What Are the Medicare Advantage Plans California Options?

Posted by:  :  Category: Medicare

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The initial ICEP (initial coverage election plan) extends over a seven month period from the time you were first eligible to enroll in Medicare. This is usually considered the best time to buy Part C coverage. In addition, you will be able to participate in the annual enrollment that happens between October 15 and December 7 each year. Only individuals that qualify for the SEP (Special Election Period) are allowed to enroll in Part C out of the annual enrollment period.
Source: mikeworksforme.com

Video: Medicare Supplement Plans California – Learn About Medigap Insurance CA

Aetna Medicare Plans Continue In California

Aetna is continuing to sell health insurance through small and large employers and continuing to offer its Medicare Advantage, Medicare Prescription Drug, Medicare Supplement, dental insurance and life insurance in California.
Source: iquote.com

A new opportunity to connect kids to coverage in California

Estos fondos nos ayudarán a concentrar más de nuestra energía y esfuerzos en los condados de Central Valley de California y las regiones de Inland Empire, donde viven y trabajan muchos niños y familias latinas que no tienen seguro médico. CCHI, junto con nuestras organizaciones miembros locales, trabajarán en estrecha colaboración con los medios de comunicación en español, fuentes confiables de noticias e información para las comunidades latinas, para dar a conocer y anunciar los eventos educativos y de inscripción locales. Ayudar a estas familias a conocer sus opciones de cobertura y cómo inscribirse es crucial para el éxito de la reforma de la salud. Sabemos que podremos ver a más niños crecer sanos y tener éxito en la vida como resultado de las oportunidades en la Ley del Cuidado de Salud a Bajo Precio.
Source: cms.gov

Defining the Different California Medicare Plans

The different California Medicare plans have been designed to assist seniors in covering their hospital and medical healthcare. There are three components to the traditional plans for Medicare in the state of California. This includes Medicare Part A, Part B and Part D. In addition, there is Medicare Advantage that works as an alternative insurance over traditional Medicare.
Source: sam-2010.org

What Is California Medicare?

These days, prescription drugs can be very expensive, especially those to do with cancer, and new ones based on RNA. This plan is a monthly premium, and covers virtually all prescription drugs. With a number of these plans available, it is worth checking what is covered before buying. For people not interested in any of the above California Medicare plans, then this one for prescription drugs can be taken out on its own.
Source: med-screen.com

Underuse of Hospice Care by Medicaid

Patients and Methods Using linked patient-level data from California (CA) and New York (NY) state cancer registries, state Medicaid programs, NY Medicare, and CA Surveillance, Epidemiology, and End Results–Medicare data, we identified 4,797 CA Medicaid patients and 4,001 NY Medicaid patients ages 21 to 64 years, as well as 27,416 CA Medicare patients and 16,496 NY Medicare patients ages ≥ 65 years who were diagnosed with stage IV lung cancer between 2002 and 2006. We evaluated hospice use, timing of enrollment, and location of death (inpatient hospice; long-term care facility or skilled nursing facility; acute care facility; home with hospice; or home without hospice). We used multiple logistic regressions to evaluate clinical and sociodemographic factors associated with hospice use.
Source: ascopubs.org

Medicare, Medicaid cost Connecticut towns money for ambulance calls

Posted by:  :  Category: Medicare

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“If the rates go down, then it’s going to depend on the agency. I doubt anybody’s going to show up at a house and not take somebody to the hospital because they have Medicare, but if you can’t afford to operate anymore because you’re taking a big loss on all your transports, it’s not unheard of for first-responder agencies to go bankrupt or curtail services,” he said. “They can try to muddle through, but they won’t have enough money to purchase new equipment or update their apparatuses.”
Source: registercitizen.com

Video: medicare vs medicaid

Webinar: Medicare for Medicaid Advocates: As Easy as A, B, C (and D)

Medicaid advocates whose clients include dual eligibles and low income older adults need a working knowledge of the Medicare program to be able to serve their clients. Join NSCLC for a webinar that presents the basics of Medicare with particular emphasis on how the program works for low income individuals, including those qualifying for Medicaid. In this webinar, learn:
Source: nsclc.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

Faces of Dually Eligible Beneficiaries: Profiles of People with Medicare and Medicaid Coverage

This report illustrates the diverse experiences of dually eligible beneficiaries – low-income seniors and younger adults with disabilities who are eligible for both Medicare and Medicaid – in obtaining medical care and non-medical, supportive services. Based on personal interviews, the profiles of 14 dually eligible beneficiaries residing in California, Florida, Massachusetts, Michigan, and Oklahoma highlight day-to-day experiences with accessing care, maintaining relationships with providers, managing prescription medications and personal finances, and relying on family and friends for additional support. Such personal stories add a human dimension to the ongoing conversations among federal and state policymakers about the importance of high quality, coordinated care for this population.
Source: kff.org

Chiropractic Care – Medicare and Medicaid Billing

So, to answer this question, whenever you’re dealing with the federal and state government you’re going to have a whole bunch of laws and rules that you have to follow. So, depending on the state that you’re in, simply follow the rules of your state’s Medicaid. Generally the answer to these questions is going to be, “No. You can’t bill them separately.” You’re going to have to comply with the rules of Medicaid and most of the time you will have to complete a claim to Medicaid and accept whatever they pay, plus any deductibles or co-insurances that apply. But generally speaking the answer is no, you have to follow the rules as if you are an in-network provider with the fee schedule.
Source: clinicdr.com

Feds Ban Some Medicare And Medicaid Providers In Miami

Health and Human Services inspector general officials said they are in the process of cutting 20 percent of its staff, from 1,800 at its peak to 1,400, and cancelling several high profile projects, including an audit that would have investigated technology security in the federal and state health exchanges launching in October. The project was slated to examine issue including whether patient information was secure from hackers on the online marketplace, where individuals and small businesses can shop for health insurance.
Source: cbslocal.com

Shands settles whistleblower lawsuit over false Medicare and Medicaid claims

Shands officials fully cooperated with the state and federal investigation and negotiated the settlement agreement announced today to avoid long and costly litigation. While there has been no admission of liability, Shands HealthCare hospitals in Gainesville and Jacksonville will pay a total of approximately $26 million plus interest: $25.2 million to the United States under the Medicare program and $829,600 to the State of Florida under its Medicaid program.
Source: typepad.com

Projecting Medicare Advantage Enrollment: Expect the Unexpected?

