Should I become a Medicare provider with my social security number?

Posted by:  :  Category: Medicare

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If you decide not to get a EIN or tax id number you will have to apply to Medicare using your social security number that will be published and used for all your Medicare claims with your PTAN number. If you later decide to get a tax id or EIN number you will have to complete the process over again. So the point I am trying to make is why not get your Medicare PTAN number using your tax id and avoid having to do the process two times. Having a tax id is also the way to go if you want to add other providers to your business.
Source: candwcredentialing.com

Video: Phone Number Medicare Providers Medical Lift Chair Multiple Sclerosis Around Hayward

Slalom Tableau Showdown delivers key Medicare insights to Provider CIOs

From John Mathis, first-place winner: Visualizing Medicare data revealed several interesting financial aspects of our healthcare system. By viewing the state and classification heat map, it is apparent that California, Nevada, and New Jersey have the highest average costs. It is especially odd for New Jersey given its proximity to Maryland, which has the lowest state costs. Also interesting is the scatter plot of Diagnosis Related Group (DRG) codes, which reveals several outliers in terms of cost and patient volume. Public health administrators looking to bring down costs could use this visualization to identify procedures with the highest costs and frequency that would most benefit from efficiency improvements.
Source: slalom.com

UnitedHealthcare Cuts Doctors From Medicare Advantage Plans

The Columbus Dispatch: Medicare Insurer UnitedHealthcare Cuts Doctor Network  UnitedHealthcare is dropping an undisclosed number of doctors from its Medicare Advantage provider network in Ohio, which will force some senior citizens to find new physicians or change plans, according to a physician-advocacy group. “This is one of the most significant (provider) network narrowings we’ve ever seen in the Medicare Advantage world,” said Todd Baker, director of professional relations with the Ohio State Medical Association. He said physicians have been receiving termination letters from UnitedHealthcare for about six weeks (Sutherly, 10/26). 
Source: kaiserhealthnews.org

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

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

Affordable Care Act Impact to Medicare Retirees (By The Numbers)

Huge payment reductions that reduce access to care – the Affordable Care Act will reduce Medicare reimbursements by $716 billion over 10 years. These cuts will hit Part A providers such as hospitals, nursing homes, skilled nursing facilities, and hospices, along with Medicare Advantage plans – not due to eliminating “waste, fraud and abuse”.  Providers will not be able to sustain continuing negative margins due to the cuts and will have to withdraw from serving Medicare beneficiaries.  It is estimated that there will be 15% fewer providers by 2019, 25% by 2030, and 40% fewer providers by 2050
Source: patriotsbillboard.org

4 keys to scrutinizing Medicare Advantage cuts

Plan changes are starting to crystallize for Medicare Advantage customers who are about a month into the annual open enrollment window in which they can search for new coverage. Benefits experts say patients are seeing fewer plan choices this year, and more are losing doctors from their insurance coverage networks. Open enrollment lasts until Dec. 7, and many customers wait until the final weeks to pick a plan.
Source: fiftyplusadvocate.com

Medicare Physician Payment Reform: The Bipartisan Congressional Proposal And How To Strengthen It

Well-developed ideas that could pay for SGR reform include reforms in other Medicare payment systems that reinforce the same movement away from FFS and into more person-centered payments.  In particular, current Medicare payments for post-acute care (PAC) vary based on where patients are treated and the intensity of service, rather than the needs of the beneficiary or the value of services provided. CMS has worked extensively on methods for standardizing the assessment of patients at discharge, as well as tracking their functional status and complications in a consistent way across care settings and over time, enabling the development of a person-centered PAC payment system. A transition to partial or more complete case-based payments based on beneficiary needs could do more to promote appropriate and well-coordinated care for beneficiaries than other recent proposals to simply reduce payments to various PAC providers, while still achieving significant budgetary savings. Analogous reforms to make payment rates more equal for certain ambulatory and outpatient procedures that are currently reimbursed at much higher rates in hospital outpatient departments compared to physician offices and ambulatory surgical centers could also provide savings while encouraging higher-value care.
Source: healthaffairs.org

