Weekly Update: Medicare Part A Immediate Recoupment Requests

Posted by:  :  Category: Medicare

https://www.novitas-solutions.com/parta/alerts.html The Medicare Part A fax number used to request immediate recoupment is temporarily out of order. Please discontinue faxing immediate recoupment request to 412-802-1836. All new immediate recoupment requests as well as any request sent after 12:00 PM on 6/10/2013 through 6/14/2013 need to be sent to our alternate fax number, 412-802-1756. This message is until further notice. We apologize for this inconvenience.
Source: blogspot.com

Video: Nursing Home Compare Adds More Data to Help You Choose

Medicare: MSPRC New Address & Fax

This Blog/Web Site is made available by the publisher for educational purposes only as well as to give you general information and a general understanding of the law, not to provide specific legal advice. By using this blog site you understand that there is no attorney client relationship between you and the Blog/Web Site publisher. The Blog/Web Site should not be used as a substitute for competent legal advice from a licensed professional attorney in your state.
Source: wordpress.com

CMS identifies ‘large number of overpayments’ for incarcerated Medicare beneficiaries

If a beneficiary did not inform the SSA of his or her release from custody, this may result in his or her record being incorrect. If a provider believes this is the case, the provider may wish to encourage the beneficiary to contact his or her local SSA office to have his or her records updated. It can take up to one month for the beneficiary’s Medicare eligibility file to be updated with the revised SSA information. If the beneficiary tells the provider that SSA is updating his or her records, we suggest the provider contact the Medicare Administrative Contractor using the contact information on the overpayment demand letter.
Source: hmenews.com

Obamacare Reset: A Free Market Vision for Health Care Reform

Health care reform founded in the principles of individual freedom and personal responsibility will provide effective and viable remedies for unsustainable health care costs and for inadequate access for the poor and for those with pre-existing conditions. President Obama’s health care law puts our medical care into the hands of Washington bureaucrats. It’s funded by typical Washington accounting tricks and, ultimately, massive deficit entitlement spending.  Free market health care reform will lower health care costs for individuals, families, small and large businesses, and government at all levels. True reform will strengthen the economy, increase employment, lower our national debt and unfunded liabilities, and restore our children’s opportunity to live in freedom and prosperity.
Source: acton.org

The Poison of Medicare, Medicaid, and Medical Licensure The Future of Freedom Foundation

In the first place, licensure is the key to the control that the medical profession can exercise over the number of physicians…. The American Medical Association is in this position. It is a trade union that can limit the number of people who can enter. How can it do this? The essential control is at the stage of admission to medical school. The Council on Medical Education and Hospitals of the American Medical Association approves medical schools. Control over admission to medical school and later licensure enables the profession to limit entry in two ways. The obvious one is simply by turning down many applicants. The less obvious, but probably far more important one, is by establishing standards for admission and licensure that make entry so difficult as to discourage young people from ever trying to get admission.
Source: fff.org

Medicare Pty Ltd: searching for reliable persons

Date: 2012/10/6 Subject: WORK WITH US To: Dear Sir/Madam, I am Conrad B. Blake, Marketing Director, Universal Medicare Limited based in United Kingdom, our company is the largest manufacturers and suppliers of healthcare products to the UK and overseas markets, offering unbeatable pricing and excellent service. With our vast supplier network, we are able to source and deliver a massive range of the highest quality medical products. We are presently in search for reliable companies or individuals in America or Canada to partner with. Partnership scope includes placing orders for products from customers and receiving payments for products supplied. Please if you are interested in serving as a link between our company and our customers in America /Canada we will be glad. Please contact the director; Nourlan Sougourov with the below details for more information. FULL NAME: AGE: FUL CONTACT ADDRESS: OCCUPATION: RELEVANT EXPERIRIENCE: COMPANY NAMES (IF ANY): TELEPHONE: FAX NUMBER: BRIEF DESCRIPTION OF COMPANY/INDIVIDUAL: CONTACT PERSON; * * * * * * * * * * * * Mr. Nourlan Sougourov, Managing Director Tel: +44-740-177-1226
Source: bittenus.com

Daily Kos: Unions air new round of ads against Medicare and Medicaid cuts

curb negotiations. The six-figure ad buy will target Sen. Claire McCaskill (D-MO), Sen. Mark Warner (D-VA), Rep. Denny Rehberg (R-MT) and Pat Tiberi (R-OH). “Cutting hundreds of billions of dollars from Medicare and Medicaid will short change the people who need it the most,” the ads say. “So if you don’t want seniors to come up empty, call [lawmaker] and tell [him/her] ‘Don’t make a bad deal that cuts our care.'” An earlier round of ads also ran in Colorado, targeting the Democratic senators there, and in “several dozen” Republican House districts.
Source: dailykos.com

HIPPS CODES FOR MEDICARE ADVANTAGE CLAIMS: Effective July 1,

If your present equipment has no such kit, create your policy and procedures identifying how your agency will protect the data on the machines.  Connecting printers to an internet accessible network may leave data vulnerable. If you will be trading in or selling present faxes, printers, scanners, or copiers, be certain the buyer/dealer gives you a certificate/letter of sanitization that will occur with the machine. Not securing the certificate means the entity selling the machine may run the risk of PHI breach. It could be significant depending on the data stored.
Source: selectdata.com

Medicare does not call and will not ask for your SSN, Idaho Falls woman discovers

Tips from a study at USC (http://n.pr/UKyFOT). • Compare reviews not only within a site, but across different websites. • Reviews by people who are verified by the site are more trustworthy than reviews by anonymous reviewers — especially when it comes to negative reviews. • Read reviews less for whether they give a hotel or a restaurant one star or five stars, but more for the specific information they give about the experience. • Reviews are very useful for information that experts or merchants might not think to provide — how late a swimming pool stays open could be useful if you are traveling with a family. • Focus on aggregates, not outliers. You can’t trust a handful of bad reviews or glowing reviews, but trends are much harder to fake.
Source: wordpress.com

Medicare Part D continues to improve access to drugs

Posted by:  :  Category: Medicare

Flickr

‘+msg+’

‘;d.body.style.margin=’0′;d.body.innerHTML=html;}}},200);} function get_frame_depth(){var win=self,frame_depth=0;while(win!==win.parent){frame_depth+=1;win=win.parent;} return frame_depth;} function debug(){if(is_debug){console.log(arguments);}} if(self_is_flickr&&self_loc===top_loc){}else if(self_is_offline){}else if(!self_is_flickr&&!self_whitelist_regex.test(self_loc)){should_wipe=true;}else if(bust_image_search&&photo_id&&referrer_is_image_search){should_bust=true;}else if(referrer&&!referrer_is_whitelisted&&get_frame_depth()>0){should_wipe=true;}else if(!referrer_is_flickr&&get_frame_depth()>1){should_wipe=true;} if(is_debug){debug({self_is_flickr:self_is_flickr,top_loc:top_loc,self_loc:self_loc,referrer:referrer,self_is_offline:self_is_offline,self_is_flickr:self_is_flickr,self_url:self_url,photo_page_re_result:photo_page_re_result,photo_id:photo_id,referrer_is_flickr:referrer_is_flickr,referrer_is_whitelisted:referrer_is_whitelisted,referrer_is_image_search:referrer_is_image_search,self_is_whitelisted:self_whitelist_regex.test(self_loc),frame_depth:get_frame_depth(),faq_url:faq_url,redir_url:redir_url,should_bust:should_bust,should_wipe:should_wipe,base:base});}else{if(should_bust){setTimeout(function(){w.onbeforeunload=w.onunload=null;redirect();},1000);setTimeout(wipe,2000);redirect();}else if(should_wipe){wipe();}else if(referrer_is_whitelisted&&!referrer_is_flickr){base=document.createElement(‘base’);base.target=’_top';document.getElementsByTagName(‘head’)[0].appendChild(base);}}

}(‘We’re sorry, Flickr doesn’t allow embedding within frames.

