Fight the Flu Program at Southcreek Office Park

Posted by:  :  Category: Medicare

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

Video: Medicare Basic Overview by United Healthcare Medicare Solutions

Medicare Survey of Boomers and Seniors

If you are interested in learning about how to find the best prices Medicare Supplemental insurance please check out our website at www.centaurmedicaresolutions.com  It is safe to get your Medigap quotes from us as we do not sell your information out to a bunch of agents like many website do these days.  Your information goes to only one agent to pull quotes!
Source: centaurmedicaresolutions.com

United Healthcare Acknowledges Payment Shortcomings : AAFP Leader Voices

Honestly, Dr. Cain, does United think we’ll swallow this load of hooey? They ask us to believe that: “United’s leaders” had no idea that for over two decades they’ve been forcing take-it-or-leave-it sub-Medicare contracts on family physicians (“Gambling in Casablanca? I’m shocked”); that, with all the resources of the country’s largest insurer, they’ve been unable during the past 14 months to identify physicians with those contracts; that they’re “developing solutions” while doing absolutely nothing; and that, icing on the cake, they “recognize the value of primary care” but, in the linked article say they will pay “incentive payments and fees GROWING (my caps) to a range of $0.45 to $3.30 PMPM” for medical home services. Dr. Cain, these are not decent, honorable people. They are con men: their words are lies, and their actions show nothing but contempt for the AAFP and family physicians. Every year, we read of these meetings, and every year things get worse. This approach does not work. Let me repeat: this approach DOES NOT WORK. The AAFP must take a strong adversarial approach if it wants to adaquately represent its members. A couple of suggestions: a major publicity campaign aimed at patients and employers outlining the actions/inactions of United and other insurers; a hot-line so physicians with these contracts can identify themselves, with the AAFP forwarding this information to United (along with the suggestion that, since their “leaders” didn’t know about these contracts, they re-process all claims from the last 10 years!); a blog in which physicians can report their experiences in renegociating their contracts; and, most importantly, the AAFP must walk out of the PCPCC, with a simple, public statement that we can no longer work in any capacity with organizations that are so hostile to our members and so damaging to our speciality. No family physicians, no medical home: this would carry some weight! We must refuse to allow our good name and reputation to be used as cover by these groups. The AAFP HAS to draw a line beyond which they will no longer tolerate this abuse of their membership. Thank you.
Source: aafp.org

United Healthcare Medicare Solutions

/url?q=http://www.health-care-articles.info/&sa=U&ei=fDVdT5CDGuLq2AXU4MSYBQ&ved=0CN8BEBYwRzgB&usg=AFQjCNHZYgJSAiW7iKpvkZBie63dC1I_hA /url?q=http://health.coolishgroup.com/&sa=U&ei=fDVdT5CDGuLq2AXU4MSYBQ&ved=0CPkBEBYwUDgB&usg=AFQjCNF4nrQHL4etT3RvHdKDzVoEX_BCJg /url?q=http://www.healtharticlesonline.com/&sa=U&ei=fDVdT5CDGuLq2AXU4MSYBQ&ved=0CLICEBYwYjgB&usg=AFQjCNFMR_gb1WV7UA_pNC5CO4eDFSjULw /url?q=http://www.healthhype.com/&sa=U&ei=fTVdT8XzBeKG2gWI3oHzDg&ved=0CJIBEBYwKThl&usg=AFQjCNEuMsmmRYRKWRZ1O7GR4BWFSiYDIQ /url?q=http://www.thedailybeast.com/topics/health.html&sa=U&ei=fTVdT8XzBeKG2gWI3oHzDg&ved=0CL4BEBYwOThl&usg=AFQjCNFJ2KAhuQBYkkIVUz_K4_bZj6MDlw /url?q=http://lisakifttherapy.com/&sa=U&ei=fTVdT-T4K6Pa2AW25pzyDg&ved=0CN8BEBYwRjjJAQ&usg=AFQjCNGNTDIRZVbZCLXAy-2mYGFpJNTAVw /url?q=http://www.tucsonlifestyle.com/index.php%3Fsrc%3Dgendocs%26ref%3DInhealtharticles%26category%3DHealth&sa=U&ei=fTVdT-T4K6Pa2AW25pzyDg&ved=0CIECEBYwUjjJAQ&usg=AFQjCNH_et1ggG-vFMWqgkG8dpOFTs-Ruw /url?q=http://www.talktothevet.com/ARTICLES/index.html&sa=U&ei=fTVdT-T4K6Pa2AW25pzyDg&ved=0CJgCEBYwWzjJAQ&usg=AFQjCNHHAcPjpKhpf01ydtMmhHepsgQosA
Source: yourhealthwellness.org

Medicare Explained In Enfield

It will also look at ConnPace and the Medicare Savings Program, which provide those who qualify with additional financial assistance to cover prescription drugs and Part B premiums. Nancy Petronio, of United Healthcare Medicare Solutions, will present the overview and will also be available for questions.
Source: courant.com

Healthcare.Provider.Service: United Healthcare Medicare Solutions Provider Listing

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Source: gdf-jorge-antunes.com

ACA Medicare Payroll Tax Costs MA $1.7B Over 10 Years; 3 Patriots to Pay $707,850 in 2013

Posted by:  :  Category: Medicare

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Pioneer has long held that the healthcare policy conversation in the Commonwealth lacks an informed review of the financial consequences of each provision of the ACA. This brief is part of an ongoing series from Pioneer Institute examining the impact on Massachusetts taxpayers and employers. Recent publications include: “First Do No Harm ‘The Impact of the Affordable Healthcare Act on Massachusetts’ Medical Device Industry,’” April 2013, and “Impact of the Federal Health Law’s ‘Cadillac Insurance Tax’ in Massachusetts,” October 2012. In 2012, Pioneer published a timely book, The Great Experiment: the States, the Feds, and Your Healthcare.
Source: pioneerinstitute.org

Video: Medicare Investment Income Tax

Form drafted for new Medicare tax

Sixty years ago Tripp Plastics began as a two-man, plastic fabrication business. As our growth began, we realized we needed a reliable CPA firm capable and willing to expand to help us grow. Tripp Enterprises hired Barnard, Vogler & Co. With their accounting supervision, we have grown to a 200,000 square foot, international business …
Source: bvcocpas.com

Ask The Experts: Retirement

Q. I turned 65 and applied for Medicare Part A and B, which is in effect. I pay my Part B monthly premiums separately. I am still employed and noted the Medicare tax is still being deducted from my paycheck. Is this a standard deduction that should be reimbursed, or will this deduction remain in effect until I retire?
Source: federaltimes.com

MailBag: 0.9% Medicare Tax Withholding From Nonqualified Deferred Compensation And Separating Twitter Accounts For Personal And Business Use

Here’s an example of why it matters. I know that your firm’s account often shares and retweets some of the content I produce on Nerd’s Eye View, yet the reality is that much of the content I write is actually written for advisors, not clients. Consequently, it may feel relevant and interesting for you, personally (I hope!), but frankly it’s not really the kind of content you want/need to share from your firm’s account to your firm’s clients and prospects. Your clients don’t need to hear about the latest news from about the CFP certification’s progress towards the fiduciary standard, or why I think financial planners should have a Google+ page. Your clients needs to hear about what your firm has to share that’s relevant to THEM, not what’s relevant to YOU (at least, unless your target clientele really are people just like you!). That’s where having both a firm and a personal account matters; your firm can share and engage with what’s relevant to your target audience, and your personal account can share and engage with what’s relevant to you, personally.
Source: kitces.com

Understand and Plan for the New Medicare Tax

There has been a lot of confusion about the Medicare Tax and when it will apply. To put it simply, the tax applies to the smaller amount of a taxpayer’s net investment income or their modified adjusted gross income (MAGI) over the threshold. The threshold for single taxpayers is $200,000 and $250,000 for married taxpayers filing jointly. MAGI is the number on line 22 of the 2012 IRS form 1040. Distributions from qualified retirement accounts are not subject to the tax but the taxable income from non-qualified deferred annuities is considered investment income and subject to the tax. Other taxable investment income is – passive rental income, royalties, other passive activity income. Income excluded from the tax are – wages, municipal bond interest, life insurance proceeds, social security & veterans benefits, sale of a principal residence and income from an active interest in a business.
Source: rodgers-associates.com

3.8% Medicare Tax on Net Investment Income

What is net investment income for purposes of Section 1411? The statute and the recently released Treasury Regulations relating to Section 1411 provide that net investment income is the sum of three “categories” or “buckets,” less properly allocable deductions. Included with the first category is gross income from interest, dividends, annuities, royalties and rents (unless earned in the course of an active trade or business); included within the second category is other gross income from passive activities and trading in financial instruments or commodities; and included within the third category is the net gain from the disposition of property, including property held for use in passive activities and trades or businesses of trading in financial instruments or commodities. Importantly, the statute does not include the following in the calculation of net investment income:  wages, unemployment compensation, operating income from a non-passive business, social security benefits, tax-exempt interest, self-employment income and distributions from qualified retirement plans, such as 401(k)s and IRAs. However, because of the dual tax basis calculation required by the statute, the inclusion of these items in a taxpayer’s MAGI can result in the application of the 3.8% tax to other items of income that may have otherwise avoided the imposition of the new tax.
Source: jdsupra.com

Payroll Tax Loophole Used by John Edwards and Newt Gingrich Remains Unaddressed by Congress

Some lawmakers have proposed a more limited solution that is overly complicated but which would at least solve part of the problem. Such legislation was first introduced as part of a tax “extenders” bill in 2010 (in order to offset some of the cost of those tax breaks) and a version has been introduced this year by Congressman Charlie Rangel. This legislation would address situations in which an S corporation provides a service and generates most of its profits based on the reputation or skills of three or fewer people. If this rule had been in place, Edwards and Gingrich probably would not have been able to avoid their Medicare taxes. But it might have left the courts to deal with cases like McAlary’s (because his business arguably relied on the skills and reputation of more than three people). 
Source: ctj.org

NET INVESTMENT INCOME TAX (NIIT) AND THE ADDITIONAL MEDICARE TAX

The Treasury Department and Internal Revenue Service implemented two new taxes that were effective on January 1, 2013, the Net Investment Income Tax (NIIT) and Additional Medicare Tax. The NIIT is a 3.8% tax for individuals, estates, and trusts on certain investment income including, but not limited to, interest, dividends, capital gains, rental and royalty income, and businesses that are passive activities. Individuals are subject to the NIIT tax if they have net investment income and also have modified adjusted income in excess of the following threshold amounts:
Source: mencpa.com

