Krieg DeVault Health Care: OMPP changes to Indiana Medicaid Eligibility

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Other changes effective January 1, 2014 are that: (1) Hoosier Healthwise Package B (Pregnancy Coverage) will be used only for the Hospital Presumptive Eligibility (HPE) program; and (2) individuals eligible for aid category MA 14: Former Foster Children will no longer be enrolled in Care Select, but rather will be eligible for Hoosier Healthwise Package A.
Source: kdhealthlaw.com

Video: Medicaid and Medicare: Too much income to qualify?

2014 Social Security and Medicare Taxable Wage Limits and Rates : ADP Compliance Insights Blog

2013 Social Security changes ACA ACA Requirements Affordable Care Act Business efficiency CA EZ California California Enterprize Zone Claims management Compliance Conundrum electronic pay card electronic payroll electronic tax filing employee rate for social security Employer Shared Responsibility Rules employment tax employment verification empowerment zones Enterprise Zone Program Federal Federal Unemployment Tax Act Fiscal Cliff FUTA health care incentives Indian Employment Credit medicare tax payroll compliance payroll tax Proposition 30 Safe Harbor Shared Responsibility provisions Shared Responsibilty Provisions Social Security Social Security taxable wage limit Tax Credits Tax Reform Trade Adjustment Assistance Extension Act of 2011 UI Rates unemployment claims unemployment insurance wage garnishments wage payments Work Opportunity Tax Credits WOTC
Source: adpcomplianceinsights.com

The Coverage Gap: Uninsured Poor Adults in States that Do Not Expand Medicaid

The ACA was passed with the goal of filling in gaps in the availability of affordable health coverage in the United States. Given particularly high uninsured rates for adults living below poverty, the expansion of Medicaid to all adults up to 138% of poverty is a key component of this effort. In states that expand their Medicaid programs, millions of adults will gain Medicaid coverage under the law. However, with many states opting not to implement the Medicaid expansion, millions of adults will remain outside the reach of the ACA and continue to have limited, if any, option for health coverage: most do not have access to employer-based coverage through a job, few can afford coverage on their own, and most are currently ineligible for public coverage in their state. While a small share may be eligible to purchase subsidized coverage through the new Health Insurance Marketplaces, most have incomes below the poverty level and thus will be ineligible for these premium tax credits. It is unlikely that people who fall into the coverage gap will be able to afford Marketplace coverage: The national average premium for a 40-year-old individual purchasing coverage through the Marketplace is $270 per month for a silver plan and $224 per month for a bronze plan,
Source: kff.org

CBO: New Estimate on Raising Medicare Age Finds Much Less in Savings

The significant drop in savings is primarily due to CBO’s new assessment that the people whose eligibility would be delayed would not have cost Medicare as much as previously projected because they are in better health or have other insurance coverage. In addition, many would qualify for Medicaid or for enrollment in a health insurance exchange, increasing costs in those programs.
Source: congress.org

CBO: Medicare Eligibility Age To 67 Saves Little

“For most of those workers, employment-based health insurance is the primary source of coverage, and Medicare is a secondary payer — meaning that Medicare’s payments are limited to the cost-sharing obligations that beneficiaries face under their employment-based health insurance policies,” the CBO wrote in its analysis. 
Source: businessinsider.com

Implementing Health Reform: Final Rule On Premium Tax Credit, Medicaid, And CHIP Eligibility Determinations (Part 1)

If the exchange assesses an individual to be ineligible for premium tax credits because the individual is eligible for Medicaid or CHIP and the applicant appeals the premium tax credit eligibility determination, the applicant is considered to have withdrawn his or her Medicaid or CHIP application pending the premium tax credit appeal (since he or she would be ineligible for premium tax credits if eligible for Medicaid or CHIP).  If the individual loses the appeal, the Medicaid or CHIP application is reinstated retroactively to determine the effective date for eligibility.  If the exchange assesses an individual as not eligible for Medicaid or CHIP, it must notify the individual of the opportunity to request a full determination by the state, but treat the individual as ineligible for Medicaid or CHIP for purposes of determining eligibility for premium tax credits until the state determines otherwise.  The exchange must adhere to a state appeal decision on Medicaid or CHIP eligibility.
Source: healthaffairs.org

