit motive encourages the use of generic drugs instead of name brands, for example, a simple but huge step to hundreds of billions in savings. Free-market conservatives argued that introducing consumer-driven, market based competition to this one aspect of health care would lower costs compared to government-run benefit programs. They’ve been proven right in the five years since Medicare Part D went into effect. Total program costs are about 40 percent lower than forecasted, costs have increased at a slower rate than expected, and consumers report high satisfaction rates in the 90s.
Source: nhjournal.com

Medicare D is a Trojan Horse

When the MMA was passed in 2003 and the Part D benefit was added, it was done in a way that the presented the least amount of channel conflict in order to be accepted into industry like the Trojan Horse that it is.  The large health insurance plans gladly took on the volume, some of which just moved from a commercial plan they already managed to the new commercial plan they managed on behalf of Medicare.  Payers accepted it because there was little change.  Pharmacies accepted it because there was no change.  And patients liked it because the benefit coverage was probably very similar to their existing plans if they were already on some type of commercial or self-insured plan and it was a step up from some Medicaid plans.  And Manufacturers were supportive because they were already used to the commercial plan impacts and actually had a bump up moving costly Medicaid activity to Medicare Part D.  Well now that the Horse is firmly behind the walls of the castle, out pops the Single Payer model that I’ve been calling since we read the MMA Bill 10 years ago.  HHS will soon represent an entity much like the Ministry of Health in other countries that offer socialized healthcare.    And this Trojan Horse is a baby compared to the one labeled  ACA.  Once they get transparency of the Health Providers actions, they can not just squeeze reimbursement, but accurately assess who is good at it and not and even challenge the approach that Providers take with their patients.  What will these impacts mean to YOUR business?
Source: consultbfg.com

Lapham open for Medicare D appointments

Lynn Bond, the center’s director, is grateful “for the foresight of the Senior Center Board and Lapham Center Building Committee in raising funds to put in an adequate generator for just this situation,” she said. “It has been humming along nicely all week and has made a huge difference for many New Canaanites.”
Source: ncadvertiser.com

Eric, Pharmacist: Closing the Medicare D gap

Well, two minutes ago the deadline passed. Drug manufacturers were supposed to have signed an agreement with both CMS and third-party administrators for Medicare D plans by 11:59 PM on September 1 in order to have their medications covered for the 2011 Medicare D benefit year. (link to story here) It’s part of the Affordable Care Act, which is supposed to eliminate the doughnut hole for Medicare D beneficiaries by 2020. Here’s how the system is supposed to work. It is my analysis of the information presented in the link above. Manufacturers must agree to discount the price of medications for selected beneficiaries once they reach the gap (or doughnut hole) in their Medicare D coverage. If you don’t discount the price of the medication, it will not be covered by the third-party administrator. The bulk of the responsibility for the program falls into the hands of the third-party administrators. By the design of the Medicare Coverage Gap Discount Program, the third-party administrator will:
Source: blogspot.com

Tips For Choosing Your Medicare D Plan

The New Old Age blog on the New York Times recently provided this sobering statistic: "only 5.2 percent of Medicare Part D beneficiaries manage to choose the most economical plan" (see "Part D, Part 2"). And why would that be?
Source: kylekrull.com

Health screenings save men’s lives

Posted by:  :  Category: Medicare

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In most cases, colorectal cancer develops from precancerous polyps (abnormal growths) in the colon or rectum. Fortunately, screening tests can find these polyps, so you can get them removed before they turn into cancer. If you’re 50 or older, or have a personal or family history of colorectal issues, make sure you get screened regularly for colorectal cancer.
Source: medicare.gov

Video: 73 Armenian arrested for biggest Medicare fraud in USA history.

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

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

Single Stop submits comments to Center for Medicare and Medicaid Services

Single Stop USA’s comments focused on addressing the following topics: (1) Encouraging transparency in the application process; (2) Integrating Navigators, In-Person Assisters, Certified Application Counselors; (3) Leveraging eligibility results to connect individuals to multiple benefit applications; and (4) Addressing the concerns of immigrant applicants. In addition to submitting our own comments, Single Stop worked with the other national benefits access providers and interested policy groups to have a shared voice about ways to maximize this important opportunity to advance on-line benefits access.
Source: singlestopusa.org

MEDICARE; WHEN TO ENROLL

If you’re not on Social Security, you must apply for Medicare at (800) SSA-1213, www.ssa.gov, or any SSA office.                                                                               Resources.  For more details about eligibility and enrolling, see SSA’s “Medicare” publication at http://ssa.gov/pubs/10043.html.  To learn about Medicare coverage and gaps, browse www.medicare.gov, especially their comprehensive “Medicare and You” publication at http://www.medicare.gov/pubs/pdf/10050.pdf. All this is covered in some detail in my book, Social Security, The Inside Story.
Source: retireusa.net

Cancer patients turned away as sequester digs into Medicare

“Most frustrating is that this did not have to happen. There are several ways that the Administration and Congress can act to avoid the most devastating of sequestration impacts,” explained Ted Okon, COA’s executive director. “However the cuts are addressed, it must be done immediately. In the absence of government action to stop sequestration cuts, practices will have no choice but to adopt emergency measures to deal with the sequester cuts to cancer drugs.”
Source: rt.com

Benefits of small area measurements: A spatial clustering analysis on medicare beneficiaries in the USA | Human Geographies

Small area estimates on where services for potential Medicare beneficiaries may be needed, could provide unique research opportunities for improving the healthcare quality of the ageing U.S. population. The project described in this paper validates this argument by contrasting the spatial clustering results from an analysis that uses large geographical units with proxy measures to the results from an analysis using small area geographic units with direct measures. Large-area proxy measures come from county-level U.S. Census Bureau 2010 cross sectional data on the number of people aged 65 and over. Medicare beneficiary estimates in 2007 with Primary Care Service Areas (PCSAs) make up the small-area direct-measure analysis. Findings show that the latter offers a more geographically defined appraisal of where healthcare quality efforts should focus to aid potential Medicare beneficiary populations. Because the healthcare quality of an aging population will only increase in importance as their numbers grow in the US, further research is needed.
Source: org.ro

What Social Security/Medicare Solvency Problem?