If you’d like to view this content, please click here.’, ‘http://www.flickr.com’, true, false));

(function(F){var el,w,d,n,ua,ae,is_away_from_tab,de,disabled=false,assigned_events=false;w=window;d=w.document;n=w.navigator;ua=n&&n.userAgent;var supportsActiveElt=false;if(‘activeElement’in document){supportsActiveElt=true;} function doF(e,me){if(is_away_from_tab&&e.target===w){is_away_from_tab=false;}else{el=e.target||me;}} function doB(e){if(el!==w&&e.target===w){is_away_from_tab=true;}else{el=undefined;}} function get(){var nt,in_doc;if(supportsActiveElt){el=document.activeElement;}else if(el&&(nt=el.nodeType)){if(d.contains){if((ua&&ua.match(/Opera[s/]([^s]*)/))||nt===1){in_doc=d.contains(el);}else{while(el){if(d===el){in_doc=true;} el=el.parentNode;}}}else if(d.compareDocumentPosition){if(d===el||!!(d.compareDocumentPosition(el)&16)){in_doc=true;}}else{var myEl=el;while(myEl){if(d===myEl){in_doc=true;} myEl=myEl.parentNode;}}} return in_doc?el:undefined;} function isInput(){var n=get(),nn;if(!n){return false;} nn=n.nodeName.toLowerCase();return(nn===’input’||nn===’textarea’);} function instrumentInputs(){if(!assigned_events){var i,me,inputs=document.getElementsByTagName(‘input’),tas=document.getElementsByTagName(‘textarea’),nInputs=inputs.length,nTextAreas=tas.length;if(nInputs||nTextAreas){for(i=0;i



The proposed rebates could ultimately contribute to higher premiums and copays and increased drug prices for private sector consumers, thus resulting in reduced access to critical medications. Because rebates would mean less funding for biopharmaceutical research, this policy could delay potential scientific and medical developments that could realistically change and save lives by making drugs more effective and safer to use. Mandatory government rebates to Medicare Part D would also translate into fewer jobs in the biopharmaceutical sector.
Source: medcitynews.com

Video: Why Medicare Part D Works

Medicare Part D: Don’t Mess with Success

Medicare Part D provides affordable outpatient prescription drug coverage for seniors and people with disabilities and has been hugely successful by many measures.  According to the Congressional Budget Office (CBO), the Part D program has cost the government 45 percent less than initially expected when Congress approved the Medicare Modernization Act of 2003.  Ninety percent of Part D beneficiaries are satisfied with the program.  And according to a study released earlier this year, improved medication adherence associated with expansion of drug coverage under Part D led to nearly $2.6 billion in reductions in medical expenditures annually among beneficiaries diagnosed with congestive heart failure and without prior comprehensive drug coverage, of which over $2.3 billion was savings to Medicare.
Source: azhealthconnections.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

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

The Medicare Prescription Drug Benefit Fact Sheet

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

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

Top 100 Hottest Men in the World 2013 Part D

Of course, you can’t talk about Jude Law without mentioning his love life. It has been very well documented in the media, that’s for sure. He was with Sadie Frost and were married for 6 years, having three kids during that time. It was Alfie in 2003 that started things moving with Sienna Miller, although he was caught doing the dirty with the nanny, and things soon started to fall apart. Since then, he has fathered a child with a US model called Samantha Burke, and he got back together again with Sienna Miller, although back in 2011, they broke up yet again. For now, it would appear that he is single…
Source: herinterest.com

Part D Specialty Tiers and Patient Access

Some drugs, like chemotherapies and other anti-cancer drugs, are very expensive to produce and dispense, so Part D coverage places them in specialty tiers, forcing patients to pay a higher co-insurance and to spend more out of pocket. And this trend is growing. In 2006, only about half of all Part D plans used specialty tiers as a way to manage the cost of drugs.  Now, the vast majority of Medicare Advantage Prescription Drug Plans (MA-PDs) and most Prescription Drug Plans (PDPs) employ these specialty tiers. Currently, policy does not allow patients to appeal an insurance company’s cost sharing requirements, so patients are left making difficult financial decisions; and some are forced to forgo treatment altogether.
Source: wordpress.com

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

Should you enroll in Medicare Part D?

AARP ACA 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 obamacare orlando part b part d plan f preventive care recipes scams technology wellness wellness programs welltrackmd world health news
Source: tacticalminc.com

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

Armed With Bigger Fines, Medicare To Punish 2,225 Hospitals For Excess Readmissions

Posted by:  :  Category: Medicare

Flickr

‘+msg+’

‘;d.body.style.margin=’0′;d.body.innerHTML=html;}}},200);} function get_frame_depth(){var win=self,frame_depth=0;while(win!==win.parent){frame_depth+=1;win=win.parent;} return frame_depth;} function debug(){if(is_debug){console.log(arguments);}} if(self_is_flickr&&self_loc===top_loc){}else if(self_is_offline){}else if(!self_is_flickr&&!self_whitelist_regex.test(self_loc)){should_wipe=true;}else if(bust_image_search&&photo_id&&referrer_is_image_search){should_bust=true;}else if(referrer&&!referrer_is_whitelisted&&get_frame_depth()>0){should_wipe=true;}else if(!referrer_is_flickr&&get_frame_depth()>1){should_wipe=true;} if(is_debug){debug({self_is_flickr:self_is_flickr,top_loc:top_loc,self_loc:self_loc,referrer:referrer,self_is_offline:self_is_offline,self_is_flickr:self_is_flickr,self_url:self_url,photo_page_re_result:photo_page_re_result,photo_id:photo_id,referrer_is_flickr:referrer_is_flickr,referrer_is_whitelisted:referrer_is_whitelisted,referrer_is_image_search:referrer_is_image_search,self_is_whitelisted:self_whitelist_regex.test(self_loc),frame_depth:get_frame_depth(),faq_url:faq_url,redir_url:redir_url,should_bust:should_bust,should_wipe:should_wipe,base:base});}else{if(should_bust){setTimeout(function(){w.onbeforeunload=w.onunload=null;redirect();},1000);setTimeout(wipe,2000);redirect();}else if(should_wipe){wipe();}else if(referrer_is_whitelisted&&!referrer_is_flickr){base=document.createElement(‘base’);base.target=’_top';document.getElementsByTagName(‘head’)[0].appendChild(base);}}

}(‘We’re sorry, Flickr doesn’t allow embedding within frames.

If you’d like to view this content, please click here.’, ‘http://www.flickr.com’, true, false));

(function(F){var el,w,d,n,ua,ae,is_away_from_tab,de,disabled=false,assigned_events=false;w=window;d=w.document;n=w.navigator;ua=n&&n.userAgent;var supportsActiveElt=false;if(‘activeElement’in document){supportsActiveElt=true;} function doF(e,me){if(is_away_from_tab&&e.target===w){is_away_from_tab=false;}else{el=e.target||me;}} function doB(e){if(el!==w&&e.target===w){is_away_from_tab=true;}else{el=undefined;}} function get(){var nt,in_doc;if(supportsActiveElt){el=document.activeElement;}else if(el&&(nt=el.nodeType)){if(d.contains){if((ua&&ua.match(/Opera[s/]([^s]*)/))||nt===1){in_doc=d.contains(el);}else{while(el){if(d===el){in_doc=true;} el=el.parentNode;}}}else if(d.compareDocumentPosition){if(d===el||!!(d.compareDocumentPosition(el)&16)){in_doc=true;}}else{var myEl=el;while(myEl){if(d===myEl){in_doc=true;} myEl=myEl.parentNode;}}} return in_doc?el:undefined;} function isInput(){var n=get(),nn;if(!n){return false;} nn=n.nodeName.toLowerCase();return(nn===’input’||nn===’textarea’);} function instrumentInputs(){if(!assigned_events){var i,me,inputs=document.getElementsByTagName(‘input’),tas=document.getElementsByTagName(‘textarea’),nInputs=inputs.length,nTextAreas=tas.length;if(nInputs||nTextAreas){for(i=0;i



In the third round of the program, starting in October 2014, Medicare is increasing the final maximum penalty to a 3 percent payment reduction for all patient stays. Also that year, Medicare plans to consider readmissions for more conditions, including chronic lung disease and elective hip and knee replacements. Health experts have also designed a way to measure all of a hospital’s readmissions, and that may ultimately be used for the penalties. In addition, several of Medicare’s other experiments in alternative payment plans, including accountable care organizations and bundled payments, aim to give hospitals full financial responsibility for patients.
Source: kaiserhealthnews.org

Video: What to do When Someone Calls You Asking for your Medicare Number

CMS identifies ‘large number of overpayments’ for incarcerated Medicare beneficiaries

If a beneficiary did not inform the SSA of his or her release from custody, this may result in his or her record being incorrect. If a provider believes this is the case, the provider may wish to encourage the beneficiary to contact his or her local SSA office to have his or her records updated. It can take up to one month for the beneficiary’s Medicare eligibility file to be updated with the revised SSA information. If the beneficiary tells the provider that SSA is updating his or her records, we suggest the provider contact the Medicare Administrative Contractor using the contact information on the overpayment demand letter.
Source: hmenews.com

Number of Physicians Opting Out of Medicare Triples

The Wall Street Journal said this is the first time CMS has released annual opt-out figures. “All told, health experts say the number of doctors going ‘off-grid’ isn’t enough to undermine the Affordable Care Act, but they say some Americans may have difficulty finding doctors who will take their new benefits or face long waits for appointments with those who do,” according to the report.
Source: beckershospitalreview.com

