Advantra Rx NOT Renewing Their Medicare Contract

Posted by:  :  Category: Medicare

one of my customer’s sent me a copy of the letter from AdvantraRX dates October 2. Here is what it says (sorry about typos, i type fast): Dear Mr. Smith, AdvantraRx Preimer by Coventry Life and Health Insurance Company, a stand-alone prescription drug plan with a Medicare Contract, will no longer operate as of January 1, 2011 so your Medicare Prescription drug coverage through AdvantraRx Premiuer will end December 31, 2010. If you want Medicare prescription drug coverage starting January 1, you need to join a new Medicare drug plan by December 31, 2010. Take Action by December 31 to avoid losing drug coverage. If you want Medicare Rx drug coverage after December 31, you need to join another Plan or medicare advantage plan that offers drug coverage. You can join a new medicare drug plan anytime between October 1 and January 31, 2011. However your AdvantraRx Premier coverage ends December 31, so you should join a new medicare drug plan by december 31 to make sure you have drug coverage january 1. If you join a new plan AFTER december 31, your new coverage won’t start until the month after you join. What happens if you don’t join another medicare drug plan? if you don’t join another medicare drug plan by January 31, your next chance to join will be from october 15 through december 7, 2011. You may also have a pay a late-enrollment penalty to join later. The the letter gives a list of a bunch of companies and the 1-800 Medicare number and website. It doesn’t state anything anywhere about automatically enrolling them into another plan if they do nothing. In fact, it states the opposite.
Source: insurance-forums.net

Video: Ultra Support Back Brace – Covered by Medicare

Do You Have An Advantra Freedom Medicare Plan??

[…] You can blame this on your congressmen, senators, and yes even the president. The funding for medicare and Medicare has been drastically cut causing  some companies to raise rates and lower benefits. Other companies have simply decided to drop out of the market (which produces less competition). I would suggest writing a letter to your congressman or senator.Source: wordpress.com […]
Source: wordpress.com

Coventry Health Care Adds Cornerstone Health Care (P.A.) to their Advantra Medicare Advantage Provider Network in North Carolina.

Cornerstone Health Care has nearly 300 providers (including primary care and specialty physicians, and mid-level professionals) in more than 70 locations in High Point, Winston-Salem, Greensboro, Summerfield, Thomasville, Archdale, Trinity, Jamestown, Kernersville, Lexington, Asheboro, and Advance.
Source: wordpress.com

Altius Health Plans Altius Advantra Medicare Review

Altius Health Plans offers Medicare health insurance programs for residence of Utah and a county in Wyoming.  Altius Advantra and Altius Advantra Preference are Medicare Advantage HMO plans available in Box Elder, Cache, Daggett, Davis, Duchesne, Morgan, Rich, Salt Lake, Summitt, Tooele, Wasatch, and Weber counties in Utah as well as Uintah county in Wyoming.  Altius Advantra is an HMO-POS plan, and Altius Advantra Preference is a plain HMO only available in Davis, Salt Lake, and Tooele counties.  The coverage does include Part D drug coverage as well as health benefits.  Below is a review of the benefits they offer:
Source: medicare-plans.net

Coventry Medicare Advantages In A Nutshell

The last two remaining programs in the Coventry Medicare Plans are the Coventry Advantra-POS and the Coventry Advantra Freedom. The Advantra POS is still basically the same as HMO and PPO plans; they have the same coverage of benefits and a set of network providers.  But, they are given the privilege to see health care providers outside their network.  Of course, this comes with much higher premiums.  For a little more cost, enrollees can have the freedom to choose their own physicians with the Advantra Freedom plan.  CAF is a private-fee-for-service (PFFS) which also includes Part A and B benefits.  Enrollees may consult any physician or specialist they prefer without the need for any referrals, given that the provider accepts the guidelines and resolutions within the PFFS agreement.
Source: medicarebase.com

Washington University School of Medicine physicians join Coventry’s Medicare networks

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Source: healthmedicinet.com

Pennsylvania Health Insurance

HealthAmerica’s Commercial and Medicare Advantage Plans Among Tops in Nation for Quality and Service on U.S.News & World Report/NCQA “America’s Best Health Plans 2008-09″ List Harrisburg and Pittsburgh, Pa. – November 10, 2008 — HealthAmerica’s HMO, POS, and Medicare Advantage plans were ranked among the nation’s top 20 best commercial and Medicare health plans according to a joint ranking by U.S.News & World Report and the National Committee for Quality Assurance (NCQA). Nationally, HealthAmerica was ranked 12th among 287 commercial plans; HealthAmerica’s Medicare Advantage plan, Advantra, ranked 18th among 216 plans nationally. HealthAmerica and HealthAmerica Advantra have ranked as one of the top 50 best health plans in the U.S. News/NCQA “Americaýs Best Health Plans” list* every year since 2005. “We are honored to be recognized among the best health plans in the nation,” said Kirk E. Rothrock, president and chief executive officer of HealthAmerica. “We are dedicated to providing the best possible quality and service, so we are pleased to see our efforts recognized by NCQA, U.S. News and World Report, and, most importantly, by our members and our customers.” The National Committee for Quality Assurance and U.S.News and World Report collaborated to rank the nationýs best commercial, Medicare, and Medicaid health plans. The ranking appears in the November 17 issue of U.S.News and on its website www.usnews .com/healthplans HealthAmerica”s and Advantra”s rankings are based on their Healthcare Effectiveness Data and Information Set (HEDISý)** 2008 scores and the results of a Consumer Assessment of Healthcare and Provider Systems (CAHPS) survey of members. HEDIS is a set of standardized performance measures covering effectiveness of care, preventive care, treatment, and customer satisfaction. CAHPS is a standardized survey in which members rate the quality of care and service that they receive from doctors, specialists, office staffs, and insurers. In these ratings, HealthAmerica’s commercial health plans were rated higher than the national average in all 15 key measures of medical services and member satisfaction and higher than the Pennsylvania state average in 12 of the 15 key measures***. HealthAmerica’s HMO, POS, and Medicare Advantage plans’ status of “Excellent” from NCQA was also a factor in determining the U.S. News/NCQA “America’s Best Health Plans 2008″ ranking**** The U.S.News/NCQA “Americaýs Best Health Plans 2008″ list is drawn from measures of prevention, treatment, and customer experience. These measures are compiled in NCQA”s Quality Compass 2008*****, which publicly reports comparative results of more than 400 commercial health plans covering 85 million Americans. Health plans throughout the country were evaluated on issues such as access to care, prevention efforts, treatment of diseases such as diabetes and heart disease, and members were surveyed on their satisfaction to calculate an overall quality score. * “America’s Best Health Plans” is a trademark of U.S. News & World Report. **HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA). ***The source for this data is Quality Compass 2008 and is used with the permission of the National Committee for Quality Assurance (NCQA). Quality Compass is a registered trademark of NCQA. NCQA is a private, non-profit organization dedicated to improving health care quality. The 12 measures are: Child immunization (combo II), well child visits 3 to 6 years, colorectal cancer screening, prenatal care, first-trimester postpartum care, cervical cancer screening, breast cancer screening, diabetes-lipid profile (screen), controlling hypertension, cholesterol screening for patients with cardiovascular conditions, rating of all health care, rating of health plan. ****National Committee for Quality Assurance accreditation outcomes are: Excellent, Commendable, Accredited, and Denied. Applies to HMO and POS plans. *****Quality Compass is a registered trademark of NCQA. NCQA is a private, non-profit organization dedicated to improving health care quality. About HealthAmerica For over 33 years, HealthAmerica has provided health benefit solutions to employers across Pennsylvania. HealthAmerica offers a broad range of traditional and consumer-directed health insurance products, including managed care, HSAs, self-funded, Medicare, indemnity, nongroup and pharmacy plans. Serving 12,000 businesses and over 660,000 members as of December 31, 2007, in Pennsylvania and Ohio, HealthAmerica offers progressive medical management, innovative wellness programs, and statewide and national provider networks. HealthAmerica is ranked as one of “Americaýs Best Health Plans, 2006″ by U.S. News & World Report; its HMO and POS products have an “Excellent” accreditation by the National Committee for Quality Assurance. HealthAmerica has corporate offices in Pittsburgh and Harrisburg, Pennsylvania, and employs over 2,200 people in the commonwealth.
Source: blogspot.com

