Key Things to Know About Buying Medicare Supplemental Insurance

Posted by:  :  Category: Medicare

Additional benefits vary according to the plan selected. These benefits include a set amount of coverage for skilled nursing facility charges up to 100 days, and coverage of certain Medicare Part A deductible charges. Since 2006, Medicare Supplemental Insurance plans do not include prescription drug coverage as part of their benefits, and individuals requiring such coverage should investigate joining a Medicare Part D Prescription Drug Plan. Individuals should also be aware that Medigap plans generally do not cover such costs as private-duty nurses, dental or eye care, eyeglasses, hearing aids or long-term nursing care costs. Consider switching over to a Medigap Advantage Plan if prescription drug coverage is required.
Source: weatheringthefinancialstorm.org

Video: Introduction into Medicare Supplements (Medicare Supplement Insurance Series)

Understanding Medicare Supplemental Insurance

Medicare supplemental insurance is sold by private companies like AARP and Mutual of Omaha. There are 11 standard plans that vary in price. Each plan fills different “gaps” in Medicare coverage and offers different benefits. Customers can choose only one of these plans. Medigap plan F is the one most often chosen because it fills nearly all of the coverage gaps. If your spouse wants Medigap insurance, he or she will need to purchase a separate policy. Depending on what plan you choose, Medicare supplemental insurance may cover the cost of:
Source: terrencemalick.org

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

Medigap Insurance Policies

4. If you are presently part of a Medicare Advantage Plan, you will need to leave it before the Medigap policy can begin. You can buy your Medigap policy before your Medicare Advantage Plan ends and ask that Medigap begins to cover you as soon as your Medicare Advantage Plan ends. This way, you will not have a gap in your insurance coverage.
Source: mikeworksforme.com

FAQ: Seniors May See Changes in Medigap Policies

Advocacy groups like the Medicare Rights Center oppose restricting Medigap plans, saying it would simply shift more costs from the government to elderly and low-income people who can least afford it. “Some in government feel people in Medicare don’t have enough ‘skin in the game,’” says Ilene Stein, federal policy director for the center. In fact, she says, people on Medicare already pay 15 percent of their incomes for health care, well above the level paid by non-Medicare households. While the proposals would cap maximum annual spending per enrollee to $5,500 or $7,500, “that’s a lot of money for someone making $22,000,” the median household income for those on Medicare, she says. 
Source: kaiserhealthnews.org

Is Medigap for wealthy people who want more health care?

MedPAC has provided us with the numbers that indicate how patients respond to Medigap incentives. When Medicare beneficiaries elect to purchase Medigap plans, their premiums triple, no matter the status of their health. But look at their out-of-pocket expenses, excluding the premiums. If they are healthy, the out-of-pocket expenses are not much different, whether or not they are enrolled in a Medigap plan. If they are not healthy, the out-of-pocket expenses are quite a bit higher, but still with not much difference between those with and those without a Medigap plan.
Source: pnhp.org

Compare Medicare Supplement Plans Online

One final thing to think about when looking at Medigap coverage is your out-of-pocket limit. This is also something that is going to differ from one policy to another. In most cases, the Medigap policy is going to cover 100% of the services that are necessary once you have reached your annual out-of-pocket limits. This is something that should be considered carefully, especially if the time comes when you need regular care.
Source: thinkitout.net

Bloomfield's News on Money

First of all, it’s important to understand that any Medigap policy which would fall under the Medicare supplement quotes is going to be regulated and standardized by the government. The federal and state laws which are in place are put there to protect you in a variety of different ways. For example, any policy that works along with Medicare must be identified as such and will carry the term “Medicare supplement insurance” along with it. In most states in the United States, the Medigap policies that are available are going to offer the same basic benefits, although there may be additional benefits that are offered under some policies. Those are the things that should be considered when looking for Medicare supplement quotes.
Source: bloomfieldnm.info

Bilboard Online Figure Out How Medigap Plans Supplement Your Medicare

Debridement is a method for ridding the foot of callus foot tissue. This callus cells can include foot tissue with scales, foot tissue via fissures (cracked heels, etc.), corns, arch tissue with lesions on your skin (foot ulcers), keratinized tissue, tyloma, kyperkeratosis or any other hardened or way too thick foot cells. Debridement can make used to lose dead tissue, lost tissue, or infected with the virus tissue (as within case of an foot ulcer). Sometimes a podiatric doctor will remove their callus tissue driving a scalpel or manual cutting power tool. Other times the podiatrist will employ a drill-like piece of equipment that gently aficionados the dead or damaged skin now.
Source: bilbord-online.com

Quality of Health Plan One Medicare Supplement Leads !

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



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 and Medigap Insurance Leads all States in USA

Insurance Success Story : Tufts Medicare Preferred

Before Tufts Medicare Preferred started to use the HubSpot software to assist with their marketing, their main challenges stemmed from generating new leads from a very fragmented website. They needed a way to connect the dots and figure out how users on their website use each of the tools they provided and what they could do to improve their experience. They had no way to track how visitors were navigating their website, nor a great way to capture lead information on each page. As Baby Boomers begin to retire, that core demographic of 65+ individuals are driving more online traffic than ever before, and Tufts Medicare needed new data on how to reach them more effectively.They discovered HubSpot’s end-to-end enterprise marketing software and originally bought because of the ability to quickly create landing pages. They soon realized however, it also provided them with the tools they needed to track visitors and get even more data than they ever thought possible.
Source: hubspot.com

Reviews About Life Insurance Leads Appointments

When trying to use telemarketing for this type of sale, you must be absolutely certain that the people you are calling are eligible for a reverse mortgage. Nothing would be worse than calling someone, presenting information that makes them hopeful, only to find out that they aren’t even close to being qualified for the program. Our company will help you find dependable leads that qualify for the program as well as guarantee quality, Reverse mortgage, Medicare and exclusive life insurance leads. We will set up preset appointments for reverse mortgages, which will increase your sales and commission. Our staff is professional, well trained, and reliable. They utilize a system that will create several hundred, even thousands of leads through interested and eligible senior homeowners. Reverse mortgages help provide seniors with financial benefits and protection and in closing a sale for a reverse mortgage you will benefit as well, with increased profit. Let New Lead® help you by using our proven lead generating techniques that will bring you individualized leads that will result in generating more sales for your company. We understand that, especially with the current senior generation, phone marketing can be very valuable. People do not always embrace technology when they did not grow up with it and using a known means of communication can be invaluable. It is important not to make potential customers feel intimidated by your marketing tactics. We will make sure your potential clients feel comfortable with the sales process and act as a first point of contact to set the stage for your sale. List Leads Our company is U.S. based and has nearly 10 years of experience. Our experience in the Reverse mortgage, Medicare and life insurance leads generation field can be used for your benefit, whether you are a seasoned marketing professional or just starting out. We can help you with your direct mailing lists and telemarketing lists as well. The list will be exclusively yours, improve your sales, and they are available at a competitive and affordable rate. Many companies in our business give clients lists that are extremely generic and will not improve sales. Don’t waste your time or money on this type of service. New Lead® has over 96 percent efficiency in delivering leads for your marketing needs. We use the latest technology now to create customized mailing and telemarketing lead generation for all marketing professionals. We will take in to account any filtering you require and we focus on leads in the health care at home, mortgage, insurance, and real estate markets. If you want to focus on a certain age group, we will use that filter. If you want to only market to homeowners, we can do that also. Just let us know what your target market is and we will help you generate more sales with our leads. We can also emphasis leads in a specific geographical location if that is what you require. Focusing on your local area is excellent to build reputation and focusing on areas you are opening a new office, or do not currently have business, is a very good way to expand your business and at the same time the revenue generated by your company. Don’t limit yourself by using poor quality leads and targeting people that won’t be interested in what your company has to offer. Let us help you optimize your marketing with our one of a kind sales leads for all of your telemarketing and direct mail needs. Simply let us know about your company and the market you are looking for and we will create the list, or lists, that you need to move your company to the next level in the business and profit world.
Source: prlog.org