Update on the 3.8% Medicare Tax

Unfortunately, the form was released without instructions. So no one is really sure how the tax is applied in some circumstances involving pass thru entities, rental real estate, and gains and losses from certain property dispositions.
Source: duganlopatka.com

Anthem High Deductible F Supplement

Posted by:  :  Category: Medicare

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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 Medicare Anthem Medigap 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 Connecticut 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 2013 Wellcare medicare
Source: croweandassociates.com

Video: Plan F Medicare Supplements

Medicare Supplemental Insurance Aarp Plan F Select Is A Particular Option

Can be however, advised how the person going to acquire a medigap plan f deal should study the sale documents of all the Medigap plans be cautious a decision. All the twelve Medigap policies lid the basic benefits, but each an individual has some additional solutions along with these products. In brief it can be mentioned that the Plan A trustworthy is the easiest plan. However the Plans B-L provides all the primary advantages of Plan A and along with they will provide some free coverage. Each Plans K-L offers the benefits further to Plans A-J, but the divergence is the cost-sharing for the relatively easy benefits which is special at different levels.
Source: gilevans.org

Medicare Drug Plan Polls Suggest Bright Future for Obamacare

Looking back on it, the public’s turnaround from initial rejection to growing support for Part D was understandable. The unfunded $400 billion program that President Bush signed into law in December 2003 was needlessly complex for seniors and unnecessarily expensive for taxpayers. Rather than having the government negotiate prices directly with pharmaceutical firms and add drug coverage into the traditional Medicare program, President Bush and his Republican allies in Congress instead gave recipients subsidies to purchase plans from private insurers. Making matters worse, millions of “dual eligible” already receiving drug coverage from Medicaid had to switch to the new scheme, a process that left millions unable to pay for their prescriptions for weeks in early 2006.
Source: crooksandliars.com

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

Medicare Supplement Plan F

Medicare Supplemental Plan F is the most popular supplemental plan because it provides the most robust coverage, and the premiums are not much higher when the benefits are compared to the plans offering less coverage. A patient with Plan F can in many situations pay nothing additional out of pocket for doctor and hospital services. People eligible for a Medicare Supplemental Plan should compare the benefits and premiums of the plans and purchase the best coverage they can afford. For many patients, that is Plan F.
Source: wastedenergy.net

Is AARP The Best Carrier For Plan F?

Medicare supplement insurance plans are basic health insurance policies that are sold to consumers via private insurance companies.  These plans help to cover some of the out-of-pocket costs associated with medical expenses.  The AARP Medicare Supplement for Plan F is designed to help pay for some or all of the expenses that the original Medicare does not pay for – such things as coinsurance, office fees, and deductibles.  You should go over the Plan F details before you decide to find out if you are gaining privilege to all the possible benefits of the plan.
Source: recruitingblogs.com

An Explanation Of Medicare supplement plan F

Medicare supplement plan F is the most sought after Medicare supplement plan because it provides the most coverage. It is also the most expensive of the plans. Medicare supplement plans cover the deductibles in part A, which is the hospital portion of Medicare, and the 20% that Medicare does not cover, which is the doctor’s portion of the plan. The plans are labeled plans A, B, C, D, F, G, K, L, M, and N.
Source: willkapampa.org

OIG: Tufts Medical Center Overbilled Medicare $1.1M

Posted by:  :  Category: Medicare

Previously, the OIG reviewed Tufts and said the hospital incorrectly billed Medicare inpatient short stays and same-day discharges in 2009 and 2010. However, the OIG’s previous report needed “further evaluation” on the inpatient claims, which resulted in this most recent report.
Source: beckershospitalreview.com

Video: Welcome to Tufts Health Plan Medicare Preferred

Tufts Health Plan Medicare Preferred Information Table

Tufts Health Plan Medicare Preferred will hold an Information Table for senior citizens in Shrewsbury community. The Information Tables are part of Tufts Health Plan’s statewide effort to provide seniors with the opportunity to meet with Tufts Health Plan Medicare Preferred representatives and provide general information about Medicare Advantage-type plans, review enrollment periods and answer questions.
Source: patch.com

Tufts Medicare Advantage?

For a company Ive never heard of they sure do have a lot of Med Advantages in your state. Tufts Medicare Preferred HMO Basic $16.00 Tufts Medicare Preferred HMO Basic $0 Tufts Medicare Preferred HMO Basic Rx $38.00 Tufts Medicare Preferred HMO Basic Rx $22.00 Tufts Medicare Preferred HMO Basic Rx Plus $48.00 Tufts Medicare Preferred HMO Basic Rx Plus $32.00 Tufts Medicare Preferred HMO Prime $96.00 Tufts Medicare Preferred HMO Prime $72.00 Tufts Medicare Preferred HMO Prime Rx $118.00 Tufts Medicare Preferred HMO Prime Rx $94.00 Tufts Medicare Preferred HMO Prime Rx Plus $128.00 Tufts Medicare Preferred HMO Prime Rx Plus $104.00 Tufts Medicare Preferred HMO Value $58.00 Tufts Medicare Preferred HMO Value $42.00 Tufts Medicare Preferred HMO Value Rx $80.00 Tufts Medicare Preferred HMO Value Rx $64.00 Tufts Medicare Preferred HMO Value Rx Plus $90.00 Tufts Medicare Preferred HMO Value Rx Plus $74.00 Tufts Medicare Preferred PFFS Basic $50.00 Tufts Medicare Preferred PFFS Basic $45.00 Tufts Medicare Preferred PFFS Basic Rx $72.00 Tufts Medicare Preferred PFFS Basic Rx $67.00 Tufts Medicare Preferred PFFS Basic RxPlus $82.00 Tufts Medicare Preferred PFFS Basic RxPlus $77.00 Tufts Medicare Preferred PFFS Prime $111.00 Tufts Medicare Preferred PFFS Prime $92.00 Tufts Medicare Preferred PFFS Prime Rx $133.00 Tufts Medicare Preferred PFFS Prime Rx $114.00 Tufts Medicare Preferred PFFS Prime RxPlus $143.00 Tufts Medicare Preferred PFFS Prime RxPlus $124.00 Tufts Medicare Preferred PPO $87.00 Tufts Medicare Preferred PPO $82.00 Tufts Medicare Preferred PPO Rx $109.00 Tufts Medicare Preferred PPO Rx $104.00
Source: insurance-forums.net

Social Security and Medicare Forum at Tufts

Christie Hager, representing the HHS Secretary Kathryn Sebelius and by extension the Obama Administration, touted the achievements made by the Administration, saying there was, “Historic good news about Medicare,” adding, “These historic benefits include discounts in prescription drugs, in the donut hole,” and preventative services. “[By] keeping you well before you need more costly and more risky medical care.” Hager also stated that her agency along with the Department of Justice has, “Recovered over 10 billion dollars in four years in fraudulent claims.” This in the last four years.
Source: thesomervillenews.com

Definition For HMO, HMO Stand For, HMO Health Insurance Plans, : TUFTS MEDICARE PREFERRED HMO 2012 FORMULARY

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Source: projectedu.com

Tufts Health Plan: Keeping Data Security Healthy

About Tufts Health Plan Tufts Health Plan is a nonprofit organization nationally recognized for its commitment to providing innovative, high-quality health care coverage. The plan offers members and employers an array of health management programs, which support evidence-based approaches to health and wellness. Quality is a hallmark of the plan: its HMO and POS are ranked second in the nation by the National Committee for Quality Assurance (NCQA)*. Its Tufts Medicare Preferred HMO earned a 4.5 star rating from the Centers for Medicare and Medicaid Services for 2013. Network Health, a subsidiary of Tufts Health Plan, is ranked third in the country for Medicaid plans, according to NCQA Medicaid Health Insurance Plan Rankings 2012-2013. Headquartered in Massachusetts, Tufts Health Plan also serves members in Rhode Island. Visit us at www.tuftshealthplan.com.
Source: axistechnologyllc.com

Inspector General Faults Medicare for Not Tracking ‘Extreme’ Prescribers

The inspector general’s report calls on the Centers for Medicare and Medicaid Services (CMS), which oversees the program, to step up scrutiny of doctors with questionable prescribing patterns. It urged CMS to direct its fraud contractor to expand its analysis of prescribers and train the private insurers that administer Part D on how to spot problem prescribers.
Source: propublica.org

CVS Caremark mailing error exposes prescription information

The “medication information” letters went out to the wrong addresses in late January and early February, mostly to members in Massachusetts. Each letter included another member’s name, the name of a drug prescribed, and the general types of conditions that treatment is used for, according to CVS Caremark, based in Woonsocket, R.I.
Source: phiprivacy.net

Roundup: Fla. Medicare HMO Closed; Tufts And BCBS Resume Talks

NewsHour: Kids With Toothaches: Lost In The Health Care Debate Teeth are crucial. When free health care clinics for poor people are held in California, the number one activity is extractions. The California Dental Association says the top chronic childhood disease is tooth decay. But a third of Americans say they skip dental checkups because of the cost. Until 2009, in California, dental care was part of Medicaid, or Medi-Cal as it’s called in California. More than three million poor, disabled and elderly adults had been eligible for subsidized care of their teeth. But cash-strapped California, looking for ways to save money, eliminated dental care for adults under Medi-Cal two years ago, and pocketed $109 million. At the same time the state gave up $134 million in federal matching funds (Michels, 11/17).
Source: kaiserhealthnews.org

Medicare Advantage Application

Posted by:  :  Category: Medicare

Essentially benefits such as Part D, copayments for doctor visits, and copayments for hospital stays included in these plans are free. The reason that insurance companies can offer these plans is that the government provides a subsidy for each additional subscriber that they get to sign up for a Medicare Advantage HMO plan. The government pays the insurance company a monthly amount to provide benefits and pay claims for people on Medicare. The idea was that the insurance companies would relieve the Medicare system of some of the expensive claims by letting the insurance companies manage the risk. These plans cover people with good benefits in network, but out of network, many times coverage is limited.
Source: mymedicaregov.info

Video: Two Useful (but frustrating) Websites: MyMedicare.gov and Missouri Case.net

What You Need to Know about Medicare and the Affordable Care Act

Ross Blair has applied more than 26 years of technology experience to develop PlanPrescriber.com, a website that makes it easier for seniors and their caregivers to select and enroll in the best Medicare products for their specific needs. In his role as CEO, he has worked closely with pharmacists, insurers, physicians, caregivers and seniors to identify the most critical and complex aspects of Medicare and create a system that delivers this information to consumers in a format that is easy to use and understand. Google+
Source: ehealthmedicare.com