Posted by:  :  Category: Medicare

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It is not entirely clear why enrollment has continued to climb since 2010, or if the trend will continue at the current clip. Analysts believe that the bonus payments have certainly helped to mitigate the effects of payment reductions, and that plans appear to be doing more to reduce their costs. Some speculate that Medicare Advantage plans are benefitting from the slowdown in medical spending, enabling them to keep premiums low. Others ascribe the growth in enrollment to the influx of baby boomers who may have greater comfort with managed care plans than previous generations. As additional payment reductions are phased in over the next few years, the growth in enrollment could stall or even reverse, if plans pull out of the market because they feel they cannot operate profitably. Even if enrollment continues to increase, there is some speculation that plans may scale back benefits and/or increase cost-sharing in response to reductions in Medicare payments and the soon-to-be implemented annual fee on health insurance that was enacted in the ACA, which also applies to Medicare Advantage.
Source: kff.org

Video: Medicare Enrollment | Medicare Sign Up | Apply for Medicare

No Shopping Zone: Medicare Is Not Part Of New Insurance Marketplaces

Enrollment in health plans offered on the marketplaces, also called exchanges, begins Oct. 1 and runs for six months. Meanwhile, the two-month sign-up period for private health plans for millions of Medicare beneficiaries begins Oct. 15. In that time, seniors can shop for a private health plan known as Medicare Advantage, pick a drug insurance policy or buy a supplemental Medigap plan. And in nearly two dozen states, some Medicare beneficiaries who also qualify for Medicaid may be choosing private managed care plans. None of these four kinds of coverage will be offered in the health law’s marketplaces.
Source: kaiserhealthnews.org

Should you enroll in Medicare Part D?

For people who are turning 65, the advantage to enrolling in a Medicare Advantage plan is that they get Part D at no additional cost – and most Advantage plans are $0 premium.  But most of my turning-65 clients are sticking with Medicare and getting a Medicare supplement.  And most of these people are very healthy. So for them, Part D is not any easy choice. They wonder why they need to pay $18 – 30 per month for something they don’t need.
Source: tacticalminc.com

Medicare policy may mean treatment, not hospice

The researchers also measured two key outcomes that were more complicated to interpret: persistent difficulty breathing and persistent pain. Residents with hospice after SNF were 37 percent less likely than those without hospice to experience persistent difficulty breathing, or dyspnea, but residents with concurrent hospice and SNF had no significant difference in their experience of this problem.
Source: futurity.org

Time for Medicare choices

The Medicare Part B premiums will increase from $104.90 per month in 2013, but the amount hasn’t yet been announced. The announcement will be made before open enrollment begins. If you earn more than $85,000 for a single person or $170,000 for married people filing jointly, you’ll pay additional premiums based on your income. Part D premiums also are subject to these sliding scales. These income levels haven’t increased since 2010, so more people will face these income penalties.
Source: bankrate.com

Medicare Enrollment Frequently Asked Questions (FAQ)

You may register for Medicare Part A and Part B during what’s known as the Initial Enrollment Period (IEP), which varies by individual. Your IEP begins three months before your 65th birthday, and lasts through your birthday month and the three months that follow it. You can apply online at SocialSecurity.gov or by visiting your local Social Security office. If you wish to register over the phone, you may call the Social Security office at 1-800-772-1213. If you worked for a railroad, then you can register over the phone by calling the Railroad Retirement Board at 1-877-772-5772.
Source: planprescriber.com

How do I enroll in Medicare and Apply for a Medicare Supplement?

.  Medigap or Medicare Supplement Policies offer the same coverage and benefits regardless of company.  There are different types of Medigap plans: A,B,C,D,F,G,N.  The most popular and comprehensive is plan F.  It offers the best coverage for the price. Price can vary based on gender, age, location, and tobacco use.  You can compare over 30 medigap supplement policies on our website www.medigappolicies.com.
Source: californiamedigapinsurance.com

7 Common Questions (and Answers!) about Medicare

Debbie,.. I too feel very blessed. My new coverage includes eye exams, hearing and DENTAL! What concerns me is the rumor that those with Medicaid are going to have to pay their deductables as of January 2014. I’m not sure what that means yet. I don’t take alot of meds, but medicare has stopped paying for infusion therapy for Fibromyalgia and they won’t pay for hormone therapy cream but they will pay for hormone pills. Of course, which have terrible side affects. NATURALLY! leave it to the government to allow a medication that will cause breast cancer= MORE MONEY for drug companies until you die!! With my new meds, I am looking at about $5.30 every three months. If I was able to get my three therapy treatments that I desperately need, I would be paying an extra $410 per month. It makes no sense that the government allow or condone complete alternative health care, nor will insurance plans pay for logical wellbeing healthcare. It’s all about the upper crust who can afford the out of pocket expenses, verses those who can’t. You stay in pain longer, but you are also on the preplan for early departure from life. Medicare is not a product for overall wellbeingness and health.
Source: care2.com

Understanding Medicare for Working Individuals

However, if you choose to delay enrollment as a result of existing health coverage based on current employment, which does not include COBRA or retiree health coverage, you can enroll in Part A and/or Part B at any time without penalty. When your employment ends, you then have an 8-month Special Enrollment Period (SEP) to sign up for Part A and/or Part B coverage without penalty. After that, you would be subject to late enrollment penalties.
Source: ehealthmedicare.com

Understanding Medicare Advantage and Medicare Prescription Drug Plans Open Enrollment Period

During Open Enrollment you can change from Traditional Medicare to a Medicare Advantage Plan, change from a Medicare Advantage Plan back to Traditional Medicare, switch from your current Medicare Advantage Plan to another Medicare Advantage Plan, make the leap from an Advantage plan that does not offer prescription drug coverage to one that does or vice-versa, join a Medicare Prescription Drug Plan, or drop your Medicare Prescription Drug coverage completely.
Source: themhnews.org

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August 30, 2013

Quality of Health Plan One Medicare Supplement Leads !

Posted by:  :  Category: Medicare

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I have seen positive respond in Insurance Forum for Health Plan One Medicare Supplement leads and decide to try them. Here it is mi experience with them: By signing contract I deposit with them $400 and they will charge me $26 per lead until my pool of money get down to $100 then they will recharge again to $400 level. After only three days I stop the service and wrote to them: You send me all together three leads and in the period of three days with multiple attempt in different time of the day I could not reach by phone or email any of those three people. Thank you but I do not need your service, I have business to do if I want cold call prospect then I will put live person in my office and for $26 an hour definitely is going to be some business. Good luck to you and your business.
Source: insurance-forums.net

Video: FREE MEDICARE LEADS/ MEDICARE SUPPLEMENT LEADS/ INSURANCE SALES LEADS

Work Your Exclusive Medicare Supplement Leads With The Right Tools

Use relationship marketing when dealing with exclusive Medicare supplement leads. Call your leads right away, introduce yourself, ask how else you may be of service, offer to send them articles you have written about the type of insurance they are interested in, help them focus on ways to get the kind of coverage they need and want. Be the expert. Be friendly and approachable, knowledgeable, make complex language easy to understand and just be you, because you are your most powerful marketing tool.
Source: seonewswire.net