這是我的部落格,我是懂識漲!!: Insurance: Agents Marketers Article Category

Insurance Agency Websites, Microsites, Minisites and Landing Pages by Alan Blume Everyone knows what an insurance agency website is, but more granular insurance agency web marketing terms such as microsites, minisites, landing pages and squeeze pages may be somewhat of a mystery to many agents and brokers. What’s the difference between these, and why are they an important aspect of your insurance agency marketing? The Federal Government Has Redrawn Flood Maps All Over the US – Insurance Marketing by Lance Winslow The other day, I sat down for dinner with a couple that had an insurance agency in Hawaii. We got on the topic of living on the beach and the threats of Tsunamis and Hurricanes. They of course offered flood insurance at their agency – and it wasn’t cheap to day the least. Recently the Federal Government had in response to Hurricane Sandy redrawn the flood maps, most moved inland quite a ways, miles in some cases. Let’s talk. Effective Insurance Agency Telemarketing Scripts And Appointment Setting – Best Practices by Alan Blume An effective insurance agency telemarketing script is one of the key components in a successful insurance agency lead generation initiative. There are, however, many other important elements to be added to ensure continual, in profile, insurance agency leads. Leveraging eCollateral For Insurance Agency Marketing and Insurance Agency Leads by Alan Blume With so many agencies using web centric communication including personalized emailings, eMarketing campaigns and other web marketing initiatives, eCollateral is, or at least should be used far more often than traditional paper based collateral materials. And, of course, the eCollateral should be tightly integrated into an insurance agency or broker based marketing and lead handling process. Three Fundamental Rationales Behind Indemnity by Martin Swan When venturing into a new investment, it is only right for you to have a few questions. This is the case with insurance as well. Getting insured is not as complicated as it looks. Top Six Insurance Misconceptions To Watch Out For by Martin Swan Have you been thinking about getting insured? If so, you need to be careful while choosing an agency. One of the biggest mistakes people make is to find out about insurance from unofficial sources. Keys to Change and Growth by Lloyd Lofton You train what you know and you reproduce who you are. Growth requires change and we all know the only person who likes change is a wet baby! Learn more about change and growth as you struggle to build your team. Insurance Agency Social Media Marketing Basics by Alan Blume A successful insurance agency social media marketing strategy can begin simply enough by creating or leveraging quality content. In this article, we’ll review the key components of insurance agency social media marketing basics. Insurance Agent Recruiting Firms Speaking on Basics of Indemnity by Caly A. Desuza Insurance Agent Lists firms have enrolled qualified indemnity professionals. Insurance Agent Recruiting firms guide people on ways to crack best deals in indemnity policies. Insurance Agency Websites and Responsive or Adaptive Web Design by Alan Blume There are many types of websites and website platforms available to agents and brokers. These range from simplistic build your own template sites, to HTML/PHP sites, to integrated platforms and one of the best options, open source websites with content management systems. Of course, when it comes to the Internet, the only constant is change, and with the advent of portable devices rapidly becoming a pervasive aspect for Internet searches, agencies must now ensure their website properly formats for all mobile devices, including smart phones, tablets and laptops. There are two main approaches to this implementation challenge, Responsive Web Design and Adaptive Web Design. Effective Tips to Generate Convertible Final Expense Insurance Leads by Joe Robert Ironically, death is expensive in today’s world. Funeral costs run in excess of $10,000. Realizing the financial burden that funerals lay on family members, people prefer to pay their burial costs during their lifetime by buying burial insurance. Tips for Agents to Generate Free Health Insurance Leads by Joe Robert Generating health insurance leads for agents – If you are an agent, you can easily generate health insurance leads if you remain consistently connected to people. An essential feature of developing a long list of quality leads is asking for a referral and expanding your social network. You can achieve this without spending your hard earned money. Generating Medicare Supplement Insurance Leads by Joe Robert Medicare supplement products can be very beneficial towards cutting down on your medical costs. As agents it is crucial to pursue leads effectively and try to convert them to sales. Medicare supplement insurance leads can be generated in a couple of ways. As an agent you can get them from a company that sell these leads and you can start pursuing them at a moments notice. Although, it should be noted that you might not receive much assistance from the company in the form of training and customer services. The other method would be to join a company that generates leads for its agents to sell. Here you are provided with the latest info on all the supplement plans being sold by the company and you also waste less amount of time while pursuing these leads. Aged Health Insurance Leads – Fast and Easy to Get by Joe Robert With the entry of the commission method into the health insurance industry due to health improvement, health insurance agents require every benefit they can obtain to try to boost their monthly salary. Locating insurance leads that give a good return on investment is important. Aged health insurance leads are an option that gives agents with excellent prospects. An Overview of Telemarketed Health Insurance Leads by Joe Robert It is important to make health plans earlier, as we do not know what would happen the next moment. If you are late in making any kind of health plan payment or if you are late in paying one, you are prone to lose the coverage you are to get. These days, the health insurance plans have become more affordable and easy. All About Buying Final Expense Life Insurance Leads by Joe Robert Buying final expense life insurance leads can be beneficial in numerous ways. However, you need to choose the right seller and consider all the pros and cons. The Secrets of Insurance Agent Lead Companies: They Do Produce Good Leads, Just Not Enough by Tasha Bertoldi As a Life Insurance Agent I realize the giant fortune 500 lead companies are poisoning our industry with their shared lead distribution. All lead companies are the same–but I never understood why until we began to produce our own leads. The bad leads we get were most often once good–real insurance leads. But they landed inside an endless pool of recycled data, to sadly be called again… and again. This is changing the face of our industry, and in fact is responsible for the negative manner in which professional Insurance Agents are viewed. How to Sell Final Expense Insurance – Tips To Make It Work by Joe Robert If you are wondering how to sell final expense insurance, you can relax. Selling these absolutely useful policies is not as tough as it seems at the outset. Different Ways In Which Agents Can Generate Consumer Leads by Joe Robert Agents need to constantly come up with innovative ways of generating consumer leads. With so many insurance products on offer, there is no dearth of choices and this makes it possible for all agents to come up with newer ways of pursuing leads to sell insurance. Moreover the Internet has made it easier for agents to market their skills online which has opened them up to a wider market. Methods like direct mailing, advertising and registering with lead generation companies are pursued aggressively. This has to quite an extent helped to generate high quality consumer leads, which can be converted to sales when effectively pursued. A Short List of Techniques You Can Do Right Now To Boost Your Sales! THIS WEEK! by Anthony O Varner This goes back to being bold; don’t agree with customers when it comes to closing the sale. You have to be bold enough to say no. That’s what is going to separate you from others and make you look more like an expert or doctor like I used in the earlier example. The Advantages And Disadvantages Of Using Insurance Brokers by Vicky Keystone Insurance brokers act as intermediaries between large insurers and consumers. Some businesses and individuals will only purchase insurance through a broker. Others have different feelings and do not use brokers. Brokers might not be for everyone especially if personal insurance needs are very simple. Consumers will find that several advantages and potential disadvantages come with using an insurance broker. Insurance Policies, Do You Get What You Paid For? by Daniel Endres Agents of the insurance company play the biggest part whether an independent or a company agent. Many times when an insured had a claim they were not aware of the shortfalls of their policies. The agent has a huge role in not only getting you a fair price, but making sure you are covered for anything that could arise with a claim you may need to file. I Am Ready to Quit Selling Insurance by Jeffery Davis This article is for everyone who has at one time or another considered quitting selling insurance. It will inspire you to continue for one more day in this profession. Building Your Insurance Business by Jeffery Davis Insurance selling must be treated as a business. If you treat it as such it will reward you in the same way. Selling Final Expense by Phone or by Car? by Joe Robert Which method of selling works best: telesales or door-to-door selling? It is up to the individual as to which method works best for them, but each has its advantages… Prospect Identification Mapping Technology for Insurance Agency Websites by Alan Blume One of the foundational elements of a comprehensive web bases insurance marketing strategy begins with an up to date, professional, optimized website. There is a new and innovative technology applicable to insurance agency websites, which is called prospect identification mapping (also referred to as visitor mapping, IP mapping or visitor ID). This technology allows insurance agencies to learn which companies are visiting their website, including important details such as city, state, time of visit, etc. Improving the Claims Management Process to Contain Costs and Boost Customer Satisfaction by Steven M Richard Studies show that insurers are now spending majority of their dollars on managing and keeping adjusters trained on the most updated claims management practices. Optimal outcomes and containing costs has always been top priority, with customer satisfaction ratings not far behind. Claim handling techniques can vary between seasoned adjusters and newer claim professionals who may be more accustomed to automated software systems. Insurance Agent Website – The Present and the Future of the Insurance Industry by Joe Robert Insurance agent websites can work wonders for agents. They offer multiple opportunities for growth and agents can optimize the benefits. Insurance Agency Web Marketing and the Emarketing Split Test by Alan Blume When it comes to Insurance Agency Web marketing, the Split Test is an important tool, offering powerful insights into campaign optimization and conversion efficacy. A/B split testing is an empirical approach used to ascertain optimum conversion rate (click-through rate) for a website, landing page, banner ad or email campaign. In the case of insurance emarketing, two versions of an email are created (version A and B), and are then compared for effectiveness. Typically the emails are identical except for one modification which can, or at least theoretically can, impact conversion rate. The Insurance Agency Elevator Pitch by Alan Blume An insurance agency elevator pitch is a succinct summary used to quickly describe your insurance agency, products and services. It should include your unique agency value proposition, and must be delivered within the time span of an elevator ride, in about 30 to 60 seconds. This can be much harder than many agents might initially think, and should be scripted, vetted, rehearsed, and timed.
Source: blogspot.com