Coventry.Health.Care.Deleware / .Advantra.Silver.Coventry.Health.Care

coventry health care incorporated laws state delaware december 17 1997 successor coventry corporation coventry health care insurance map offers health insurance states coventry health care iowa coventry advantra gold advantra xp gold silv ppo pltn ma coventry health care iowa coventry advantra silver advantra 22 medicare insurance plan options offered new market ia 2010 coventry of advantra platinum ppo sw ppo health drugs coventry health care 46 highest-paid chief information officers list 21 pay packages worth 1 million dealing rising price medical services health insurance Ny source fox news 16 30 1 jun 2010 provinding health care north kivu
Source: bonafidelive.com

Medicare Targets Health Plans With Low Ratings

Medicare officials are encouraging 525,000 beneficiaries to switch out of these 26 Medicare Advantage and drug plans that have received low ratings for three consecutive years and enroll in better plans for next year. The poor performing plans will have this warning symbol next to their names on Medicare’s plan finder website to steer shoppers to other plans.
Source: kaiserhealthnews.org

Medicare Advantage Plans and PFFS Plans

GA_googleAddSlot(“ca-pub-0753968927722499″, adslot_Header); GA_googleAddSlot(“ca-pub-0753968927722499″, adslot_Mid); GA_googleAddSlot(“ca-pub-0753968927722499″, adslot_Mid2); GA_googleAddSlot(“ca-pub-0753968927722499″, adslot_Right_Top); GA_googleAddSlot(“ca-pub-0753968927722499″, adslot_Right_Bottom); GA_googleAddSlot(“ca-pub-0753968927722499″, adslot_
Source: merchantcircle.com

Skilled Maintenance Services Covered Under Medicare

Posted by:  :  Category: Medicare

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We have one such client who suffers from a degenerative neurological disease that has impacted her ability to walk and transfer from her wheelchair. Home health has been coming out for periods of time over the last year. The therapy has been extremely beneficial in improving our client’s strength and maintaining her ability to make transfers safely in and out of her wheelchair. Unfortunately, when the physical therapist can no longer document “improvement” she is discharged from service. Because her disease is degenerative, she naturally begins to lose her strength and endurance once therapy is discontinued, and she becomes a fall risk with transfers. Were home health to remain consistently working with her, helping her maintain the gains she makes during therapy, she could delay the deterioration from her disease process, remain independent in some of her care and remain safe from falls. According to this agreement, she is entitled to that care under Medicare regulations.
Source: eldercarelawaz.com

Video: Medicare Phoenix Seminar – Learn About Setting Up Your Medicare in Arizona

Arizona OK’s Medicaid Expansion

If you select “Keep me signed in on this computer”, every time you visit WebMD.com you won’t have to type your email address and password. This means that a cookie will stay on your computer even when you exit or close your browser which may reduce your levels of privacy and security. You should never select this option if you’re using a publicly accessible computer, or if you’re sharing a computer with others. Even if you select this option there are some features of our site that still require you to log in for privacy reasons.
Source: webmd.com

souk okad academy: The Coverage For Arizona Medicare Recipients Can Be Extremely Confusing

AZ Medicare recipients frequently complain that it is very challenging for them to understand what type of coverage their policies include. In some instances the patients experience a gap of coverage or limited coverage that requires them to pay those costs out-of-pocket. With the rising cost of health care these days, it can get to be quite expensive for Medicare recipients, especially those living on a tight budget. There are several types of supplemental insurance that will cover some of the gaps left by Medicare coverage that often only partially covers some medical services. Medicare coverage can contain several different parts called Part A, Part B, Part C and Part D that you need to understand. If an individual has traditional Medicare Part A and Medicare Part B coverage, they are then eligible to purchase Medigap insurance plans. When Medicare Part C coverage is also carried by the individual the Medicare Supplement Insurance is not necessary for them to purchase. The AZ Medicare recipients have access to twelve standardized service plans available in the Medicare Supplemental Insurance coverage. It can be easy to compare costs and policies for these various plans that can be obtained from providers. The Medigap plans provide a comprehensive set of services that are covered, and they are labeled A through L. Remember that the providers of these supplemental policies are not required to limit the cost of premiums or offer a full line of all the policy plans. It is advisable to cautiously perform a comparison to be sure that you obtain the level of coverage that will fit your budget. It is imperative to note that Arizona Medicare supplement policies cover just one individual. In the situation where an individual may be eligible for coverage through their spouse, they each must have their own Medicare supplement Arizona providers can supply. It is often a good idea to consult with a professional who understands the supplemental coverage to help you understand them more thoroughly and make the right choice. Lastly, the Arizona Medicare Advantage Policies are the final kind of coverage we will discuss. Plans of this variety are often referred to as Medicare Part C plans or MA Plans. The Medicare Advantage Arizona seniors elect as a plan provides all Medicare benefits that Part B and Part D offer through the Medicare Advantage Provider that they have chosen to work with. The assorted types of plans that are available provide many more specifics which must be given careful considerations before choosing.
Source: blogspot.com