The Best Quality Medicare Supplement Leads

Since 1992 the Medicare supplement Insurance Plans have proven to be totally standardized. Even quotes can be received through telephone line and online, this one the easiest regarding finding out which company is offering mindful yourself . premium plans. So, that client can decide understanding that plan serves jesus best keeping at his needs. Previously purchasing an insurance plan was never this unique easy, an individual had to scan several steps to purchase an insurance plan. It is always advisable to contact an insuranceagent have to a insurance policy to know more details the terms and types of conditions of the policy, else it turns out to be beneficial for several companies who provides each combination of considerable premiums and many limited benefits for prime profit, if the individual is unaware in the features.
Source: good-date.com

When marketing to seniors use only exclusive Medicare supplement leads

Before you invest in exclusive Medicare supplement leads, there are some questions you need to ask the company you are planning on dealing with. Were the leads checked against the “No Not Call” list? Do they come in the territories you want? Do they come as set appointments? Are they pre-screened and qualified, so you know you are not wasting your time? Those are just some of the things you might want to ask; you can custom order exclusive Medicare care supplement needs, based on what you want. Won’t it be nice to talk to leads that need and want your products and are qualified to buy them?
Source: openpaperwire.com

Deal with a Reputable Lead Generation Company for Exclusive Medicare Supplement Leads

Exclusive Medicare supplement leads are best purchased from a reputable online lead generation company. “There are many online lead generation companies out there that tell you they sell exclusive Medicare supplement leads. Define exclusive. To benepath.net, exclusive means exclusive, and the leads you order only go directly to you. Other companies call their leads exclusive, but as it turns out, you end up working them with at least seven other agents. What a waste of time and money, not to mention the irritation factor – both for you and the harassed potential client,” said Clelland Green, RHU, CEO, and president of benepath.net, Pennsylvania The idea behind exclusive Medicare supplement leads is that only one person gets them and works them. Unfortunately, there are lead generation companies who do not do what their advertising suggests. “Call it misleading if you will, but there are companies that will sell leads as being exclusive when they are not. This costs the insurance agent money they could have spent on buying genuine exclusive leads,” Green added. While it is “buyer beware” in the online world of lead sourcing, it should be automatic for the agent to check the veracity of what that lead generation company states in its advertising. Check with other agents to find out their experiences with various lead generation companies and ask a lot of questions before investing any money into exclusive Medicare supplement leads. If they are not genuinely exclusive, there is no sense in buying them, as they are a waste of time and money – both commodities are a precious resource when running an insurance agency. Without solid, pre-screened leads, the job of running an insurance agency just got that much more difficult. Certainly, there are other ways to generate leads, with direct mail marketing being one of them, but the real decision to be made is what method will provide leads that convert quickly? “If you’re looking to convert leads on a regular basis, then you want to invest in exclusive Medicare supplement leads. Hands down, they are the best source to build your business, rapidly. You want leads that want and need your product. You don’t want to take the time to convince someone they need what you are selling. That is the beauty of pre-qualified exclusive Medicare supplement leads. Call the lead, book the appointment, discuss the products they are considering, outline other options, discuss pricing to budget and close the sale. It’s pretty easy,” Green remarked. To learn more, visit http://www.benepath.net
Source: sbwire.com

Medicare Leads Become Final Expense Sales

Benefits Insurance for final expenses lets your Medicare leads responsibly wrap up their lives without burdening others. Basically, this type of insurance is like a flexible low-premium life insurance policy where seniors do not need to go through any medical checkups. All they need to do is complete a simple form and list out their requirements. Final Expense Insurance is significantly cheaper than normal life insurance, and seniors will appreciate the small monthly payments that buy them tremendous peace of mind.
Source: equitamedicaresupplementleads.com

How You Can Get Medicare Supplement Leads

And also are other features that may make necessary that end up being not covered by means of Medicare as ideally. Needs in these as vision care, dental care while hearing care probably will all become most of the responsibility of the individual if individuals do not has the proper supplemental insurance. Featuring the skyrocketing costs of healthcare exhibiting no signs about slowing down could possibly soon, it will not take very long at almost for the interruptions in Medicare regions to quickly become financially ruinous regarding an individual stock with the placed bill. This particular can have an absolute devastating effect through the financial equilibrium of any man or woman who is unable to due to a new disability or can be living on a hard income.
Source: icben2011.org

Medicare Leads, Medicare Supplement Leads, Medicare Sales Leads

PRLog (Press Release) – Jan. 26, 2011 – Medicare Leads are something that virtually every insurance agent eventually looks for. The reason could be as simple as the fact that they are sick and tired of spinning their wheels on cold calling. For the most part it is often better and much easier to have leads that are already screened and verified for you. More often than not if you are cold calling – which had been and at times still is the accepted practice – you do not know if the prospects are actually ready to buy. This is why so many people decide that they are going to get their Medicare Leads from Senior Marketing. instead of anywhere else. For the most part the leads lists that insurance agents get from Senior Marketing are better than anything else. The fact that Company goes the distance to make sure that the leads that they provide to agents are as current as possible. They also go the distance to make sure that those prospects are as well qualified and able to buy as possible. There is nothing more frustrating than calling on a prospect and finding out that they are not in the position to buy and/or simply do not want to be bothered. Think about this for a little while if you would; which is better for you, preset appointments that you know are ready to hear what you have to say or cold calling? Most insurance agents would prefer to have preset appointments to call on for so many reasons. The first and foremost being that they are not wasting their time or the prospect’s when they call. Another reason is that they know that those whose names appear on those lists are already aware of the products that they want to talk about. When it comes to Medicare Leads lists it is always more helpful when you know that those you want to call on are actually in the mood and position to buy. What is the point of calling on someone when you do not know what their personal and financial situation happens to be? That frustration is not something that you really need to have to deal with. This is precisely the reason that so many people choose Senior Marketing’s services. Let’s take a look at the many other thoughts that may be occurring to you when you are considering using Senior Marketing for your leads in this area. One of the major thoughts has already been discussed; eliminating the frustrations. Having the assurance that the leads that you are given are yours and yours alone is also a good thing that many insurance agents value. Having to share leads lists is not exactly something that many insurance agents are too thrilled about, for obvious reasons to be sure! When you are looking at the prospect of having to do cold calling it can be rather daunting no matter how you look at it. It is these Medicare Leads that make the difference. Call toll free to order quality Medicare Leads: 1-877-949-8777 Medicare Leads and Turning 65 Leads are great source for insurance agent to generate extra income. Visit us: http://www.medicare-
Source: prlog.org