Studies Find Sitting Leads to Increased Risk of Heart Disease

The University in Leicester recently released a study based on the results of 18 studies involving nearly 800,000 subjects. Dr. Emma Wilmot, a research fellow in the Diabetes Research Group at the University of Leicester, lead the study, which revealed that those who sat for long periods of time have a higher risk of contracting diabetes and heart disease. Specific results showed that those who sit all day have a 147% increased risk of heart disease or stroke and a 90% greater risk of dying from a cardiac event such as a heart attack. These results were independent of any physical activity, implying that even if an individual meets physical activity guidelines, he may still be at risk as result of sitting for long periods of time.
Source: planprescriber.com

Viewpoints: Disability Insurance ‘Time Bomb;’ Leavitt On The Lessons Of Medicare Part D’s Rollout; Boys And Eating Disorders

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 New York Times: Do Clinical Trials Work? [A]t the annual meeting of the American Society of Clinical Oncology last month, much of the buzz surrounded a study that was anything but a breakthrough. To a packed and whisper-quiet room at the McCormick Place convention center in Chicago, Mark R. Gilbert, a professor of neuro-oncology at the University of Texas M. D. Anderson Cancer Center in Houston, presented the results of a clinical trial testing the drug Avastin … Gilbert’s study found no difference in survival between those who were given Avastin and those who were given a placebo. … The centerpiece of the country’s drug-testing system — the randomized, controlled trial — had worked. Except in one respect: doctors had no more clarity after the trial about how to treat brain cancer patients than they had before (Clifton Leaf, 7/13). 
Source: kaiserhealthnews.org

Video: Fresh Perspectives: MEDICARE

Schooling in the Ownership Society: Children on Medicaid are prescribed anti

Drug makers for years have been making billions marketing antipsychotic and antidepressents for use in schools and foster homes on children with behavioral issues. Now Barron’s and WSJ report that the feds are investigating the over-prescribing of anti-psychotic drugs like Abilify (now the nation’s No. 1 prescription drug) to children from low-income families on Medicaid. The children, often diagnosed with “behavioral problems” such as bipolar disorder or “irritability” associated with autism, or even kids with ADHD, are prescribed antipsychotics at four times the rate of privately insured children, according to a study by Stephen Crystal, a professor of health policy at Rutgers University, that looked at data from 2004 on 6- to 17-year-old children in seven states. Government Medicaid data indicate that some of the prescriptions are being written for very young children. An analysis by Mathematica found that in 2008, 19,045 children age 5 and under were prescribed antipsychotics through Medicaid, 3% of recipients under 20, up from 7,759 in 1999, according to James Verdier, a senior fellow at the organization. Some were under a year old, including one listed as a month old. In New York, a spokesman for the state health department said some children between ages 1 and 2 received antipsychotics for conditions such as autistic disorder and attention deficit disorder with hyperactivity. Dr. Fernando Siles, a pediatric psychiatrist in the Dallas area who treats many poor foster children, says he sometimes prescribes such medications to treat serious behavior problems. “A child that continues to be aggressive will be kicked out from his foster home,” he says. “The antipsychotic is to stabilize the behavior of the child, to keep him from being moved and moved again.” The article doesn’t break it down by race. I would like to know if children of color are being given anti-psychotics in great numbers than are white kids. What would you guess?
Source: blogspot.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

The in box. TRIP and Medicare info from the IEA.

The state will be implementing a Medicare Advantage Plan for Medicare-eligible State Employees’ Retirement System (SERS) and State Universities Retirement System (SURS) participants pursuant to the recently settled AFSCME state employment contract. Since the state also administers TRIP, along with the health insurance benefits of SERS and SURS retirees, it believes that by shifting to this type of plan for all retirees that it can provide the same level of health care services while reducing costs through:
Source: wordpress.com

Lieberdouche, Medicare for All, 218, 50, 1

The minimal coalition for single payer or even a break-even self-funding Medicare buy-in proposal is 218 Democratic representatives, a Democratic vice president, a friendly Senate parliamentarian and 50 Democrats.  All of the Democrats who would need to vote yes need not to be scared of being defeated by a combination of Tea baggers, insurance industry flacks and hacks and Wall Street cash.
Source: balloon-juice.com

Medicare Home Health Compare

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

Monday, June 10, 2013: Vaccines, Medicare and oil — Opinion — Bangor Daily News — BDN Maine

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

Immigrants contributing to Medicare’s health

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 study by Harvard researchers looked at the Medicare Hospital Insurance Trust Fund, which accounts for about half of Medicare’s monies, and found that, “Immigrants generated surpluses of $11.1–$17.2 billion per year between 2002 and 2009, resulting in a cumulative surplus of $115.2 billion. Most of the surplus from immigrants was contributed by noncitizens and was a result of the high proportion of working-age taxpayers in this group. Policies that restrict immigration may deplete Medicare’s financial resources.”
Source: dallasnews.com

Video: CONFIRMADO, MIAMI ES LA MECA DEL FRAUDE AL MEDICARE.