Coverage Can Be Quite Confusing For AZ Medicare Participants ~ Your Healthy Guide

It can be very challenging for AZ Medicare recipients to know what type of coverage is included by their medicare policy The patients often will discover gaps of coverage that are limited or missing, which they must pay for out of their own pockets. Medicare recipients usually live on a very tight budget and find it very expensive to deal with the increasing cost of health care. There are several types of supplemental insurance that will cover some of the gaps left by Medicare coverage that often only partially covers some medical services. It is imperative that you understand all the different parts of Medicare that encompass Part A, Part B, Part C and Part D of Medicare Coverage. If an individual has traditional Medicare Part A and Medicare Part B coverage, they are then eligible to buy Medigap insurance plans. If an individual also has Medicare Part C coverage they do not need to buy Medicare Supplement Insurance. Medicare Supplemental Insurance plans are obtainable in twelve standardized service plans for Arizona Medicare recipients. It can be simple to compare costs and policies for these assorted plans that can be obtained from providers. A comprehensive set of services are covered with the Medigap plans that use A through L labels. You must understand that the providers of these supplemental policies are not required to offer a complete line of all the policies and are also not required to limit the premium costs. In order to choose the correct level of coverage that you need and will fit your budget you must cautiously perform a comparison. The Arizona Medicare supplement policies cover only one individual, which is critical to keep in mind. Therefore, if a participant is eligible for coverage through their spouse, they each must have their own Medicare supplement Arizona providers can offer. It is usually a good idea to consult with a professional who understands the supplemental coverage to help you understand them more thoroughly and make the right choice. The last type of coverage we will review here is the Arizona Medicare Advantage Policies. Medicare Part C Plans or MA plans are other names that are used to indicate this type of plan. The plan choice that is a Medicare Advantage Plan Arizona seniors elect includes all Medicare benefits including the optional Part B and Part D plans offer through the Medicare Advantage provider that they have selected. The various types of plans that are available offer many more specifics which must be given careful considerations before choosing.
Source: blogspot.com

Congressman Gosar shares thoughts on IPAB at Medicare Today TeleTown Hall

360 Vantage 2011 AZBIO AWARDS AND EXPO advamed AdvaMed 2012 Arizona BioIndustry Arizona BioIndustry Association Arizona BioScience Companies Arizona BioScience Industry Arizona BioSciences Arizona Commerce Authority ASU ASU Biodesign AZBio AZBio Awards AZBio Expo AZBio Fast Lane AZBio In the Loop AZbio Members BIO BioAccel BIO DC Biodesign Institute BIO International Convention Bioscience educational opportunities Brain State Technologies C-Path Critical path Institute EmpowHER Flagship Biosciences Flinn Foundation Government Affairs Blog innovation Joan Koerber-Walker Medical Device Tax NAU Regenesis BioMedical SBIR STTR Syncardia TGen Total Artificial Heart UA UA College of Medicine University of Arizona U of A
Source: azbio.org

Moody’s: AZ Medicaid expansion will benefit hospitals

Despite being one of the most politically conservative states in the U.S., Arizona Gov. Jan Brewer embraced Medicaid expansion earlier this year, and was able to get the Legislature to approve expansion with few restriction–most notably a circuit breaker that would reduce enrollment should funding from the federal government shrink. Under the Affordable Care Act, the cost of expanding Medicaid is fully covered for the first three years by the federal government, and 90 percent in year four and onward.
Source: fiercehealthfinance.com

Dan’s Personal Comments

Posted by:  :  Category: Medicare

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why some plans do silly things with their benefit designs, network relationships, and sales and marketing budgets and materials. Sometimes I like what I see happening but more often than not I don’t like what I see happening. Whatever the case, it is good to try and understand the “why” rather than fight the big dog. (You can always bark if you want but that doesn’t always get you a boney treat.)
Source: med-careaz.com

Video: MedCare COMPETENCIA ESTATAL QUERETARO 2012

…on the road: Berlin’s med care makes me sick

My last message was of the incident in which I broke Lili’s nose and the terrible care she got while in the hospital. 2 or 3 days later we went back for her to get her broken nose bone put back into place. The same doctor we saw the last time was there and she acted just as inconsiderate as the first time. She started putting things in Lili’s nose without mentioning anything of what she is doing which of course made Lili tense in anxiousness. As in any functional relation the doctor-patient one should be based on communication. Such communication would then encourage feedback from the patient that could help the process. Such feedback though was discouraged as the doctor would be pissed off when Lili would ask what was next. She was then discouraged from telling her she noticed her putting in her nostril two swabs of cotton and only took out one. So later after what looked like an incredibly painful operation we simply left without mentioning that concern of Lili’s. But later in the day Lili was not feeling well, the feeling of numbness from the anesthetic was still there and also the feeling that something was left up there. So as heart breaking it was for Lili to go back in that sterile and unwelcoming environment we rushed to the hospital where another doctor was present for the check up. He took a look as well, then put in an aspirator and finally took out a sort of telescope with a camera and light at the end which he shoved up her nose, irritating her skin. Nothing was found. We were relieved and went home ashamed for having bothered the good doctor from his important work. Yet ONE WEEK later just one day before going in to have her plaster removed, out of Lili’s nose came that cotton swab. It freaked her out and we were both sitting there speechless at the incompetence and nerve of the two doctors that let that happen. Then anger took over. One of the doctors simply made feedback impossible. The other was simply unable, with the aid of all the technology he had at his disposal to locate a large piece of cotton stuck in Lili’s nose. Cases like these make you wonder if they can ever find anything at all and then if they do how much they can aid in the recovery process. Of course her nose wouldn’t have been able to move in it’s place on it’s own as it did with removing the anesthesia cotton swab. But if she would have taken all the medication that the doctor gave her she would have probably been very much worse in other ways. Doctors these days seem to have taken a part time job of simply throwing drugs at their patients when those drugs are completely unnecessary. Out of the 3 given to her she only took one, the nasal spray. And that because she had a COTTON SWAB stuck in one of the nostrils that felt blocked for A WEEK! And of course with that situation came allot of stress and fatigue, we mostly spent the days inside, watching a terrible series online but also getting compost from an abandoned garden nearby for potting plants, dumpster diving only at the not so good close by Edeka (when a bit further there is a fun fort of a dumpster to be conquered every night complete with motion detectors and flood light as well as razor blade style barb wire). But the week passed and on Tuesday the 23rd we went back to the Charite Benjamin Franklin clinic to have the cast removed. The doctor was not surprised about the incident but at least said “entschuldigung” and assured Lili that a week was not much as it sometimes happens that people spend years with cotton swabs forgotten inside without problems! Well, that was reassuring! But at least we were done and 10 days later after the crack I heard in the park Lili’s nose was good as new. The same day we moved into Richard’s one room apartment where we cleaned and prepared to host as many couchsurfers we could find. But 2 days later and we are still just the two of us but we are happy dumpster diving at the bio store nearby that throws unbelievable amounts of food. Something of a detox for Lili after the anesthetic incident. We ear plenty of fruit and vegetables but yesterday Alex passed by and brought along some left over croissants from his work which we also ate. Going vegan when so much of veganism is based around consumption in a ocean of waste (some of which involves animal products) is a hard step to make…
Source: blogspot.com