Medicare Supplement Leads Review

Be CAREFUL with Precise Leads!!!! Their leads are NOT CMS compliant, will get you in trouble and they will NOT refund you your money. I was contacted by Precise Leads and their pitch was very good. I asked if they called and confirmed with the clients that we could contact them and they promised that the only leads that were supplied to us were leads where they had actually signatures and/or voice recordings by the Medicare Eligibles allowing us to contact them. I decided to try them out and gave them an initial amount of $300.00. When I got the first batch of leads from them, none of the individuals that I contacted stated that they had agreed to be contacted by me or any other agent, a CLEAR violation of CMS guidelines. I stopped calling the leads immediately and addressed my concerns with Precise Leads. I asked for confirmation that they had permission from the Medicare Eligibles and they wouldn’t provide it to me, so I told them that I did NOT want to continue and for them to refund me my money. They said that they have a no refund policy and instead, they would continue to provide me leads until my $300.00 ran out. WHY would I want leads that I am afraid to call on? This company is a scam and everyone should run away from them as far as possible. DO NOT GIVE THEM ANY MONEY AND DO NOT USE THEM!!! IT IS YOUR LICENSE ON THE LINE, NOT THEIRS, SINCE THEY DON’T EVEN HAVE A LICENSE. They have not sent me any more leads but they have also not refunded me my money either.
Source: insurance-forums.net

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August 30, 2013

MedicareBob’s Blog: Humboldt County Nevada Medicare Supplement Quotes

Posted by:  :  Category: Medicare

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The three most comprehensive Medicare Supplement Plans are: Medicare Supplement Plan F: Full Coverage Medicare Supplement Plan G: Small Deductible ($147.00) Medicare Supplement N: Small Deductible & Copays (Part B Excess
Source: blogspot.com

Video: Nevada Medigap aka Medicare Supplementary Insurance

Humboldt County Nevada Medicare Supplement Quotes

Tagged With: AARP Supplement, Aetna Supplement, Aflac Supplement, Best Supplement, Cheapest Premium, Cigna Supplement, Humboldt County Nevada, Humboldt County Nevada Cheapest Medicare supplement rates, Humboldt County Nevada cost effective Medicare supplement rates, Humboldt County Nevada Medicare, Humboldt County Nevada Medicare Supplement Quotes, Humboldt County Nevada Medicare Supplements, Humboldt Medicare Agent, Humboldt Medicare Supplement Quotes, Humboldt Nevada supplement quotes, Lowest premium, Medicare, Medicare Health Insurance, Medicare Supplements Plans, MedicareBob, Medigap, Mutual of Omaha Supplement, Nevada Medicare, Plan F, Plan G, Plan N, Related:srhealthcaredirect.com, Robert Bache, United Healthcare Supplement, “Medicare *Supplement* Savings”
Source: srhealthcaredirect.com

How the Health Care Law is Making a Difference for Nevadans

As a result of historic investments through the health care law and the Recovery Act, the numbers of clinicians in the National Health Service Corps are at all-time highs with nearly 10,000 Corps clinicians providing care to more than 10.4 million people who live in rural, urban, and frontier communities.  The National Health Service Corps repays educational loans and provides scholarships to primary care physicians, dentists, nurse practitioners, physician assistants, behavioral health providers, and other primary care providers who practice in areas of the country that have too few health care professionals to serve the people who live there.  As of September 30, 2012, there were 36 Corps clinicians providing primary care services in Nevada, compared to 12 in 2008.
Source: wordpress.com

Federal Gov’t. Moves Against Nevada Hospital For Alleged Patient Dumping

The Associated Press/Washington Post: Federal Government Demands Answers From Nevada Psychiatric Hospital Accused Of Busing Patients The federal agency that oversees Medicaid and Medicare compliance has put Nevada on notice of “serious deficiencies” at a Las Vegas psychiatric hospital following reports of patients being improperly discharged. A letter Thursday from the Centers for Medicare and Medicaid Services, first reported by The Sacramento Bee and obtained Friday by The Associated Press, gave Nevada 10 days to correct problems in its mental health discharge policies at Rawson-Neal Psychiatric Hospital or risk the loss of federal funding, potentially tens of millions of dollars (4/26).
Source: kaiserhealthnews.org

Affordable Care Act in Nevada

How will the ACA affect Medicare? The ACA includes one significant improvement, but makes Medicare a target for spending cuts. Under the ACA, the infamous “donut hole” in Medicare’s prescription drug coverage will be slowly phased out and will close in 2020. Seniors are wondering who is going to pay for the ACA. According to the Congressional Budget Office, hundreds of billions of dollars in funding for ACA will be generated by cuts in Medicare’s budget over the next decade. The biggest spending cuts will come in reduced number of plans available, reduced benefits in the Medicare Advantage program, and reduced payment rates to doctors who care for Medicare patients. Perhaps of more concern for seniors is the presidential commission called the Independent Payment Advisory Board. This board will be given significant power to cut Medicare spending in the future because its decisions will automatically take effect unless counteracted by Congress.
Source: elderlawnv.com

Keeping Medicare Strong for All Generations

 “As Medicare continues to provide access to health care for millions of seniors and those with disabilities, AARP is celebrating its 48 successful years and advocating for responsible, commonsense solutions that will strengthen the program by lowering drug costs, improving care coordination and cracking down on over-testing, waste and fraud. Nearly 50 million Americans—15 percent of the nation’s population, and growing—depend on Medicare for health security which is why AARP will continue our work to ensure that it is there for current and future generations.
Source: aarp.org

Medicare and Medicaid For Senior Citizens by David Crumrine

This entry was posted in Articles and tagged article source, citizen, citizens age, deductibles, ely, eve, ezine, flu shots, fri, health insurance, home health care, hospital insurance, Inc, insurance policy, least five years, lifetimes, medical insurance, medicare, medicare coverage, medicare part a and part b, medicare part b, medicare supplemental insurance, mp, preventative services, private insurance companies, senior, senior citizen, senior citizens, skilled nursing facility, target, time, traditional medicare, wh. Bookmark the permalink.
Source: nvseniorguide.com