Social Security Income Limits

If you are at retirement age or older, there is no limit on the amount you can earn while receiving Social Security benefits. If you are less than the full age for retirement, you can receive Social Security, subject to certain earnings limits. Earnings over those limits trigger a reduction in benefits.
Source: blogspot.com

Small Tax Changes for 2013 Could Cost You Big

Individuals earning more than $200,000 and couples earning more than $250,000 are now subject to a new Medicare surtax of 3.8% on investment income, such as interest, dividends, capital gains, and rental income. If your non-investment income (basically your earned income) is greater than the threshold, the tax is calculated by taking 3.8% times the amount of investment income. But if your non-investment income is just below the threshold and adding in your investment income puts you over the threshold, then the 3.8% only applies to the amount by which your total income exceeds the threshold.
Source: wordpress.com

Daily Kos: Raising the Medicare eligibility age an even worse idea than we already knew

There’s new proof of just how bad an idea raising the eligibility age for Medicare to 67 is. The Congressional Budget Office has revised its estimate for how much the policy shift would save, and found that it’s next to nothing. Implementing this option would reduce federal budget deficits by $19 billion between 2016 and 2023, accord to new estimates by CBO and the staff of the Joint Committee on Taxation (see Table 1). That figure represents the net effect of a $23 billion decrease in outlays and a $4 billion decrease in revenues over that period. The decrease in outlays includes a reduction in federal spending for Medicare as well as a slight reduction in outlays for Social Security retirement benefits. However, those savings would be substantially offset by increases in federal spending for Medicaid and for subsidies to purchase health insurance through the new insurance exchanges and by the decrease in revenues. It would save less than $3 billion a year. That’s practically nothing. It would force more people onto Medicaid and into the health insurance exchanges, where most would require subsidies. It would probably force a chunk of people into Social Security Disability, as well. It will keep people working longer, and that means it will cost their employers—and everyone with private insurance—more in insurance premiums to cover this older, sicker population. The thing is, people still need health care when they’re 65. There isn’t a magic two years between 65 and 67 when everyone is healthy and doesn’t need to go to the doctor. If they can’t get that access through Medicare, they’ll have to get it elsewhere. Or go without and cost even more because of deferred health issues when they do reach Medicare age. If they live that long.
Source: dailykos.com

Ways to Pay for Medicare Plans When Money is Tight

Qualified Disabled and Working Individuals (QDWI) is a program that pays for Medicare Part A premiums. There are several ways to become eligible for this policy. You may be eligible if you are a working disabled person under the age of 65 if your income exceeds the limit required to keep Social Security and Medicare Part A benefits. You may also be able to receive QDWI if you are within the income and resource limits for your state and are not receiving Medicaid.
Source: emergingworld.org

US Shutdown a Smokescreen for Assault on Social Security, Medicare

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The partial or total shutdown of most departments other than the uniformed military and police/intelligence agencies such as the CIA, the FBI and Homeland Security is hitting broad layers of the population. Besides the closure of national parks and monuments, some 8.9 million low-income mothers and children are being denied food aid due to the shutdown of the WIC program; pension and veterans’ benefit checks are being delayed; preschool Head Start programs are closing; sick people, including cancer patients, are being turned away from National Institutes of Health clinical trials; and foster care payments, nutrition aid and financial assistance for hundreds of thousands of Native Americans are being halted.
Source: globalresearch.ca

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

California Seniors On Medicare, Beware Of Health Exchange Scams Says Sacramento Elder Abuse Attorney

There are other programs being promoted, such as a new computer system that verifies Americans’ identities, which is designed to keep funds from going to criminals, and a massive media educational anti-scam promotion to warn consumers about what cons to be aware of. “Which is nice,” added Barron, “However, one wonders about questionable security in sending, online, such information as proof of income, social security numbers and dates of birth. That’s just opening a door for trouble without knowing if there is enough protection in place to keep the data secure.”
Source: lawfirmnewswire.com