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

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

The Good Will Hunting Paralegal: Use MyMedicare.com to Get Lien Information Fast

Shortly thereafter, I was chirpily advised my place in the queue was 147. Then Medicare played muzak by some Yanni wannabe that sounded like a cat practicing yodeling, followed by creepy Twilight Zone music (the hairs on the back of my neck rose, and I almost bailed on the call at that point, which I think was Medicare’s intent). Occasionally a recorded voice message came on and made me jump in surprise. Midway through the call, I regretted the 36 oz big gulp sweat tea I had with lunch, but figured out it would be completely uncool to take the phone headset with me to the loo.
Source: practicalparalegalism.com

New York Health Benefit Exchange

Federally subsidized premium tax credits will be available for New Yorkers who purchase coverage for themselves, based on income level, to help further reduce their costs.  Individuals can determine if they qualify for the tax credits through the application process.
Source: mymedicaremadesimple.com

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

Posted by:  :  Category: Medicare

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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

Video: Chief Medicare Actuary Foster Gets Myers Award

Coverage Gap Gets Smaller for Medicare Patients

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

Sightings Over Sixty: Tips for Enrolling in Medicare

. This part of Medicare is actually something separate. It is a Medicare Advantage plan. This is an insurance plan supplied by a private company that works directly with Medicare. The Medicare Advantage plan consolidates all your other Medicare options into one overall plan.      So, with a Medicare Supplement plan (which does not count as Part C), you pay separately for Part B, Part D, for the supplement plan itself, and for any other insurance you might want — like a dental insurance plan, for example.      With a Medicare Advantage plan, or Part C, you pay one bill that includes your drug plan, and also typically offers a dental plan. However, the Medical Advantage plan is either an HMO plan, or a PPO plan. With an HMO, you must go to a doctor in the insurance company’s network. With a PPO you also go to a doctor in network. You can go to a doctor that’s out-of-network, but the insurance will only cover a smaller portion of the bill that Medicare doesn’t pay — leaving you exposed to unknown and perhaps very high medical costs.      Advice: If you want the convenience of a Medicare Advantage plan, and you want to stay with your current medical practice, you should call your doctor’s office and make sure the doctor is in the network of that particular plan.      Personally, when I was signing up, I thought I’d choose a PPO plan. I’d go to my doctor on a regular basis. But then, if I needed some kind of specialist that was out-of-network, I could go, and I’d just have to pay more.      Then I found out that my current medical group does not accept the Medicare Advantage plan of my old insurance company, which was HIP. That would mean I’d be paying out-of-network fees every time I go to the doctor.      It didn’t make sense to me that my medical group would accept regular HIP; but not accept HIP Medical Advantage. But that’s the policy. And my medical group is the biggest, most comprehensive medical group in my area. I did not want to change.      Then I researched the AARP offering, through United Healthcare. My medical group accepts the United Healthcare Medicare Supplement plan. But, for some reason, it does not accept the United Healthcare Medicare Advantage Plan. Therefore, again, with the Advantage plan every time I’d go to the doctor, I’d be paying out-of-service fees.      So I chose the AARP United Healthcare Medicare Supplement Plan. I do not have my insurance wrapped up into one policy. I pay a separate bill each, for Medicare Part B, Medicare Part D, and the Medicare Supplement plan. And then, since my supplement plan does not include dental, I purchased a separate dental plan through AARP, with yet another bill, for another $40-some per month.      I pay four separate bills. The good news is that altogether they are about a third less than what I was paying through my old medical insurance plan, as of two months ago.      I have yet to actually use Medicare. I haven’t been to the doctor yet. I sure hope the process becomes a little easier.      Meantime, I know there are lots of people with more Medicare experience than I have. So if I’ve got anything wrong here, I hope you will correct me. Or if there’s anything to add, which could help the Medicare neophyte, I hope you won’t hesitate to append your advice. Thanks and good luck!
Source: blogspot.com

Biodesix Gets Medicare Coverage for VeriStrat NSCLC Test

A duo from Pennsylvania State University presents new data describing the genomic organization of human transcript initiation complexes. Noting that only a small part of the human genome is coding despite pervasive transcription, the researchers asked whether non-coding transcription arises at promoters, and investigated the interaction of the initiation factors TATA box binding protein, transcription factor IIB, and RNA polymerase II. Among the findings was the identification of about 160,000 transcription initiation complexes across the human K562 genome, and more in other cancer genomes. They note that only about 5 percent of those associated with mRNA genes with the rest associating with non-polyadenylated non-coding transcription.
Source: genomeweb.com

MDx/CDx Focus: Crescendo's Vectra DA Gets Medicare Coverage; Cobas HPV Test Supplemental PMA

A duo from Pennsylvania State University presents new data describing the genomic organization of human transcript initiation complexes. Noting that only a small part of the human genome is coding despite pervasive transcription, the researchers asked whether non-coding transcription arises at promoters, and investigated the interaction of the initiation factors TATA box binding protein, transcription factor IIB, and RNA polymerase II. Among the findings was the identification of about 160,000 transcription initiation complexes across the human K562 genome, and more in other cancer genomes. They note that only about 5 percent of those associated with mRNA genes with the rest associating with non-polyadenylated non-coding transcription.
Source: genomeweb.com

ibm medicare options: IBM Medicare Extend Health Does NOT Negotiate Insurance Premiums

It has been confirmed a couple of times that the Extend Health Medicare insurance products we will be offered are a subset of the SAME products in the general marketplace and will be the SAME price. One would think Extend Health would have more leverage with insurance companies.  Here’s an even bigger irritant.  EH will probably not offer the cheapest Medicare insurance products in your zip code.  They offer insurance products where they are paid a commission from the insurance company to sell those products.  I continue to urge you to decide what kind of products you want to get BEFORE you talk to an Extend Health advisor.  By way of example, I will tell you what I am doing.  I looked on Extend Health’s website to see what was offered to employees of other companies.  I did that by looking at www.extendhealth.com/dupont and www.extendhealth.com/gm  (isn’t it interesting that anyone can go to www.extendhealth.com/ibm which is the site we are using to enter our profile information) and I saw the products offered by EH in my zip code in 2013. I am reasonably sure it will be the same stuff offered to us.  I am specifically interested in a medigap plan called F high deductible (F+).  Unfortunately, the F+ plan offered by Extend Health is not the cheapest plan in my zip code.  That’s really irritating as there is no difference in the content of a medigap plan from one company to another.  By law, all F+ plans must offer the same coverage.  However, I have to use the one offered by EH to get the HRA subsidy.  Here’s my decision on what kind of products I want to buy:
Source: blogspot.com

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September 21, 2013

Medicare Advantage Plan Star Ratings and Bonus Payments in 2012

Posted by:  :  Category: Medicare

To encourage Medicare Advantage plans to provide quality care, the 2010 health reform law authorized Medicare to pay plans bonuses beginning in 2012 if they receive four or five stars on the program’s five-star quality rating system, or are unrated. Building on that provision, the Centers for Medicare and Medicaid Services subsequently launched a demonstration that allowed more plans to receive bonuses and increased the size of the bonuses to encourage plans to maintain or improve their rating.
Source: kff.org

Video: Medicare 5-star rated

Medicare considers star ratings for hospitals to make quality comparisons easier for patients

But even before it’s formally proposed, the possibility of the government rating hospitals based on a star system is receiving less than heavenly reviews. In a letter to Medicare, the Association of American Medical Colleges said it “strongly opposes the use of a star rating system, which may make inappropriate distinctions for hospitals whose performance is not statistically different. A star rating system can also exaggerate minor performance differences on measures.”
Source: medcitynews.com

Second Guessing Medicare’s Star Rating System

But insurance executives made them a priority after the 2010 healthcare law attached large financial rewards to them. The first round of ratings last fall showed that most have a long way to go. Only 12 earned a perfect score of five, on a scale of one to five, and about 9 percent were below average. The majority received scores of three, or three and a half stars– enough to get them bonus money this year. After 2014, plans will need four or five stars to get bonuses. And if they have fewer than three stars, they won’t be allowed to enroll beneficiaries through Medicare’s website, and risk being booted from Medicare altogether, according to HHS spokesman Tony Salters. 
Source: kaiserhealthnews.org

Medicare Plan Finder for Health, Prescription Drug and Medigap plans

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

Keeping Seniors Safe from High Risk Meds

Express Scripts’ High-Risk Medication Prior Authorization (HRMPA) program — part of our standard Medicare formulary management — helps improve patient safety by monitoring the real-time dispensing of CMS-classified HRMs. Our HRMPA program supports a plan sponsor’s prior authorization (PA) and medical exception initiatives, offers year-round, 24/7 review service, and gives physicians and pharmacists easy access to PA information.
Source: express-scripts.com