Nevada doctor shortages likely to get worse

“Any growth during the last decade in the number of licensees in medicine … have been insufficient to meet population growth and demand,” said Larry Matheis, executive director of the Nevada State Medical Association. “The shortages are affecting availability of specialty care in Medicaid and Medicare and primary care all around. The expanded coverage coming in 2014-2015 will surely exacerbate this.” Under the federal healthcare law, Nevada’s Medicaid enrollments are projected to swell from 313,000 to about 490,000 by 2015. The increasing caseloads include people who currently are eligible but not enrolled, and those who are expected to sign up as eligibility thresholds are expanded to meet a mandate to have health insurance. “With national work shortages, it’s not likely that Nevada can recruit to fill our needs,” Matheis said. Recruiting has always been an ongoing challenge in Nevada’s rural areas, said Kerry Ann Aguirre, director of business development at Northeastern Nevada Regional Hospital, a 45-bed facility in Elko. “We’re always trying to recruit, she said. “It’s just very, very difficult to keep physicians in the rural communities. It’s a nice community but they’re not really wanting to settle into the rurals.” Aguirre agreed that implementing the Affordable Care Act will bring new challenges. “It’s interesting because the ACA was passed to increase access to healthcare while reducing costs. But in the rurals, that means there’s a decrease in payments to physicians and hospitals” because of reduced rates. “That means they’re going to be pressed to keep their practices open,” Aguirre said. Another downside is that without enough primary care doctors, more patients will turn to hospital emergency rooms, where care is more expensive. “It does no good for a patient to come through an emergency room and then have no primary care physicians to follow up with,” she said. Nevada, like other states, is taking small steps to try to address the need. Lawmakers approved and Gov. Brian Sandoval signed AB228, permitting a doctor licensed in another state to provide voluntary healthcare in Nevada. Another measure, AB170, expands the role of advanced practice registered nurses. Under the bill, nurses with advanced degrees can practice medicine and prescribe drugs without a collaborating physician. “I do anticipate we will see increased access developing in Nevada over the next two years,” said Taynin Kopanos, vice president of state government affairs with the American Association of Nurse Practitioners. There are roughly 800 nurse practitioners in Nevada, which, when the law takes effect July 1, becomes the 17th state to provide full and direct access to such advance nurse practices. Matheis said he doesn’t expect the new law will have an immediate effect on easing Nevada’s health provider shortage. “This doesn’t actually fill the shortage,” he said. “In an immediate sense, it doesn’t add a single nurse into the system.” But Kopanos said Arizona, which expanded the practice of nurse practitioners in 2001, saw a 73 percent increase in the number of nurses practicing in rural areas within five years. Nevada joins 16 other states and the District of Columbia to allow advanced registered nurses to practice on their own.
Source: modernhealthcare.com

Medicare Eligible | Insurance Concepts of Nevada

As a senior, you are eligible for Medicare coverage. There has been a lot of media coverage on the new Medicare Part D plans as well as Medicare supplement plans, all of which are portrayed as complicated and confusing. We are experts in Senior services and we can help you decipher the different options and help you chose the plan that is right for you.
Source: insuranceconceptsofnevada.com

NewsDaily: U.S. agency moves against Nevada hospital cited for "patient dumping"

The letter said a March compliance survey, which remains confidential, “reported serious deficiencies” in discharge planning and governance. Rawson-Neal has until May 6 to furnish a plan to remedy the problems or face further actions to terminate its Medicare provider agreement, the letter said.
Source: newsdaily.com

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August 30, 2013

H.R.2619: Medicare Respiratory Therapist Access Act of 2013

Posted by:  :  Category: Medicare

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Official: To amend title XVIII of the Social Security Act to provide for Medicare coverage of pulmonary self-management education and training services furnished by a qualified respiratory therapist in a physician practice. as introduced.
Source: opencongress.org

Video: Medicare Supplement Insurance Statesboro Ga Call Now 912-764-1146

Georgia, South Carolina not expanding Medicaid

“For the provisions of the Affordable Care Act related to health insurance coverage, CBO and JCT’s latest estimates are quite similar to the estimates we released when the legislation was being considered in March 2010. The following figure shows CBO and JCT’s projections of the effects of the ACA on the number of people who will be uninsured or will receive insurance coverage through employer-sponsored insurance (ESI), insurance exchanges, or Medicaid or the Children’s Health Insurance Program (CHIP). Although the latest projections extend the original ones by three years (corresponding to the shift in the regular 10-year projection period since the ACA was first being developed), the projections for each given year have changed little, on net, since March 2010.”
Source: augusta.com

Augusta needs Medicaid expansion, and so does Georgia

This idea that a 2% increase in our budget…and consequently an increase in OUR taxes…..is okay is the kind of thinking that is killing those of us who PAY the taxes. “Oh, it will create jobs” is always the answer but somehow it never does, and the welfare, SSI, food stamp, and Medicaid rolls keep growing because we keep offering them a better deal. Meanwhile the taxPAYERS are stuck with the 2% increase for this, and a 4.9% increase for that, and a sales tax increase for the roads, and, if you actually PAY you medical bills a 3% increase on your medical devices. This line of thinking that federal or state budget increases, more taxes, and more spending on give away programs are somehow good for the economy….good for the taxpayer…..is simply crap. Everyone, even the Democrats and the CBO, are already admitting that Obamacare is a BUST at controlling or lowering the cost of medical care. They already know that the federal government is not going to be able to afford even the 90% that they promised and many of the states know that they cannot afford the 10% and that the feds will most likely figure out how to get out of paying their 90%.
Source: augusta.com

Reimbursing Medicare; statute of limitations clarified

The SMART Act which becomes affective on October 10, 2013, clarifies the uncertainty surrounding the statute of limitations governing MSP claims, establishing a three-year statute of limitations from the date of notice of a settlement, judgment, award, or payment. Prior to the SMART ACT, it was unclear whether the government had three or six years within which to bring a recovery action. For example, in United States v. Stricker, No. 9-2423 (N.D. Al. filed Dec. 1, 2009), the court looked to the statute of limitations in the Federal Claims Collection Act, 28 U.S.C. § 2415, and applied the three-year statute of limitations for tort claims against corporate defendants and the six-year statute of limitations for contract claims brought against attorneys who represented claimants in the underlying tort litigation. The statute of limitations applies to actions brought and penalties sought on or after six (6) months from January 10, 2013, the date of enactment.
Source: warnerrobinspersonalinjuryblog.com

Requirements for Medicare Eligibility Georgia

The amount of your medical bills and maintaining your health can be overwhelming.  This is why, as people reach the age of 65 and starts to retire they have to consider how they are going to pay these medical expenses.  Medicare is a government program which helps senior citizens in covering for their health care costs.  However, there are certain requirements for Medicare Eligibility Georgia.  People who are 65 and older are not the only ones who can qualify for Medicare.  Medicare is also available to people who are below 65 years old provided that they have certain disabilities or if they are suffering from kidney failure.  Since different people have different financial and medical needs then it is very important that you choose the health insurance plan that can work best for you.
Source: gamedicareplans.com

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

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

Why Congress Should Pass The Accuracy In Medicare Physician Payment Act

It won’t be easy. In January of this year, a federal appeals court upheld a lower court ruling, rejecting a legal challenge by six Augusta, GA primary care physicians to CMS’ longstanding reliance on the RUC to determine the relative value of medical procedures. The core of the physicians’ argument was that the RUC is a “de facto” federal advisory committee and therefore subject to the common interest rules associated with the Federal Advisory Committee Act (FACA). FACA requires, for example, that a panel’s composition , say of medical specialists, reflects their distribution in the real world. It also requires that applied scientific methods are credible and that proceedings are conducted transparently.
Source: brianklepper.info

Medicare issue flips N.Y. congressional seat

Of course, all the usual caveats apply: It’s a long time to November 2012; this is just one special election; special elections offer voters relatively cost-free opportunities to cast protest ballots; and such elections aren’t always a good guide to the future. But some of them are. Scott Brown’s victory in January 2010 in Massachusetts was a harbinger of the big Republican gains that came in November. Brown ran against the Democratic health-care plan. Hochul ran against the Republican Medicare plan. Brown mobilized angry conservatives and restive moderates. Hochul mobilized angry progressives and restive moderates.
Source: gareport.com