Medcare Ambulances Reach Out to Athens Community

Athens Athens city council Barack Obama Budget City city council Congress education election featured fracking Governor House John Kasich Kasich Kyle Triplett LGBT Matthew Wallace Mayor McDavis Middle East Mitt Romney Obama Ohio Ohio University OU OU Student Senate Paul Wiehl President protests republican Roderick McDavis romney RSVP SB-5 SB5 Senate Senate Bill 5 state student Student Senate Student Senate elections unions university Wiehl
Source: thenewpolitical.com

How Medcare MSO can help you achieve you goals for 2013

The biggest challenge in implementing pay for performance is to get a consensus on quality standards. For example, one of the measures under consideration is the minimal time of treatment received by the patient. Observation and care co-ordination is not always dependent upon the service delivery by the provider.  Other factors can be the type of facility where the patient is admitted and in what condition the patient was in. Moreover, achieving pay for performance is not possible without the help of a professional billing service like Medcare MSO where our teams work behind the scene and monitor all of your quality measures. We make sure that your practice is in compliance with all of the requirements to ensure you receive the performance incentives.
Source: medcaremso.com

I praktik med CARE Danmark i Nepal

Dine opgaver vil bestå i at lave kommunikationsmateriale til brug i CARE Danmarks advocacy- og fundraisingkampagner, til projektansøgninger og i interne medier (nyhedsbreve og CARE Magasinet). Det kan eksempelvis være case-historier om de mennesker, som CARE arbejder med, i form af artikler, fotos, videoklip og interviews med lokalt personale.
Source: care.dk

Back pain treatment in Alicante, Torrevieja, Quesada

New at Medcare – Free health insurance advice service. Plus we now accept El Perpetuo Seguro medical insurance, and others. Read more… Medcare supports NHS health-screening push.Read how health checks can save hundreds of lives NEW THIS MONTH – Something to smile about – Just what is your best asset – you may be surprised; Our favourite celebrity smiles; Shining bright – the Duchess of Cambridge and Simon Cowell; Smile makeovers by Medcare A record number of women under 50 are being diagnosed with breast cancer as a result of heavier drinking and later motherhood, according to figures just released by Cancer Research UK. Read the full article on breast cancer in younger women to find out if you are at risk and what you can do to protect yourself… New doctor joins Medcare – Find out more about him Awarded by WhatClinic.com Medcare wins top award Listen to Medcare on radio Sunshine FM, 102.8 and on Exite Radio on 89.2 & 93.1FM when Medcare practice manager Amim chats about health in Spain. Plus listen out for great competitions and giveaways. I didn’t smile and practically lived on baby food until the Medcare dentist gave me a new smile. Read James Barclays story ‘If I had not had a Well Man check at Medcare I would not be alive today,’ Roy Tennant told us. Read his story At 58 Terry Mitchell was young to get prostate cancer. Prostate screening and early treatment may just have saved his life…Read his story here At 50 Alison is looking pretty fantastic with a little help from Botox. Find out why she loves the treatment so much…Read her story here Body MOT uncovered my diabetes. A shocked patient urges everyone to get checked. Read more…
Source: medcarespain.com

Everything you always wanted to know about Medicare Locals but were afraid to ask

Posted by:  :  Category: Medicare

MLs are improving access by taking a population health approach to care. Looking beyond the individual-focused medical model of care, MLs conduct population health needs assessments to identify local service gaps, health inequalities and service inefficiencies. They then partner with local stakeholders to connect care, fill gaps and ensure equal access to care for all Australians. They are doing this in a number of ways such as through creating innovative service and workforce models, recruiting, supporting and up-skilling the health workforce, commissioning services, and in cases where there is identified market failure, directly delivering services. This work is particularly pertinent in rural and remote communities where MLs are already beginning to address workforce shortages and maldistribution.
Source: com.au

Video: A GRACIOUS GIFT

National focus on Colac health model

Barwon Medicare Local chief Jason Trethowan said Colac Area Health’s new urgent care model, which included Corangamite Clinic having after-hours GP appointments between 6pm and 9pm on weekdays, was “unique” and had strengthened the city’s health system.
Source: com.au

Am I eligible for Medicare

[…] […] Anyone can access a Medicare rebate if they are experiencing mental health difficulties. But to be eligible to access a Medicare rebate you must first go to your GP, who will undertake a brief assessment of your situation. You need to be granted a Mental Health Treatment Plan from your GP. This will then allow you to gain most of the cost of a session with a Balance Psychologist back from Medicare.Source: com.au […]Source: com.au […]
Source: com.au

Medicare recipients meet mandates

Posted by:  :  Category: Medicare

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Annual wellness visits are designed to allow you to meet with your physician annually to develop a personalized plan for improving and/or maintaining your health. This visit includes routine measurements, reviewing and updating your family medical history, a personal risk assessment, a review of your current abilities and getting referrals to additional services you may need.
Source: currentzionsville.com

Video: Filing Medicare Insurance Claims – Where Do I Begin?