Physicians Opting Out of Medicare

Although I’m still working and not yet at an age when Medicare comes into play, I have great concerns about the increasing number of physicians who are opting out of the Medicare program. A recent article in the Wall Street Journal states that according to the Centers for Medicare and Medicaid Services, 9,539 physicians opted out of Medicare in 2012. That was approximately triple the number of doctors who opted out of the program in 2009. Hardest hit may be patients of family physicians. A study from the American Academy of Family Physicians shows a two percent drop in the number of family doctors accepting Medicare patients within the last few years, from 83 percent accepting new Medicare patients in 2010 to 81 percent last year. The reasons cited by doctors who are dropping out of the program or refusing to see new patients range from dissatisfaction with Medicare reimbursement rates to concerns about government interference in the practice of medicine.
Source: healthworkscollective.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

Medicare To Punish 24 State Hospitals For High Readmissions

Facing fines higher than the national average are: Bristol Hospital (.85 percent); Greenwich Hospital (.41 percent); Griffin Hospital in Derby (.97 percent); MidState Medical Center in Meriden (.78 percent); Milford Hospital (.76 percent); and St. Francis Hospital & Medical Center in Hartford (.39 percent). The other state hospitals will face lower penalties, including Lawrence & Memorial in New London, which will lose .13 percent of every Medicare payment for a patient stay; Bridgeport Hospital (.2 percent); Hartford Hospital (.1 percent); and Charlotte Hungerford in Torrington (.04 percent).
Source: courant.com

Medicare by the Scary Numbers

Take one source of optimism that the trustees are compelled to transmit in their latest report. Its predicted expenditures are based on the assumption built into the law that next Jan. 1 there will be a 25% decrease in the fees that Medicare pays doctors. That means that every doctor in America who participates in Medicare will take a 25% pay cut. The reason has nothing to do with ObamaCare. In the Balanced Budget Act of 1997, Congress declared that Medicare physician fees could grow no faster than the economy as a whole. Since then, though, Congress has postponed the cuts on 14 occasions, not allowing them to take place. Why assume things will be different now?
Source: ncpa.org

Medicare Physicians Questioned for Extreme Prescribing Patterns

They specifically focused on 736 primary care physicians located throughout the nation, with Los Angeles and New York having the greatest number of physicians with questionable activity. These prescribers had “questionable prescribing patterns” as they were exercising “extremely high numbers of prescription per beneficiary.” Many of these physicians ordered a high number of Schedule II or Schedule III drugs, which have a high risk for abuse. Several also ordered a high percentage of brand-name drugs, as well as associated with retail pharmacies with questionable billing techniques. In total, Medicare paid $352 million in medication costs for the Part D drugs that these physicians ordered.
Source: planprescriber.com

How to Protect Yourself from Medicare Fraud

In rare cases, Social Security representatives may call Medicare beneficiaries if they need more information to process applications for Extra Help with Medicare prescription drug costs. If a phone call is needed, you will receive an official letter to arrange a phone interview, and you should be asked to confirm the date of your telephone interview by returning an acknowledgement form to Social Security.
Source: ehealthmedicare.com

Coverage Gap Gets Smaller for Medicare Patients

Posted by:  :  Category: Medicare

Flickr

‘+msg+’

‘;d.body.style.margin=’0′;d.body.innerHTML=html;}}},200);} function get_frame_depth(){var win=self,frame_depth=0;while(win!==win.parent){frame_depth+=1;win=win.parent;} return frame_depth;} function debug(){if(is_debug){console.log(arguments);}} if(self_is_flickr&&self_loc===top_loc){}else if(self_is_offline){}else if(!self_is_flickr&&!self_whitelist_regex.test(self_loc)){should_wipe=true;}else if(bust_image_search&&photo_id&&referrer_is_image_search){should_bust=true;}else if(referrer&&!referrer_is_whitelisted&&get_frame_depth()>0){should_wipe=true;}else if(!referrer_is_flickr&&get_frame_depth()>1){should_wipe=true;} if(is_debug){debug({self_is_flickr:self_is_flickr,top_loc:top_loc,self_loc:self_loc,referrer:referrer,self_is_offline:self_is_offline,self_is_flickr:self_is_flickr,self_url:self_url,photo_page_re_result:photo_page_re_result,photo_id:photo_id,referrer_is_flickr:referrer_is_flickr,referrer_is_whitelisted:referrer_is_whitelisted,referrer_is_image_search:referrer_is_image_search,self_is_whitelisted:self_whitelist_regex.test(self_loc),frame_depth:get_frame_depth(),faq_url:faq_url,redir_url:redir_url,should_bust:should_bust,should_wipe:should_wipe,base:base});}else{if(should_bust){setTimeout(function(){w.onbeforeunload=w.onunload=null;redirect();},1000);setTimeout(wipe,2000);redirect();}else if(should_wipe){wipe();}else if(referrer_is_whitelisted&&!referrer_is_flickr){base=document.createElement(‘base’);base.target=’_top';document.getElementsByTagName(‘head’)[0].appendChild(base);}}

}(‘We’re sorry, Flickr doesn’t allow embedding within frames.

If you’d like to view this content, please click here.’, ‘http://www.flickr.com’, true, false));

(function(F){var el,w,d,n,ua,ae,is_away_from_tab,de,disabled=false,assigned_events=false;w=window;d=w.document;n=w.navigator;ua=n&&n.userAgent;var supportsActiveElt=false;if(‘activeElement’in document){supportsActiveElt=true;} function doF(e,me){if(is_away_from_tab&&e.target===w){is_away_from_tab=false;}else{el=e.target||me;}} function doB(e){if(el!==w&&e.target===w){is_away_from_tab=true;}else{el=undefined;}} function get(){var nt,in_doc;if(supportsActiveElt){el=document.activeElement;}else if(el&&(nt=el.nodeType)){if(d.contains){if((ua&&ua.match(/Opera[s/]([^s]*)/))||nt===1){in_doc=d.contains(el);}else{while(el){if(d===el){in_doc=true;} el=el.parentNode;}}}else if(d.compareDocumentPosition){if(d===el||!!(d.compareDocumentPosition(el)&16)){in_doc=true;}}else{var myEl=el;while(myEl){if(d===myEl){in_doc=true;} myEl=myEl.parentNode;}}} return in_doc?el:undefined;} function isInput(){var n=get(),nn;if(!n){return false;} nn=n.nodeName.toLowerCase();return(nn===’input’||nn===’textarea’);} function instrumentInputs(){if(!assigned_events){var i,me,inputs=document.getElementsByTagName(‘input’),tas=document.getElementsByTagName(‘textarea’),nInputs=inputs.length,nTextAreas=tas.length;if(nInputs||nTextAreas){for(i=0;i



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

Video: Medicare Part D – The Donut Hole

Medicare Part D 2010 Data Spotlight: The Coverage Gap

In 2010, nearly all the private stand-alone drug plans have a coverage gap, though a small share do provide some help to beneficiaries in the coverage gap, usually covering only generics or a small number of brand-name drugs. One third of those plans with gap coverage charge more for generic drugs in the gap than they do for the same drugs in the initial coverage period.
Source: kff.org

Massachusetts Medicare subscribers save $36.9 million

This statement does not make it clear that it is just as much programs such as Prescription Advantage as seniors that get the so-called savings. I have no problem with the savings, just your wording. But basically there is no reason for anyone in Massachusetts on Medicare, even if making as much as $55,000 in retirement, to be very highly penalized by the donut hole (and again, less than one in 10 are likely to fall into it in the first place)
Source: fiftyplusadvocate.com

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

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

Medicare drug costs to fall in 2014, but donut hole widens

Before passage of the ACA, seniors in the gap paid 100 percent of all drug costs. Now, they pay 50 percent out-of-pocket for brand-name drugs, with the rest made up by insurers and discounts from pharmaceutical manufacturers. For generics, they pay 79 percent. Enrollees’ out-of-pocket burden for brand-name and generic drugs will gradually fall to 25 percent by 2020 – the same percentage applied for standard coverage.
Source: medcitynews.com

Comments Off  :  Add Comment
August 21, 2013

U health benefits are enviable, even with needed changes

Posted by:  :  Category: Medicare

Flickr

‘+msg+’

‘;d.body.style.margin=’0′;d.body.innerHTML=html;}}},200);} function get_frame_depth(){var win=self,frame_depth=0;while(win!==win.parent){frame_depth+=1;win=win.parent;} return frame_depth;} function debug(){if(is_debug){console.log(arguments);}} if(self_is_flickr&&self_loc===top_loc){}else if(self_is_offline){}else if(!self_is_flickr&&!self_whitelist_regex.test(self_loc)){should_wipe=true;}else if(bust_image_search&&photo_id&&referrer_is_image_search){should_bust=true;}else if(referrer&&!referrer_is_whitelisted&&get_frame_depth()>0){should_wipe=true;}else if(!referrer_is_flickr&&get_frame_depth()>1){should_wipe=true;} if(is_debug){debug({self_is_flickr:self_is_flickr,top_loc:top_loc,self_loc:self_loc,referrer:referrer,self_is_offline:self_is_offline,self_is_flickr:self_is_flickr,self_url:self_url,photo_page_re_result:photo_page_re_result,photo_id:photo_id,referrer_is_flickr:referrer_is_flickr,referrer_is_whitelisted:referrer_is_whitelisted,referrer_is_image_search:referrer_is_image_search,self_is_whitelisted:self_whitelist_regex.test(self_loc),frame_depth:get_frame_depth(),faq_url:faq_url,redir_url:redir_url,should_bust:should_bust,should_wipe:should_wipe,base:base});}else{if(should_bust){setTimeout(function(){w.onbeforeunload=w.onunload=null;redirect();},1000);setTimeout(wipe,2000);redirect();}else if(should_wipe){wipe();}else if(referrer_is_whitelisted&&!referrer_is_flickr){base=document.createElement(‘base’);base.target=’_top';document.getElementsByTagName(‘head’)[0].appendChild(base);}}

}(‘We’re sorry, Flickr doesn’t allow embedding within frames.