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September 21, 2013

Health overhaul confuses Medicare beneficiaries

Posted by:  :  Category: Medicare

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You may be required to provide contact information or register when you make a User Submission (Please also see the Section entitled “Account Information” and Channel One’s Privacy Policy). Unless otherwise agreed, ownership rights in your User Submissions will be retained by you (or, if applicable, your Institution or the original author or licensor, as the case may be); however, upon any submission or contribution of any User Submission, Channel One will receive an irrevocable, worldwide, non-exclusive, royalty-free, fully sublicenseable and freely transferable license to use, reproduce, distribute, prepare derivative works of, display, and perform such User Submissions in any media formats now or hereafter created and through any media channels now or hereafter created, including but not limited to use on these or other Channel One’s Offerings, Channel One Network’s programming or other offerings in any manner. Even though ownership rights in User Submissions are retained, Channel One has no obligation to provide credit, attribution or authorship to you or to retain, archive, return and/or provide any tangible or intangible copies to you, of or in relation to any User Submissions. Please be advised that: You will be solely responsible for your own User Submissions and the consequences of posting them, and should you post a User Submission, you represent and warrant that you own or have the necessary rights to post and authorize us to use your User Submissions in the manner contemplated by Channel One’s Sites, Channel One’s Offerings, these Online Terms and Conditions and any rules, regulations or authorizations of your Institution. Channel One does not endorse any User Submission or any opinion, recommendation, or advice that may be expressed. Accordingly, Channel One expressly disclaims any and all liability in connection with any and all User Submissions. Notwithstanding anything to the contrary contained in these Online Terms and Conditions, we reserve the right to remove any Content and User Submissions without prior notice (or to refuse to publish any User Submission) for any reason and without affecting the rights and licenses granted to us under these Online Terms and Conditions. No User Submission or other content that you may have access to or come into the possession of through your user or access of Channel One’s Offering(s) or any other product or service provided by Channel One shall be considered a “virtual good” or other property right of any kind and shall not be deemed to have any monetary or other tangible or intangible value. You may not upload, post or otherwise make available on Channel One’s Sites or through Channel One’s Offerings any material protected by copyright, trademark or other proprietary right without the express permission of the owner of the copyright, trademark or other proprietary right and the burden of determining that any material is not protected by copyright rests with you. You shall be solely liable for any damage resulting from any infringement of copyrights, proprietary rights, or any other harm resulting from such a submission. Channel One does not want to receive confidential information from you or any end user and any information received will be deemed NOT to be confidential. Notwithstanding the foregoing, Channel One has the right, but not the obligation, to review any user submissions or other content posted or proposed on Channel One’s Sites or through any of Channel One’s Offerings to determine compliance with these Website Terms of Use and any operating rules established by Channel One and to satisfy any law, regulation or authorized government request. Without limiting the foregoing, Channel One shall have the right to reject or remove any material that Channel One, in its sole discretion, finds to be inappropriate or in conflict with the provisions of these Website Terms of Use, applicable law, or for any other reason whatsoever, and Channel One has no obligation to notify or disclose its reasons for such determinations. Disclaimer of Warranty; Limitation of Liability (A) YOU EXPRESSLY AGREE THAT YOUR USE OF CHANNEL ONE’S SITES AND CHANNEL ONE’S OFFERINGS IS AT YOUR SOLE RISK. NEITHER CHANNEL ONE, CHANNEL ONE PARENT AND AFFILIATED COMPANIES NOR ANY OF THEIR RESPECTIVE EMPLOYEES, AGENTS, THIRD PARTY CONTENT PROVIDERS OR LICENSORS (COLLECTIVELY THE “CHANNEL ONE PARTIES”) WARRANT THAT CHANNEL ONE’S SITES OR CHANNEL ONE’S OFFERINGS WILL BE UNINTERRUPTED OR ERROR FREE; NOR DO THEY MAKE ANY WARRANTY AS TO THE RESULTS THAT MAY BE OBTAINED FROM USE OF CHANNEL ONE’S SITES OR CHANNEL ONE’S OFFERINGS, OR AS TO THE ACCURACY, RELIABILITY OR CONTENT OF ANY INFORMATION, SERVICE, OR MERCHANDISE PROVIDED THROUGH CHANNEL ONE’S SITES OR CHANNEL ONE’S OFFERINGS. (B) CHANNEL ONE’S SITES AND CHANNEL ONE’S OFFERINGS ARE PROVIDED ON AN “AS IS” BASIS WITHOUT WARRANTIES OF ANY KIND, EITHER EXPRESS OR IMPLIED, INCLUDING, BUT NOT LIMITED TO, WARRANTIES OF TITLE OR IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, OTHER THAN THOSE WARRANTIES WHICH ARE IMPLIED BY AND INCAPABLE OF EXCLUSION, RESTRICTION OR MODIFICATION UNDER THE LAWS APPLICABLE TO THESE SITE TERMS OF SERVICE. (C) THIS DISCLAIMER OF LIABILITY APPLIES TO ANY DAMAGES OR INJURY CAUSED BY ANY FAILURE OF PERFORMANCE, ERROR, OMISSION, INTERRUPTION, DELETION, DEFECT, DELAY IN OPERATION OR TRANSMISSION, COMPUTER VIRUS, COMMUNICATION LINE FAILURE, THEFT OR DESTRUCTION OR UNAUTHORIZED ACCESS TO, ALTERATION OF, OR USE OF RECORD, WHETHER FOR BREACH OF CONTRACT, TORTIOUS BEHAVIOR, NEGLIGENCE, OR UNDER ANY OTHER CAUSE OF ACTION. YOU SPECIFICALLY ACKNOWLEDGE THAT CHANNEL ONE IS NOT LIABLE FOR THE DEFAMATORY, OFFENSIVE OR ILLEGAL CONDUCT OF OTHER USERS OR THIRD-PARTIES AND THAT THE RISK OF INJURY FROM THE FOREGOING RESTS ENTIRELY WITH YOU. (D) IN NO EVENT WILL CHANNEL ONE, THE CHANNEL ONE PARTIES, OR ANY PERSON OR ENTITY INVOLVED IN CREATING, PRODUCING OR DISTRIBUTING CHANNEL ONE’S SITES, CHANNEL ONE’S OFFERINGS OR ANY SOFTWARE THAT MAY BE REQUIRED TO USE OR ACCESS THE SAME, BE LIABLE FOR ANY INDIRECT, INCIDENTAL, SPECIAL, CONSEQUENTIAL OR PUNITIVE DAMAGES ARISING OUT OF THE USE OF OR INABILITY TO USE CHANNEL ONE’S SITES OR CHANNEL ONE’S OFFERINGS. YOU HEREBY ACKNOWLEDGE THAT THE PROVISIONS OF THIS SECTION SHALL APPLY TO ALL CONTENT ON CHANNEL ONE’S SITES OR CHANNEL ONE’S OFFERINGS. (E) IN ADDITION TO THE TERMS SET FORTH ABOVE NEITHER, CHANNEL ONE, NOR THE CHANNEL ONE PARTIES SHALL BE LIABLE REGARDLESS OF THE CAUSE OR DURATION, FOR ANY ERRORS, INACCURACIES, OMISSIONS, OR OTHER DEFECTS IN, OR UNTIMELINESS OR NON-AUTHENTICITY OF, THE INFORMATION CONTAINED WITHIN CHANNEL ONE’S SITES OR CHANNEL ONE’S OFFERINGS, OR FOR ANY DELAY OR INTERRUPTION IN THE TRANSMISSION THEREOF, OR FOR ANY CLAIMS OR LOSSES ARISING THEREFROM OR OCCASIONED THEREBY. NONE OF THE FOREGOING PARTIES SHALL BE LIABLE FOR ANY THIRD-PARTY CLAIMS OR LOSSES OF ANY NATURE, INCLUDING, BUT NOT LIMITED TO, LOST PROFITS, PUNITIVE OR CONSEQUENTIAL DAMAGES AND THE AGGREGATE, TOTAL LIABILITY OF THE CHANNEL ONE PARTIES TO YOU (OR, IF APPLICABLE, YOUR SCHOOL OR OTHER INSTITUTION) FOR ALL DAMAGES, INJURY, LOSSES AND CAUSES OF ACTION (WHETHER IN CONTRACT, TORT OR OTHERWISE) ARISING FROM OR RELATING TO THESE SITE TERMS OF SERVICE OR THE USE OF OR INABILITY TO USE CHANNEL ONE’S SITES OR CHANNEL ONE’S OFFERINGS UNDER THESE WEBSITE TERMS OF USE SHALL BE LIMITED TO PROVEN DIRECT DAMAGES IN AN AMOUNT NOT TO EXCEED THE GREATER OF: (A) THE AMOUNT, IF ANY, PAID BY YOU IN CONNECTION WITH YOUR USE OF CHANNEL ONE’S SITES OR CHANNEL ONE’S OFFERINGS AND RETAINED BY CHANNEL ONE OR (B) ONE HUNDRED DOLLARS ($100). (F) SOME JURISDICTIONS DO NOT ALLOW THE LIMITATION OR EXCLUSION OF CERTAIN LIABILITY OR WARRANTIES SO SOME OF THE ABOVE LIMITATIONS MAY NOT APPLY TO YOU. In such jurisdictions, Channel One’s liability is limited to the greatest extent permitted by law. Indemnification. You agree to defend, indemnify and hold harmless Channel One, Channel One parent and affiliated companies and their respective directors, officers, employees and agents from and against all claims and expenses, including attorneys’ fees, arising out of the use of Channel One’s Sites by you, except to the extent such claims and expenses arise directly out of the negligence of Channel One. Termination. Either Channel One or you may terminate these Website Terms of Use at any time. Without limiting the foregoing, Channel One will have the right to immediately terminate your passwords or accounts, if applicable, for any reason in its sole discretion. While Channel One may be unable to bar you from accessing the publically accessible areas of Channel One’s Sites or Channel One’s Offerings, your continued access or use may constitute a violation of these Website Terms of Use and a violation of applicable law, including the Computer Fraud and Abuse Act, if you persist in accessing or using our Sites or Offerings after becoming notified of Channel One terminating your use and access rights. The provisions of these Website Terms of Use, which by its terms are intended to survive cessation or termination of your use or access of the Channel One’s Sites or Offerings, will survive any such termination, for whatever reason, of these Website Terms of Use. Third Party Content. Certain of the content on our site and featured in our offerings are supplied by third parties. In many of these cases, we are a distributor (not a publisher) of such supplied or licensed content and thus any opinions, advice, statements, services, offers, or other information or content expressed by such third parties are their own, and not of Channel One. In these cases, Channel One is a distributor (and not a publisher) of content when the content is supplied by third parties, Schools and other end users such as you. Channel One does not exercise editorial control over such content. Accordingly, Channel One, and in many cases and contexts, such third party suppliers, providers and contributors, do not and cannot guaranty the accuracy, completeness, or usefulness of any such content, nor its merchantability or fitness for any particular purpose. Under no circumstances will Channel One be liable for any loss or damage caused by your reliance on information obtained through Channel One’s Sites or Offerings. It is your responsibility to evaluate the accuracy, completeness or usefulness of any information, opinion, advice or other content available through Channel One’s Sites or Offerings. (Please see the section entitled “Disclaimer of Warranty; Limitation of Liability” for additional provisions regarding these matters.) Linking to Channel One’s Sites or Offerings. If you link to Channel One’s Sites, your link must not damage, dilute or tarnish the goodwill associated with Channel One and/or any of our licensors, suppliers, customers and other end users, including by linking from a site that is unlawful, abusive, indecent or obscene, that promotes violence or illegal acts or that is otherwise inappropriate in Channel One’s sole discretion. No link may create the false appearance that your web site or organization is sponsored, endorsed by, affiliated or associated with Channel One or any licensors, suppliers, customers or end users, and you may not “frame” any of Channel One’s Sites or Offerings. By accessing and using any of Channel One’s Sites or Offerings, you agree that, upon Channel One’s request, you will remove any link we request you to remove. Please feel free to contact us requesting to link or otherwise regarding linking from your web site at webmaster@channelone.com with your contact information so we may contact you about your questions or request. Jurisdiction. This site and our offerings are controlled and operated by us from our offices in New York City, State of New York in the United States of America. We make no representation that materials and other offerings on our site are appropriate or available for use in other locations. Those who choose to access our site and offerings from other locations do so on their own initiative and are responsible for compliance with local laws, Miscellaneous. These Website Terms of Use (which hereby incorporates by reference any other provisions applicable to use of Channel One’s Sites, including, but not limited to, any supplemental terms governing the use of certain specific material contained in Channel One’s Sites and any operating rules for Channel One’s Sites established by Channel One) constitutes the entire agreement of the parties with respect to the subject matter hereof, and supersede all previous written or oral agreements between the parties with respect to such subject matter. The provisions of these Website Terms of Use will be deemed severable, and the unenforceability of any one or more provisions will not affect the enforceability of any other provisions. In addition, if any provision of the Website Terms of Use, for any reason, is declared to be unenforceable, the parties will substitute an enforceable provision that, to the maximum extent possible under applicable law, preserves the original intentions and economic positions of the parties. These Website Terms of Use shall be construed in accordance with the laws of the State of New York, without regard to its conflict of laws rules. No waiver by either party of any breach or default hereunder shall be deemed to be a waiver of any preceding or subsequent breach or default. The section headings used herein are for convenience only and shall not be given any legal import. Privacy Policy. Channel One knows that the privacy of your personal information is important to you. Therefore, Channel One has established a Privacy Policy governing the use of this information, which can be viewed here and is part of these Website Terms of Use. DMCA Notice. Channel One owns, protects and enforces copyrights in its own creative material and respects the copyright properties of others. Materials may be made available on or via Channel One’s Sites by third parties not within the control of Channel One. It is our policy not to permit materials known by us to be infringing to remain on this site. You should notify us promptly if you believe any materials on the Service infringe a third party copyright. Upon our receipt of a proper notice of claimed infringement under the Digital Millennium Copyright Act (“DMCA”), Channel One will respond expeditiously to follow the procedures specified in the DMCA to resolve the claim between the notifying party and the alleged infringer who provided the content in issue, including, where applicable, removing, or disabling