Daily Kos: Suspect in yesterday’s school shooting in GA had threatened to shoot his brother in December

According to several of Hill’s acquaintances, Hill has had mental issues for a long time–as early as age 13, according to Timothy.  He reportedly suffers from both bipolar disorder and ADD.  He’s had to take so many medicines that by Timothy Hill’s account, his medicine cabinet is a mini-pharmacy.  Natasha Knotts, a woman who’s been helping him for some time and considers herself his adoptive mother, says that Hill’s Medicaid ran out some time ago, and he hasn’t been able to get his medicines.  Hill admitted to arresting officers that he was on medication, but hadn’t been taking it.
Source: dailykos.com

State Highlights: Ga. Ponders Higher Health Plan Rates For Employees

Oregonian: Oregon’s Home Health Care Industry Faces Major Federal Cuts; Access Cited Home health care providers in Oregon and their allies say their industry is in a bind. The state’s rural home health providers don’t make as much as they should from serving Medicare patients, and the state’s providers overall are slated for an even bigger hit next year, according to the industry’s advocates and allies in Congress. Last week, Oregon’s Congressional delegation signed a letter to Marilyn Tavenner, administrator of the Center for Medicare and Medicaid Services, asking her to adjust the 2013 reimbursement rates for the state’s rural home health providers, saying unusually low wages at one rural hospital in Coos Bay had unfairly brought down the wage index used to set federal reimbursement the entire state’s rural home health sector — amounting to a six percent cut (Budnick, 6/13).
Source: kaiserhealthnews.org

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August 30, 2013

corrupt nyc, ny: AETNA, CIGNA, HIP, OXFORD, TOUCHSTONE, UHC HMO ASK DR. FAGELMAN IS IT OKAY FOR DELITA HOOKS HIS RECEPTIONIST OFFICE MANAGER TO PUNCH A PATIENT?

Posted by:  :  Category: Medicare

Painful to see Dr Andrew Fagelman who paid Delita Hooks and did not fire her has a page with NYU Langone….. Dr Andrew Fagelman did not fire Delita Hooks and my MD that shared the office demanded she be fired.  Delita Hooks attacked me as I help my bags rather than close the door but first she verbally assaulted me telling me I have no rights for asking would you consider paper cups instead of styrofoam it is better for the environment. In my opinion corrupt NYPD detectives fixed this violent crime despite Delita Hooks threatening me with bodily harm.  She walked in the day after me and filed a false cross complaint yet another crime lying and blaming the patient that would be me. Why did the NYPD fix this? Why?  
Source: blogspot.com

Video: United Healthcare Oxford Medicare Advantage Denies Coverage

Medicare Supplimental Insurance

When you use a service to get Medicare Supplimental Insurance, you simply need to type in details such as your age and gender into a form.  The policy figures from all the different providers will be made available to you so you can compare them.  You will have the ability to pick out the policies that are meet your needs and that you can pay comfortably.
Source: oxfordhealthplan.net

Aetna vs. Oxford Life Insurance Company

Founded in 1965 in Arizona, Oxford Life Insurance company specializes in insurance products for the senior adult market. After the first 32 years in business, Oxford acquired a Wisconsin-based insurance company, Encore Financial, in its effort to enter the Medicare supplement market. Another step was taken in 2000 to broaden the company’s reach into the world of Medicare supplements when it acquired Christian Fidelity Life Insurance Company. Each company acquisition was intended to increase the experience level of the company, which now stands at 50 years in the Medical supplement market.
Source: insuranceproviders.com

United Healthcare Oxford Medicare Advantage Denies Coverage

ABC NEWS/GOOD MORNING AMERICA: Senior With Fractured Back Battles UnitedHealthcare Oxford Health Insurance Company Medicare Advantage Plan GMA segment shows UnitedHealthcare/Oxford’s Medicare Advantage Plan would not authorize woman’s care due to alleged age discrimination. Audit shows Medicare Advantage providers with backlogs of unanswered patient complaints, plans that improperly denied claims, and concerns about marketing practices which do not follow government guidelines.
Source: myinsurancehaven.com

United Healthcare Oxford Medicare Advantage Denies Coverage

barack Baton Rouge BCBSLA bill blue cross Care congress democrats Drugs for government health Health care Healthcare Healthcare costs Healthcare Reform health care reform health insurance Health Insurance Louisiana health reform house insurance Louisiana Louisiana health care Louisiana Healthcare Louisiana Healthcare Plans medical New Orleans news obama obamacare online prescriptions option politics Prescription prescription drug prices president public reform republican senate Shreveport Supplements the video
Source: louisianahealthcareplans.com

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August 30, 2013

2012 Medicare Deductibles and Premiums: Is This the Year You'll Collect Deductibles at Time of Service?

Posted by:  :  Category: Medicare

The largest factor affecting the contingency margin for 2012 is the current law formula for physician fees, which will result in a payment reduction of about 29 percent in 2012.  For each year from 2003 through 2011, Congress has acted to prevent smaller physician fee reductions from occurring. The 2012 reduction is almost certain to be overridden by legislation enacted after Part B financing has been set for 2012. In recognition of the strong possibility of increases in Part B expenditures that would result from similar legislation to override the decrease in physician fees in 2012, it is appropriate to maintain a significantly larger Part B contingency reserve than would otherwise be necessary.  The asset level projected for the end of 2012 is adequate to accommodate this contingenIn 2012, Social Security monthly payments to enrollees will increase by 3.6 percent.    The dollar increase in benefit checks is expected to be large enough on average to cover the increase in the Part B premium of $3.50 that most beneficiaries will experience. For those who were paying the standard premium of $115.40, their benefits checks will only increase.
Source: managemypractice.com

Video: The Early Show – Medicare premiums up less than expected

Letter to Ways & Means Committee re: Cost Sharing Proposals 

[3] Kaiser Family Foundation, “How Does the Benefit Value of Medicare Compare to the Benefit Value of Typical Large Employer Plans?” (April 2012) [4] National Association of Insurance Commissioners, “Medigap PPACA (B) Subgroup, Cost-sharing Research and Literature” (as of June 2011); Katherine Swartz, “Cost-Sharing: Effects on Spending and Outcomes” (December 2010), Robert Wood Johnson Foundation Research Synthesis Report No. 20 [5] Under the plan circulated by the Subcommittee, income-related premiums would be restructured as follows: premiums would increase within income brackets; four additional income brackets would be introduced, moving from five to nine brackets; and starting in 2017 income thresholds would be frozen until one in four Medicare beneficiaries paid income-related Part B and D premiums. [6] See LCAO Issue Brief: “Further Income-Relating (Means Testing) Medicare Premiums Would Shift More Costs Onto the Middle Class” (January 2013) [7] Under the plan circulated by the Subcommittee, the Part B deductible would be increased as follows: $25 would be added to the Part B deductible in 2017, 2019 and 2021 for new beneficiaries. This policy would create two beneficiary cohorts, those with unchanged deductibles and those with higher deductibles based on the year of Part B enrollment. income on health care and are most at risk. This is, in part, because the Medicare low-income protection programs are inadequate and need to be improved. The additional upfront costs of a higher Part B deductible for physician visits and other outpatient services will make necessary care unaffordable, leading some beneficiaries to forgo needed care altogether. Faced with a higher deductible, some people with Medicare will have no choice but to self-ration needed care or other basic needs, like food or heating.
Source: medicareadvocacy.org