Progressives and Centrists like CAP still don’t understand that austerity is destroying private sector net financial assets by cutting government spending and/or raising taxes in such a way that Government additions of net financial assets to the non-government portions of the economy (government deficits) fall to a level low enough that they are less than the size of the trade balance, whether in deficit or in surplus. Right now the trade deficit is 3.5% of GDP. That means Government deficits must be at least 3.5% of GDP to prevent contraction in net private sector financial assets. That’s a roughly a $560 B deficit in 2013, just to remain in place. CBO’s latest projections are for a deficit of $642 Billion this year, a bit higher than break even; but not by very much. The deficit could well be smaller than that, however, since it’s dropping fast.
Source: correntewire.com

Medicare, Social Security trustees’ report

Posted by:  :  Category: Medicare

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But Medicare is doing slightly better than last year’s projections and is expected to cover benefits through 2026. The Employee Benefit Research Institute (EBRI) noted that a number of factors have contributed to the improved outlook, including lower-than-expected Part A spending in 2012, and lower projected Medicare Advantage program costs. Read Trustees Report shows reduced cost growth, longer Medicare solvency.
Source: marketwatch.com

Video: Dim Outlook For Social Security, Medicare

Social Security and Medicare Should Not Be Used to Reduce Deficit

Crack down on waste and inefficiency: The U.S. health care system wastes as much as one-third of all spending because of inefficient payment systems, uncoordinated care, mistakes, duplication and unnecessary paperwork. We must step up efforts to detect fraud and crack down on criminals who file false Medicare claims. We need to focus on improving care and cutting unnecessary tests and procedures, which are often the result of payment incentives and fear of litigation.
Source: aarp.org

Daily Kos: President Obama’s budget will include cuts to Social Security, Medicare

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Source: dailykos.com

Social Security, Medicare still face big challenge

A: The deficit, the amount the government must borrow when its annual spending exceeds its receipts, is just a one year-slice – as if someone only looked at how much his credit-card and other household debt increased or decreased in a single year without regard to total debt owed. The budget deficit for 2013 is now projected by the Congressional Budget Office to fall to $642 billion from $1.1 trillion last year and a record $1.4 trillion in 2009. The national debt, meanwhile, is the nation’s total indebtedness, the still-outstanding amount owed from the accumulation of many annual deficits going back to the Revolutionary War, offset only slightly by rare years of surplus, most recently 1998-2001. The Treasury’s Office of the Public Debt, which keeps track to the penny, said that as of two days ago, the national debt stood at $16,737,219,726,401.22 – or, rounding off, $16.74 trillion.
Source: seattletimes.com

Stewardship of Our National Treasures: CBPPs Analyses of the Medicare and Social Security Trustees’ Report

Nearly every American participates in Social  Security, first as a worker and eventually as a beneficiary.  The program’s benefits are the foundation of  income security in old age, though they are modest both in dollar terms  (elderly retirees and widows receive an average Social Security benefit of  $15,000 a year) and compared with benefits in other countries (Social Security  benefits replace a smaller share of pre-retirement earnings than comparable  programs in most other developed nations).   In fact, the median income of elderly married couples from all sources other than Social Security equaled just  $23,000 in 2010; for non-married elderly people (including widows and  widowers), median income from other sources equaled only $3,000.  And millions of beneficiaries have no income other than Social Security.
Source: jaredbernsteinblog.com

Upton & Pitts Comment on 2013 Medicare and Social Security Trustees Report

WASHINGTON, DC – House Energy and Commerce Committee Chairman Fred Upton (R-MI) and Health Subcommittee Chairman Joe Pitts (R-PA) responded to today’s release of the 2013 Medicare and Social Security Trustees Report. The Trustees are forecasting that Medicare will go bankrupt in 2026 and Social Security will not be able to fully pay benefits in 2033. Energy and Commerce Republicans have put forward a series of measured, short-term steps to strengthen Medicare for America’s seniors.
Source: house.gov

A Guide To the 2013 Social Security Trustees Report, Part II

Medicare’s HI trust fund, which finances hospital, home health following hospital stays, skilled nursing facility and hospice care services, is only one piece of a larger Medicare program and indeed represents less than half of total program costs. Like Social Security, Medicare HI is financed primarily by a tax on worker wages and can theoretically become insolvent if its obligations exceed its financial resources. But Medicare’s Supplementary Medical Insurance (SMI) trust fund has even greater expenditures and includes Medicare Parts B (physician, outpatient hospital, and general home health services) and D (prescription drug coverage). SMI has no projected depletion date because by statutory construction it is automatically provided with whatever general fund revenues it needs (beyond tax and premium income) to remain solvent. Thus financial strains in SMI are manifested not in projected insolvency but as rising pressure on the general federal budget.
Source: mercatus.org

A respite for Medicare; Social Security no worse

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Source: sltrib.com

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