access to material claimed to be infringing or by removing or disabling access to links to such material. Pursuant to the DMCA 17 U.S.C. 512 (c), Channel One has designated the Vice-President and General Counsel of Alloy, Inc., the parent company of Channel One, as its agent for notification of claims of copyright infringement with respect to information residing, at the direction of a user, on the Channel One’s Sites Web site. The contact information is: Channel One, LLC care of Vice President / General Counsel Alloy, Inc. 151 W. 26th Street, 11th Floor New York, NY 10001 E-mail: legal@channelone.com Online Terms & Conditions BY COMPLETING THIS REGISTRATION AND ACCESSING ANY OF CHANNEL ONE’S SITES OR USING ANY OF CHANNEL ONE’S OFFERINGS, AT ANY TIME FROM TIME TO TIME, YOU ARE AGREEING TO THESE TERMS AND CONDITIONS, AS WELL AS THE “WEBSITE TERMS OF USE” (THE “WEBSITE TERMS OF USE“), AND CHANNEL ONE’S “PRIVACY POLICY” (THE “PRIVACY POLICY”) BOTH OF WHICH ARE INCORPORATED HEREIN BY REFERENCE AND REFERRED TO, ALONG WITH THESE TERMS AND CONDITIONS, AS CHANNEL ONE’S “ONLINE TERMS AND CONDITIONS.” We may, at our sole discretion, modify these Online Terms and Conditions at any time. By accessing Channel One’s Sites or using Channel One’s Offerings at any time after any such modifications are posted, you are agreeing to such modifications. PLEASE NOTE: IF YOU ARE UNDER AGE 18, PLEASE OBTAIN YOUR PARENT’S CONSENT TO REGISTER. IF YOU ARE UNDER AGE 13, PLEASE HAVE YOUR PARENT REGISTER FOR YOU. WE DO NOT PERMIT REGISTRATION, OR COLLECT OR RETAIN ANY INFORMATION THAT MAY ATTEMPT TO BE PROVIDED, BY ANY CHILD UNDER 13 YEARS OF AGE. This registration governs your use of Channel One’s mobile and online offerings, which are provided to you via our website which is accessible through www.channelone.com, (and/or successor, affiliated or associated domains) or through various mobile or device-oriented app stores or similar distribution platforms. Such sites are referred to as “Channel One’s Sites”; such offerings, including without limitation in the form of a media player, app, or native or downloadable software-based offering, are referred to as “Channel One’s Offerings.” Channel One’s Sites and Channel One’s Offerings are owned or licensed and operated and distributed by Channel One (referred to herein as “Channel One” and “we” and through similar words such as “us,” “our,” etc.). These Online Terms and Conditions may apply to you variously in your capacity or capacities, as follows: (A) a parent, guardian and/or individual child using any of Channel One’s Offerings, provided that we do not permit registration, or collect or retain any information attempted to be provided, by children under age 13 without express parent consent; or (B) an educator, other employee or other affiliated or authorized user of an Institution, including one which may have authorized or paid for your access and right to use Channel One’s Offerings, as a beneficiary and because of your affiliation with such Institution, including for the benefit of your students (“Institutional User”). (For Institutional Users Only): Please note: As an Institutional User, you are also agreeing these Online Terms and Conditions in your capacity as an unaffiliated individual, and in your capacity and status as an educator or other type of interested party. You may register for an account irrespective of whether your School (or Institution with which you or your School is affiliated) utilizes and makes available television programming and other offerings developed, broadcast and distributed by Channel One in the classroom. If your School does, then these Online Terms and Conditions are intended to supplement but not replace, modify or affect in any manner the Network Participation Agreement or similar agreement to which your School or Institution may be a party. Please be advised that, as an Institutional User, there may from time to time be offerings featured or made available to you specially because of your status as an Institutional User. Where applicable and marked as “For Institutional Users Only” below, additional terms and conditions may apply to your use of any such subscription, paid and/or otherwise specially restricted offerings, if any. Notwithstanding anything to the contrary contained in these Online Terms and Conditions, we reserve the right to terminate or refuse any individual user’s access to any of Channel One’s Sites or Offerings for any reason at any time. No part of Channel One’s Sites or other aspect of Channel One’s Offerings are being offered as a public accommodation of any type or in any manner whatsoever. 1. Access and Use of Channel One’s Sites and Channel One’s Offerings a. Access to and use of Channel One’s Offering are conditioned upon using a self-designated or assigned login and password. The login and password are provided for the use by you as an individual user, and are not transferable to any other users, even others within your Institution. b. You agree to maintain your login and password strictly confidential. You will be solely responsible and liable, and Channel One shall have no liability, for any and all activities that occur associated with use of your login and password. c. Misuse of these Channel One’s Sites or Channel One’s Offerings including improper access of any account area or unauthorized sharing of the login and password, may result, at Channel One’s sole discretion, in the cancellation of your and/or the Institution’s access and/or account or the pursuit of other remedies. d. (For Institutional Users Only) You may use Channel One’s Offering(s) (and any other products or services offered by Channel One to which you have access and right of use) solely for the internal benefit of your Institution in the manner and to the extent authorized by the School or other affiliated entity associated with such Institution, and any uses that might exceed such authorization or conflict with the purpose of benefiting such Institution shall be deemed a violation of this Agreement. You acknowledge there may be time or use restrictions on the right to make copies or share any of the content or other offerings; please abide by any restrictions that are noticed or to which your School or Institution may be bound in respect of the use of Channel One’s Offerings. 2. One Account Only a. You may maintain only one account (i.e., one user ID and password combination). You may not register nor maintain multiple accounts. If Channel One discovers that you have registered for multiple accounts, Channel One may in its sole discretion decide which account to terminate. Without waiving any rights or remedies that may be available to us, Channel One shall have no obligation nor liability to you or the Institution in respect of any such terminated account. c. (For Institutional Users Only) If your affiliation with your Institution changes, and/or your Institution terminates its or your access or account with us, you may continue to have access to your account via your userid and password (or via a new or re-designated userid or password) but such access may be limited in respect of any special access rights which you may have enjoyed because of your status as an Institutional User covered by your Institution’s subscription, paid and/or other special access rights, if any. Please be advised that in respect of such special access rights, we or your former Institution will determine your access rights in each of our or its respective sole discretion. Please also see Section 11 below. 3. Information about You a. From time to time, you may be required to provide additional information about yourself or your Institution (including in the case of students or parents/guardians, the School the child user is enrolled at), and you will be responsible for keeping such information up-to-date and accurate and complete at all times. b. We have the right to send you emails relating to your access or use of Channel One’s Offerings and/or your registration or account from time to time. Notifications sent to the email address then-associated with your account will be deemed to have been received, even if such email address not updated or accurate. c. Following termination of your registration, we retain the right to archive and use your information for referring to later in the event you should decide to re-register or otherwise as may be required under applicable law. d. Any information we collect about you will be held in accordance with the terms of our Privacy Policy. 4. Channel One’s Offerings a. Channel One’s Offerings and many portions of Channel One’s Sites provide content and data that are provided by the users such as you or the Institution you are affiliated with or enrolled at, third party suppliers and/or other third party users. Channel One has no control over such third party content, and do not endorse and are not responsible or liable for any content, data, products, information or other materials promoted or displayed, or any websites that they may link to. We shall not be responsible or liable, directly or indirectly, for any damage or loss caused or alleged to be caused by use or reliance upon any such content. b. Without limiting the foregoing clause (a) of this Section 4, any informational materials provided on Channel One, including without limitation the opinions and/or recommendations of any authors and/or moderators, are not intended to substitute for any professional educational, medical, legal, psychiatric, employment or other advice. Channel One makes no representations or warranties regarding, and expressly disclaims any and all liability concerning, any action by any person following the information offered or provided within or through Channel One’s Sites or Channel One’s Offerings. If you have concerns or a situation in which you require professional advice, then you should consult with an appropriately qualified professional in the relevant field. b. In connection with accessing any of Channel One’s Offerings through a website, via a browser or media player, or through use of an app or other software, you are not permitted to download or make copies of any programming content or other materials featured or made available through Channel One’s Offerings except as may be permitted by “fair use” exception and applicable laws, and in such cases, only for your personal and non-commercial and non-distributed uses. c. If Channel One’s Offering uses a media player, mobile app or other software-based downloadable offering to make the programming content available or accessible, the app or software including any content, video, images incorporated in, generated or distributed by the app or software and accompanying information and data are licensed on a non-exclusive, non-transferable basis to you by Channel One. Channel One does not transfer title to any underlying technology or intellectual property, and Channel One or its suppliers or licensors retains full and complete right, title, and interest in and to such app or software including any and all intellectual property rights therein and thereto. You may not redistribute, sell, decompile, reverse-engineer or disassemble the app or software. c. (For Institutional Users Only) You may download and print extracts from Channel One’s Offering(s) where permitted, but may do so only if permitted by your Institution and agree to use such downloads and/or printed extracts solely for you to use as part of your curricular program or fulfilling your Institution’s mission and purpose. Notwithstanding the foregoing, you acknowledge there may be time or use restrictions on the right to copy, share or use any of the content or other offerings; please abide by any restrictions that are noticed or to which your School or Institution may be bound in respect of the use of Channel One’s Offerings, including in any relevant Network Participation Agreement or similar agreement. d. Channel One reserves all rights in and to Channel One’s Sites, Channel One’s Offerings and any of our or our third party suppliers’ and licensors’ content. 5. User Submissions a. Channel One’s Offerings, on Channel One’s Sites or otherwise, may allow you to submit and post comments, opinions or other content or information (“User Submissions”). Unless otherwise agreed, ownership rights in your User Submissions will be retained by you or your Institution or the original author or licensor, as the case may be; however, upon its submission or contribution, Channel One will receive an irrevocable, worldwide, non-exclusive, royalty-free, fully sublicenseable and freely transferable license to use, reproduce, distribute, prepare derivative works of, display, and perform such User Submissions in any media formats now or hereafter created and through any media channels now or hereafter created, including but not limited to use on these Channel One’s Offerings in any manner. Even though you or your Institution may retain ownership rights in User Submissions, Channel One has no obligation to provide credit, attribution or authorship to you or to retain, archive, return and/or provide any tangible or intangible copies to you, of or in relation to your User Submissions. b. You will be solely responsible for your own User Submissions and the consequences of posting them, and should you post a User Submission, you represent and warrant that you own or have the necessary rights to post and authorize us to use your User Submissions in the manner contemplated by Channel One’s Sites, Channel One’s Offerings, these Online Terms and Conditions and any rules, regulations or authorizations of your Institution. c. Channel One does not endorse any User Submission or any opinion, recommendation, or advice that may be expressed. Accordingly, Channel One expressly disclaims any and all liability in connection with any and all User Submissions. d. Notwithstanding anything to the contrary contained in these Online Terms and Conditions, we reserve the right to remove any Content and User Submissions without prior notice (or to refuse to publish any User Submission) for any reason and without affecting the rights and licenses granted to us under these Online Terms and Conditions. No User Submission or other content that you may have access to or come into the possession of through your user or access of Channel One’s Offering(s) or any other product or service provided by Channel One shall be considered a “virtual good” or other property right of any kind and shall not be deemed to have any monetary or other tangible or intangible value. e. We adhere to the Digital Millennium Copyright Act (“DMCA”), and thus reserve full right to remove, in our sole discretion and determination, any content about which we may receive a notice of infringement pursuant to the DMCA. To the extent