Clearing Claims: Medicare Liens Often More Painful Than the Injury

Like all bureaucracies, there are instructions and procedures for everything. For example, after your initial filing, you’ll receive a Rights and Responsibilities letter from the Medicare Secondary Payor Recovery Center (MSPRC). That letter includes a cover letter that you’ll need to use in all future correspondence. Failure to do so will likely relegate your letters to the trash can.
Source: findlaw.com

Medicaid Filing Services, LLC, Clearwater, FL, Reveals Hospital Costs

Medicaid Filing Services, LLC, Clearwater, FL, supports the release of cost information to the public. “Any time the public knows more information pertaining to the cost of health care, I feel it is beneficial,” reports a spokesperson for the company. “By having the ability to compare hospital rates for hospitalization and procedures, the consumer can actually make an informed decision as to where he or she would prefer to go for treatment. By having large deductibles, knowing the true costs associated with hospitalization and services ahead of time can really make a difference when paying the out-of-pocket deductible, or, of course, self paying.” The staff at Medicaid Filing Services, LLC, Clearwater, FL, help clients to understand the eligibility guidelines and costs associated with Medicaid coverage in Florida, leading to more informed decision making.
Source: indyposted.com

Michigan Doctor Accused of Cheating the Government $35 Million in Fake Medicare Claims : News : Counsel & Heal

Medicare was set up by the government to provide good medical care and treatment for people who cannot afford it. This health care insurance system gives millions of Americans the opportunity to see doctors without worrying about the large medical bills later on. Even though Medicare is set up to help patients, for one particular doctor, Medicare might have made him $35 millions richer. Dr. Farid Fata, a 48-year-old oncologist from Oakland Township, MI was accused of filing fake Medicare claims that sent millions of dollars straight to his bank account.
Source: counselheal.com

Eyelid lifts skyrocket among Medicare patients, costing taxpayers millions

Unlike private insurance plans, though, Medicare does not require pre-authorization of eyelid surgeries. Robert Berenson, a health policy expert at the Urban Institute and former commissioner of the Medicare Payment Advisory Commission, has pushed for selective pre-authorization for some Medicare services. But Berenson questioned whether reviewing physician records in advance would help much in the case of blepharoplasty, if surgeons have learned how to document the need for the procedure in order to work the system. “I am sure there are some patients who are hampered by eyelids drooping. And I’m sure that many of them are not and it’s a cosmetic reason,” Berenson said. But the doctors, he added, “have probably gotten very skilled at knowing how to document that something is not cosmetic.”
Source: publicintegrity.org

LONG TERM CARE LEADER: NBC Connecticut Highlights “Medicare Coverage Gap”

When Lee Barrows’s husband needed nursing home care after a week-long hospital stay, she believed that the costs would be covered by Medicare. Traditionally, Medicare covers up to 100 days of nursing home care if a patient has spent three or more consecutive days as an admitted hospital patient. A few days later, a doctor told her, “I’m sorry Mrs. Barrows, but your husband was never admitted,” forcing Lee to pay $30,000 out-of-pocket for her husband’s nursing care. After filing multiple appeals with Medicare, she was eventually reimbursed. See the full NBC Connecticut story below to hear Lee’s story, and learn how to protect yourself from this loophole:
Source: blogspot.com

PharMerica Corporation (PMC): Pharmerica charged by Justice Department for violating Controlled Substances Act; filing false Medicare claims

The Justice Department has filed suit against PharMerica (PMC -6%) claiming it violated the False Claims Act and the Controlled Substances Act by dispensing controlled drugs without valid prescriptions and causing claims for illegally dispensed drugs to be submitted to the Medicare program.
Source: seekingalpha.com

Is There A Time Limit For Filing For Medicare?

When you approach your 65th birthday you will automatically receive notice for Medicare part A. You will need to decide, at that time if you will be filing for Medicare part B. If you decide not to accept part B at that time you will only be eligible to file for coverage between January 1st and March 31st of each following year. When you are filling for Medicare in this manner you must remember that you will not receive part B coverage until July 1st of that year and you will pay an additional 10% on your premium for the remainder of your coverage. If you think that you will ever need to have the additional coverage offered in part B, you are better off filling for Medicare benefits right from the time you become eligible.
Source: seniorcorps.org

NCTracks – A Claims Filing Change For Local Health Departments

“NCTracks is a nightmare”, “NCTracks, example of how government poorly runs a business”, “Because of the new system, it is doubtful that we will receive any Medicaid reimbursements for the clients we serve ”, “With no end in sight to the problems” … These are some of the headlines you will see if you Google NCTracks news. Sounds like a disaster, isn’t it?
Source: patagoniahealth.com

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August 20, 2013

Get used to one difficult conversation and save medicare millions, doctors told

Posted by:  :  Category: Medicare

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Sharon Baxter, a health policy advocate, said patients with advanced stages of cancers, who have talked to their doctors about the care they want as they near death, have “significantly lower health care costs in their final weeks of life.”
Source: ipolitics.ca

Video: Obama: Don’t Punish Medicare Doctors

Fewer Doctors Treating Medicare Patients, CMS Says

The Wall Street Journal: More Doctors Steer Clear Of Medicare Fewer American doctors are treating patients enrolled in the Medicare health program for seniors, reflecting frustration with its payment rates and pushback against mounting rules, according to health experts. The number of doctors who opted out of Medicare last year, while a small proportion of the nation’s health professionals, nearly tripled from three years earlier, according to the Centers for Medicare and Medicaid Services, the government agency that administers the program. Other doctors are limiting the number of Medicare patients they treat even if they don’t formally opt out of the system (Beck, 7/28).
Source: kaiserhealthnews.org

Medicare Doctors: More are Opting Out of the Medicare Program

I am a Medicare participant and have watched over the years Medicare and medigap premiums rising, yet the government is reluctant to pay the cost of medical expenses for seniors. If many or most doctors opt out of these plans what are seniors on a tight fixed budget like me to do? Our government seems so hellbent to create government sponsored medical programs but are totally forgetting folks who worked all their life and who now live on a fixed income and are not able to pay non-generic costs for medication or pay as you go medical plans. Maybe they will give all retirees a black pill and get rid of all of us. I would not put that past this government of our now. Shades of Soylent Green!!
Source: planprescriber.com

Doctors Refuse To Accept Medicare Patients

California Healthline says that physicians have several reasons for opting out of the program. Most significant, though, are the low reimbursement rates, concerns about patient privacy, and unhappiness with the government’s increasing involvement in medicine. As far as the increased government presence goes, Becker’s Hospital Review cites the penalties for physicians who do not demonstrate Meaningful Use through EHRs as an example. The WSJ also says that doctors recognize that Medicare payment rates have not kept up with inflation, and that there are dangers of more cuts in the future.
Source: healthcaretechnologyonline.com