Histórica Alianza: Entre MMM Healthcare, Inc., PMC Medicare Choice, Inc. y la Asociación de Farmacias de la Comunidad para mejorar la salud de sus afiliados

La Asociación de Farmacias de la Comunidad (AFCPR), MMM Healthcare, Inc. (MMM) y PMC Medicare Choice, Inc. (PMC) se han unido en un esfuerzo colaborativo para desarrollar el Programa de Adherencia a Medicamentos. Este programa innovador está enfocado en estrechar la relación entre el farmacéutico, el plan médico y el paciente para mejorar la adherencia a medicamentos por parte de los pacientes y mejorar la seguridad en las terapias. El Programa de Adherencia a Medicamentos (PAM), desarrollado por la AFCPR, incluye al farmacéutico como integrante del equipo de salud del paciente. Además, la comunicación directa entre la farmacia, el plan y el médico primario (PCP) del paciente ayuda en la sincronización de los medicamentos y garantiza la continuidad de sus terapias de medicamentos. Incluso, al estar integrados para brindar un cuidado coordinado, se pueden identificar oportunidades para recomendar programas que beneficien y mejoren la salud del paciente. El Programa contará con alrededor de 400 farmacias, socias de la AFCPR, que adoptarán medidas de calidad predefinidas y desarrolladas en conjunto entre ambas organizaciones. La doctora Nuri Echeverría, directora del Comité de Adherencia de la AFCPR comparte que, “La Asociación de Farmacias de la Comunidad se ha caracterizado por su interés y promoción de programas innovadores que apoyen la labor clínica de los farmacéuticos y resalten el valor que tienen las farmacias de la comunidad en la sociedad puertorriqueña. Esta es la oportunidad de cambio más grande para los farmacéuticos y las farmacias de la comunidad en los últimos 25 años.” “En MMM y PMC estamos comprometidos con la calidad y estamos enfocados en la prevención e innovación. Por esto  no dudamos en aunar esfuerzos con la Asociación y la farmacias de comunidad en esta iniciativa que está alineada con nuestra misión: un Puerto Rico más saludable y con mayor calidad de vida” indicó el Lcdo. Orlando González, Presidente de MMM y PMC.  Añadió que “para nosotros el PAM es una herramienta adicional para que nuestros afiliados reciban un mejor servicio y tengan más acceso y ayuda personalizada para cumplir con sus terapias y controlar sus condiciones de salud”.  El enfoque del PAM además va en sintonía con los retos y exigencias del “Obamacare” y el Programa de las Estrellas, que mide los servicios de salud basado en parámetros de calidad. Algunos de los beneficios del PAM para los afiliados de MMM y PMC son: el farmacéutico de su farmacia de comunidad de confianza hace una reconciliación de todos los medicamentos que está tomando, los educa sobre el uso correcto de cada uno e identifica cualquier barrera que pueda estar ocasionando la falta de adherencia.  Además, brinda recordatorios telefónicos de la repetición de los medicamentos e incluso  brinda un servicio de entrega de medicamentos al hogar, para garantizar la accesibilidad de los medicamentos a los pacientes.  El objetivo es darles todas las herramientas a los pacientes para que cumplan con su terapia de medicamentos para así lograr resultados excelentes en su cuidado de salud. La adherencia se define como la toma voluntaria de los pacientes a cumplir con sus medicamentos según prescritos.  La falta de adherencia cuando los pacientes alteran su terapia de medicamentos, ya sea no tomándose la dosis correcta, cambiando los intervalos de dosificación, olvidando administrarse los medicamentos, suspender el tratamiento antes del tiempo indicado o no recogiendo la receta en la farmacia.
Source: periodicovision.com

A Primer on Medicare Financing

It also describes the expected effects of provisions in the 2010 health reform law on future Medicare spending. The primer reviews the financial obligations and out-of-pocket spending for people covered by Medicare, outlines several ways to assess Medicare’s long-term fiscal outlook, and discusses future financing challenges facing the program.
Source: kff.org

Cuban regime medicare fraud money launderer sentenced to 4 years in prison

Oscar Sanchez, a Cuban American and Florida resident who laundered millions of dollars in Medicare fraud proceeds that were transferred to banks in Cuba controlled by the Castro dictatorship was sentenced to four years in prison for his role in the scam. The Castro dictatorship has long been suspected of devising and carrying out Medicare fraud schemes in the U.S., which have netted the criminal regime in Havana millions of dollars deposited into their banks.
Source: babalublog.com

Former Owner of Los Angeles Medical Equipment Supply Company Pleads Guilty in $2.6 Million Medicare Fraud Scheme

According to court documents, Afolabi was the owner and president of Emmanuel Medical Supply, a durable medical equipment (DME) supply company located in Long Beach. Afolabi admitted that from approximately June 2006 through September 2009, he engaged in a scheme to commit health care fraud through the operation of Emmanuel by providing medically unnecessary power wheelchairs and other DME to Medicare beneficiaries and by submitting false and fraudulent claims to Medicare. Afolabi admitted that he obtained Medicare beneficiary information through various means, including “marketers,” whom he paid to refer Medicare beneficiaries to Emmanuel for the purpose of using that information to submit and cause the submission of false and fraudulent claims to Medicare on behalf of Emmanuel. Afolabi admitted knowing that the prescriptions and medical documents were fraudulent and that some of the beneficiaries did not receive the DME, yet he certified to Medicare with the submission of each claim that the DME was received and was medically necessary.
Source: sandpointpr.com

Comments Off  :  Add Comment
September 14, 2013

MIAMI: Exchanges create confusion for Medicare recipients

Posted by:  :  Category: Medicare

In this image made available by AARP shows Ida Gall, right speaking to an unidentified customer at the Connecticut Women’s Expo on Saturday, Sept. 7, 2013 in Hartford, CT. AARP Connecticut volunteers Ida Gall and Sophia Forbes, seated, talked to women about the Affordable Care Act. Federal Health Officials are assuring medicare recipients that their benefits will not change when the Affordable Care Act starts. Many are confused by overlapping enrollment periods for Medicare and the Affordable Care Act.
Source: bradenton.com

Video: False Claims Act Lawyer Sterling Heights, MI (866)598-0941 Michigan Tax Fraud

DETROIT: Mich. man gets 50 months for $10.8M Medicare fraud

The government says he helped finance and establish two Detroit-area home health agencies and conspired to bill Medicare for home health visits that never occurred. It says he also secured physician referrals for medically unnecessary home health services through the payment of kickbacks.
Source: heraldonline.com

Sterling Insurance announces new California Supplement policies for Medicare beneficiaries

and N , California health insurance , california health insurance companies , california health insurance plan , California health insurance plans , california health plan , california Medicare Supplement , california medigap , california state health insurance , F , health insurance , health insurance companies California , health insurance companies in California , K , medicare california , medicare supplement , Medicare Supplement a , Medicare Supplement f , medicare supplement insurance , Medicare Supplement k , Medicare Supplement n , medicare supplement plans , medigap a , medigap f , medigap k , medigap n , Medigap plans A , sterling insurance , sterling insurance medigap , sterling Medicare Supplement , sterling medigap , Sterling Medigap coverage , student health insurance California , Supplemental health insurance
Source: liveinsurancenews.com

Sterling Life Insurance Medicare Supps.