any such content we remove is a User Submission by you, you may be liable for damages (including costs and attorneys’ fees). If you would like to contact us about any potentially or allegedly infringing content, please see here. 6. Restrictions on Use; Rules of Conduct a. You may not use Channel One’s Sites or Channel One’s Offerings for any purpose that is unlawful or prohibited by these Online Terms and Conditions, or any other purpose not reasonably intended by Channel One. b. You are not allowed to create a database, collection, arrangement or compilation comprising all or any portion of the materials appearing on Channel One’s Sites or acquired via access or use of any Channel One’s Offering(s). Without limiting the foregoing, without both Channel One’s and your Institution’s express prior approval in writing, you will not engage in any systematic extraction of data or data fields from Channel One’s Offerings even if your intention or purpose may not be to create a database collection, arrangement or compilation. c. No data, content or other materials made available on any Channel One’s Site(s) or otherwise through use or access of any Channel One’s Offering(s) may be used, copied, reproduced, distributed, transmitted, broadcast, displayed, sold, licensed, or otherwise exploited for any purposes whatsoever, other than for your Institution’s internal business purposes in accordance with the services subscribed to thereby. The foregoing does not limit your ability to use data, content or other materials (such as personal contact and related information) provided by you in your capacity as an individual user, you may use such information within the context of Channel One’s products and services for your own personal uses, subject to any obligations or limitations of authorization you may be subject to (including in respect of your School or your Institution). d. You will not: decompile, disassemble or otherwise reverse engineer any media player, app or other software component of any Channel One’s Offerings, or use similar means to discover the source code or trade secrets therein, or otherwise circumvent any technological measure that controls access thereto; encumber, transfer, sublicense, distribute, reproduce, create derivative works of or otherwise modify any products or services made available through access to Channel One’s Offering; rent, lease, sell, assign or otherwise transfer rights in or to, or make available for timesharing, application service provider or service bureau use, Channel One’s Offerings in whole or in any part; use, post, transmit or introduce any device, software or routine which interferes or attempts to interfere with the operation of Channel One’s Offerings; disclose, harvest, or otherwise collect information, including e-mail addresses, or other private information about any third party without that party’s express consent; or knowingly permit any third party to do any of the foregoing. e. You agree not to take any of the following actions in connection with your access to Channel One’s Sites or use of any Channel One’s Offerings: feature, submit, publish, describe, refer to or include any personal information, such as first and last name, address or other identifying characteristics or traits, about any individual without their express consent; notwithstanding anything to the contrary, you may not feature or include any personal information about any child under the age of 13, for any reason whatsoever; abuse, harass, threaten, impersonate or intimidate others, or post on Channel One’s Sites or via any Channel One’s Offerings, or transmit to other users via Channel One’s Sites or Channel One’s Offerings, any defamatory, inaccurate, abusive, obscene, profane, offensive, sexually oriented, threatening, harassing, discriminatory, racially offensive or illegal material; contribute any User Submission that is infringing, libelous, defamatory, obscene, pornographic, abusive, offensive or otherwise violates any law or right of any third party; engage in any activity intended to obtain password, account, or private information from any user; transmit unwanted email or other communications; submit stories or comments linking to affiliate programs, multi-level marketing schemes, sites/blogs repurposing existing stories (source hops) or off-topic content; take any action that might impose an unreasonable or disproportionately large load on our infrastructure; interfere or attempt to interfere with the proper working of Channel One’s Sites or Channel One’s Offerings or any other activities conducted on Channel One’s Sites or via any Channel One’s Offerings; or bypass any measures we may use to prevent or restrict access to Channel One’s Sites or Channel One’s Offerings. f. Notwithstanding anything to the contrary contained in these Online Terms and Conditions or any agreement involving Channel One and relating to the relevant Institution, no information submitted by you as an individual shall in any way be deemed to be privacy protected, confidential or proprietary, even if you expressly label such information to be private, personal, confidential or proprietary. Channel One has no privacy or confidentiality obligations to you in respect of such information to you personally or to any entity associated with your Institution or the School your child is enrolled at. Any information you may post or communicate using the functionality of any of Channel One’s Offerings or in public, broadcast, generally accessible or multi-recipient communication to Channel One or any party affiliated with Channel One will be deemed to be “known by the general public” and Channel One shall bear no fault, responsibility, obligation or liability therefor, even if Channel One’s Offering was used in part in relation thereto. (For Institutional Users Only: Any obligations Channel One may have in respect of any confidential information involving your Institution, if any, shall be governed by any relevant agreement, if any, to which Channel One and the relevant entity associated with the Institution may be party to.) 8. Ownership Rights. Client acknowledges that Channel One or one or more of its other affiliates (and its and their respective licensors and suppliers) own all right, title, and interest in (i) any and all Channel One’s Offerings, including without limitation any software and other intellectual property therein or provided in connection therewith; and (ii) all graphics, logos, service marks, and trade names, including third-party names, product names, and brand names used by Channel One in connection with providing the products and services under the Order Form. Channel One welcomes any suggestions on improving any Channel One’s Offering, but in making such suggestions, Client acknowledges and agrees that such suggestions will become the property of Channel One, and Channel One has no obligation to compensate Client for such suggestions. Client’s right to use Channel One’s Offering does not include a license to the underlying technology used to provide any Channel One’s Offering. 9. (For Institutional Users Only): Administration of Authorized Users. Your School or the Institution, and not Channel One, will be responsible and accountable for any decisions, actions and omissions in respect of granting or authorizing access to you, your School(s), educators, other employees and other users of any specially restricted offerings, if any, which may be offered to an Institution and to which the Institution elects to subscribe, pay for or otherwise make access available to you or your School, if and when the same becomes available. You understand and acknowledge that your access may bring you in contact with personal or other information about other users through your School or Institution’s account or subscription or usage history, and that failure to abide by the confidentiality and discretion appropriate for dealing with such information may result in liability of or enforcement against you personally and/or for your School or Institution. 10. WARRANTY DISCLAIMER/LIMITATION OF LIABILITY a. YOU AGREE THAT YOUR ACCESS AND USE OF CHANNEL ONE’S SITES AND CHANNEL ONE’S OFFERINGS SHALL BE AT YOUR SOLE RISK, AND THAT ALL CONTENT AND SERVICES MADE AVAILABLE ON OR BY WAY OF CHANNEL ONE’S SITES AND/OR CHANNEL ONE’S OFFERINGS ARE PROVIDED TO YOU “AS IS.” b. TO THE FULLEST EXTENT PERMITTED BY LAW, CHANNEL ONE, OUR OFFICERS, DIRECTORS, EMPLOYEES, AND AGENTS DISCLAIM ALL WARRANTIES, EXPRESS OR IMPLIED, IN CONNECTION WITH CHANNEL ONE’S SITES, CHANNEL ONE’S OFFERINGS, OUR OTHER PRODUCTS AND/OR SERVICES, AND YOUR USE OF ANY THEREOF. c. CHANNEL ONE MAKES NO WARRANTIES OR REPRESENTATIONS ABOUT THE ACCURACY OR COMPLETENESS OF ANY CONTENT ON CHANNEL ONE’S SITES, VIA CHANNEL ONE’S OFFERINGS, OR ANY SITES OR OTHER RESOURCES OR SERVICES ACCESSIBLE THEREBY OR THEREFROM, OR ANY OTHER REPORTING, INSIGHT, ANALYTICS OR ADVICE THAT YOU MAY RECEIVE FROM US, AND ASSUME NO LIABILITY OR RESPONSIBILITY FOR ANY (I) ERRORS, MISTAKES, OR INACCURACIES OF CONTENT, (II) PERSONAL INJURY OR PROPERTY DAMAGE, OF ANY NATURE WHATSOEVER, RESULTING FROM YOUR ACCESS TO AND USE OF CHANNEL ONE’S SITES OR CHANNEL ONE’S OFFERINGS, (III) ANY UNAUTHORIZED ACCESS TO OR USE OF OUR SECURE SERVERS AND/OR ANY AND ALL INFORMATION STORED THEREIN, (IV) ANY INTERRUPTION OR CESSATION OF TRANSMISSION TO OR FROM CHANNEL ONE’S SITES OR CHANNEL ONE’S OFFERINGS, AND/OR (IV) ANY BUGS, VIRUSES, TROJAN HORSES, OR THE LIKE THAT MAY BE TRANSMITTED TO OR THROUGH CHANNEL ONE’S SITES OR USE OF CHANNEL ONE’S OFFERINGS BY ANY THIRD PARTY. d. WE DO NOT WARRANT, ENDORSE, GUARANTEE, OR ASSUME RESPONSIBILITY FOR ANY PRODUCT OR SERVICE ADVERTISED OR OFFERED BY A THIRD PARTY IN ANY CONTENT FEATURED OR LINKED FROM CHANNEL ONE’S SITES OR VIA CHANNEL ONE’S OFFERINGS. e. IN NO EVENT WILL CHANNEL ONE BE LIABLE TO YOU FOR ANY SPECIAL, INDIRECT, INCIDENTAL, CONSEQUENTIAL OR PUNITIVE DAMAGES (INCLUDING LOSS OF USE, DATA, OR PROFITS, BUSINESS INTERRUPTION, OR COSTS OF PROCURING ALTERNATIVE CONTENT OR PROGRAMMING) ARISING OUT OF OR IN CONNECTION WITH THESE ONLINE TERMS AND CONDITIONS, WHETHER SUCH LIABILITY ARISES FROM CONTRACT, WARRANTY, TORT (INCLUDING NEGLIGENCE), STRICT LIABILITY OR OTHERWISE, AND WHETHER OR NOT CHANNEL ONE HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH LOSS OR DAMAGE. CHANNEL ONE’S TOTAL CUMULATIVE LIABILITY TO YOU, FROM ALL CAUSES OF ACTION AND ALL THEORIES OF LIABILITY, WILL BE LIMITED TO AND WILL NOT EXCEED ONE HUNDRED DOLLARS. f. THE PARTIES HAVE AGREED THAT THESE LIMITATIONS WILL SURVIVE AND APPLY EVEN IF ANY REMEDY IS FOUND TO HAVE FAILED OF ITS ESSENTIAL PURPOSE. THE FOREGOING LIMITATION OF LIABILITY SHALL APPLY TO THE FULLEST EXTENT PERMITTED BY LAW IN THE APPLICABLE JURISDICTION. 11. Change of Status; Termination. a. Your access or use of all or any aspect of the services and/or products availed by Channel One including without limitation all or any aspects of Channel One’s Offerings, may be suspended or terminated by us at any time in our sole discretion. You may appeal our decision to terminate or suspend your access or use thereof by sending us an email to webmaster@channelone.com. To the extent we terminate or suspend your access or use thereof, our sole obligation will be to consider such an appeal, and our decision on such appeal will be in our sole discretion and shall be final and binding, subject to any agreement we may have with your School or other entity affiliated with the relevant Institution (if applicable). All of your obligations (but not the benefits except as expressly provided herein) and Channel One’s rights provided in these Online Terms and Conditions shall survive any termination or suspension of your account or access/use rights. b. (For Institutional Users Only) If your affiliation with your School or Institution changes, and/or your Institution terminates its or your access or account with us, you may reregister on your own behalf or, if applicable, Channel One may provide you with continued access based on your existing registration provided you update or modify your contact or other info that may relate to your former School or Institution promptly. In such event, you may only use Channel One’s Sites and/or those portions of Channel One’s Offerings to which you still have access solely for your own personal benefit or for the benefit of a new “Institution” you may become affiliated with. Until your account becomes affiliated with the account of a new or different “Institution,” and until such time, you will be subject to these Online Terms and Conditions as an individual, and may no longer have the benefits and protections of your former Institution or your former Institution’s agreement with Channel One. Your continued access to any content subscribed, paid or specially restricted to such former Institution will terminate upon your termination of employment or authorization, as managed by your Institution. If, for whatever reason, your access to such content of such former Institution is not terminated, due to inadvertence or other reasons, you agree to cease further use of such data or content for any purpose whatsoever, unless otherwise expressly authorized by such former Institution. 12. Miscellaneous a. These Online Terms and Conditions shall be governed by the internal laws of the State of New York, without regard to conflicts of law principles. b. These Online Terms and Conditions, together with the Website Terms of Use, Privacy Policy, and, if and as applicable, the Network Participation Agreement, and any other legal notices published by us on Channel One’s Sites or in other materials distributed in connection with any Channel One’s Sites or Channel One’s Offerings, constitute the entire agreement between you and us concerning your use of Channel One’s Sites and Channel One’s Offerings in your individual capacity. Access and use of Channel One’s Offering and Channel One’s Sites are or will be governed by additional other agreements between or among us and your Institution (or its affiliate) or other relevant parties. c. If any provision of these Online Terms and Conditions is deemed invalid by a court of competent jurisdiction, the invalidity of such provision shall not affect the validity of the remaining provisions of these Online Terms and Conditions, which shall remain in full force and effect. d. No waiver of any term of these Online Terms and Conditions shall be deemed a further or continuing waiver of such term or any other term, and our failure to assert any right or provision under these Online Terms and Conditions shall not constitute a waiver of such right or provision. e. The services hereunder are offered by Channel One, LLC located at: www.channelone.com and email: webmaster@channelone.com
Source: channelone.com