The Crazy Way that Medicare Pays Doctors

As Joseph Antos, an American Enterprise Institute scholar who helped conceive of the system before it went into place, told me back in 2011, Medicare’s price-setting process totally ignores the patient-value side of the equation. “Asking committees of doctors to guess how much work is involved in something is the same thing as just setting prices,” he told me. And like all price control systems, it ends up being essentially arbitrary. Adding an extra layer of oversight, or a few more bureaucratic controls, isn’t likely to change that. If anything, it’s likely to make the system more complex, and more inscrutable—which is what happened in the 1980s to state-based health care price control systems every time legislators sought to address imbalances and inequities in the system. The whole system of health care price controls, in other words, is crazy, and plans to fix it through bureaucratic tweaking are likely to make it crazier. 
Source: reason.com

Senator Asks States If They Alert Medicare to Problem Physicians

Chicago psychiatrist Michael Reinstein wrote an average of 20,000 prescriptions for the antipsychotic clozapine in Part D each year between 2007 and 2009, and another 14,000 in 2010. Last year, he was suspended from Illinois Medicaid, and the Department of Justice has sued him for fraud. But he remains able to provide services under Medicare. Reinstein has treated patients at more than 30 Chicago-area nursing homes and long-term care facilities. He has defended his prescribing in media interviews.
Source: propublica.org

More Physicians No Longer Seeing Medicare Patients

Efforts to contain Medicare spending may show signs of being a double-edged sword.  You can’t arbitrarily cut provider payment rates without consequences.  It seems one consequence is driving more doctors away from Medicare at the time Medicare’s population is growing.  Health leaders advocate market-based, consumer-centered incentives that drive both higher quality and cost containment without subjecting providers and patients to harsh situations.
Source: hlc.org

Repairing the Healthcare System: Physicians Opting Out Of Medicare And Obamacare

The establishment survey showed a gain of 162,000 jobs.

The previous two months were revised lower. The employment change for May revised down by 19,000 (from +195,000 to +176,000), and the employment change for June revised down by 7,000 (from +195,000 to +188,000).

The unemployment rate dropped 0.2 to 7.4%. 

Explaining the Unemployment Rate Drop

Source: typepad.com

Medicare Fraud Horror: Cancer Doctor Indicted for Billing Unnecessary Chemo

The oncologist told the FBI of one patient who received chemotherapy under Fata’s care, even though the patient was in remission. The oncologist advised the patient to get a second opinion and he or she never returned to see Fata. The oncologist also told the FBI that Fata ordered chemotherapy for all of his end-of-life patients, even if the treatment would not improve or extend their lives. The oncologist told the FBI, “no other physician would do this and would let the patient die in peace.” The oncologist also said Fata sometimes issued patients life-long prescriptions of drug treatment for low platelet conditions, without informing patients that surgery was a treatment alternative to years of drug therapy. The oncologist also told the FBI that many of Fata’s patients received intravenous immunoglobulin therapy even though they did not need it. A nurse practitioner who worked for Fata examined charts for 40 patients undergoing this treatment and found that 38 did not need it at all.
Source: tacticalminc.com

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August 20, 2013

I Am A Vet … and so Confused about My Medicare? » Toni Says

Posted by:  :  Category: Medicare

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You and my husband must have been in the Marines together!  He feels the same way. “Part B” covers everything, except an in-hospital stay, which is covered on Part A.  When you are taken to a hospital, by law EMS has to take you to the closest hospital and unfortunately, that may not be the VA hospital.   You will receive bills for everything, except your hospital stay, which is covered under “Part A” if you don’t have “Part B”. I know this because my husband is fighting bills from over 4 years ago, when he was not old enough for Medicare and was ambulanced to Methodist Hospital in Sugar Land, Tx. He was told by the VA that due to him having a 60% disability, he would never have to pay anything at the VA and that if he is sent to another hospital due to an emergency that the VA would pick up the charges.
Source: tonisays.com

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

Medicare spent $1.4B more on brand name drugs than VA, but was there a benefit?

For example, 51 percent of Medicare statin users nationally took a brand name version, compared to 18 percent of VA statin users. Likewise, 35 percent of Medicare beneficiaries on oral hypoglycemics and 13 percent of their VA counterparts were prescribed brand name drugs, the researchers reported Monday in the Annals of Internal Medicine.
Source: medcitynews.com

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Description: HTTP 404. The resource you are looking for (or one of its dependencies) could have been removed, had its name changed, or is temporarily unavailable.  Please review the following URL and make sure that it is spelled correctly. Requested URL: /404.aspx
Source: federaldaily.com

Homelessness Resource Center

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

Medicare beneficiaries substantially more likely to use brand

“Our study shows that we can make a big dent in Medicare spending simply by changing the kinds of medications people are using – and physicians are prescribing – without worrying about whether the government should or should not negotiate drug prices,” said lead author Walid Gellad, M.D., M.P.H., an assistant professor in the Pitt Graduate School of Public Health’s Department of Health Policy and Management and Pitt’s School of Medicine. “The levels of generic use found in the VA are attainable, and they are compatible with high quality care.”
Source: sciencecodex.com

Yikes! The page you requested is not available

Join us on August 21 at 10 a.m. PT/1 p.m. ET for a webinar that will explore the latest research on the links between health and physical environment and how reporters can cover this issue with fresh story ideas.
Source: reportingonhealth.org

Medicare/Medicaid Funding Proposal Would Hurt, Kill Dialysis Patients

There are approximately 20 million persons like us in the USA who have chronic kidney disease (CKD), most commonly the result of diabetes or hypertension. In approximately 400,000 people, the disease progresses to the point where replacement kidney therapy is required. Only a few will receive a kidney transplant because donor organs are scarce, and the rest must undergo dialysis to stay alive. Some patients are capable of dialyzing at home, but the rest must receive treatment three to four times a week in a dialysis center. ESRD most frequently afflicts African American and Hispanic persons, and this therapy is a miracle for them and others with the disease.
Source: thedailybanter.com

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August 20, 2013

Social Security Disability Benefits for Native Americans and Alaskan Natives

Posted by:  :  Category: Medicare

SSI amounts are determined by finding the difference between the Federal Benefit Rate (FBR) and your countable income (income minus the deductions discussed above). Alaska also provide a supplement to SSI recipients, so if you qualify for SSI and are a resident of Alaska, you can receive a state supplement in addition to the federal amount. The amount you receive depends on your living situation. As of 2011, you can get a state supplement in the amount of $362 if you live independently in Alaska. If you live in someone else’s house, you can get an additional $368. If you live in an assisted living facility, you can get an additional $100 in state money. If you live in a Medicaid facility, you can get $45 additional in a state supplement each month.
Source: disabilitysecrets.com

Video: What are the Eligibility Requirements for Medicare?