If you’d like to view this content, please click here.’, ‘http://www.flickr.com’, true, false));

(function(F){var el,w,d,n,ua,ae,is_away_from_tab,de,disabled=false,assigned_events=false;w=window;d=w.document;n=w.navigator;ua=n&&n.userAgent;var supportsActiveElt=false;if(‘activeElement’in document){supportsActiveElt=true;} function doF(e,me){if(is_away_from_tab&&e.target===w){is_away_from_tab=false;}else{el=e.target||me;}} function doB(e){if(el!==w&&e.target===w){is_away_from_tab=true;}else{el=undefined;}} function get(){var nt,in_doc;if(supportsActiveElt){el=document.activeElement;}else if(el&&(nt=el.nodeType)){if(d.contains){if((ua&&ua.match(/Opera[s/]([^s]*)/))||nt===1){in_doc=d.contains(el);}else{while(el){if(d===el){in_doc=true;} el=el.parentNode;}}}else if(d.compareDocumentPosition){if(d===el||!!(d.compareDocumentPosition(el)&16)){in_doc=true;}}else{var myEl=el;while(myEl){if(d===myEl){in_doc=true;} myEl=myEl.parentNode;}}} return in_doc?el:undefined;} function isInput(){var n=get(),nn;if(!n){return false;} nn=n.nodeName.toLowerCase();return(nn===’input’||nn===’textarea’);} function instrumentInputs(){if(!assigned_events){var i,me,inputs=document.getElementsByTagName(‘input’),tas=document.getElementsByTagName(‘textarea’),nInputs=inputs.length,nTextAreas=tas.length;if(nInputs||nTextAreas){for(i=0;i



AFSCME representatives dispute the U’s reasoning for the move. Officials say that without change, the value of its health plans will exceed thresholds for so-called “gold-plated” coverage that kick in under the Affordable Care Act in 2018 and thus trigger an excise tax that could create a $48 million tax liability over five years. The tax, sometimes known as the “Cadillac tax” should help hold down overall health care costs by pushing employers and consumers to shop more aggressively for coverage and care.
Source: startribune.com

Video: Affordable Coverage in the Health Insurance Marketplace

Sergio Branco Denied Coverage For Bone Marrow Transplant

“When Americans are asked about their top concerns related to health insurance, they consistently say that they’re most worried about losing their coverage,” notes Think Progress’ Tara Culp-Ressler. “Many Americans remain in jobs longer than they would have otherwise liked to because they’re afraid of losing their health care — and American seniors are increasingly putting off retirement for that reason, too.”
Source: businessinsider.com

Autism Coverage Varies From State to State

A: It does expand the possibility of treatment, but the out-of-pocket costs may still be too high for some families. Depending on the individual insurance plan and its copays, starting in 2015 a family may still have to pay up to the out-of-pocket cap of $12,700 for treatment. The fact that some states are requiring autism coverage is “a positive, but treatment may still be out of reach for a lot of families,” says Doreen Granpeesheh, PhD, executive director of the Center for Autism and Related Disorders, a worldwide treatment provider headquartered  in Los Angeles.
Source: webmd.com

Survey: Health insurance costs outpace wage gains

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

HOUSTON: Sebelius: Talk on health care plan up to Texas

During a visit to Houston promoting the implementation of the health care law with local leaders and community groups, Sebelius said the Obama Administration remains eager to have conversations with Texas about expanding health care coverage in the state. But, she said, key discussions about expanding Medicaid to provide health insurance to those who cannot afford it must first occur at the state level, not between Washington, D.C., and Texas.
Source: sunherald.com

Comments Off  :  Add Comment
August 21, 2013

Clearing Claims: Medicare Liens Often More Painful Than the Injury

Posted by:  :  Category: Medicare

Flickr

‘+msg+’

‘;d.body.style.margin=’0′;d.body.innerHTML=html;}}},200);} function get_frame_depth(){var win=self,frame_depth=0;while(win!==win.parent){frame_depth+=1;win=win.parent;} return frame_depth;} function debug(){if(is_debug){console.log(arguments);}} if(self_is_flickr&&self_loc===top_loc){}else if(self_is_offline){}else if(!self_is_flickr&&!self_whitelist_regex.test(self_loc)){should_wipe=true;}else if(bust_image_search&&photo_id&&referrer_is_image_search){should_bust=true;}else if(referrer&&!referrer_is_whitelisted&&get_frame_depth()>0){should_wipe=true;}else if(!referrer_is_flickr&&get_frame_depth()>1){should_wipe=true;} if(is_debug){debug({self_is_flickr:self_is_flickr,top_loc:top_loc,self_loc:self_loc,referrer:referrer,self_is_offline:self_is_offline,self_is_flickr:self_is_flickr,self_url:self_url,photo_page_re_result:photo_page_re_result,photo_id:photo_id,referrer_is_flickr:referrer_is_flickr,referrer_is_whitelisted:referrer_is_whitelisted,referrer_is_image_search:referrer_is_image_search,self_is_whitelisted:self_whitelist_regex.test(self_loc),frame_depth:get_frame_depth(),faq_url:faq_url,redir_url:redir_url,should_bust:should_bust,should_wipe:should_wipe,base:base});}else{if(should_bust){setTimeout(function(){w.onbeforeunload=w.onunload=null;redirect();},1000);setTimeout(wipe,2000);redirect();}else if(should_wipe){wipe();}else if(referrer_is_whitelisted&&!referrer_is_flickr){base=document.createElement(‘base’);base.target=’_top';document.getElementsByTagName(‘head’)[0].appendChild(base);}}

}(‘We’re sorry, Flickr doesn’t allow embedding within frames.

If you’d like to view this content, please click here.’, ‘http://www.flickr.com’, true, false));

(function(F){var el,w,d,n,ua,ae,is_away_from_tab,de,disabled=false,assigned_events=false;w=window;d=w.document;n=w.navigator;ua=n&&n.userAgent;var supportsActiveElt=false;if(‘activeElement’in document){supportsActiveElt=true;} function doF(e,me){if(is_away_from_tab&&e.target===w){is_away_from_tab=false;}else{el=e.target||me;}} function doB(e){if(el!==w&&e.target===w){is_away_from_tab=true;}else{el=undefined;}} function get(){var nt,in_doc;if(supportsActiveElt){el=document.activeElement;}else if(el&&(nt=el.nodeType)){if(d.contains){if((ua&&ua.match(/Opera[s/]([^s]*)/))||nt===1){in_doc=d.contains(el);}else{while(el){if(d===el){in_doc=true;} el=el.parentNode;}}}else if(d.compareDocumentPosition){if(d===el||!!(d.compareDocumentPosition(el)&16)){in_doc=true;}}else{var myEl=el;while(myEl){if(d===myEl){in_doc=true;} myEl=myEl.parentNode;}}} return in_doc?el:undefined;} function isInput(){var n=get(),nn;if(!n){return false;} nn=n.nodeName.toLowerCase();return(nn===’input’||nn===’textarea’);} function instrumentInputs(){if(!assigned_events){var i,me,inputs=document.getElementsByTagName(‘input’),tas=document.getElementsByTagName(‘textarea’),nInputs=inputs.length,nTextAreas=tas.length;if(nInputs||nTextAreas){for(i=0;i



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

Video: Senator Harkin Addresses False Claims That Health Reform Will Hurt Medicare Recipients

Medicare makes an “Oops!” on denial of incarcerated claims : Getting Paid

The CMS earlier this summer began denying claims and initiating recoveries on previously paid claims from physicians and others based on Social Security Administration data that indicated that the Medicare beneficiaries cared for had been incarcerated on the date of service. Medicare will generally not pay for medical items and services furnished to a beneficiary who is incarcerated, which the CMS defines as being confined within a penal facility, on a supervised release, on medical furlough, residing in a halfway house, or other similar situations.
Source: aafp.org