Has anyone heard of Sterling Life (captive company) reducing Medicare Supplement rates in PA. I talked to a man that claims that his insurance plan premium was reduced by around $40 per month without switching plans? Any Sterling agents on the forum? I am also interested in finding out what Sterling is going to do this year and next with their PFFS. If anyone has info, please post.
Source: insurance-forums.net

Sterling Health Insurance Company Review

Sterling Life prides itself on providing high quality personalized service to all its clients. The company motto is “Real People, Wise Choices.” The Sterling website provides a testimonial page featuring comments by current customers. Sterling members have access to an excellent interactive portal where they may file a claim, make a premium payment, download information and forms, or shop for a new insurance plan. Plans are available to fit the needs of any individual wherever they might live in the US.
Source: healthinsuranceproviders.com

Sterling Ridge Assisted Living

Sterling Ridge is an assisted living facility. Assisted living facilities are an apartment-style habitat designed to focus on providing assistance with daily living activities. They provide a higher level of service for the elderly which can include preparing meals, housekeeping, medication assistance, laundry, and also do regular check-in’s on the residents. Basically, they are designed to bridge the gap between independent living and nursing home facilities. When thinking about how to pay for care, assisted living facilities are generally less expensive than nursing homes, if assisted living is a viable option for your loved one.
Source: ourparents.com

Medicare Supplements (Medigap) For Dummies

[…] AARP AARP Connecticut AARP Medicare AARP Medicare Complete AARP Medicare Supplement AARP Medicare Supplements AARP Medigap AARP Medigap 2013 AARP Rates 2013 AARP Supplement AARP Supplement 2013 aetna Medicare Anthem Anthem High F plan Anthem Medicare Anthem Medigap Anthem Supplement Crowe and associates how to choose a Medicare Advantage plan How to choose a Medicare plan how to choose a plan How to choose a supplement how to enroll in a medicare plan MAPD Med Advantage Medicare Medicare A Medicare A and B Medicare Advantage Medicare Advantage plans medicare b Medicare Complete Medicare part B Medicare part B cost Medicare plan Medicare Supplement Medicare Supplement Connecticut Medigap Medigap connecticut Medigap rates 2013 Medigap rates NY 2013 Original Medicare sign up for medicare United medicare complete United Medicare complete 2013Source: croweandassociates.com […]
Source: croweandassociates.com

Fight the Flu Program at Southcreek Office Park

Healthy Solutions, Inc. will be at Southcreek Office Park this fall offering flu shots so that you can protect yourself, your family, and your co-workers from illness!  Be sure to sign up for your vaccination soon!  Here is some more information about getting your vaccination:
Source: southcreekofficepark.com

Legislative Update: CMS Changes Reporting Requirements For Some HRAs

ACA Affordable Care Act CDHPs COBRA Compliance Consumer Directed Health Plans Consumer Driven Health Plans Cora Tellez Dependent Care Flexible Spending Accounts Dependent Care FSA Employees Employers Facebook Flex Flexible Benefit Plans Flexible Spending Accounts FSAs HDHPS Health & Wellness Healthcare Flexible Spending Accounts Healthcare FSA Healthcare Reform Health Reimbursement Accounts Health Reimbursement Arrangements Health Savings Accounts healthy menu ideas healthy menus Healthy Recipes High Deductible Health Plans HRAs HSA Contribution Limits HSAs PPACA Second Harvest Food Bank Self Funding Self Insurance speakers Sterling HSA Sterling Self Insurance Administration Sterling SIA Supreme Court decision Taxes tax savings Transit & Parking Benefits Wellness
Source: sterlinghsa.com

Comments Off  :  Add Comment
September 14, 2013

Chiropractic Care – Medicare and Medicaid Billing

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



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

Video: EHR: Medicare Incentive Program Attestation Webinar for Eligible Hospitals

Medicare Kills a Program, David Henderson

First, the incentives: If you go into the hospital for heart surgery and you end up getting a central-line infection, you’d hope that the hospital would be penalized for it. The opposite, in fact, is true. According to a new study in the Journal of the American Medical Association, surgical complications increase the margin the hospital makes on the patient by 330 percent for the privately insured and 190 percent for Medicare patients. Second, the public choice: To Health Quality Partners and its defenders, Medicare’s decision is ludicrous. “We’re spending tens of billions of dollars now on Medicare innovation where Medicare already discovered something amazing and now they’re forgetting what they discovered?” Brenner says. “It’s an amazing government moment.” It’s not that amazing.
Source: econlib.org

Important Medicare Update

The transmittal clarifies use of ABNs with Skilled Nursing Facilities (SNFs) and when form CMS-R-131 should be used.  It also addresses that Home Health Agencies use a separate form call a Home Health Advance Beneficiary Notice of Noncoverage (HHABN).  The transmittal discusses when hospice providers are required to issue an ABN.The transmittal clarifies the mandatory use of ABNs for preventive services established by the ACA’s annual wellness visit and the preventive physical examination (the Welcome to Medicare physical) established by the Medicare Modernization Act.
Source: eldercounsel.com

Report: ACO Lowered Costs for Medicare Beneficiaries

What they found was that in year two of the comparison, the spending difference between the AQC and non-AQC was a difference of 3.4 percent. This was explained by changes in spending on office visits, emergency department visits, minor procedures, imaging, and laboratory tests. In addition, annual rates of low-density lipoprotein cholesterol testing improved for beneficiaries with diabetes in the intervention group by 3.1 percentage points and for those with cardiovascular disease by 2.5 percentage points. However, mostly there were little differences in terms of quality.
Source: healthcare-informatics.com

Business Payroll Software: Ezpaycheck 2013 Updated To Handle Additional Medicare Tax Automatically

IRS requires employers to withhold this new tax on wages it pays to an employee in excess of $200,000 in a calendar year. Updates to our small business payroll software and the added features in ezPaycheck will allow customers to run a business with a greater peace of mind, said Dr. Ge, the founder of halfpricesoft.com. EzPaycheck payroll software developers believe small business owners should focus on growing business not spending time on tax calculations. They are confident that ezPaycheck software will automate and simplify the payroll tax calculations, paycheck printing and tax form reporting for employers. Customers seeking a way to simplify payroll processing with more accuracy can go online to http://www.halfpricesoft.com/payroll_software_download.asp and download the payroll accounting software. The download includes the full version of the paycheck software along with a sample database. The sample database allows new customers to try all of ezPaychecks exciting features, including the intuitive graphical interface, without wasting time entering data. Small businesses will appreciate the unique features in the latest release of ezPaycheck payroll software: Supports daily, weekly, biweekly, semimonthly and monthly payroll periods; Features report functions, print functions, and pay stub functions Easily calculates differential pay Prints miscellaneous checks as well as payroll calculation checks Prints payroll checks on blank computer checks or preprinted checks Automatically calculates Federal Withholding Tax, Social Security, Medicare Tax and Employer Unemployment Taxes Includes built-in tax tables for all 50 states and the District of Columbia Creates and maintains payrolls for multiple companies, and does it simultaneously Prints Tax Forms 940, 941, W-2 and W-3 Supports multiple accounts at no additional charge Supports network access Priced at $89 for new customers ($59 for 2012 customers), ezPaycheck payroll tax solution is affordable for any size business. To start the no obligation 30-day test drive today, please visit http://www.halfpricesoft.com/index.asp .
Source: soup.io

Advanced Solutions for Today’s Growing Medicare Marketing Challenges

VUE Software’s solution allows plan sponsors to not only exceed the CMS requirements but also meet the Medicare Marketing deadlines. The solution also helps  plan sponsors to achieve the 5 Star rating they seek by reducing complaint tracking module (CTM) cases. This solution will allow plan sponsors to give agents, EMO’s, FMO’s and brokers pre-approved CMS templates to use for presentations. Currently, training is often handled manually and  takes precious time because the training materials may be located in different areas on sales web sites, folders, or SharePoint sites. VUE Software-provided portals keep brokers on track with their training renewals and materials. VUE Software offers advanced solutions to meet the needs of an ever growing and changing healthcare market.
Source: vuesoftware.com

Mandatory Payment Reductions in The Medicare Fee

The Budget Control Act of 2011 requires, among other things, mandatory across-the-board reductions in Federal spending, also known as sequestration. The American Taxpayer Relief Act of 2012 postponed sequestration for 2 months. As required by law, President Obama issued a sequestration order on March 1, 2013. The Administration continues to urge Congress to take prompt action to address the current budget uncertainty and the economic hardships imposed by sequestration.
Source: acomhealth.com