Contact Congress about the Medicare Adult Day Services Act of 2013

Adult day health programs are already providing skilled care through Medicaid and Medicaid waivers. The diversity of services provided in adult day centers are critical for frail older adults and persons with disabilities to obtain the holistic, person-centered services that meet their individual care needs. 
Source: leadingage.org

Attorney General Jepsen Implores Federal Officials To “Aggressively Scrutinize” UnitedHealthcare’s Network Cuts

UnitedHealthcare is one of a number of insurers that offer Medicare Advantage plans in Connecticut and across the nation. Medicare Advantage plans are a type of federal-government-funded health-care plan offered by private insurers to people age 65 and older. Insurers contract with the federal government to provide Medicare Parts A and B, which is hospital and medical coverage, respectively. A Medicare Advantage plan may also provide additional coverage, such as prescription drug benefits.
Source: courantblogs.com

How to Rehabilitate Medicare’s "Post Acute" Services

We are excited that new accountability-driven reimbursement models created by the Affordable Care Act such as accountable care organizations (ACOs) and bundled payments reward health systems for providing efficient and effective post-acute care. Partners participates as a Pioneer ACO, and in our first year successfully slowed our rate of cost growth by more than 2.4% as compared to the national benchmark. Participation in the Pioneer ACO has catalyzed multiple efforts to evaluate and invest in post-acute care. Such investments include readmission-reduction and care-transitions initiatives, best-practices and data-sharing collaborations with skilled nursing facilities, and new home-care programs such as telemonitoring, rapid-response home-nursing visits, and home-based palliative-care consultation.
Source: hbr.org

Don’t Miss the Medicare Open Enrollment Window of Opportunity

Posted by:  :  Category: Medicare

Start by comparing Medicare plans using the Plan Finder on the official Medicare website, or call 800-MEDICARE (800-633-4227). You can also work with a counselor at your State Health Insurance Assistance Program (SHIP). Ask the counselor questions about coverage issues you care about, like which drugs are covered, whether you will have coverage if you get sick while traveling out of state, and how much coverage you’ll have while you are in the Part D “doughnut hole” (the period during which you pay a higher share of your drug costs).
Source: aarp.org

Video: 2013 Medicare Open Enrollment Period has Begun

Medicaid enrollment looking good

Medicaid pays doctors less than Medicare, and much less than private insurance, fostering an impression that having a Medicaid card is no better than being uninsured, and maybe even worse. But a recent scientific study debunked that notion, finding that having Medicaid virtually eliminates the risk of catastrophic medical expenses due to a serious accident or the sudden onset of a life-threatening illness. It also found improved mental health, though not much difference in physical conditions such as high blood pressure.
Source: columbuspost.com

Medicare Fraud Risk Higher During Open Enrollment Period

This is also a time when there is a higher risk for Medicare related fraud. It could come as a phone call or a knock at your door. They may be offering free services, telling you that you need a new Medicare Card or that you can enroll in a new plan by letting them take money out of your bank account—do not do it!
Source: countylifeonline.com

Medicare open enrollment continues till Dec. 7, but online info may not be up to date

Overall, premiums for Advantage plans, the private-insurer version of Medicare coverage, are projected to go up next year—by 5 percent, or $1.64, on average, to $32.60 a month, according to the Centers for Medicare and Medicaid Services (CMS), the agency that runs Medicare. For drug plans, the average basic-plan premium will be $31, which it said was about the same as this year.
Source: alpha-1foundation.org

CMS: Medicare open enrollment begins Oct. 15 as planned

Beneficiaries can use this Medicare Annual Election Period to explore various Medicare plans, compare costs and options, and check whether providers or institutions accept certain plans. For example, those taking new medications, who relocate, are diagnosed with a chronic medical condition, or experience an accident or injury which changes their health status may want to add or drop certain benefits, or find a plan with lower co-pays. A move to a different state may require finding new physicians or joining a plan with different participating facilities in their new coverage area. Even if a person’s status remains the same, plans can change — benefits might be added or dropped, or prescription medications might go on or off formulary.
Source: healthjournalism.org