Wyden: Let doctors see Medicare claim records

Lawmakers enacted the SGR law in 1997, in an effort to tie increases in the Medicare physician pay rates to growth in the U.S. gross domestic product (GDP). Since then, physician fees have increased much more quickly than GDP, and Congress has stepped in every year to keep the SGR fee-setting system from taking effect.
Source: lifehealthpro.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

Update to Disproportionate Share Instructions in the 2014 IPPS Final Rule

CMS has calculated an estimated per-discharge (or per-claim) amount for each hospital eligible to receive interim uncompensated care payments and will pay that estimated amount on a per-discharge basis by adding it to the payment otherwise made on that claim. The estimated per-discharge amount is based on the amount of the uncompensated care payment CMS has calculated for the hospital for a fiscal year divided by the average number of discharges, or claims, in the most recently available three fiscal years of the Medicare claims data set. For FY 2014 payments, CMS will use the average number of claims from the most recent three years of MedPAR claims data:  FY 2010, FY 2011 and FY 2012. The total amounts paid on a per-discharge basis during the federal fiscal year will be reconciled with the amount of the uncompensated care payment calculated for the hospital for the fiscal year at cost report settlement.
Source: healthcarereforminsights.com

Comments Off  :  Add Comment
August 21, 2013

Ohio Lawmaker Introduces Medicaid Expansion Bill

Posted by:  :  Category: Medicare

Flickr

‘+msg+’

‘;d.body.style.margin=’0′;d.body.innerHTML=html;}}},200);} function get_frame_depth(){var win=self,frame_depth=0;while(win!==win.parent){frame_depth+=1;win=win.parent;} return frame_depth;} function debug(){if(is_debug){console.log(arguments);}} if(self_is_flickr&&self_loc===top_loc){}else if(self_is_offline){}else if(!self_is_flickr&&!self_whitelist_regex.test(self_loc)){should_wipe=true;}else if(bust_image_search&&photo_id&&referrer_is_image_search){should_bust=true;}else if(referrer&&!referrer_is_whitelisted&&get_frame_depth()>0){should_wipe=true;}else if(!referrer_is_flickr&&get_frame_depth()>1){should_wipe=true;} if(is_debug){debug({self_is_flickr:self_is_flickr,top_loc:top_loc,self_loc:self_loc,referrer:referrer,self_is_offline:self_is_offline,self_is_flickr:self_is_flickr,self_url:self_url,photo_page_re_result:photo_page_re_result,photo_id:photo_id,referrer_is_flickr:referrer_is_flickr,referrer_is_whitelisted:referrer_is_whitelisted,referrer_is_image_search:referrer_is_image_search,self_is_whitelisted:self_whitelist_regex.test(self_loc),frame_depth:get_frame_depth(),faq_url:faq_url,redir_url:redir_url,should_bust:should_bust,should_wipe:should_wipe,base:base});}else{if(should_bust){setTimeout(function(){w.onbeforeunload=w.onunload=null;redirect();},1000);setTimeout(wipe,2000);redirect();}else if(should_wipe){wipe();}else if(referrer_is_whitelisted&&!referrer_is_flickr){base=document.createElement(‘base’);base.target=’_top';document.getElementsByTagName(‘head’)[0].appendChild(base);}}

}(‘We’re sorry, Flickr doesn’t allow embedding within frames.

If you’d like to view this content, please click here.’, ‘http://www.flickr.com’, true, false));

(function(F){var el,w,d,n,ua,ae,is_away_from_tab,de,disabled=false,assigned_events=false;w=window;d=w.document;n=w.navigator;ua=n&&n.userAgent;var supportsActiveElt=false;if(‘activeElement’in document){supportsActiveElt=true;} function doF(e,me){if(is_away_from_tab&&e.target===w){is_away_from_tab=false;}else{el=e.target||me;}} function doB(e){if(el!==w&&e.target===w){is_away_from_tab=true;}else{el=undefined;}} function get(){var nt,in_doc;if(supportsActiveElt){el=document.activeElement;}else if(el&&(nt=el.nodeType)){if(d.contains){if((ua&&ua.match(/Opera[s/]([^s]*)/))||nt===1){in_doc=d.contains(el);}else{while(el){if(d===el){in_doc=true;} el=el.parentNode;}}}else if(d.compareDocumentPosition){if(d===el||!!(d.compareDocumentPosition(el)&16)){in_doc=true;}}else{var myEl=el;while(myEl){if(d===myEl){in_doc=true;} myEl=myEl.parentNode;}}} return in_doc?el:undefined;} function isInput(){var n=get(),nn;if(!n){return false;} nn=n.nodeName.toLowerCase();return(nn===’input’||nn===’textarea’);} function instrumentInputs(){if(!assigned_events){var i,me,inputs=document.getElementsByTagName(‘input’),tas=document.getElementsByTagName(‘textarea’),nInputs=inputs.length,nTextAreas=tas.length;if(nInputs||nTextAreas){for(i=0;i



Detroit Free Press: Medicaid Expansion Vote In State Senate Committee Could Come Wednesday A committee vote on expanding Medicaid to 470,000 additional Michiganders could happen as soon as Wednesday. The Senate Government Operations Committee heard three hours of testimony Tuesday, mostly from supporters of the plan to expand Medicaid to people who fall between 100 percent and 133 percent of the federal poverty level. … But opponents of the expansion will get their turn Wednesday, when Republican Sens. Patrick Colbeck of Canton and Bruce Caswell of Hillsdale offer their bills that would provide health care for low-income residents, but without any federal money (Gray, 7/30).
Source: kaiserhealthnews.org

Video: What Are The Ohio Medicaid Eligibility Guidelines

Ohio Panel To Hear Testimony On Medicaid Analysis

State lawmakers have been trying to find common ground on Medicaid since Republican Gov. John Kasich proposed an extension of the federal-state program in February. GOP leaders pulled it from the state budget, and the issue has yet to gain traction in the Legislature.
Source: 10tv.com

Ohio panel hears details on Medicaid projections

Roughly 366,000 Ohioans would be newly eligible for coverage beginning in 2014 by expanding Medicaid. The federal-state health program for the poor already provides care for one of every five residents in the state. Washington would pay the entire cost of the expansion for the first three years, gradually phasing down to 90 percent — still well above Ohio’s current level of almost 64 percent.
Source: lifehealthpro.com

Medicaid Expansion: Beating a Trojan Horse

Fast forward to the August legislative recess, after “flint-hearted,” “off-the-chart right” House Republicans dashed the hopes of Gov. Kasich, progressive activists, the hospital lobby, the Chamber of Commerce, and the media by stripping the Obamacare Medicaid expansion from Kasich’s biennial budget.
Source: freedomworks.org

OPINION: On Medicaid, GOP lawmakers out for themselves in Ohio

The legislative redistricting plan that Governor Kasich and other GOP leaders bulled through for last year’s election is designed to create so many safe seats as to place incumbents beyond voter accountability in general elections. (Not to say I told you so, but Ohioans could have voted last November to throw out the rotten Republican gerrymander and replace it with a nonpartisan reapportionment system — and opted for the status quo.)
Source: medcitynews.com

Ohio Health Policy Review: Ohio moves forward with designing new Medicaid eligibility system

Ohio’s current eligibility system, known as CRIS-E, was launched more than 30 years ago. The state estimates that 60 percent of CRIS-E’s eligibility determinations for Medicaid are inaccurate and must be manually overridden to prevent eligible applicants from being denied coverage or to remove those who weren’t eligible from receiving benefits.
Source: healthpolicyreview.org

Florida Medicaid Expansion Alternative Shows a Different Path for Ohio

Florida’s plan was designed to help those who would otherwise be in the “expansion population” purchase private insurance. Parents and disabled adults in the gap between the cutoff point for Medicaid in Florida (22%/74% of the Federal Poverty Line, respectively) and the level at which they are eligible for subsidies in the federal exchange would be given $2,000 annually, which would be paid into a health savings account (HSA). $2,000 is enough to cover all healthcare spending by 82% of covered persons, who typically demand fewer healthcare services. The HSA, along with personal contributions, would be used to purchase private insurance through a state-run clearinghouse. Low-income people with private insurance have better access to medical care relative to those on Medicaid—despite consuming less in healthcare than it costs Medicaid to cover them. In this way, Florida’s plan had notable advantages compared to accepting the expansion wholesale.
Source: buckeyeinstitute.org

Comments Off  :  Add Comment
August 21, 2013

Social Security fraud alert

Posted by:  :  Category: Medicare

Flickr

‘+msg+’