Workers’ Comp Settlements, Social Security and Medicare

One final factor to consider in settlement is actually somewhat connected to Social Security Disability benefits.  This factor is Medicare eligibility.  An individual usually becomes eligible for Medicare at age 65 or thirty months after the date of disability as determined by the Social Security Administration for Social Security Disability purposes.  Medicare eligibility or even an expectation of Medicare eligibility is important when considering settlement of a Workers’ Compensation claim because Medicare requires injured workers, employers, and insurance companies to consider Medicare’s interests when settling a claim.  What this really means is that Medicare does not want to end up paying for medical treatment that should have been paid for by the Workers’ Compensation insurance company.  For an injured worker considering settlement, this means that extra care must be taken when the injured worker is Medicare eligible or will soon be.  It also means that money may need to be “set aside” from any settlement to pay for possible future medical treatment.
Source: perkinslawtalk.com

Homelessness Resource Center

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

Research Links Isolation, Stress and Disability

The Invisible Disabilities Association (IDA) encourages, educates and connects people and organizations touched by illness, pain and disability around the globe. Formerly known as The Invisible Disabilities Advocate, IDA was founded in 1997 and incorporated in 2004 as a 501(c)(3) non-profit. IDA reaches out through our websites, projects, articles, pamphlets, booklet, social network, resources, videos, radio interviews, seminars, events and more! Get the word out! Share a link to our articles and pages with Google Plus, Facebook, LinkedIn, Twitter and through Email by clicking on the Share link. Leave a comment!
Source: invisibledisabilities.org

I Am Under 65 Disabled and Just Became Eligible for Medicare. What Are My Choices?

Like any other Medicare beneficiary who turns 65 and is newly eligible to Medicare Part A and B, you have choices:  (1) you can select a Medicare defined supplement/medigap policy and a stand-alone drug plan; (2) you can select a Medicare Advantage/HMO plan with drug coverage; or (3) you may be eligible for a retiree plan that either includes Medicare comparable drug benefits or you will add a stand-alone drug plan.
Source: personalmedicareadvisor.com

Social Security Disability Fraud in Puerto Rico

Yesterday, Paletta reported that federal investigators, including the FBI, raided doctors’ offices in Puerto Rico as part of a widening probe into disability fraud on the island. A doctor’s opinion that an individual is suffering from a disability is naturally quite helpful in convincing examiners and judges that benefits are warranted. Investigators are apparently looking into whether Puerto Rican doctors are being paid to document that applicants are disabled. From the article: 
Source: downsizinggovernment.org

Medicare Savings: Cut Benefits to the Elderly or to Big Pharma's Windfall Profits?

The Ryan plan would change Medicare from a guarantee of health care (with associated premiums, co-payments, and deductibles) to a "premium support" program. In other words, it would be a voucher program – the voucher being a flat payment given to beneficiaries to obtain either Medicare coverage or to buy a private insurance policy. This would increase costs significantly for Americans because annual increases in the amount of this voucher would likely fail to keep pace with the growth in health care costs from year to year. Thus, beneficiaries would have to pay increasingly more out of their own pockets for insurance coverage, either through Medicare or from private insurers.
Source: foreffectivegov.org

Number of the Week: Disability Fund Three Years From Insolvency

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

Do I Need Medicare If I Have Other Health Insurance?

Most people don’t pay a premium for Medicare Part A, which helps cover hospital stays. There’s usually no reason not to sign up for this coverage as soon as you’re eligible. With Part B, which covers doctor visits and other outpatient care, you’ll pay a monthly premium. If you like your current plan, it may make sense to keep it and wait to sign up for Part B when you retire.
Source: allsup.com

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August 20, 2013

The Medicare Prescription Drug Benefit Fact Sheet

Posted by:  :  Category: Medicare

CBO estimates that Part D spending will total $60 billion in 2013 (net of premiums and state transfers).  The average annual Part D per capita growth rate was 3.7% between 2006 and 2011, but is projected to rise at a more rapid rate (5.6%) between 2011 and 2021 (2012 Medicare Trustees), in part due to slowing of trend toward greater generic drug use. Total spending depends on several factors: the number of Part D enrollees, their health status and drug use, the number of low-income subsidy recipients, and plans’ ability to negotiate discounts and rebates with drug companies and manage use (e.g. promoting use of generic drugs, prior authorization, step therapy, quantity limits, and mail order).  The MMA prohibits Medicare from negotiating drug prices directly.
Source: kff.org

Video: Medicare Part D

REVISING SPECIALTY TIERS: PROTECTING MEDICARE PART D BENEFICIARIES FROM BURDENSOME COST SHIFTING

“The National Psoriasis Foundation supports the introduction of this legislation, which will provide an additional level of protection for Medicare beneficiaries with chronic conditions, like psoriasis and psoriatic arthritis,” said Leah Howard, director of government relations and advocacy at the National Psoriasis Foundation and MAPRx Coalition member. “Specialty tiers for expensive medications, such as biologic drugs used to treat psoriasis and psoriatic arthritis, require individuals to pay high copayments and can restrict access to needed medications. Without access to prescribed medications, these patients risk health complications and, sometimes, even permanent disability.”
Source: maprx.info

Rollout Resembles Some Of The Problems Of Medicare Part D

NPR: Messy Rollout Of Health Law Echoes Medicare Drug Expansion It hasn’t been a good week for the Affordable Care Act. After announcements by the administration of several delays of key portions of the law, Republicans returned to Capitol Hill and began piling on. “This law is literally just unraveling before our eyes,” said Rep. Paul Ryan, R-Wis., at a hearing of the House Ways and Means Committee. … [But] “About this time in 2005, the percentage of people who had an unfavorable opinion of the law was actually higher than those who had a favorable opinion,” says Sabrina Corlette, a research professor at the Georgetown University Health Policy Institute (Rovner, 7/12).
Source: kaiserhealthnews.org

2014 Medicare Part D Costs to Remain Stable

Remember, the Medicare Annual Enrollment Period (AEP) is in exactly two months, lasting from October 15 to December 7. During this time, you can enroll in, drop, or change your Medicare Part D and/or Medicare Advantage coverage. By AEP, the costs for all 2014 Part D plans should be finalized. With plan benefits and costs changing each year, consider reviewing your Part D coverage options during this time to make sure you are still enrolled in the best plan for your needs. You can use an online plan comparison tool, like the one offered at Medicare.gov or the eHealth Medicare plan comparison tool, to compare costs between plans side-by-side and find the right plan for you.
Source: ehealthmedicare.com

Humana Walmart Prescription Rx Plan

“One of the primary goals of health care reform is to make health coverage more affordable – and that’s what we’re doing with the introduction of this low-cost Medicare Part D plan,” said William Fleming, PharmD, vice president of Humana Pharmacy Solutions. “People are more likely to take the medications prescribed for them when they can afford those medications. And adhering to prescription-drug regimens can enable people to be healthier and prevent future illness. At Humana, we believe that this prevention helps people live healthier lives and achieve lifelong well-being.”
Source: qooqe.com

Should you enroll in Medicare Part D?