Video: EHR Incentive Program Registration And Attestation Tutorial

Should You Apply for Medicare Even Though You're Still Working?

Even if you’re not receiving Social Security benefits at age 65, you’re still eligible for full Medicare benefits. This includes the premium-free Part A (hospitalization), as well as Part B (doctors visits and outpatient care) and Part D (prescription drugs) for each of which you pay a premium. But it’s up to you to contact Social Security to sign up, and you must do this within what’s called your Initial Enrollment Period. Generally, this period extends from three months before the month you turn 65 until three months after the month you turn 65—a seven-month period in total. If you want your Medicare benefits to start right when you turn 65, you have to sign up during the three months before your birthday.
Source: schwab.com

SR Health & Wealth Strategic: How do I Register for Medicare?: Ask Medicare Bob

Do you think that you or a family member can or should be registered with Medicare? Robert W. Bache is a healthcare insurance consultant, specializing in plans for senior citizens, and in a new youtube video series, answers some commonly asked questions. A great deal of the information available to the American public and, senior citizens in particular, is unreliable due to the fact it is presented by agents with a vested interest in selling a particular policy. Bob Bache, on the other hand, works with all major healthcare providers, and so provides not only a huge wealth of knowledge about the health system and insurance, but objectivity. In the first of his series of youtube videos answering common questions on Medicare and related topics, Bob explains that registering for Medicare is relatively simple for most people: 1)
Source: blogspot.com

Not Doing PQRS? Quick Action Will Avoid a Penalty

Step 3: Choose as your reporting mechanism the administrative claims-based reporting option. Under this temporary reporting mechanism, CMS will automatically analyze all your Medicare claims to find out if you performed a designated set of clinical quality actions (see Tables 123 and 124) over the reporting year. A zero performance rate in any of these actions will not count against you. By signing up for this reporting option so that Medicare can analyze your data, you will not be penalized in 2015 for not participating in PQRS in 2013.
Source: texmed.org

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September 21, 2013

Medicaid Expansion and the ACA

Posted by:  :  Category: Medicare

Colorado is among the states that have chosen to sign Medicaid expansion into law. For a full list of state by state decisions on this issue as of July 1, 2013, click here. Medicaid expansion will be fully federally funded from 2014-2016. During subsequent years, at least 90% of the Medicare expansion program will be funded by the federal government, with the rest paid for by individual states.
Source: sageba.com

Video: Medicaid: Expanding Care for Colorado

New red light warning for Colorado exchange

Managers warned Colorado board members on Monday that the Social Security Administration’s data system likely will be offline for four hours every night from about 11 p.m. to 3 a.m. MST and all day on Sunday. That means consumers may have to dig out their Social Security cards and scan or mail them to exchange agents to prove they are eligible for tax subsidies. Otherwise, they’ll have to delay signing up for health insurance until the federal system is back up.
Source: healthpolicysolutions.org

Colorado becomes 18th State to eliminate Medicaid funding for infant circumcision

Effective for dates of service on or after July 1, 2011, the Department will no longer reimburse claims for circumcision. The following CPT codes will no longer be reimbursed: 54150, 54160, and 54161. This change does not affect the CHP+ Program. Please contact Dana Batey at Dana.Batey@state.co.us or at 303-866-3852 with any questions.
Source: intaction.org

Receiving VA Aid and Attendance benefits & Medicaid benefits

Do not assume just because an assisted living facility is Medicaid-approved they will accept you as a Medicaid patient even after you have been approved for Medicaid. Most assisted living facilities have a “private pay” or “spend down” requirement of one to three years. Meaning you must private pay for a number of months before they will accept the Medicaid rate of reimbursement. Clearly the state rate of reimbursement for assisted living is much lower than the private pay rate, thus the requirement. If you anticipate the possibility of running out of funds while residing at a Medicaid-approved assisted living facility, ask about the “spend down” or “private pay” requirement before you enter the facility.
Source: war-vets.org

Colorado Springs Independent

However, if I owned a corporation or organization that made money from every letter sent in a text, I might try to convince the public that restricting texting while driving was a horrible infringement of my rights. I would ask the NTA (National Texting Association) to help with my campaign to restore texting “rights.”
Source: csindy.com

Pancrazi says Colorado shooting should force increase Medicaid coverage

“If Governor Brewer opts out of expanding Medicaid coverage, the state will have to pay to provide services for thousands of Arizonans who are seriously mentally ill or this population will be left without care,” Pancrazi said. “This vulnerable population deserves help. As we have seen, ignoring the problem can have dire consequences. People put off care for mental illness and for physical ailments, and the problems worsen. Emergency rooms are overwhelmed, and the amount of uncompensated care is pushing the medical community to the brink. We cannot continue on this way.”
Source: arizonadailyindependent.com

Obamacare may result in $6.9 billion in Medicaid costs in Colorado

Content Managing Editor Nic Turiciano is a senior journalism major. He writes about music, film, pop culture and all things associated with leisure. He began at the Collegian in the fall of 2009, is the former local director for 90.5 KCSU Fort Collins and contributor for www.theawl.com. He can be reached at entertainment@collegian.com.
Source: collegian.com

Colorado Springs Independent

However, if I owned a corporation or organization that made money from every letter sent in a text, I might try to convince the public that restricting texting while driving was a horrible infringement of my rights. I would ask the NTA (National Texting Association) to help with my campaign to restore texting “rights.”
Source: csindy.com