Ohio Health Policy Review: Online enrollment for Ohio Medicaid set to begin Dec. 9

State officials announced this week that Ohioans seeking Medicaid coverage can apply for benefits online beginning Dec. 9, including those who are newly eligible as a result of Medicaid expansion (Source: “Ohio online Medicaid signups will start Dec. 9,” Columbus Dispatch, Nov. 13, 2013)
Source: healthpolicyreview.org

Medicare Online Enrollment

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

Thousands enroll in Medicaid as result of health law’s ‘woodwork’ effect

LocalHealthGuide is a health news and information web service for Seattle and the Puget Sound Region. We are independent and unaffiliated with any hospital, medical association or insurer. If you have questions or if your group has an upcoming event that you would like us to cover, please let us know by going to our “Contact Us” page and dropping us a note. — Michael McCarthy, Editor
Source: mylocalhealthguide.com

Obama Administration Hoping 800K Enroll By End Of November

Open enrollment in the online marketplaces runs through March, though people must sign up by Dec. 15 to have coverage starting Jan. 1. The Congressional Budget Office has projected that about 7 million people will sign up for private coverage in the first year. Another 9 million people were expected to enroll in Medicaid, which is being expanded under the Affordable Care Act.
Source: kaiserhealthnews.org

UniCare MedicareRx Rewards Part D

Posted by:  :  Category: Medicare

Alabama, Alaska, Arizona, Arkansas, Connecticut, Delaware, Florida, Hawaii, Idaho, Illinois, Iowa, Kansas, Louisiana, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Montana, Nebraska, New Jersey, New Mexico, New York, North Carolina, North Dakota, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Washington, Washington D.C., West Virginia and Wyoming.
Source: affordablemedicareplan.com

Video: Unicare Medicare Advantage Plans – Compare to 180+ Companie

Salina Public Flu Vaccine Clinic To Be Held Wednesday

A drive-thru clinic for adults only will be conducted from 11:00AM-2:00PM in the east driveway behind the 4-H Building and Agriculture Hall.  Vehicle entry will be from the south in the dirt parking area across from the entrance to Kenwood Cove.  Participants at the drive-thru must be 18 years of age or older and are asked to wear short-sleeve shirts.
Source: todayinkansas.com

CMS Letter on Poor Performing Medicare Advantage Plans

CMS has also created an SEP allowing beneficiaries one chance to move from a “poor” performing plan to one that is rated 3-Star or higher after January 1, 2013.  This SEP is not agent driven however, so in order for someone to take advantage of this, the individual must call 1-800-MEDICARE. There are no timeframes, end dates, etc. associated with this SEP and CMS will be granting the SEP on a case-by-case basis. Beneficiaries will be receiving letters regarding this as well.
Source: agentpipeline.com

Medicare Targets Health Plans With Low Ratings

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

Salina Public Flu Vaccine Clinic To Be Held Wednesday

A drive-thru clinic for adults only will be conducted from 11:00AM-2:00PM in the east driveway behind the 4-H Building and Agriculture Hall.  Vehicle entry will be from the south in the dirt parking area across from the entrance to Kenwood Cove.  Participants at the drive-thru must be 18 years of age or older and are asked to wear short-sleeve shirts.
Source: todayinkansas.com

UNI/CARE Connects Medical Records to Microsoft Dynamics CRM 2011

Microsoft is committed to improving health around the world through software innovation. Over the past 13 years, Microsoft has steadily increased its investments in health with a focus on addressing the challenges of health providers, health and social services organizations, payers, consumers and life sciences companies worldwide. Microsoft closely collaborates with a broad ecosystem of partners and delivers its own powerful health solutions, such as Amalga, HealthVault, and a portfolio of identity and access management technologies acquired from Sentillion Inc. in 2010. Together, Microsoft and its industry partners are working to deliver health solutions for the way people aspire to work and live.
Source: blogspot.com