AARP affordable care act AMA AWV’s CMS coding CPT codes EHR exercise florida healthcare.gov health care coverage health care data center health care law health care laws health care reform healthcare reform law health insurance HHS HIMSS HIPAA icd-9 icd-10 ICD codes insurance medcity medicaid medicaid services medicare medicare advantage medicare fraud medicare services obamacare orlando part b part d plan f preventive care recipes scams technology wellness wellness programs welltrackmd world health news
Source: tacticalminc.com

Medicare Part D Premiums Will Remain Stable in 2014

The Healthcare Leadership Council (HLC), a coalition of chief executives from all disciplines within American healthcare, is the exclusive forum for the nation’s healthcare leaders to jointly develop policies, plans, and programs to achieve their vision of a 21st century system that makes affordable, high-quality care accessible to all Americans.
Source: hlc.org

The ABCs and Part D of Medicare

Part A and Part B do not cover all costs. Retirees must still pay coinsurance and deductibles. For example, Thomas would need to pay a $1,184 deductible to a hospital before Part A insurance kicks in. Original Medicare has a 20% coinsurance expectation for the Part B costs of paying doctors and nurses for the care they provide. As you can imagine, this 20% can become a hefty bill when expensive procedures are required. To bridge these gaps, private insurers offer 10 different Medigap plans designed by the federal government to supplement Original Medicare.
Source: marottaonmoney.com

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August 20, 2013

The Medicare Prescription Drug Benefit Fact Sheet

Posted by:  :  Category: Medicare

CBO estimates that Part D spending will total $60 billion in 2013 (net of premiums and state transfers).  The average annual Part D per capita growth rate was 3.7% between 2006 and 2011, but is projected to rise at a more rapid rate (5.6%) between 2011 and 2021 (2012 Medicare Trustees), in part due to slowing of trend toward greater generic drug use. Total spending depends on several factors: the number of Part D enrollees, their health status and drug use, the number of low-income subsidy recipients, and plans’ ability to negotiate discounts and rebates with drug companies and manage use (e.g. promoting use of generic drugs, prior authorization, step therapy, quantity limits, and mail order).  The MMA prohibits Medicare from negotiating drug prices directly.
Source: kff.org

Video: Videos matching: medicare pard d

REVISING SPECIALTY TIERS: PROTECTING MEDICARE PART D BENEFICIARIES FROM BURDENSOME COST SHIFTING

“The National Psoriasis Foundation supports the introduction of this legislation, which will provide an additional level of protection for Medicare beneficiaries with chronic conditions, like psoriasis and psoriatic arthritis,” said Leah Howard, director of government relations and advocacy at the National Psoriasis Foundation and MAPRx Coalition member. “Specialty tiers for expensive medications, such as biologic drugs used to treat psoriasis and psoriatic arthritis, require individuals to pay high copayments and can restrict access to needed medications. Without access to prescribed medications, these patients risk health complications and, sometimes, even permanent disability.”
Source: maprx.info

Rollout Resembles Some Of The Problems Of Medicare Part D

NPR: Messy Rollout Of Health Law Echoes Medicare Drug Expansion It hasn’t been a good week for the Affordable Care Act. After announcements by the administration of several delays of key portions of the law, Republicans returned to Capitol Hill and began piling on. “This law is literally just unraveling before our eyes,” said Rep. Paul Ryan, R-Wis., at a hearing of the House Ways and Means Committee. … [But] “About this time in 2005, the percentage of people who had an unfavorable opinion of the law was actually higher than those who had a favorable opinion,” says Sabrina Corlette, a research professor at the Georgetown University Health Policy Institute (Rovner, 7/12).
Source: kaiserhealthnews.org

2014 Medicare Part D Costs to Remain Stable

Remember, the Medicare Annual Enrollment Period (AEP) is in exactly two months, lasting from October 15 to December 7. During this time, you can enroll in, drop, or change your Medicare Part D and/or Medicare Advantage coverage. By AEP, the costs for all 2014 Part D plans should be finalized. With plan benefits and costs changing each year, consider reviewing your Part D coverage options during this time to make sure you are still enrolled in the best plan for your needs. You can use an online plan comparison tool, like the one offered at Medicare.gov or the eHealth Medicare plan comparison tool, to compare costs between plans side-by-side and find the right plan for you.
Source: ehealthmedicare.com

Should you enroll in Medicare Part D?

AARP affordable care act AMA AWV’s CMS coding CPT codes EHR exercise florida healthcare.gov health care coverage health care data center health care law health care laws health care reform healthcare reform law health insurance HHS HIMSS HIPAA icd-9 icd-10 ICD codes insurance medcity medicaid medicaid services medicare medicare advantage medicare fraud medicare services obamacare orlando part b part d plan f preventive care recipes scams technology wellness wellness programs welltrackmd world health news
Source: tacticalminc.com

Medicare Part D Premiums Will Remain Stable in 2014

The Healthcare Leadership Council (HLC), a coalition of chief executives from all disciplines within American healthcare, is the exclusive forum for the nation’s healthcare leaders to jointly develop policies, plans, and programs to achieve their vision of a 21st century system that makes affordable, high-quality care accessible to all Americans.
Source: hlc.org

The ABCs and Part D of Medicare

Part A and Part B do not cover all costs. Retirees must still pay coinsurance and deductibles. For example, Thomas would need to pay a $1,184 deductible to a hospital before Part A insurance kicks in. Original Medicare has a 20% coinsurance expectation for the Part B costs of paying doctors and nurses for the care they provide. As you can imagine, this 20% can become a hefty bill when expensive procedures are required. To bridge these gaps, private insurers offer 10 different Medigap plans designed by the federal government to supplement Original Medicare.
Source: marottaonmoney.com

Medicare Part D Rates Stable for 2014

This month, all Medicare Part D and Medicare Advantage plan participants will be receiving their annual notice of change (ANOC) from their insurance company.  It is important to read through the document – check the monthly premium, but also take the time to see what the price of the drugs you are currently taking will be in 2014.  You might be surprised and find that some of those costs will drop as well; or you may see higher rates because of a change in the tier – or co-pay level for your prescriptions.
Source: iquote.com

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