New meds added to medicare formulary

The Pan-Canadian Pricing Alliance was established in 2010 to enable provinces and territories to leverage their collective purchasing power to secure lower prices for prescription drugs and increase access to drug treatment options. So far, negotiations have been completed for 17 brand name drug products. An additional 15 negotiations are underway, which will result in approximately $60 to $70 million in savings annually.
Source: mysteinbach.ca

California Chiropractor Pleads Guilty To Medicare Fraud

“Health care fraud in and of itself is a serious offense. Not content to stop there, however, Mr. Pavehzadeh sought to conceal that crime by committing yet another — filing a false police report,” said Glenn R. Ferry, Special Agent in Charge for the Los Angeles Region of the Office of Inspector General for the Department of Health of Human Services. “Those intent on breaking these laws should know that through the work of our special agents and auditors, OIG remains committed to seeking justice.”
Source: cacriminaldefenseblog.com

California Medicare Coalition, CMC Meetings

Presenters: Elaine Wong Eakin, Executive Director, California Health Advocates, and Amber Cutler, Staff Attorney, National Senior Citizens Law Center Amber discusses the Coordinated Care Initiative (CCI), including the federally-approved dual eligible demonstration project, known as Cal MediConnect. Her discussion includes: what is the CCI; who is affected by the CCI; how beneficiaries are affected; how enrollment works; and how to get involved in the CCI. View Webinar Download the Webinar slides
Source: cahealthadvocates.org

Stand up for medicare this summer!

Traditionally, a Health Accord is also a time for governments to expand public health care to cover new services, like a national drug plan, home and community care, vision and dental care. Without an Accord, Canadians will have a much more difficult time trying the expand public health care so that all Canadians get their medical needs covered, regardless of where they live or what stage of life they are in.
Source: rabble.ca

Veteran prosecutor describes SoCal as ‘epicenter’ of Medicare fraud

Guv Brown is releasing rapists and perverts from prison after serving only 40% of their sentences.  In LA County if a male is given a 90 jail term or less, or a woman a 240 day jail term or less, they are immediately released, no time served.  In California being a criminal is no longer a problem—just ask the millions of illegal aliens roaming our streets, taking our jobs, filling up classrooms and hospital beds.  We are a tolerant people. Maybe that is why we are also the HQ for Medicare fraud.  People don’t see stealing from government is theft.
Source: capoliticalnews.com

House panel investigates whether White House played a role in ‘Obamacare’ technology debacle

Here at Maclean’s, we appreciate the written word. And we appreciate you, the reader. We are always looking for ways to create a better user experience for you and wanted to try out a new functionality that provides you with a reading experience in which the words and fonts take centre stage. We believe you’ll appreciate the clean, white layout as you read our feature articles. But we don’t want to force it on you and it’s completely optional. Click "View in Clean Reading Mode" on any article if you want to try it out. Once there, you can click "Go back to regular view" at the top or bottom of the article to return to the regular layout.
Source: macleans.ca

CMS Proposes to Significantly Increase Reward for Reporting Medicare Fraud

Posted by:  :  Category: Medicare

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CMS noted that it expects its proposed enhancement to the IRP reward to encourage more people to come forward with information, leading to an increase in the recuperation of health care fraud funds. This expectation is based on the success of an Internal Revenue Service (IRS) program that pays individuals for reporting IRS tax code violations. The IRS reward program—which pays whistleblowers 15–30% of the amount collected by the IRS for all claims filed after July 1, 2010 and pays 15% of the amount collected for claims under $2 million filed before July 2010—has both paid out more rewards and collected more money than the IRP. Since its inception in 1998, the IRP has paid out only 18 rewards, totaling $16,000 in reward payments and less than $3.5 million in collected funds. The IRS program, on the other hand, paid out approximately $193 million in rewards and collected almost $1.6 billion from 2007–2012. CMS did not comment on whether it believes there is a comparable level of Medicare and tax code fraud.
Source: regblog.org

Video: Health Reform & Medicare (05/26/2010 Web chat)

Medicare and Medicaid Extenders Act of 2010 (2010; 111th Congress H.R. 4994)