Medicare Prescription Drug Coverage, Medicare Part D, Doughnut Hole

Medicare has an optional program — called Medicare Part D — that provides insurance to help you pay for prescription drugs. If you select to have the coverage, you pay a monthly premium. This guide explains how the program works and helps you make decisions in choosing a plan that’s right for you.
Source: aarp.org

WellPoint To Transfer UniCare Blocks

The old WellPoint Health Networks Inc., Woodland Hills, Calif., one of the companies that merged to form WellPoint Inc., created the UniCare business in 1995 to hold health insurance operations outside of California. Much of the business in the unit was acquired from Massachusetts Life Insurance Company, Springfield, Mass., in 1996 and from John Hancock Mutual Life Insurance Company, Boston, in 1997. Also today, WellPoint:
Source: lifehealthpro.com

Satisfying Retirement: Someone Explain Medicare to Me

Part D covers some of your presecition drug costs. If you don’t need a lot of drugs now, it still may be wise to take this coverage because of late enrollment penalties. Part D is provided by private insurance companies and varies widely in costs and coverage. There are usually copays and deductibles involved. The “Donut hole” limits coverage on what these plans will pay for your drugs. UNder the new health care plan, that donut hole is shrinking and has a new feature that gives you a 50% discount on covered brand name drugs. 
Source: blogspot.com

Enrollment Denials When Overpayment Exists

Posted by:  :  Category: Medicare

Disclaimer  This article was prepared as a service to the public and is not intended to grant rights or impose obligations. This article may contain references or links to statutes, regulations, or other policy materials. The information provided is only intended to be a general summary. It is not intended to take the place of either the written law or regulations. We encourage readers to review the specific statutes, regulations and other interpretive materials for a full and accurate statement of their contents. CPT only copyright 2012 American Medical Association.
Source: hcafnews.com

Video: How to complete a Medicare Open Enrollment/Change Form

How and when to sign up for Medicare

If you are eligible, you have the choice of accepting or rejecting Part B coverage. If you want Medicare Part A and Medicare Part B, then you should sign your Medicare card and keep it in your wallet. If you don’t want Part B, you put an “X” in the refusal box on the back of the Medicare card form, and send the form to the address shown right below where your signature goes. About four weeks later, you will get a new Medicare card indicating that you only have Part A coverage.3
Source: stillwatergazette.com

Prepare for Open Enrollment

If you are a Medicare recipient, or if you are eligible for Medicare, you are or will be eligible to add prescription drug coverage to your Medicare benefits. The new addition to Medicare is known Part D. It is called PDP (Prescription Drug Plan.) Anyone who has the Medicare is eligible to enroll in one of the prescription drug plans.
Source: 5thaveins.com

News Article/Update on State Medicare Advantage Plans

The complete program information is now available on the CMS website for both the College Insurance Program (CIP) and the State Employees’ Group Health Program. The TRAIL Decision Guide includes an explanation of plan options, plan comparison chart, rate chart, coverage map, and contact information for the four plan administrators. The site also offers a comprehensive FAQ (Frequently Asked Questions) sheet for CIP and State Employees.
Source: surs.com

CMS Announces Medicare Providers Must Begin to Revalidate Enrollment By March 2013

In the continued effort to reduce fraud, waste, and abuse, CMS implemented new screening criteria to the Medicare provider/supplier enrollment process beginning in March 2011.  Newly-enrolling and revalidating providers and suppliers are placed in one of three screening categories – limited, moderate, or high – each representing the level of risk to the Medicare program for the particular category of provider/supplier, and determining the degree of screening to be performed by the Medicare Administrative Contractor (MAC) processing the enrollment application. More information on the screening categories is here.
Source: managemypractice.com

New CMS Guidance Encourages Facility Buyers to Accept Automatic Assignment of Medicare Provider Agreements