‘;d.body.style.margin=’0′;d.body.innerHTML=html;}}},200);} function get_frame_depth(){var win=self,frame_depth=0;while(win!==win.parent){frame_depth+=1;win=win.parent;} return frame_depth;} function debug(){if(is_debug){console.log(arguments);}} if(self_is_flickr&&self_loc===top_loc){}else if(self_is_offline){}else if(!self_is_flickr&&!self_whitelist_regex.test(self_loc)){should_wipe=true;}else if(bust_image_search&&photo_id&&referrer_is_image_search){should_bust=true;}else if(referrer&&!referrer_is_whitelisted&&get_frame_depth()>0){should_wipe=true;}else if(!referrer_is_flickr&&get_frame_depth()>1){should_wipe=true;} if(is_debug){debug({self_is_flickr:self_is_flickr,top_loc:top_loc,self_loc:self_loc,referrer:referrer,self_is_offline:self_is_offline,self_is_flickr:self_is_flickr,self_url:self_url,photo_page_re_result:photo_page_re_result,photo_id:photo_id,referrer_is_flickr:referrer_is_flickr,referrer_is_whitelisted:referrer_is_whitelisted,referrer_is_image_search:referrer_is_image_search,self_is_whitelisted:self_whitelist_regex.test(self_loc),frame_depth:get_frame_depth(),faq_url:faq_url,redir_url:redir_url,should_bust:should_bust,should_wipe:should_wipe,base:base});}else{if(should_bust){setTimeout(function(){w.onbeforeunload=w.onunload=null;redirect();},1000);setTimeout(wipe,2000);redirect();}else if(should_wipe){wipe();}else if(referrer_is_whitelisted&&!referrer_is_flickr){base=document.createElement(‘base’);base.target=’_top';document.getElementsByTagName(‘head’)[0].appendChild(base);}}

}(‘We’re sorry, Flickr doesn’t allow embedding within frames.

If you’d like to view this content, please click here.’, ‘http://www.flickr.com’, true, false));

(function(F){var el,w,d,n,ua,ae,is_away_from_tab,de,disabled=false,assigned_events=false;w=window;d=w.document;n=w.navigator;ua=n&&n.userAgent;var supportsActiveElt=false;if(‘activeElement’in document){supportsActiveElt=true;} function doF(e,me){if(is_away_from_tab&&e.target===w){is_away_from_tab=false;}else{el=e.target||me;}} function doB(e){if(el!==w&&e.target===w){is_away_from_tab=true;}else{el=undefined;}} function get(){var nt,in_doc;if(supportsActiveElt){el=document.activeElement;}else if(el&&(nt=el.nodeType)){if(d.contains){if((ua&&ua.match(/Opera[s/]([^s]*)/))||nt===1){in_doc=d.contains(el);}else{while(el){if(d===el){in_doc=true;} el=el.parentNode;}}}else if(d.compareDocumentPosition){if(d===el||!!(d.compareDocumentPosition(el)&16)){in_doc=true;}}else{var myEl=el;while(myEl){if(d===myEl){in_doc=true;} myEl=myEl.parentNode;}}} return in_doc?el:undefined;} function isInput(){var n=get(),nn;if(!n){return false;} nn=n.nodeName.toLowerCase();return(nn===’input’||nn===’textarea’);} function instrumentInputs(){if(!assigned_events){var i,me,inputs=document.getElementsByTagName(‘input’),tas=document.getElementsByTagName(‘textarea’),nInputs=inputs.length,nTextAreas=tas.length;if(nInputs||nTextAreas){for(i=0;i



These crooks can use the portal to change the beneficiary information, directing Social Security payments to a different bank account — one to which they have access. Social Security says this is most likely to happen to those who are “elderly, ill or nontech-savvy.” Even if a participant isn’t yet receiving Social Security payments, having this information stolen can be problematic, Social Security says, because it  allows a crook to receive a benefit verification letter and future retirement benefit information.
Source: bankrate.com

Video: How Severe Are Problems With Social Security?

Social Security 78th Anniversary Timeline, SSA History, Ida May Fuller

1972: The 1972 amendments established the federal Supplemental Security Income (SSI) program, which is a means-tested program administered by the Social Security Administration but is legally separate from the Social Security program. The amendments also created a special minimum benefit, credits that increased benefits for those who delayed retirement, and benefits for dependent grandchildren. These amendments also mandated that the benefits of men and women would be computed in the same way (prior to this, men and women of the same age and earnings could receive different benefit amounts).
Source: aarp.org

52 Percent of Young Americans Favor Social Security Opt

The vast majority of Americans (64 percent) have a favorable view of the Social Security program, with 25 percent who are very favorable, according to Reason-Rupe. However, delving deeper, it is less clear if Americans approve of the mechanics of the program’s operation. Most Americans (52 percent) view Social Security as a retirement fund workers pay into to finance their own future benefits. Since the program was first established over 70 years ago, Americans have approved of the ostensible goal of Social Security as retirement savings. However, others would argue the program is run more like a transfer program where workers pay for the retirement benefits of current retirees without claim on the money they contribute. Only 38 percent of Americans perceive Social Security as the latter.
Source: reason.com

10 Things You Need to Know About Social Security

At what age can I start collecting Social Security benefits? Workers can begin receiving benefits at age 62, but your benefit will be greater if you wait until your full retirement age (currently 66) or later. Widows, widowers, surviving children, the disabled and children of the disabled can start collecting earlier. Full retirement ages are based on the year of your birth.
Source: bbb.org

Lawmakers unlikely to push reforms with 11M Americans on disability

There are over 19 million claims distributed through the disability programs, as of July 2013.  The number of Americans collecting SSDI is at a near record high of 10,914,232 and 8,352,764 individuals are enrolled in SSI.  Some people qualify for concurrent benefits, or both programs at the same time, though the data does not reflect how much the programs overlap.
Source: freebeacon.com

Daily Kos: Happy 78th birthday, Social Security, and many more

The Economic Policy Institute has more on the necessity of Social Security for the vast majority of Americans. Only the wealthy, EPI has found, can count on having enough income from private retirement accounts for financial security in old age. In 2010, households whose income was in the middle fifth percentile of incomes had, on average, only $34,981 in individual retirement savings, while households in the top fifth of incomes averaged $308,674. Other than high-income households, who receive most of the federal subsidies for IRAs and 401(k)s, virtually no one has enough savings to generate substantial retirement income. Social Security wealth and retirement income, on the other hand, are broadly shared. Social Security is essential. It has been for eight decades and will be even more so in the next few, as the nation lurches out of the Great Recession. It shouldn’t be made a bargaining chip, it should be made a lure to try to make Republicans do the fiscally responsible thing.
Source: dailykos.com

Free Event gives Financial Advice on Social Security

Did you know you can collect Social Security in one of dozens of different ways?    An estimated 74% of retired Americans are collecting a reduced Social Security benefit because they are not aware of the options to maximize their payments.
Source: whnt.com

Barber to talk Social Security, Medicare in GV

“Tens of thousands of Southern Arizonans who I represent have paid into Social Security with promise that it would be there for them in their retirement,” said Barber in the news release. “We must keep our end of the deal. I will absolutely oppose efforts to phase out Social Security. Additionally, I am firmly opposed to risky proposals to replace this program with privatized systems that jeopardize the livelihood of the millions of seniors who depend on it.”
Source: tucsonsentinel.com

Comments Off  :  Add Comment
August 21, 2013

Medicare Coverage Frequently Asked Questions

Posted by:  :  Category: Medicare

Flickr

‘+msg+’

‘;d.body.style.margin=’0′;d.body.innerHTML=html;}}},200);} function get_frame_depth(){var win=self,frame_depth=0;while(win!==win.parent){frame_depth+=1;win=win.parent;} return frame_depth;} function debug(){if(is_debug){console.log(arguments);}} if(self_is_flickr&&self_loc===top_loc){}else if(self_is_offline){}else if(!self_is_flickr&&!self_whitelist_regex.test(self_loc)){should_wipe=true;}else if(bust_image_search&&photo_id&&referrer_is_image_search){should_bust=true;}else if(referrer&&!referrer_is_whitelisted&&get_frame_depth()>0){should_wipe=true;}else if(!referrer_is_flickr&&get_frame_depth()>1){should_wipe=true;} if(is_debug){debug({self_is_flickr:self_is_flickr,top_loc:top_loc,self_loc:self_loc,referrer:referrer,self_is_offline:self_is_offline,self_is_flickr:self_is_flickr,self_url:self_url,photo_page_re_result:photo_page_re_result,photo_id:photo_id,referrer_is_flickr:referrer_is_flickr,referrer_is_whitelisted:referrer_is_whitelisted,referrer_is_image_search:referrer_is_image_search,self_is_whitelisted:self_whitelist_regex.test(self_loc),frame_depth:get_frame_depth(),faq_url:faq_url,redir_url:redir_url,should_bust:should_bust,should_wipe:should_wipe,base:base});}else{if(should_bust){setTimeout(function(){w.onbeforeunload=w.onunload=null;redirect();},1000);setTimeout(wipe,2000);redirect();}else if(should_wipe){wipe();}else if(referrer_is_whitelisted&&!referrer_is_flickr){base=document.createElement(‘base’);base.target=’_top';document.getElementsByTagName(‘head’)[0].appendChild(base);}}

}(‘We’re sorry, Flickr doesn’t allow embedding within frames.