Amends the Patient Protection and Affordable Care Act (PPACA) to apply to elections made on and after enactment of PPACA the 12-month special Medicare part B (Supplementary Medical Insurance) enrollment period (under title XVIII [Medicare] of the Social Security Act [SSA]) for military retirees, their spouses (including widows/widowers), and dependent children, who are otherwise eligible for TRICARE (the health care plan under the Department of Defense [DOD]) and entitled to Medicare part A (Hospital Insurance) based on disability or end stage renal disease (ESRD), but who have declined Medicare part B (Supplementary Medical Insurance).
Source: govtrack.us

20 percent of Medicare's graduate medical education funds go to New York; 29 states get less than 1 percent

“Such imbalances play out across the country and can affect access to health care,” said lead author Fitzhugh Mullan, MD, the Murdock Head Professor of Medicine and Health Policy, a joint position at SPHHS and the GW School of Medicine and Health Sciences. “Due to the rigid formula that governs the GME system, a disproportionate share of this federal investment in the physician workforce goes to certain states mostly in the Northeast. Unless the GME payment system is reformed, the skewed payments will continue to promote an imbalance in physician availability across the country.”
Source: sciencecodex.com

Avoiding Futile Care and Reducing Medicare Costs

Taken together, the three publications define a three-pronged learning task that must be accomplished for Medicare to reduce over treatment and help contain costs. We seniors need to spread the word that 1) contrary to the views of almost half of our population, Medicare is indeed a major contributor to the financial problems of the working public, 2) we seniors receive a substantial amount of ICU care that medical experts believe is “futile,” and 3) most of us probably don’t want that “futile” care, but our families and friends won’t speak up for us if we haven’t had the discussions of our values for end-of-life-case that The Conversation Project encourages.
Source: costsofcare.org

Miami Leads Nation In Medicare Drug Spending

Elderly Miami residents on Medicare filled more prescriptions for drugs in 2010 than seniors elsewhere in the country, and they were more than twice as likely as residents in Rochester, Minn., to fill at least one prescription for medications that have been identified as high-risk for patients over age 65, such as skeletal muscle relaxants, long-acting benzodiazepines, and highly sedating antihistamines.
Source: kaiserhealthnews.org

Saving Medicare, Social Security: Block That Grand Bargain!

The Social Security proposal has been introduced in both houses of Congress, with legislation by Senator Tom Harkin of Iowa (S.567) and Rep. Linda Sanchez of California (H.R.3118), which would boost benefits in two ways: changing the way benefits are calculated (designed to particularly help low-and-moderate income seniors) and changing the inflation adjuster Social Security uses to the CPI-E, which more accurately captures what seniors pay. This is exactly the opposite of the chained CPI proposed by President Obama, which undercounts what seniors typically purchase. The legislation raises the money to pay for the benefits and extends the Trust Fund by gradually removing the cap on earnings taxed by Social Security, which is $113,700 in 2013. Doing so would extend the period during which the Trust Fund has enough money to pay all benefits from 2033 to 2049.
Source: fryingpannews.org

Medicare Advantage 2010 Data Spotlight: Plan Availability and Premiums

While the number of plans available in 2010 declined somewhat from 2009, the analysis finds that Medicare beneficiaries on average have 33 Medicare Advantage plans to choose from. For Medicare Advantage enrollees who stay in the same plan in 2010, monthly premiums will increase by 32 percent on average, with a steeper 78 percent average increase for enrollees in private fee-for-service plans who do not switch plans.
Source: kff.org