Dialysis costs challenge Medicare budget

But at the same time, Swaminathan notes, history teaches that Medicare has encountered costs it could not predict or prevent, and there is no consensus about what level of hemoglobin (a metric of anemia and therefore of treatment performance) is right for ESRD patients. Without clear quality goals, bundled payments could drive providers to under-treat patients and that could create more costs elsewhere in the system.
Source: futurity.org

How to Transform Medicare into a Modern Premium Support System

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

How The Other Washington May Hold The Key To The Medicare Cost Crisis

Yet when it comes to setting Medicare coverage policy, relatively few decisions are actually made in Washington, D.C. The Centers for Medicare and Medicaid Services administers the program, but the nuts-and-bolts processes of running the program, including making coverage decisions and paying claims, are performed mostly by private insurance companies that contract with the federal government. Each year, Medicare does institute a dozen or more “national coverage decisions,” often on high-profile or costly procedures. Other procedures are subject to so-called local coverage determinations by the regional insurance contract adminstrators. The result is a fragmented program in which a procedure Medicare pays for in New York is not necessarily covered in Kansas.
Source: kaiserhealthnews.org

The other Washington could hold the key to Medicare's cost crisis

 But in Washington state, which is known for its progressive politics, the measure, requested by former Democratic Gov. Christine Gregoire, sailed through the legislature, albeit with an appeals process amendment the governor vetoed. “Medicare should be doing this, but it gets rolled by the Congress,” said Dr. Robert Berenson, a health policy expert at the Urban Institute and former commissioner of the Medicare Payment Advisory Commission (MEDPAC), an independent agency that advises Congress on issues affecting Medicare. Berenson pointed to several high-profile examples of Congress meddling with coverage policy, including the case of the late Sen. Ted Stevens of Alaska, who at the behest of the PET scan industry almost single-handedly forced Medicare to cover the scan as a test for Alzheimer’s, a policy that existing science did not support.
Source: publicintegrity.org

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August 30, 2013

MedicareBob’s Blog: Humboldt County Nevada Medicare Supplement Quotes

Posted by:  :  Category: Medicare

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The three most comprehensive Medicare Supplement Plans are: Medicare Supplement Plan F: Full Coverage Medicare Supplement Plan G: Small Deductible ($147.00) Medicare Supplement N: Small Deductible & Copays (Part B Excess
Source: blogspot.com

Video: Nevada Medigap aka Medicare Supplementary Insurance

Humboldt County Nevada Medicare Supplement Quotes

Tagged With: AARP Supplement, Aetna Supplement, Aflac Supplement, Best Supplement, Cheapest Premium, Cigna Supplement, Humboldt County Nevada, Humboldt County Nevada Cheapest Medicare supplement rates, Humboldt County Nevada cost effective Medicare supplement rates, Humboldt County Nevada Medicare, Humboldt County Nevada Medicare Supplement Quotes, Humboldt County Nevada Medicare Supplements, Humboldt Medicare Agent, Humboldt Medicare Supplement Quotes, Humboldt Nevada supplement quotes, Lowest premium, Medicare, Medicare Health Insurance, Medicare Supplements Plans, MedicareBob, Medigap, Mutual of Omaha Supplement, Nevada Medicare, Plan F, Plan G, Plan N, Related:srhealthcaredirect.com, Robert Bache, United Healthcare Supplement, “Medicare *Supplement* Savings”
Source: srhealthcaredirect.com

How the Health Care Law is Making a Difference for Nevadans

As a result of historic investments through the health care law and the Recovery Act, the numbers of clinicians in the National Health Service Corps are at all-time highs with nearly 10,000 Corps clinicians providing care to more than 10.4 million people who live in rural, urban, and frontier communities.  The National Health Service Corps repays educational loans and provides scholarships to primary care physicians, dentists, nurse practitioners, physician assistants, behavioral health providers, and other primary care providers who practice in areas of the country that have too few health care professionals to serve the people who live there.  As of September 30, 2012, there were 36 Corps clinicians providing primary care services in Nevada, compared to 12 in 2008.
Source: wordpress.com

Federal Gov’t. Moves Against Nevada Hospital For Alleged Patient Dumping

The Associated Press/Washington Post: Federal Government Demands Answers From Nevada Psychiatric Hospital Accused Of Busing Patients The federal agency that oversees Medicaid and Medicare compliance has put Nevada on notice of “serious deficiencies” at a Las Vegas psychiatric hospital following reports of patients being improperly discharged. A letter Thursday from the Centers for Medicare and Medicaid Services, first reported by The Sacramento Bee and obtained Friday by The Associated Press, gave Nevada 10 days to correct problems in its mental health discharge policies at Rawson-Neal Psychiatric Hospital or risk the loss of federal funding, potentially tens of millions of dollars (4/26).
Source: kaiserhealthnews.org

Affordable Care Act in Nevada

How will the ACA affect Medicare? The ACA includes one significant improvement, but makes Medicare a target for spending cuts. Under the ACA, the infamous “donut hole” in Medicare’s prescription drug coverage will be slowly phased out and will close in 2020. Seniors are wondering who is going to pay for the ACA. According to the Congressional Budget Office, hundreds of billions of dollars in funding for ACA will be generated by cuts in Medicare’s budget over the next decade. The biggest spending cuts will come in reduced number of plans available, reduced benefits in the Medicare Advantage program, and reduced payment rates to doctors who care for Medicare patients. Perhaps of more concern for seniors is the presidential commission called the Independent Payment Advisory Board. This board will be given significant power to cut Medicare spending in the future because its decisions will automatically take effect unless counteracted by Congress.
Source: elderlawnv.com

Medicare and Medicaid For Senior Citizens by David Crumrine

This entry was posted in Articles and tagged article source, citizen, citizens age, deductibles, ely, eve, ezine, flu shots, fri, health insurance, home health care, hospital insurance, Inc, insurance policy, least five years, lifetimes, medical insurance, medicare, medicare coverage, medicare part a and part b, medicare part b, medicare supplemental insurance, mp, preventative services, private insurance companies, senior, senior citizen, senior citizens, skilled nursing facility, target, time, traditional medicare, wh. Bookmark the permalink.
Source: nvseniorguide.com