Study: Prostheses save Medicare money

Patients who received lower extremity prostheses also had similar Medicare payments, but were more likely to be the recipients of outpatient therapy. This therapy correlated with fewer emergency room admissions and acute care hospitalizations, as well as a lower amount of facility-based care; any extra costs associated with the prosthetics were made up for by this reduced need for care. "This reduction in healthcare utilization ultimately makes O&P [orthotics and prosthetics] services cost-effective for the Medicare program and increases the quality of life and independence of the patient," the study says.
Source: fiercehealthcare.com

Technology Helps Keep Medicare Recipients Informed

ClearCare Online is a web-based home care software that offers an innovative solution for private duty and geriatric care management agencies. ClearCare’s award-winning mobile home care system for scheduling, integrated telephony, two-way caregiver messaging, and marketing makes the business of home care administration intuitive, efficient, and paper-free. With a number of home care software solutions on the market, hundreds of local and national home care companies across the country have chosen ClearCare’s best-of-breed system for its innovation, ease of use, and point-of-care transparency. As customers attest, the results include more efficient operations, lower admin costs, more clients and referrals, increased profits, lower turnover, and higher quality care.
Source: clearcareonline.com

Search Hospital Medicare Readmissions & Value

In FY 2015, CMS proposes to expand the applicable conditions and procedures scrutinized by the Program to include: patients admitted for acute exacerbations of chronic obstructive pulmonary disease (COPD); and patients admitted for elective total hip arthroplasty (THA) and total knee arthroplasty (TKA). (See Reducing Readmissions Infographic for Value-Based Healthcare)
Source: premedex.com

Q and A: Medicare and Medicaid EHR Incentive Programs (Post 1 of 5)

Because most CMAs (AAMA) work under the direct supervision of “eligible professionals” (as defined in the rules of the Centers for Medicare and Medicaid Services [CMS]), this is the first of five upcoming posts focusing on some common questions surrounding the provisions of the Medicare and Medicaid Electronic Health Records (EHR) Incentive Program that are applicable to eligible professionals, not those provisions that are applicable to “eligible hospitals” and “critical access hospitals.”
Source: wordpress.com

Aphasia Support Group: Medicare Caps

Medicare Caps have been a hot topic since October of last year.  If you or your loved one has suffered any type of illness or injury that required outpatient rehabilitation, then you should know about it.  Unfortunately, the news is not good.  Medicare has “capped” their payment for outpatient rehabilitation to $3700 for Occupational Therapy and $3700 for Physical and Speech Therapies combined.  What this means, is no matter how much therapy you may need, once you reach that dollar limit, your therapy is over (unless you want to pay out of pocket, of course).  This has left many, many people with no choice but to discontinue therapy because of the inability to pay.  Furthermore, many are forced to choose which discipline they need more, physical or speech therapy, since they share money.  So, is it more important to you that you be able to walk across the room or communicate your thoughts?  As ridiculous as that sounds, that is what Medicare has turned it into.   Would you rather use your Medicare money with physical therapy or speech therapy?  I work with patients all the time that have to ask themselves that question.  My advice is that if you are in this scenario, look for other outlets once your therapy has ended.  Check out apps, computer programs, software, workbooks, therapy sessions and group sessions at local universities that have Speech Pathology programs (you can often receive therapy with students for little money out of pocket), post therapy exercise programs and support groups.  I will talk next time about specifics on those.  In the meantime, write your local senator about the Medicare Caps and how it has affected you or your loved one personally.  It certainly cannot hurt, and who knows, if we yell loud enough, we may see a change for the better one day!
Source: blogspot.com

Comments Off  :  Add Comment
September 14, 2013

Advantra Rx NOT Renewing Their Medicare Contract

Posted by:  :  Category: Medicare

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

Video: Videos matching: advantra medicare advantage

Coventry Medicare Advantages In A Nutshell

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

Altius Health Plans Altius Advantra Medicare Review

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

Medco and Coventry plan preventive care study

Medco Health Solutions Inc. and Coventry Health Care Inc. said Tuesday they will work together to see if they can reduce health care costs for senior citizens by addressing factors like home safety, diet and medication use. The companies say they will conduct a study to determine if they can reduce hospitalizations for seniors on Medicare. Teams of Coventry and Medco employees will identify patients who are at the most risk for hospitalization, and work with their physicians and other agencies to find factors that can cause poor health, and they will keep in touch with patients through regular visits and phone calls.Medco, of Franklin Lakes, N.J., is the largest U.S. pharmacy benefits manager, and handles drug benefits for plan sponsors and members. Coventry, which is based in Bethesda, Md., is a health insurer. Medco handles Coventry’s Medicare business, and starting next year, Medco will manage prescriptions for Coventry’s commercial insurance and workers’ compensation businesses. The study will include about 2,150 seniors in the St. Louis and Kansas City, Mo., areas on Coventry’s Advantra Medicare Advantage Plan. After a year, the rates of hospitalization for the study patients will be compared with other seniors enrolled in the Advantra plan. The companies said rates of hospitalization for seniors over 65 is increasing, and that population is the most at risk for chronic ailments like diabetes and heart disease. Medco makes money by helping plan sponsors reduce costs, and Coventry, like other health insurers, has struggled recently with rising medical expenses.Medco said it is focusing on preventive care, and noted it is involved in a similar collaboration with Healthways Inc., a provider of diabetes treatment programs and other health services. Medco said its pharmacists are teaming with Healthways nurses and health coaches to help newly diagnosed patients deal with chronic conditions.St. Louis and Kansas City were chosen for the study due to the number of Medicare members, and the similar demographics and health issues of the two cities.
Source: reversemortgagesecured.com

Will Your Medicare Advantage Plans Still Be Available In 2010

All plans must send you a notice of termination if there plan is terminating. When a plan terminates they do NOT enroll you in a part D plan. In some cases a plan may try to change you to another plan that they offer, however in they are still required to notify you in writing and give you the full details and you still have the option of changing plans if you are not satisfied with the benefits offered. In the case of Advantra Plans this year, you will need to choose another Medicare Plan. Some Advantra Freedom plans were offered as MAPD which means that the plan itself included the prescription drugs. You may also have a PFFS and a seperate Part D. If the part D is seperate you should still have RX coverage. If you do want to keep Advantra as your Part D you can still get a seperate Part D plan as long as it is a PFFS. You should call a broker and get a list of comparable options. You can ask for health plans only if you wish. Also if you just want an evidence of coverage you can call Advantra back or visit http://www.choicesformedicare.org and request one. Make sure you are specific in your request and they will know what to send.
Source: wordpress.com

Pennsylvania Health Insurance

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

Medicare Advantage Plans and PFFS Plans

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

Medicare Targets Health Plans With Low Ratings

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

Medigap vs. Medicare Advantage Plan

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

The Sullivan Independent News

The Visiting Nurses Association will hold a flu shot clinic at the Sullivan Senior Center on Tues., Oct. 13 from 12 p.m.- 3 p.m. In order to be sure a vaccine is available for you, you must call or stop by the Senior Center and have your name put on the vaccine list. The VNA will be bringing 150 vaccines, but more will be available if we see more people are signing up. This will be a one-time clinic. Those planning to receive their vaccine may show up anytime from 12 p.m.-3 p.m. To avoid the congestion and long waiting periods, you may wish to wait a little later and not all show up at 12 p.m. Insurances accepted by the VNA for this clinic include: Medicare Advantage Plans, Essence, Coventry Advantra Freedom, GHP, Advantra, GHP Advantra Freedom, GHP Gold Advantage, Humana Choice PPO, Humana Gold Choice PFFS, Humanna Gold Plus HMO and Mercy Medicare Advantage. Other insurances that did not contract with the VNA and will not be accepted are: Medicare Advantage Plans, Secure Horizons, Aetna Medicare, Anthem Senior Advantage, Cigna Medicare Access, Sterling Option, Wellcare, Evercare or any other Medicare Advantage or out-of-state plans. Medicaid is not accepted. If you have another primary insurance, you may not use Medicare or Medicare Advantage. Those wishing to pay “out of pocket” for the vaccine may do so. The cost is $30. Visiting Nurses Association is a non-profit community based organization dedicated to serving the healthcare needs of your community. Please help us by giving us your correct insurance at the time of service.
Source: mysullivannews.com