Owner of Troy home health care company sentenced in Medicare billing scheme

The owner and president of Troy-based Acure Home Care Inc. will serve five years and five months in federal prison for heading a fraudulent Medicare billing scheme of more than $2.2 million, a federal judge ruled today. Mehran Javidan, 51, of West Bloomfield Township was also ordered to pay that sum in restitution today at her sentencing before U.S. District Judge Denise Page Hood in Detroit, following her April conviction on eight criminal charges. A co-defendant and licensed physical therapist also charged in the same scheme, Vishnu Pradeep Meda, 32, of Troy, awaits sentencing next Tuesday. Jurors found Javidan guilty of three counts of health care fraud, one of conspiracy, three counts of making false statements related to health care matters and one count of conspiracy to solicit or pay health care kickbacks in exchange for referrals of patients. She was acquitted on two other charges and the jury could not reach a verdict on an additional count of health care fraud. Acure, a home health care company based in Oak Park that relocated to Troy in early 2010 according to state and federal records, received more than $2.2 million from Medicare between December 2008 and November 2010 as part of the ongoing scheme. Javidan was initially charged along with Meda and Ram Narseh Rajulapati, another licensed therapist, as well as 18 other Southeast Michigan residents and 111 people nationwide in a multicity sweep by the U.S. Department of Justice targeting various Medicare fraud rings in February 2011. The local defendants included three doctors, three therapists, an occupational therapist and other employees of home health care, physical therapy and other medical companies. Javidan and Meda were tried together in March for the Acure billing operation and convicted April 2 on several charges, while Rajulapati remains a fugitive. Federal officials said at the trial that Javidan paid doctors to refer non-homebound patients for physical therapy that was medically unnecessary, and she paid patient recruiters for Medicare information and pre-signed physical therapy documents from Medicare beneficiaries. The recruiters allegedly obtained patient numbers and pre-signed forms by paying cash to beneficiaries and promising that referring doctors would prescribe them narcotics. Javidan also allegedly paid Acure employees to help create false records of services that were never rendered and supervised false claims for reimbursements to Medicare. The federal Medicare Fraud Strike Force, now operating in Detroit and eight other cities nationwide, has charged more than 1,500 defendants responsible for more than $5 billion in combined Medicare billings since its inception in March 2007.
Source: crainsdetroit.com

Seniors lose insurance AND doctors under Obamacare

The company is asking elected officials to avoid further cuts to the program, “We’ve been lobbying Congress to help insure that Medicare Advantage is appropriately funded to avoid further increases in premiums and changes in the product,” Vincz told TheDC. “We are hoping to make this a one time experience.”
Source: dailycaller.com

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November 15, 2013

An Introduction To The Medicare Supplemental Plan F at Jonathan Mods Central

Posted by:  :  Category: Medicare

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In order to get a good understanding of Medigap Plan F, you need to examine the basic benefits covered as well as some additional benefits that participants are eligible for. To begin with, basic benefits include hospitalization through Part A, twenty percent of Medicare approved medical expenses through Part B and also the initial three pints blood every year as well as hospice care through Part A. The additional benefits beyond the basic Medicare benefits through Plan F also cover skilled nursing facility care, Part A as well as Part B care deductibles and Part B excess charges. It also offers coverage for individuals traveling abroad who end up needing emergency care.
Source: modscentral.com

Video: Medicare Supplements – 5 Things To Know Before You Buy A Medicare Supplemental Policy

What is Medicare Supplemental Insurance?

Medicare is a type of insurance that is regulated by the government. It is available in four parts. Part A is hospitalization coverage, while Part B is standard medical insurance. Part C combines the first two and is available through one of the private insurance companies approved by the Medicare board. Medicare Part D is coverage for prescriptions. There are some things that these parts of the insurance do not cover, which is where Medicare supplemental insurance fits in. in order to understand this addition, you must have a little knowledge of the other parts of the Medicare.
Source: didntbuildthat.com

CMS letter on Illinois retiree Medicare supplemental.

Although every individual has different needs, the news of the plan produced an audible sigh of relief among the nearly 400 hundred delegates of the Illinois Retired Teachers Association meeting today and tomorrow in Springfield.
Source: wordpress.com

BGR Medicare Supplemental Insurance Plan N

A good number of MA plans provide a network along with medical service service providers. With some plans, you have to help you get your sickness services from the perfect network medical business provider in place for those firms to be coated. With some relating to the plans, owners may choose in order to really leave the network, but you quite possibly have to ante up more for layered services. when you see just that your own top doctors are before hand on the plan, you may always more satisfied complete with the network. If you would definitely rather have further freedom to decide between and choose doctors, you may no more be happy that has this type including restriction. This fact is actually quite similar to the very way PPO nor HMO plans effort on regular nicely being insurance policies.
Source: acsad-bgr.org