The new guidance makes it clear that initial Medicare applications for certification, including the survey, will not receive special or expedited treatment where a buyer opts out of the automatic assignment of Medicare provider agreements. The policy memorandum expressly provides, (1) a prohibition against any survey for initial certification purposes before the date of sale; (2) a prohibition against any survey until the Medicare Administrative Contractor (MAC) has recommended approval for the buyer’s new enrollment application; (3) the survey must take place when the facility is fully operational under new ownership; and (4) the survey must be a full, standard, and unannounced survey. Fully operational is defined as “serving a sufficient number of patients or residents so compliance with all requirements can be determined.” Essentially, CMS wants to ensure that applications for Medicare certification by buyers rejecting the assignment of provider agreements are not treated with greater urgency than other initial applications, thus resulting in very short periods of uncompensated Medicare care. The smaller the Medicare reimbursement gap, the more attractive it is for buyers to reject automatic assignment of provider agreements and for providers with potential liability to sell without consequence.
Source: beneschhealthlaw.com

Ordering and Referring Providers: CMS Just Won’t Take No for an Answer. Form 855

As of May 1, 2013, physicians and other providers (collectively “Providers”) who bill Medicare must list the NPI of the ordering/referring Provider on their claim forms in order to be paid for the technical component of imaging services, the technical component of clinical laboratory services, durable medical equipment and/or home health services.  An issue arises when the referring/ordering Provider does not participate with Medicare, and does not have an active NPI.
Source: floridahealthcarelawfirmblog.com

Medicare Enrollment Revalidation and the Revised CMS 855 Forms : Healthcare Integration Advisors : New York Attorneys & Lawyers for Health Care Providers, Hospitals, Insurers : Iseman, Cunningham, Riester & Hyde LLP

In July of this year, CMS published revised Medicare enrollment forms for all provider and supplier types.  CMS revised the enrollment forms in an effort to implement a more rigorous program of integrity standards.  CMS’s theory is that by keeping bad people out of the Medicare system, most of the fraudulent activity that has plagued federal health care programs can be halted before it even begins.  The most substantial revisions were made to the Form 855A for institutional providers and the new Form 855O, which is for physicians and non-physician practitioners who enroll in Medicare for the sole purpose of ordering or referring items for Medicare beneficiaries.
Source: healthcareintegrationadvisors.com

FAQ: Seniors May See Changes in Medigap Policies

Posted by:  :  Category: Medicare

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

Video: Choosing A Medicare Supplement in Fl in 2011

The Medicare and Medicaid Guide

The Medicare and Medicaid Guide has been published since 1969. Available both in print and online, the Guide offers daily updates of new laws, regulations, court decisions, administrative decisions, and other guidance about these two health programs, in addition to over 500 explanations about how these programs work. The explanations cover all areas of both programs – who is eligible to get coverage; who is eligible to provide coverage; what types of services are covered; how the programs are financed and administered; how the government monitors fraud and abuse in the programs; just to name a few subject areas.
Source: wolterskluwerlb.com

2011 Medicare Open Enrollment Window

It is usually a good idea to get an application for traditional supplemental coverage in early to make sure that certain health qualifications can be met.  Underwriting requirements will differ between various providers, so working with an independent Medicare supplement agency (like us) can be a wise choice to ensure coverage is obtained.  This way Medicare eligible consumers can ensure a seamless transition to new coverage  that will become effective January  1, 2012.
Source: ohioinsureplan.com

FAQ: Medicare Supplement Plan Pricing

Case in point Here’s an example: A prospect called our office to say that she had recently experienced a rate increase on the Medicare supplement Plan F she had had for many years. Following this rate increase, her long-time agent had moved her to a Plan N, which was cheaper than her old Plan F. However, when she received her first bill, it included a $162 charge for her Part B deductible. This charge was a complete surprise to her. As you might imagine, she was very upset.
Source: lifehealthpro.com