Keeping Medicare Strong for All Generations

 “As Medicare continues to provide access to health care for millions of seniors and those with disabilities, AARP is celebrating its 48 successful years and advocating for responsible, commonsense solutions that will strengthen the program by lowering drug costs, improving care coordination and cracking down on over-testing, waste and fraud. Nearly 50 million Americans—15 percent of the nation’s population, and growing—depend on Medicare for health security which is why AARP will continue our work to ensure that it is there for current and future generations.
Source: aarp.org

Medicare Eligible | Insurance Concepts of Nevada

As a senior, you are eligible for Medicare coverage. There has been a lot of media coverage on the new Medicare Part D plans as well as Medicare supplement plans, all of which are portrayed as complicated and confusing. We are experts in Senior services and we can help you decipher the different options and help you chose the plan that is right for you.
Source: insuranceconceptsofnevada.com

Make a difference! Volunteer with AARP Nevada

Community Events Team/Community Ambassadors Would you like to help staff AARP exhibit booths around the community? Or work with your local senior or community center to provide AARP publications and resources to them? These volunteers pick up resources at the state office, help set-up at events, staff the AARP exhibit table, help clean-up, and return leftover resources to the state office. Some of these volunteers monitor and supply AARP publications to specific community locations. Volunteers must have knowledge of AARP resources and/or up to date issue talking points. Volunteers will work closely with Community Event Volunteer Lead and staff. Volunteers will be provided with issue-specific training to engage with the public and members.
Source: aarp.org

Nevada doctor shortages likely to get worse

“Any growth during the last decade in the number of licensees in medicine … have been insufficient to meet population growth and demand,” said Larry Matheis, executive director of the Nevada State Medical Association. “The shortages are affecting availability of specialty care in Medicaid and Medicare and primary care all around. The expanded coverage coming in 2014-2015 will surely exacerbate this.” Under the federal healthcare law, Nevada’s Medicaid enrollments are projected to swell from 313,000 to about 490,000 by 2015. The increasing caseloads include people who currently are eligible but not enrolled, and those who are expected to sign up as eligibility thresholds are expanded to meet a mandate to have health insurance. “With national work shortages, it’s not likely that Nevada can recruit to fill our needs,” Matheis said. Recruiting has always been an ongoing challenge in Nevada’s rural areas, said Kerry Ann Aguirre, director of business development at Northeastern Nevada Regional Hospital, a 45-bed facility in Elko. “We’re always trying to recruit, she said. “It’s just very, very difficult to keep physicians in the rural communities. It’s a nice community but they’re not really wanting to settle into the rurals.” Aguirre agreed that implementing the Affordable Care Act will bring new challenges. “It’s interesting because the ACA was passed to increase access to healthcare while reducing costs. But in the rurals, that means there’s a decrease in payments to physicians and hospitals” because of reduced rates. “That means they’re going to be pressed to keep their practices open,” Aguirre said. Another downside is that without enough primary care doctors, more patients will turn to hospital emergency rooms, where care is more expensive. “It does no good for a patient to come through an emergency room and then have no primary care physicians to follow up with,” she said. Nevada, like other states, is taking small steps to try to address the need. Lawmakers approved and Gov. Brian Sandoval signed AB228, permitting a doctor licensed in another state to provide voluntary healthcare in Nevada. Another measure, AB170, expands the role of advanced practice registered nurses. Under the bill, nurses with advanced degrees can practice medicine and prescribe drugs without a collaborating physician. “I do anticipate we will see increased access developing in Nevada over the next two years,” said Taynin Kopanos, vice president of state government affairs with the American Association of Nurse Practitioners. There are roughly 800 nurse practitioners in Nevada, which, when the law takes effect July 1, becomes the 17th state to provide full and direct access to such advance nurse practices. Matheis said he doesn’t expect the new law will have an immediate effect on easing Nevada’s health provider shortage. “This doesn’t actually fill the shortage,” he said. “In an immediate sense, it doesn’t add a single nurse into the system.” But Kopanos said Arizona, which expanded the practice of nurse practitioners in 2001, saw a 73 percent increase in the number of nurses practicing in rural areas within five years. Nevada joins 16 other states and the District of Columbia to allow advanced registered nurses to practice on their own.
Source: modernhealthcare.com

Medicare announces 106 ACOs in Jan, one in Nevada

Accountable care, was among a few policies in health reform law that seek to more closely tie payment to performance.  ACOs must meet quality standards and CMS has established 33 quality measures on things like care coordination and appropriate use of preventive health services.  CMS provides two incentive options under the shared savings program and some critics contend that the incentives aren’t adequate.
Source: iitlv.com

Feds Crack Down On Nevada Over Alleged ‘Patient Dumping’ Into California

Earlier this week, Nevada Gov. Brian Sandoval said his administration launched three separate investigations after he learned of the Brown case. He said disciplinary actions were taken and a new policy was implemented to strengthen oversight. The state now requires two physicians instead of one to sign a discharge order for patients, and the decision must be approved by a hospital administrator.
Source: cbslocal.com

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August 30, 2013

WellCare of Kentucky’s oral health initiatives yield positive results for Medicaid members

Posted by:  :  Category: Medicare

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Since November 2011, when the company began serving the state’s Medicaid population, WellCare of Kentucky’s oral health initiatives increased the number of WellCare dental providers by 114 percent, expanded the network into 12 additional counties and grew the number of WellCare provider locations by 67 percent. WellCare also added specialists for periodontics, and oral and maxillofacial pathology to its dental network.
Source: medbill.net

Video: Kentucky Medicare Supplements

Kentucky Academy of Family Physicians

FRANKFORT, Ky. (March 29, 2013) The Department for Medicaid Services (DMS) is encouraging more than 3,300 eligible primary care providers to sign up now to receive enhanced Medicaid reimbursement rates for primary care services retroactive beginning Jan. 1, 2013. The enhanced payments are estimated to mean an additional $65 million per year statewide and are part of Affordable Health Care Act changes designed to ensure preventive services are easy for Medicaid recipients and others to access.
Source: kafp.org

Kentucky Joins Tennessee in Doing the “Right Thing”

But here’s the rub. The lives of thousands of Elders are being impacted by the unwarranted prescription of antipsychotic drugs every day, every moment.  There are countless stories of people “coming to life” when medication use is optimized, rather than maximized.  So, we don’t have time to stay in our comfort zone any longer.  The time has come for us to take the leap and learn new ways to identify the unmet needs of individuals living with dementia.
Source: changingaging.org

New And Improved! ‘Keep Your Government Hands Off My Medicare,’ 2013 Edition

This means it’s entirely possible that, even as people start signing up for Obamacare, the program won’t get much more popular at all, something Democrats have roundly expected. “If the ACA works as its sponsors hope, quite a lot of people — maybe the majority — who get their insurance from the exchanges will tell you that, no, they have private insurance,” Bernstein wrote recently in the American Prospect.  ”They aren’t getting anything from Obamacare.”
Source: thenewcivilrightsmovement.com

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