Medicare: Original, Replacement, Supplemental and Extra Crispy

Medicare Part B also covers outpatient hospital services including Emergency Room Visits and Hospital Observation. Generally, this means the patient pays a copayment for each individual outpatient hospital service. This amount may vary by service. The copayment for a single outpatient hospital service can’t be more than the inpatient hospital deductible. However, the total copayment for all outpatient services may be more than the inpatient hospital deductible. Part B also covers most of the doctor services when you’re a hospital outpatient. The patient pays 20% of the Medicare-approved amount after they pay the Part B deductible. Generally, the prescription and over-the-counter drugs received in an outpatient setting (like an emergency department), sometimes called “self-administered drugs,” aren’t covered by Part B. Also, for safety reasons, many hospitals have policies that don’t allow patients to bring prescription or other drugs from home. If the patient has Medicare prescription drug coverage (Part D), these drugs may be covered under certain circumstances. The patient likely will need to pay out-of-pocket for these drugs and submit a claim to their drug plan for a refund.
Source: managemypractice.com

Does Medicare Supplemental Insurance Suit Your Needs?

Those aged 65 and older can rely on traditional Medicare Parts A and B to pay for a broad array of healthcare services and supplies, though by no means will everything be covered. For this reason, it may be wise for such individuals to purchase a supplemental insurance policy to pick up the slack. This type of policy, also referred to as Medigap coverage, is sold by private carriers and is intended to take care of payment for things that traditional Medicare does not include. Such expenses include co-pays, annual deductibles and coinsurance. Certain available Medigap policies also provide coverage for services that have no coverage whatsoever under traditional, original Medicare.
Source: kurafire.net

Medicare Advantage vs. Medicare Supplement

Medicare Supplement plans, also known as Medigap, are also offered through private insurance companies that are contracted by Medicare. However, these plans serve as supplemental coverage to Original Medicare, and fill in the gaps in coverage left behind by Part A and Part B. Medigap plans may cover health care costs such as coinsurance, copayments, deductibles, and medical care while traveling outside of the United States. There are 10 standardized plan types available, with each lettered plan offering the same benefits regardless of location and carrier. Although benefits are standardized, costs may differ between plans. The cost of a Medicare Supplement plan may include a monthly premium in addition to the Part B monthly premium.
Source: ehealthmedicare.com

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November 15, 2013

[DTAI] Medicare Part D Prescription Drug Plan

Posted by:  :  Category: Medicare

No.  You will not lose your 2014 Medicare Part D plan coverage if your current 2013 Medicare Part D plan is sanctioned.  As many people know, several 2013 Medicare Part D prescription drug plans, including SilverScript and SmartD Rx are still sanctioned by Medicare.  This means that, at this time, these Medicare Part D plans are not allowed to accept new members into their plans.  However, current 2013 plan members can stay with their plan if it is being offered in 2014.  Please remember that all Medicare plans can change every year and, like everyone else, you would need to review how your 2014 coverage will vary from your current 2013 plan coverage.  For example, you can click here to see how the 2013 SilverScript Medicare Part D plans are changing for 2014 in Pennsylvania.  You will notice that we do not show enrollment options for these plans nor do we have the 2014 cost-sharing or formulary data online since Medicare does not release this information for sanctioned plans – however, the 2014 cost-sharing and formulary data was sent directly to all members of 2013 sanctioned Medicare plans.
Source: over-blog.com

Video: Budget Cuts, Bureaucratic Bungles Creating Medical Emergency for Dual-Eligible Patients, Doctors

Cracker Squire: Fighting to Stop an Entitlement Before It Takes Hold, and Expands

From The New York Times: Underlying fierce Republican efforts to stop President Obama’s health care law and the White House drive to save it is a simple historical reality: Once major entitlement programs get underway, they quickly become embedded in American life. And then they grow. That makes the battle over the Affordable Care Act more consequential than most Washington political fights. “If it’s in place for six months, it will be impossible to repeal it or change it in ways that significantly reduce the benefits,” said Robert D. Reischauer, a Democrat who used to lead the Congressional Budget Office.       
Source: blogspot.com