2014 Medicare Annual Enrollment Period (AEP)

The annual open enrollment period will be from October 15th through December 7th.    This allows anyone eligible for Medicare to enroll for the first time, or switch health or prescription drug plans.
Source: actulife.com

Comments Off  :  Add Comment
September 14, 2013

OIG: Medicare Could Have Collected $3.1B From Drug Rebates

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



State and federal governments already save on prescription drugs through the Medicaid Drug Rebate Program, which allowed government entities to recoup $13 billion of the $28 billion the program spent on prescription drugs in 2011. Medicare Part B spent $16.4 billion on prescription drugs that year, according to the report. Although Medicare Part D covers most prescription drugs, Part B generally covers drugs furnished incident to physician services, such as injectable drugs used to treat cancer. Part B also covers drugs used in conjunction with durable medical equipment and medications explicitly covered by statute, such as certain vaccines.
Source: beckershospitalreview.com

Video: Weekly Address: Preserving and Strengthening Medicare

Making a Mint on Medicare: Private Businesses?

Gibson, the principal writer, spent 16 years at the Robert Wood Johnson Foundation, where she designed and led national initiatives to improve health care quality and safety, becoming, in effect, the chief architect of an over $200 million strategy to bring hospice to hundreds of hospitals around the country. In Medicare Meltdown, she and Singh weave in examples of how institutions that the public might hold in high regard, such as the American Medical Association (AMA), the American Hospital situation (AHA) and various physician associations have their own agendas as well.
Source: thefiscaltimes.com

Medicare Cuts, Obamacare Prompt Hospital Layoffs

“The sheer magnitude of the Medicare and Medicaid cuts impel us to look at all of our services and costs, including the largest component of our budget—personnel,” Cummings said, citing a 20 percent cut in Medicaid proposed by Democratic Gov. Dannel Malloy and approved by the state legislature resulting in a $550 million hit to Connecticut hospitals. Sequestration also resulted in an additional $1 million loss for L + M this year.
Source: freebeacon.com

Rep. Schwartz Talks Medicare in DNC Address

Ms. Schwartz is one of the principal social engineers who is driving GP’s and internists to retire and leave early because of the bureaucracy, higher malpractice risk and Hippocratic oath violations she created.She must have known that America will be 120,000 general doctors and nurse practitioners short by 2020, even before Obamacare but she must not have cared that there will be no doctors. She also is guaranteeing that the Catholic Church’s, immense investment in education and caring for the sick and the poor will be abandoned forever after the one year extension expires , due to their sincere religious beliefs not being in accord with what she and other Democrats wrote into the Obamacare law. As a doctor, I can say for whatever good she may have created there will also be many neglected deaths and social wreckage she will have to account for. That is a couple reasons, among others,why she should not be re-elected to Congress from the 13th District. In my opinion, her vision is too limited and she lacks mature balanced long-term judgement.
Source: patch.com

Chart of the Day: Public Ignorance About Medicare is Really, Really High

It also turns out that when you ask people why Medicare costs are rising, they rate fraud and poor management at the top and new technology at the bottom. The truth, again, is just the opposite. Medicare has some fraud problems, but they’re fairly modest. It’s basically a pretty well managed program. New drugs and new treatments, however, are responsible for nearly half of the increase in Medicare costs over the past few decades. It’s the #1 cost driver by a ton. Adrianna McIntyre has the details here.
Source: motherjones.com

AHCJ urges government to release Medicare payment data

AHCJ’s letter was the second to CMS recently. Last month, the group called upon the agency (PDF) to ensure that its release of data under the Physician Payment Sunshine Act was useful for reporters. The Sunshine Act requires all pharmaceutical and medical device companies to publicly report their payments to physicians. While the data set contemplated by CMS will include names and addresses, AHCJ encouraged the agency to also include unique identifiers so that individuals with the same name would not be incorrectly aggregated. It cited as an example family members working at the same address.
Source: healthjournalism.org

Time is Ripe to Address End

The second bill is called the Patient-Centered Quality of Life Act and will be introduced in both houses. It would fund education and research into palliative care and improve public outreach to inform patients. Barriers to palliative care include a shortage of trained physicians and nurses, a lack of research into best practices and a misalignment of payment incentives. As the nation moves away from a fee-for-service system of reimbursement to a value-based payment system, including palliative care services within bundled payments will help pay for end-of-life services, he said. “We intend to go to the Hill and lobby for specialized payment code increases that reflect the real value of palliative care consultations and include them in payment bundles,” said Jon Keyserling, senior vice president of health care policy for the National Hospice and Palliative Care Organization. He added that the time has come for reasonable parties to ignite a discussion about advanced care planning within Medicare and Medicaid. “We are supporting those efforts,” he said. Many members of Congress and their families have used hospice, Keyserling said. “There is a very receptive audience among policymakers for promoting high quality end-of-life care. The key focus is building it into a continuum of care.” The Business Case for Advance Care Planning and End-of-Life Care There is growing evidence that investments in advance care planning, palliative and hospice care pay off, not only in improved patient and family member satisfaction but also in greater longevity and cost savings. La-Crosse, Wis.-based Gundersen Lutheran Health System, whose Respecting Choices advance care planning program has become an internationally accepted model, has demonstrated that by integrating planning throughout the health care system, it can provide the care that terminally ill patients want while reducing hospital readmissions, length of hospital stay and average reimbursement per deceased patient. A 2007 Dartmouth Atlas study found Gundersen Lutheran’s average per-patient reimbursement in the last 24 months of life was $18,359, nearly $7,500 less than the U.S. hospital average of $25,860, and considerably less than the Cleveland Clinic ($31,252), UCLA ($63,821) or the New York University Medical Center ($65,660). Its hospital days per deceased patient in the last two years of life averaged 13.5 days, nearly half the U.S. average of 23.5 days, and far lower than UCLA (31.3 days) or the NYU Medical Center (54.3 days). A 2006 Duke University study found the average Medicare savings per U.S. hospice patient is approximately $2,300. Indianapolis’ safety net hospital, Wishard Health Services, reported an average savings of $5,000 per hospitalized patient and $1,500 per discharged patient. What Needs to Happen Gregory Gramelspacher, M.D., professor of medicine at Indiana University School of Medicine and director of Wishard’s Palliative Care Program, said something radical must happen for end-of-life care to improve. “We have to quit paying for the wrong stuff and start paying for right stuff,” Gramelspacher said. “Instead of turning around the aircraft carrier, we need to sink it and start over.” He said America has too many highly paid specialists and not enough well-trained primary care physicians, especially doctors trained in palliative care. “We have huge unmet needs and can’t find the trained professionals to take care of them,” he said. For example, Wishard’s palliative care program averaged 150 annual consultations 13 years ago, which has grown to more than 850 in 2012. “From the beginning we’ve worked to keep patients out of the hospital and treat them as outpatients,” he said. “To have a patient dying of metastatic cancer spending three to four days in the ICU in the last weeks of life is not only costly, it’s wrong.” Hospitals around the country are integrating palliative approaches into their systems of care, led by the American Hospital Association and its state hospital association members. Doug Leonard, president of the Indiana Hospital Association, said an IHA task force is exploring how Indiana hospitals, health care providers and communities can improve advance care planning and palliative care. “There are many hospitals already doing an excellent job that we can learn from and we’re trying to initiate a statewide dialogue to share best practices,” Leonard said. “We need to make this—like Gundersen Lutheran has—a community topic discussed in churches, schools and community centers, as well as with hospitals and health care providers.” Moving Forward C-TAC co-founder Bill Novelli, a former CEO of AARP, characterized end-of-life planning and care as “the most significant and most human challenge we face in health care. It intersects with religion, spirituality, family life and our national conscience. I have worked on many big social change issues and I believe that this one is ripe for reform.” Novelli said the only way to reform America’s fragmented, haphazard approach to end-of-life care “is to be bipartisan, big and strong—with many players and sometimes strange bedfellows. And to tackle the challenges in a synergistic way rather than in sequence,” said Novelli, now a professor at Georgetown University’s McDonough School of Business. “This may be the only health issue where if you give people what they want and improve the quality of care, you can also save money. Cost containment is a result of quality care in advanced illness. And that is not lost on the people scrambling to cut the debt and deficit.”
Source: cecc.info