Medicare Supplements a Safe Haven With the Future of Medicare Uncertain

But they’re taking comfort when they find out that if they keep traditional Medicare and purchase the right Medicare Supplement Plan (AKA Medigap), they can receive up to 100% coverage on doctor and hospital charges for life without ever worrying about networks, co-pays or deductibles. This is because Medicare Supplement Insurance covers the gaps in traditional Medicare, with no provider networks or restrictions.
Source: disabled-world.com

Medicare Health Insurance Changes For The Year 2011

Currently the salary packages on behalf of after successfully doing Staten Island skilled billing and computer programming training can changes depending on wide variety of factors. Difficulties the type with regards to training, the necessary education of the individual and the preceding experience in industry of medical invoicing and coding in addition to the reputation within the institute from your own do the instruction. But even with minimal qualification and training, you can be expecting a reasonably superb pay package throughout the initial steps of your professional.
Source: nmrrc.info

6 things you should know about Medicare Supplements

Medicare Supplement plans are subject to periodic rate increases: Medicare Supplement plans A-N are standardized (except in states: MA, MN, WI), and all Medicare Supplement plans with the same letter offer the same benefits, regardless of the state you live in or the insurance carrier providing the coverage. Put another way, a Plan N from “insurer 1” must provide the same benefits as a Plan N from “insurer 2.” But, medical costs, medical inflation and innumerable other issues impact the cost of Medicare Supplement plans, which means the monthly fees you pay for a plan will increase over time. If a plan premium increases to a level you can no longer afford, beneficiaries do have the option to change to a Medicare Advantage plan during the Medicare Advantage annual enrollment period, which runs from October 15th to December 7th in 2011.
Source: ehealthinsurance.com

Medicare Supplement Coverage and Part D

The main reason you should call Medicare to help find the best Part D plan for you is they can make the process go very fast.  While you are on the phone with them, they can take your RX list, find a plan, explain it to you, and enroll you immediately without any paperwork.
Source: medicaresupplementcenter.com

Medigap Medical Loss Ratio Improvement Act

To no surprise, the insurance industry is opposed, and understandably so. In order to calculate the supplemental benefits to be paid under the Medigap plans, the insurers must still process all services, most of which are paid by Medicare, thereby involving the same administrative effort as comprehensive plans. Also, their marketing costs are similar to their comprehensive private plans. Thus their administrative costs and profits are proportionately much higher considering the small amount paid out in supplemental benefits.
Source: pnhp.org

New Medicare Supplement Plans Premiums For 2011

Starting on June First 2010 the Centers for Medicare And Medicare Services (CMS) in conjunction with many insurance companies have introduced two new supplemental policies (also referred to as Medigap). Plan M and Plan N. These two plans were designed to be offered at a lower monthy premium, however there are deductibles and copays involed which are quite different than the traditional policies. In many if not most of the counties throughout the United States they will be offered on a guarantee issue basis. Most of the traditional Medicare Supplement Plans cover all of the part A  and B deductibles and all of your co-pays. The differences with the traditional Medicare Supplement plans are the specific or amount of services are offered. The most popular plan has traditionally been Plan F. Plan J which is offers the most robust and extensive plans has been eliminated for new enrollees. If you currently have this plan you will be allowed to keep it but you will not be able to enroll in Plan J otherwise. For New York Medicare eligible beneficiaries can visit www.nymedicare.org to download all of the current plans and rates for all companies offering Medigap plans.
Source: wordpress.com

How Does Obamacare Affect Medicare Supplement Insurance?