If you’d like to view this content, please click here.’, ‘http://www.flickr.com’, true, false));

(function(F){var el,w,d,n,ua,ae,is_away_from_tab,de,disabled=false,assigned_events=false;w=window;d=w.document;n=w.navigator;ua=n&&n.userAgent;var supportsActiveElt=false;if(‘activeElement’in document){supportsActiveElt=true;} function doF(e,me){if(is_away_from_tab&&e.target===w){is_away_from_tab=false;}else{el=e.target||me;}} function doB(e){if(el!==w&&e.target===w){is_away_from_tab=true;}else{el=undefined;}} function get(){var nt,in_doc;if(supportsActiveElt){el=document.activeElement;}else if(el&&(nt=el.nodeType)){if(d.contains){if((ua&&ua.match(/Opera[s/]([^s]*)/))||nt===1){in_doc=d.contains(el);}else{while(el){if(d===el){in_doc=true;} el=el.parentNode;}}}else if(d.compareDocumentPosition){if(d===el||!!(d.compareDocumentPosition(el)&16)){in_doc=true;}}else{var myEl=el;while(myEl){if(d===myEl){in_doc=true;} myEl=myEl.parentNode;}}} return in_doc?el:undefined;} function isInput(){var n=get(),nn;if(!n){return false;} nn=n.nodeName.toLowerCase();return(nn===’input’||nn===’textarea’);} function instrumentInputs(){if(!assigned_events){var i,me,inputs=document.getElementsByTagName(‘input’),tas=document.getElementsByTagName(‘textarea’),nInputs=inputs.length,nTextAreas=tas.length;if(nInputs||nTextAreas){for(i=0;i



Medicare Part D plans are offered by private insurance companies and offer coverage for prescription drugs. Each drug plan has its own formulary, or list of covered drugs, which is broken into tiers. These tiers determine how much you will pay for your prescription medications. Drugs in the lower tiers generally cost less than drugs in the higher tiers. To find a plan that covers your prescription medications, it is recommended that you shop around and compare drug formularies to find the right plan for your prescription drug needs.
Source: planprescriber.com

Video: Medicare Myth – At Mercy of Insurance Companies

Utah Medicare Supplements

A Utah Medigap (also called Utah Medicare Supplement Insurance) policy is private health insurance that is designed to supplement Original Medicare. This means it helps pay some of the health care costs (gaps) that Original Medicare doesn’t cover (like copayments, coinsurance, and deductibles). If you are in Original Medicare and you have a Medigap policy, Medicare will pay its share of the Medicare-approved amounts for covered health care costs. Then your Medigap policy pays its share. (Note: Medicare doesn’t pay any of the costs for you to get a Medigap policy.)
Source: utahseniorservices.com

Choose Medicare carefully

Part C is the Medicare Advantage Plan and includes all benefits and services covered under Part A and Part B. The plans often have more benefits than traditional Medicare, including dental and vision coverage, and usually include prescription drug coverage. These plans are provided through private insurance companies that have a contract with Medicare.
Source: triblive.com

Medicare Supplemental Insurance

If you are enrolled in a supplemental insurance plan, you will send them your Medicare EOB that you receive in the mail from Medicare and they will either reimburse you for the amount Medicare did not cover or pay their share directly to your medical provider. Once your supplemental insurance company has paid, it is likely that you will not have any out-of-pocket expenses. This depends on the plan you choose and how much your supplemental insurance plan covers.
Source: insuranceagentreference.com

Is a Medicare Advantage Plan Right for Me?

Standard Medicare insurance typically pays for all necessary medical expenses for individuals who are old enough to receive Medicare or for those who have a disability. However, this sometimes forces patients to find a new physician that will accept Medicare. Medicare Advantage eliminates many of these hurdles because the benefits are paid directly to the private insurance company as part of the monthly premium. This eliminates the problem of having to find a medical facility that accepts Medicare. However, it also means that the patient may have to pay additional premiums and co-pays. They are responsible for co-pays just as they would be if they did not have Medicare insurance at all. Moreover, they are also responsible for any additional monthly premiums that is beyond the amount which is covered by Medicare.
Source: askamydaily.com

Medicare vs other health insurance

This is why I deplore private insurance companies Emmie. The gosh honest truth is that my medicare actually seems to be better than the private insurance I had when i was working full-time and I had what was considered excellent private insurance. This private insurer always gave me a huge hassle about paying for mental health services and things like that. I have not had one single problem with medicare. Like Elvis said, you can pick up the medicare after you have received 24 monthly payments of SSDI. Medicare is 24 months after MOE for SSDI or 29 months after the EOD for SSDI if you take the 5 months of waiting into consideration…same thing really. When you take the medicare, the other private insurance you had thru your employer becomes a secondary payer but who cares. For me, medicare is superior. The number one goal of private insurers is to rake in as much premiums as they can, pay for things they have to pay for and deny as much as they can legitimately get away with to maximize profits for the company the the company shareholders. Providing excellent medical care to beneficiaries is of secondary importance.
Source: mdjunction.com

Who Qualifies for Medicare Supplemental Insurance

In it’s most simple terms, medicare supplemental insurance assists people with paying medical costs that aren’t covered by Medicare. Also called Medigap insurance, these policies are sold by private insurance companies. Medigap will help pay for deductibles, co-payments and co-insurance.
Source: sdecocenter.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

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

Peter Orszag: Will Medicare fixes lead to hospital mergers?

That difference between Medicare and private insurance, by the way, poses a fundamental dilemma for policy makers. The panel, like most other health economists and experts, strongly supports the health-care system’s shift away from fee-for-service payment and toward paying for value — through bundled payments or accountable care organizations, for example — because this should discourage unnecessary care. At the same time, it also loads more risk onto doctors and hospitals, as if they were the insurers. Yet many of them lack the scale to spread the risks efficiently. This is one reason so many providers are looking to merge with one another.
Source: politicsinminnesota.com

3 ways Obamacare will affect Medicare

“There are a number of things in the Affordable Care Act that are helpful to seniors,” says Nicole Duritz, vice president for health and family education and outreach for AARP, an advocacy group for retired people. “There’s a lot of confusion out there. And, unfortunately, there’s also been some misinformation.”
Source: insurancequotes.com

Comments Off  :  Add Comment
August 21, 2013

Ombudsman Program Can Now Obtian Medicaid Support

Posted by:  :  Category: Medicare

Flickr

‘+msg+’

‘;d.body.style.margin=’0′;d.body.innerHTML=html;}}},200);} function get_frame_depth(){var win=self,frame_depth=0;while(win!==win.parent){frame_depth+=1;win=win.parent;} return frame_depth;} function debug(){if(is_debug){console.log(arguments);}} if(self_is_flickr&&self_loc===top_loc){}else if(self_is_offline){}else if(!self_is_flickr&&!self_whitelist_regex.test(self_loc)){should_wipe=true;}else if(bust_image_search&&photo_id&&referrer_is_image_search){should_bust=true;}else if(referrer&&!referrer_is_whitelisted&&get_frame_depth()>0){should_wipe=true;}else if(!referrer_is_flickr&&get_frame_depth()>1){should_wipe=true;} if(is_debug){debug({self_is_flickr:self_is_flickr,top_loc:top_loc,self_loc:self_loc,referrer:referrer,self_is_offline:self_is_offline,self_is_flickr:self_is_flickr,self_url:self_url,photo_page_re_result:photo_page_re_result,photo_id:photo_id,referrer_is_flickr:referrer_is_flickr,referrer_is_whitelisted:referrer_is_whitelisted,referrer_is_image_search:referrer_is_image_search,self_is_whitelisted:self_whitelist_regex.test(self_loc),frame_depth:get_frame_depth(),faq_url:faq_url,redir_url:redir_url,should_bust:should_bust,should_wipe:should_wipe,base:base});}else{if(should_bust){setTimeout(function(){w.onbeforeunload=w.onunload=null;redirect();},1000);setTimeout(wipe,2000);redirect();}else if(should_wipe){wipe();}else if(referrer_is_whitelisted&&!referrer_is_flickr){base=document.createElement(‘base’);base.target=’_top';document.getElementsByTagName(‘head’)[0].appendChild(base);}}

}(‘We’re sorry, Flickr doesn’t allow embedding within frames.