Young’s staff to conduct sessions focusing on Medicare [log in]

Entertainment      People & Places      Marriage licenses      Food      Health      Home & Family      Religion      Outdoors      Hoosier Wine Cellar      myINstride.com 
Source: tmnews.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

Massachusetts Health Stats: Will Doctors Stop Taking Medicare Patients in Massachusetts?

This blog overcomes the attempts from those on both the left and right of the political spectrum to use statistics to impose needless changes on one of the best healthcare systems in the world. Massachusetts Health Stats is an as-needed look at statistics about the Massachusetts healthcare delivery and insurance market and industry, including — occasionally — aspects of Medicare as they relate to Massachusetts seniors and the Medicare-eligible disabled. For Medicare-specific information with nationwide implications and some how-to hints for seniors see http://byrondennis.typepad.com/theabcsofmedicare/
Source: typepad.com

Comments Off  :  Add Comment
September 14, 2013

Medicare and other insurance FYI

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



This is good to know Heather. I had to drop my retiree medical from my former employer b/c the premiums were over $500/month. I can pick up in latter years during any open enrollment period but they told me he would pay secondary to medicare. I think the reason for this is the retiree part. I am no longer an active employee. When your husband finally retires from his job, will they continue the BCBS and will they continue to pay for this coverage even after he retires. I worked for one of the largest fortune 500 companies in the world (nearly 100,000 employees) and once you finally retire, they told me medicare becomes the primary payer and the the optional retiree medical if you choose to purchase it after retirement pays secondary to medicare.
Source: mdjunction.com

Video: Medicare Enrollment Advice

The resource cannot be found.

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

Prescription Drug Advice for Seniors on Medicare Part D

Pharmacists are knowledgeable about many facets of the medications they dispense. Think of your pharmacist as another partner in your healthcare and feel free to discuss your concerns with them. Ask about drug interactions that might occur. Learn about the likelihood of side effects. Ensure that your pharmacist know about any allergies you have. Ask about any duplication in ingredients that might be dangerous. Most pharmacies will supply you with a patient information sheet with full information about the medication. Make sure you receive this sheet and read it carefully. If you have any questions, discuss them with your physician or pharmacist.
Source: medicarebenefits.com

HHS Takes NAIC’s Advice on Medicare Supplements

There was some good news out of Washington last week, when Kathleen Sebelius, Secretary of the U.S. Department of Health and Human Services announced that she would take the advice of the NAIC with regard to cost sharing in Medicare Supplement plans C and F. The NAIC had sent a letter advising againstcost sharing and against changing the standard benefit packages for these plans.
Source: agentpipeline.com

Will I have to repay Medicare for medical bills from a UIM accident at settlement time? ~ Free Legal Advice

Ask An Injury Lawyer, was created with the thought of the every day person suffering through a personal injury issue. Many are often confused and have questions regarding their next steps in a Personal Injury issue, and we’re here to help you. Get the relief you deserve. Get answers to your questions 100% free and confidential, now.
Source: askaninjurylawyer.com

Need Advice on How to Sell My Blue Shield Medicare Supplement Book of Business

Hi. I’m new on this forum, so please forgive me if I’m not doing this right. I currently have 16 remaining Medicare Supplement policy holders that I’ve had for years in Washington state. Blue Shield is cancelling my contract because I’ve fallen below 20 clients. Thought I’d try to sell it rather than lose everything. (I’m presuming I can do that.) The monthly income is almost $400 per month ($4,800 per year). Have been told that the selling price would be 1 to 2 times the annual income, but I’m not sure. Anyone have any advice on determining a fair selling price, where to advertise it, etc.? Anyone interested in buying it? Thanks, Ron
Source: insurance-forums.net

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

Comments Off  :  Add Comment
September 14, 2013

Activists Want An Immediate End To Illinois' Medicaid Privatization Contract

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 approximately 20 activists at today’s protest say the Maximus contract causes unjust Medicaid disqualifications, violates workers’ rights and costs the state more than if the job were done in-house. They called on Gov. Pat Quinn and HFS Director Julie Hamos to end the contract now, asking that the officials not wait until December 31 to fire Maximus. Quinn’s administration has not yet said if it would appeal the arbitrator’s ruling in court, or bring on the 100 extra state workers needed to cover the job Maximus is doing. According to AFSCME, the state would save $18 million a year by having public employees do the work instead of shelling out $76 million for a two-year contract with Maximus.
Source: progressillinois.com

Video: Attention Residents on Medicare in Illinois: information on Medicare Supplements

State Highlights: Fort Worth To Move Retirees Into Medicare Advantage Plans

Los Angeles Times: Patient-Interpreter Bill Aims To Overcome Language Barriers According to a 2012 study prepared for the federal Agency for Healthcare Research and Quality, pediatric patients with limited-English-proficient families who speak Spanish “have a much greater risk for serious medical events during hospitalizations than patients whose families are English-proficient” … [A bill that would make a statewide medical-interpretation program available to Medi-Cal patients] would require the state Department of Health Care Services to apply for federal money that would pay for a certified medical-interpreter program. Such a program is needed, supporters say, to prepare hospitals for the millions of limited-English speakers expected to use healthcare services over the next few years (Kumeh, 8/18).
Source: kaiserhealthnews.org

California Attorneys Representing Licensed, Regulated And Other Professionals: CEO and Physician For Illinois Company Who Billed Medicare For In

Interviews With Former And Current Physicians, Employees and Patients Regarding Upcoding. The affidavit alleges there was upcoding and that according to interviews with former and current Mobile Doctors physicians, branch managers, clinical coordinators, employees, and patients, a typical visit that a Mobile Doctors physician has with an established patient lasts 10 to 30 minutes and is routine in nature. In contrast to those interviews, claims data shows that from 2006 through February 2013, approximately 99 percent of all established-patient visits by Mobile Doctors physicians were billed to Medicare using either of the two highest codes indicating the visits involved medical decision-making of moderate to high complexity, detailed or comprehensive interval histories or medical examinations, and/or visits that typically last at least 40 minutes. In 2009 in Chicago, the local Medicare fee for a visit using the second-highest home visit code was approximately $122.82, while the fee for the highest code was approximately $171.25. 
Source: blogspot.com

Medicare Cuts, Obamacare Prompt Hospital Layoffs

“The sheer magnitude of the Medicare and Medicaid cuts impel us to look at all of our services and costs, including the largest component of our budget—personnel,” Cummings said, citing a 20 percent cut in Medicaid proposed by Democratic Gov. Dannel Malloy and approved by the state legislature resulting in a $550 million hit to Connecticut hospitals. Sequestration also resulted in an additional $1 million loss for L + M this year.
Source: freebeacon.com

Comments Off  :  Add Comment