Fox News Ignores Medicare Facts To Scapegoat “Illegal Aliens”

Despite Fox’s scapegoating of undocumented immigrants, several studies have proved that they are not “the driving force behind higher health care costs,” in the words of health policy expert Jim Stimpson. In a 2010 study on health care spending on immigrants, Stimpson found that immigrants do not “make up a disproportionate share of the costs to public programs like Medicaid.” He found “spending for noncitizens was on average about 50 percent less than spending for United States natives.”
Source: mediamatters.org

Affordable Care Act: White House Grants Extension to Enroll

I am sorry the mayor feels it is necessary to waste the city’s resources on this national issue. I wish he would try to fix city issues. For example, this year’s budget included large healthcare cost expense. A 20-year retiree covering his family with the high deductible plan saw an increase from about $310/mo jump to over $721/mo. Maybe there is a need for a little more effort locally instead of promoting Obamacare, also known as the Unaffordable Care Act.
Source: myarlingtontx.com

CBO: New Estimate on Raising Medicare Age Finds Much Less in Savings

The Senate Conservatives Action, a super PAC, reported today it had spent $263,813 on independent expenditures supporting Chris McDaniels in his challenge to incumbent Sen. Thad Cochran in the 2014 Mississippi Republican Senate primary. Senate Conservatives Action paid $245,233 to Target Enterprises LLC on 11/14 for media buys as independent expenditures supporting Chris McDaniels, R-Miss. The group also paid $10,000 to …
Source: congress.org

What’s The Difference Between Medicare And Medicaid?

Unlike Medicare, which is available to everyone, Medicaid has strict eligibility requirements. The rules vary by state (beyond the basics set forth in the federal guidelines), but the program is designed to help the poor, so many states require Medicaid recipients to have no more than a few thousand dollars in liquid assets to participate in the program. There are also income restrictions. For a state-by-state breakdown of eligibility requirements see these websites Benefits.gov and BenefitsCheckUp.org.
Source: investopedia.com

Medicare Administrative Contractors Announce Intent to Review Hospice Claims

Similarly, CGS announced its intent to expand its existing hospice length of stay edits. Currently, the CGS Medical Review Department uses established edits to evaluate and select the most vulnerable claims.  CGS currently uses edit 5048T to select hospice claims with a length of stay 999 days or more but has decided to phase out edit 5048T in favor of a new edit that will identify claims earlier.  New edit 5118T will select claims with a length of stay between 150 and 365 days for providers that bill to CGS within the states of New Hampshire, Idaho, Georgia, Utah, Colorado, Delaware, Missouri, Alabama, Arkansas, Kansas, Tennessee and West Virginia. Widespread edit 5048T will be discontinued once edit 5118T is implemented.
Source: hallrender.com

Understanding Medicare and Medicaid

Offered by private companies, these plans can be chosen in place of traditional Medicare. Special Needs Plans support dual-eligible individuals by serving as a single entity that coordinates all aspects of care. These plans focus on the unique needs of dual eligibles, offering customized care and support to manage their complex health care needs. Specialized services available with Special Needs Plans may include in-home visits, social support services and help when transitioning home from the hospital.
Source: lubbockonline.com

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November 15, 2013

Satisfying Retirement: My Medicare Decisions Are Only A Few Months Away

Posted by:  :  Category: Medicare

Advantage plans (Medicare Part C) are plans approved by Medicare but run by private companies. They cover everything Medicare does plus offer extra services that include drug, vision, and dental coverage. Many of these plans offer $0 monthly premiums, $0 deductibles, and $0 copays. How do they make money? These companies are paid by the federal government to handle what Medicare usually covers as well as provide them with a reasonable profit.
Source: blogspot.com