Hickenlooper Expands Medicaid But Cost Remains Unknown

The cost, Hickenlooper said, would be paid by the federal government until fiscal year 2016-2017 when Colorado will pick up 10 percent of the tab. He said the estimated $128 million cost over the next 10 years will be offset by $280 million savings by waste reduction and technological improvements to the state Medicaid program.
Source: thecoloradoobserver.com

Medicaid Expansion in Colorado Means More Opportunities for Job Seekers

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

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September 21, 2013

My little secret for comparing Medicare plans

Posted by:  :  Category: Medicare

Flickr

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NOTICE: This blog and website are made available by the publisher for educational and informational purposes only. It is not be used as a substitute for competent insurance, legal, or tax advice from a licensed professional in your state. By using this blog site you understand that there is no broker client relationship between you and the blog and website publisher.
Source: fallerinsurance.com

Video: How To Compare 2014 Medicare Advantage Plans

Comparison of Medicare Premium Support Proposals

The brief compares the premium support provisions of these proposals, including how the level of premium support for beneficiaries would be determined; whether traditional Medicare would remain an option; what protections would be provided for low-income beneficiaries; and whether and how the proposals would cap federal spending on Medicare. These differences have important implications for Medicare beneficiaries, the federal budget, health care providers, and private health plans.
Source: kff.org

Research Roundup: Comparing Medicare Budget Plans

JAMA Pediatrics: Nurse Staffing And NICU Infection Rates –Neonatal intensive care units (NICU) – which provide care for infants who are critically ill – are costly and require a significant amount of nursing services. Little is known, however, about the adequacy of nurse staffing at these units. Using data from 2008 and 2009, researchers analyzed the relationship between adherence to national staffing guidelines and hospitals-associated infections among very low birth-weight (VLBW) infants. “Our results document widespread understaffing relative to guidelines: one-third of NICU infants were understaffed… ,” the authors write. “In VLBW infants, NICU nurse understaffing relative to guidelines was associated with a sizable increase in infection risk.” They conclude that their findings “suggest that the most vulnerable hospitalized patients, unstable newborns require complex critical care, do not received recommended levels of nursing care. Even in some of the nation’s best NICUs, nurse staffing does not match guidelines” (Rogowski et al., 3/18).
Source: kaiserhealthnews.org

Medicare Benefits and Cost

This fact sheet discusses Medicare cost-sharing requirements. Traditional fee-for-service Medicare imposes deductibles, coinsurance, and copays for Medicare services.  In addition, beneficiaries must pay premiums for receiving Part B (physician) and Part D (prescription drugs) coverage. Medicare does not cover certain essential services, such as vision, dental, and long-term care expenses, and beneficiaries must pay out-of-pocket for these services.  
Source: aarp.org

Medicare and the Federal Budget: Comparison of Medicare Provisions in Recent Federal Debt and Deficit Reduction Proposals

Many of the budget proposals and debt-reduction plans being considered by Congress and the Administration include proposals that would achieve substantial savings from the Medicare program over time. This brief features a side-by-side comparison of the key Medicare provisions in three major budget and debt-reduction plans:
Source: kff.org

jomypowell5: Medicare Supplement Insurance Software Programs Comparison

It is however, advised how the person going to acquire a http://www.medigapinsurancepolicies.com deal should study the offer documents of all the Medigap plans in order to a decision. All the there are 12 Medigap policies lid the basic benefits, but each it makes me wonder some additional beneficial properties along with people. In brief it can be mentioned that the Plan The perfect is the most simple plan. Nevertheless the Plans B-L has got all the great things about Plan A and along with these people provide some free coverage. Plans K-L allows the benefits further to Plans A-J, but the discrepancy is the cost-sharing for the fundamental benefits which will certainly vary at different levels. Treatment beneficiaries who are enrolled in that you simply prescription drug and/or Medicare Advantage plan and who contain questions about how you can changes from their Affordable Care Act (ACA) might sign up for them, should see contacting their problem Senior Health Policy Program (SHIP), a free statewide health policy counseling service with respect to Medicare beneficiaries and also caregivers. A new web-based application, for Kareo, is even helpful in increasing on quality billing productivity because doing so allows the supplier and billing company to stay connected. For one thing, the medical perform has access to successfully patient accounts, which can be helpful found in collecting outstanding patient balances during an encounter. At the other hand, the biller has real-time access to any patient demographics, diagnoses, insurance, or any pertinent information in order to prepare claims with regard to submission. Prior to going to shop for your Medicare Supplement insurance cover policy one should know about the facilities that could be covered by a broad Medicare plan. It is step 1 to understand what type of supplement he/she personal needs after Medicare safety. The services one may be from a Treatment are the chiropractor costs and extraordinary charges (part B), hospital costs (part A), at home recovery, emergencies on foreign travel, price ranges of skilled nurses home, blood savings services, prescribed medication costs and for that costs of maintenance. It’s wise to entirely and shop efficient Medicare Supplement package according to the will. Associated with January 1, 2010, CMS increased the exact Medicare Part An insurance deductible from ,068 so that it will ,100. An element A coinsurance measures increased from 7 to 5 per day for hospital trips from the 61st day in a medical facility through the 90th day in a medical facility. The coinsurance rate acceleration from 4 up to 0 per working day for the 65 lifetime reserve day. Also, coinsurance for Skilled Sanita Facility Care longer from 3.50 every day to 7.50 everyday for days 21 years of age through 100. Before starting off with all marketing plan you should sit down together with visualize what kind of practice you simply want to have? Do you want to focus on occupational care? Chiropractic care during pregnancy? Sports Injury? Will you possess a blended focus? Envision your excellent practice as you are looking it to are in five years. A nice Medicare Advantage plan may offer dental and vision benefits and some suggestions offer more offer for doctor visits and hospital endures as. It potentially also cover many more diagnostic tests more than Medicare. A few plans offer more inpatient and hospital services. Individuals Advantage Plans may perhaps perhaps even give any person a free perfectly being club membership. The very recently signed Looking after Protection and Affordable Care Act by U.S. President Obama furthermore expected to change the retirement plans of former Filipinos and U.Ohydrates. tax payers. Many intend that the “better” health service assured by the fresh reform may not necessarily come out less costly.
Source: blogspot.com

Sign up now for Medicare Help!

Beginning October 22, The State Health Insurance Assistance Program (SHIP) and Brighton Center’s Senior Medicare Patrol are offering free Medicare Prescription Drug Plan comparison assistance for Medicare beneficiaries. Representatives from SHIP will also be screening individuals to see if they are eligible for extra-help to pay for Medicare expenses.
Source: seniorservicesnky.org

Moneycation: Medicare Part D: Plans and price comparison

You are likely to find several plans offered to you from several private insurance companies that seem to meet your needs. By using Medicare.gov’s Medicare Plan Finder before you make a change, you will be able to see which plans provide coverage for your state and town. You will see which are likely to have a low cost when the monthly premium, deductible and copayments are all considered. By contacting the various company’s websites or agents you can learn what is required of you in regards to using their network. Following these steps should make it easier for you to select the right prescription drug plan for you needs.
Source: moneycation.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

Comparison Friction: Experimental Evidence from Medicare Drug Plans

Consumers need information to compare alternatives for markets to function efficiently. Recognizing this, public policies often pair competition with easy access to comparative information. The implicit assumption is that comparison friction—the wedge between the availability of comparative information and consumers’ use of it—is inconsequential because information is readily available and consumers will access this information and make effective choices. We examine the extent of comparison friction in the market for Medicare Part D prescription drug plans in the United States. In a randomized field experiment, an intervention group received a letter with personalized cost information. That information was readily available for free and widely advertised. However, this additional step—providing the information rather than having consumers actively access it—had an impact. Plan switching was 28 percent in the intervention group, versus 17 percent in the comparison group, and the intervention caused an average decline in predicted consumer cost of about $100 per year among letter recipients—roughly 5 percent of the cost in the comparison group. Our results suggest that comparison friction can be large even when the cost of acquiring information is small, and may be relevant for a wide range of public policies that incorporate consumer choice.
Source: nber.org

bettysluts3: Medicare Insurance Supplement Insurance Solutions Comparison

Treatment beneficiaries who are enrolled in a prescription drug and/or Medicare Advantage coverage and who have questions about in which way changes from your Affordable Care Undertaking (ACA) might cause problems for them, should consider contacting their problem Senior Health Policy Program (SHIP), a free of charge statewide health insurance counseling service for Medicare beneficiaries and their caregivers. So, there is not always a policy where is clearly more suitable for every end user. The choice of which insurance policy to choose is in fact dependent on your entire specific needs plus behavior. It is worthwhile within order to be educated attached to the generalities pertaining to policy types on hand through Medicare, even so ultimately it is without a doubt important to come across the assistance of an insurance agent who offers both equally policy types moreover can help say and compare each of our policy strengths weaknesses within our own context of all of your needs. To make sure U.S. Medicare portability rumors, My Philippine A retirement plan called up around three Manila-based hospitals and this also – as talked about by a Sf Chronicle article through have been handing out reimbursements since ‘2009’. Fork over money for the plan when best suits ones own requirements by when comparing plan benefits. – Although plan standards in lingo of general benefits are set by means of the federal government, they may are offering slightly varying gain packages. Plan F (plans will be classified by notices A to N) is the most comprehensive and primary the most effective. Other good techniques to consider are usually plans C, G, and N. These plans, intended for one, offer specific cost-sharing which one lot of travelers may prefer. Change from Original Medicare Portions A 7 B, to a Medicare health insurance Advantage, Supplement plus info on medigap plan f for seniors Plan. Original Medicare does not cover everything. To close their gaps in this advice coverage, you most likely will switch to a Medicare Advantage Routine (HMO or PPO) offered by personalised insurers approved created by Medicare. Cost, additional coverage, and furthermore rules are unusual for different ideas. Medicare Advantage Plans: The site is important to note that on that point is a new, shorter annual create enrollment period far from January 1 by using February 15, 11. Medicare beneficiaries enrolled in a Medicare Advantage procedure can use this excellent 45-day enrollment period to change between Medicare Advantage to help original Medicare only. They finds it hard to change to another Medicare Advantage package. In addition to those over sixty-five, the government enable certain special totes to also you should be awarded Medicare helps. Those with disabilities have been forcibly retired and have been receiving community security stipends for not less than two years have proven to be automatically eligible for Medicare even assuming that theyre under the age requirement. Likewise, those suffering using kidney failure, good renal disease to amyotrophic lateral sclerosis all automatically qualify for coverage. Once it is based that you should certainly stay in a nursing home for a associated with time time, you ought to start looking to gain nursing homes in the area. The Medicare nursing homes compare tool are on hand on the Treatment website. Costly informative guide returning to helping you get hold of and compare rest homes based on geographical criteria.
Source: blogspot.com

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