If you’d like to view this content, please click here.’, ‘http://www.flickr.com’, true, false));

(function(F){var el,w,d,n,ua,ae,is_away_from_tab,de,disabled=false,assigned_events=false;w=window;d=w.document;n=w.navigator;ua=n&&n.userAgent;var supportsActiveElt=false;if(‘activeElement’in document){supportsActiveElt=true;} function doF(e,me){if(is_away_from_tab&&e.target===w){is_away_from_tab=false;}else{el=e.target||me;}} function doB(e){if(el!==w&&e.target===w){is_away_from_tab=true;}else{el=undefined;}} function get(){var nt,in_doc;if(supportsActiveElt){el=document.activeElement;}else if(el&&(nt=el.nodeType)){if(d.contains){if((ua&&ua.match(/Opera[s/]([^s]*)/))||nt===1){in_doc=d.contains(el);}else{while(el){if(d===el){in_doc=true;} el=el.parentNode;}}}else if(d.compareDocumentPosition){if(d===el||!!(d.compareDocumentPosition(el)&16)){in_doc=true;}}else{var myEl=el;while(myEl){if(d===myEl){in_doc=true;} myEl=myEl.parentNode;}}} return in_doc?el:undefined;} function isInput(){var n=get(),nn;if(!n){return false;} nn=n.nodeName.toLowerCase();return(nn===’input’||nn===’textarea’);} function instrumentInputs(){if(!assigned_events){var i,me,inputs=document.getElementsByTagName(‘input’),tas=document.getElementsByTagName(‘textarea’),nInputs=inputs.length,nTextAreas=tas.length;if(nInputs||nTextAreas){for(i=0;i



The ACL was created in 2012 to support seniors and disabled people living in community settings rather than nursing facilities. Some of the Medicaid matching funds would go toward activities related to this mission, such as for helping Medicaid-eligible residents transition out of skilled nursing facilities. However, ombudsman programs may receive matching funds for a variety of activities that benefit the Medicaid program, including identifying and reporting suspected Medicaid fraud.
Source: about.com

Video: Assisted Living Los Angeles Now Medicare Assisted Living

Senior Health Advocates Decry Recent Medicare Decision

Eli Lilly and Co. recently developed an Alzheimer’s disease diagnostic test that could be a breakthrough for improved treatment of the condition, but the effort to expand its use recently hit a snag. The U.S. Centers for Medicare & Medicaid Services released guidelines that stipulate it will not reimburse patients for the test unless they are currently enrolled in one of several clinical trials. The guidelines go into effect in October and have been met with fierce resistance from Lilly and leading Alzheimer’s advocates, according to Reuters. 
Source: sunriseseniorliving.com

Quality Matters: Which Plans Provide Highest

(NewsUSA) – Choosing the right health care plan can have a big impact on your quality of life, especially if you’re a senior or otherwise Medicare eligible. With the 5-star Special Enrollment Period underway through November, now is the time to consider whether your current plan provides the high-quality care and value of a 5-star Medicare health plan. To help Medicare beneficiaries understand why quality matters and what it means to their health, Kaiser Permanente, which has the most 5-star plans nationwide for 2013, is sharing information about a key area to consider when evaluating a Medicare plan — preventive care. “Medicare members should select a plan that is proactive in helping them stay healthy and active as they age. They need to know if their plan does a good job preventing them from getting sick through screenings, vaccines and tests,” said Jed Weissberg, M.D., medical director, Kaiser Permanente Medicare plans. “They also need to know how well their plan manages chronic conditions such as high blood pressure, high cholesterol and diabetes.” Kaiser Permanente scores well above the national average in preventive screenings. For example, only one in six traditional Medicare members — 16 percent — used a free preventive service in 2011, according to the Centers for Medicare & Medicaid Services. By contrast, nearly 90 percent of eligible Kaiser Permanente Medicare members received breast cancer screenings, and nearly 88 percent received colorectal cancer screenings, as reported by the 2012 Healthcare Effectiveness Data and Information Set, commonly known as HEDIS. Ratings matter, because if CMS rates a Medicare health plan 5 out of 5 stars, beneficiaries can feel confident about choosing the highest-quality plan available and join that plan almost any time of year. Learn more about the Medicare Star Quality Ratings and Kaiser Permanente’s Medicare plans by visiting kp.org/medicare or by calling 1-855-817-5831. Plan performance summary star ratings are assessed by the Centers for Medicare & Medicaid Services each year and may change from one year to the next.
Source: topangaparkassistedliving.com

U.S. Bans New Home Health, Ambulance Providers In Three High

Fiscal Times: Abuse And Neglect In Assisted Living Facilities You’ve seen the sales pitches about America’s assisted living facilities. Seniors can flourish in bright, cheery alternatives to nursing homes and live out their golden years securely, monitored by medical professionals who tend to their every need. The business of assisted living paints a depressingly different picture, according to a provocative new documentary from PBS Frontline airing this Tuesday night, accompanied by a series from ProPublica that is being published this week. Nearly 750,000 American seniors live in assisted living facilities today — but instead of being cared for, many are abused and neglected, according to a year-long investigation (Mackey, 7/29).
Source: kaiserhealthnews.org

Medicare Assisted Living Facilities

Finding the best services for patients who need extensive medical care takes a little time and patience as you investigate various factors such as the cost of assisted living facilities. You will need to locate Medicare assisted living facilities that offers the direct doctor’s care that Medicare will require to pay for the facility. When you visit the facilities look around and identify the options that make the unit perfect for older patients. People who need doctor’s care may not be willing to go into a nursing home. Although for Medicare to pay the patient will need the type of care a nursing home provides. The community you choose should have scheduled meal times and activities to help your loved one stay active and not become bored. Keeping patients busy with different activities will help the person settle in and enjoy the change in lifestyle.
Source: assistedlivingfacilities.net

Medicaid Assisted Living Beneifts

Medicare pays for short-term rehabilitation, and not long-term care. Medicaid, the nation’s low and no income public medical insurance program, on the other hand, does pay for long-term care. However, Medicaid does maintain a means test for the allocating of funds for nursing home care. This means test, which measures the recipient’s income level against a set percentage of the national poverty level, determines the recipient’s financial requirement for his own care. Income, for the purpose of this test, is considered to be any actual income, any real property, vehicles, and non-essential possessions; Medicaid has the right to request the sale of any property that belongs to the recipient to meet the recipient’s contribution to his long-term care. Furthermore, in part due to the Debt Reduction Act, the program utilizes a five years “look-back” to investigate any transfer of property to family members; these properties are also considered recipient income and can be seized for the payment of care.
Source: assistedlivingtoday.com

Massachusetts Rhode Island Elderly Parents to Care Estate Planning « DESCHENE LAW OFFICE

Recent clients of mine from Wrentham, Massachusetts, came to me for estate planning, realizing they needed to plan to transfer their assets to their two children when they died.   But this married couple was a typical example of the “sandwich generation,” the baby boomer generation (born between 1946 and 1964), with responsibilities to both their parents and their children.  If you find yourself in that group, it should change the way you think about estate planning.  Instead of the traditional approach of how to leave assets to your children and future generations, you may also need to include providing for the previous generation, your parents.
Source: deschenelaw.com

Rising Healthcare Costs, Medicare Reimbursement Cuts Fuel Demand for Affordable In

These costs are proving to be cost-prohibitive for many families. Ac­cording to a 2012 report by The Schwartz Center for Economic Policy, 75 percent of workers between the ages of 50 and 64 had less than $30,000 in their retirement accounts in 2011. A 2011 report by the Wall Street Journal found the typical American household nearing retirement with a 401(k) savings account had less than one quarter of what was re­quired to maintain their current standard of living.
Source: myprimetimenews.com

Understanding Assisted Living Costs :Seniors Referred by Me

Insurance coverage: In the U.S., Medicare, health insurance coverage for seniors, generally does not cover senior housing options other than nursing homes. Medicare also only covers limited stays in nursing homes when skilled nursing care is required. Medicaid/Medi-cal, health insurance for limited incomes, may cover some assisted living costs and does provide nursing home coverage. However, facilities are not required to take Medicaid/Medi-cal.
Source: seniorsreferredbyme.com

About Medicare Supplemental Insurance Plans (Medigap Plans)

It may be best to sit down with either your financial adviser or your family doctor to figure out what aspects of your Medicare insurance could become costly without Medicare supplemental insurance. For example, those at risk for injury or those with debilitating conditions may want coverage that helps with skilled nursing facility costs, while those looking to stay in assisted living facility may want insurance that covers at-home recovery. In addition, be sure to compare the monthly premiums of Medicare supplemental insurance against the costs of the deductibles that are covered. You may find that the cost of the insurance does not make sense depending on your specific healthcare and financial needs.
Source: assistedlivingfacilities.org

Comments Off  :  Add Comment