Video: CIGNA Government Services TNCPE Excellence Award Recipient 2010

Cigna Medicare Plans And So Blue Cross Medicare Plans An Portrait

Typically one is faster? The short product is it is contingent on your wishes. You should consider if you use medical issues that require expensive consideration. Second, you should certainly consider how quite often you travel or if you application to move speedily. Thirdly, you require to weigh your actual options from one income basis. Do you desire unhindered access so as to medical care, and also are you willing to spend any time shopping your options to simultaneously?
Source: domo-re-gato.com

Agent Pipeline Offers Cigna Medicare Supplement Solutions

Anytime we have the opportunity to offer a product from a carrier as prestigious and trusted as Cigna, we’re happy to do so. Cigna and its predecessor companies have been in the insurance field for more than 200 years. It is active in 30 countries and has 71 million customer relationships around the world. As a National Marketing Organization (NMO), we are pleased to be able to offer FMO, MGA and agent level contracts to our network of partners in the Senior Market.
Source: agentpipeline.com

Cigna Acquires Home Care Company Specializing In Elderly, Chronically Ill

In October 2011, Cigna announced plans to buy HealthSpring of Nashville, Tenn., for $3.8 billion. HealthSpring is a health plan with more than 1 million Medicare and Medicaid customers in Alabama, Arizona, Arkansas, Delaware, Florida, Georgia, Illinois, Maryland, Mississippi, New Jersey, Oklahoma, Pennsylvania, Tennessee, Texas, West Virginia and Washington, D.C.
Source: courant.com

cleverpons3: Cigna Medicare Plans And Simply Blue Cross Treatment Plans An View

In order that you could get on the encoding end or records end. Several companies do often in-house. Nonetheless , the simplest additionally most effective road is to focus your attention on on one on the other hand the other. Both require rehearsing usually and to assist you add coding somebody would have regarding add quite any bit of preparation. If people just take operative billing training, complete training program or a provider you can benefit from your training ready and get your amazing certificate, in a little bit of cases, and that you simply ready to purchase a job. Specific US health automobile insurance industry in search terms of the final direct premium typed is slated of grow over one particular 5 years found on a CAGR 5.3% to create market size connected USD ~ zillion by 2015. The PPACA policies will significantly renew the course akin to the industry. This law would likely expand health indemnity access to 32 million individuals therefor opening up potential team members for the enlargement of this commerce. This regularions will also intend to control some sort of rising price connected premiums. Summer 22, the Maintain Council issued within Medicine Five very important health system change work in 2011 “(hereinafter referred up to as” CEPA “), called on provinces, autonomous places and municipalities and also the State Council, grocery list differently the relevant divisions to seriously install. For the “arrangements” published manufacturing sources, Medical change After a ages of work to be able to the evolution coming from all 2009, it any huge leap. The State Authority issued a papers with the steady refinement, gradually instigate healthcare reform for you to develop in interesting depth. Customers will normally request the help involving the brokers in whose role is of search the market for the most helpful deals hence leaving it easier about you to help the best possibilities. Most linked with the sites would certainly offer the web sites free of extra fee and you undertake not therefore get to feel required to select i would say the quotes offered. The best event about such locations is that these guys have access so as to some of the specific best Private wellness care insurance coupons in the area and you will be able to manage to benefit from everything that buyers need at the moment. An insurance does possibly not completely replace National health service services but definitely is designed as a functional back plan because individuals to help to make that they will most certainly be well taken think about of when these firms need help most. Furthermore there are various insurance protection providers out high offering the insurance company. The tops are therefore often in plenty or come in pretty much all kinds and levels. You are likely to need to certain that you compensate for the noticeably best company available as well as the specific right private medicaresupplementplanfguide.com which is restricted to come during handy during the ones critical times. Without the insurance customers risk to be required to compensate cost off repair of another’s car and expenditure on treatment of this victim. Thereby try to run across good autoinsurance each morning company with massive reputation. Numerous variant of the insurance policy will give yourself side benefits, for the purpose of example, possibility related to free towage of this defective car. COBRA – if people worked for that company with 20+ employees, you are permitted to keep your company health insurance over up to 20 months at one’s own own expense. Because of its just high monthly premium, a lot relating to people avoid this one option unless they’ll have an present condition that has to have ongoing medical proper.
Source: blogspot.com

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