Because of problems that HHS is having with Healthcare.gov, I am warning my clients to wait until after December 1 to use the “Marketplace” to claim a federal subsidy to help with their health insurance premium in 2014. If you do not qualify for a federal subsidy, you can get your approved health insurance outside of the “Marketplace” through the insurance companies on the left of this blog. You only need to wait if you are using the federal “Marketplace.”
Source: wordpress.com

North Carolina Medical Society

Posted by:  :  Category: Medicare

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Eligible professionals (EPs) participating in the Medicare EHR Incentive Program may be subject to payment adjustments beginning on January 1, 2015. The Centers for Medicare and Medicaid Services (CMS) will determine the payment adjustment based on meaningful use data submitted prior to the 2015 calendar year. EPs must demonstrate meaningful use prior to 2015 to avoid payment adjustments.
Source: ncmedsoc.org

Video: North Carolina and Medicare Supplements

Medicare Penalizes Nearly 1,500 Hospitals For Poor Quality Scores

Most winners from last year stayed winners and losers stayed losers, but some turned around their scores. Vanderbilt University Medical Center in Nashville, Massachusetts General Hospital in Boston, New York-Presbyterian Hospital, Cedars-Sinai Medical Center and Ronald Reagan UCLA Medical Center, both in Los Angeles, and Yale-New Haven Hospital were among the 300 places that went from a penalty to a bonus. Some safety net hospitals, however, are struggling: Denver Health Medical Center, frequently held out as a model, is getting paid less.
Source: kosu.org

North Carolina Members of Congress Urged to Close Medicare Loopholes / Public News Service

RALEIGH, N.C. – North Carolina members of Congress are being urged by organizations such as AARP to close Medicare loopholes, which would help cut costs without cutting benefits. So far, none have stepped up to support the so-called PRIME (Preventing and Reducing Improper Medicare and Medicaid Expenditures) Act. Existing efforts to curb fraud and abuse already put seven dollars back into the Medicare program for every dollar spent, according to Larry McNeely, policy director, National Coalition on Health Care, who supports the legislation. “Why don’t we do more to go after either the real, actual fraud or the waste in that system?” he asked. “This actually takes a laser and really tries to make efforts to stop fraud in Medicare a lot more effective.” The bill focuses on prevention: Stop improper payments instead of trying to collect the money after it’s paid out, make it harder to steal the identities of physicians and reward patients who help Medicare identify fraud. The PRIME Act is proposed in both the House and the Senate. McNeely said although bipartisan support is growing, the Act has not yet been assigned to a committee. McNeely acknowledged that cutting fraud is not always the easiest thing to do, but said lawmakers have an obligation to protect Medicare benefits. “We’re paying for the volume of health care, not the value of health care. If we do both those things – go after the fraud and then go after the waste – there’s a real avenue to bring down costs in Medicare without harming beneficiaries,” he said. AARP North Carolina estimates that improper payments may account for as much as 10 percent of Medicare spending, which totaled more than $600 billion a year, last year. More information on the PRIME Act is available at http://blog.aarp.org.
Source: publicnewsservice.org

Medicare Advantage Seminars Burlington NC Starting in October 2013

© 2011 Copyright. All Rights Reserved. Don Allred and Associates Insurance. Blue Cross and Blue Shield of North Carolina authorized agents, Don Allred & Associates Inc. is an independent authorized producer/agency licensed to sell and promote products from Blue Cross and Blue Shield of North Carolina (BCBSNC). The content contained in this site is maintained by Don Allred & Associates, Inc. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. ® Registered mark of the Blue Cross and Blue Shield Association. SM Service mark of the Blue Cross and Blue Shield Association
Source: nchealthagency.com

MGMA advocates on Medicare date of service policy

Diamond Level Platinum Level Gold Level Biz Technology Solutions, Inc. First Citizens Bank rmsource, Inc. Wells Fargo Insurance Services Silver Level Ball Dermpath McGladrey Medical Protective SunTrust Bank United HealthCare Group Bronze Level Allegacy Business Solutions – JBA Benefits & Cooperative Payroll Allscripts Apex Technology Assured Waste Solutions, LLC Bactes Imaging Solution Bernard Robinson & Company, LLP Call-A-Nurse Capario ChoiceHealth, Inc. Coverys, Inc. DataMax Corp / Interstate Credit Collections The Doctors Company Eastman Kodak Company Fifth Third Bank Ford & Harrison GMK Associates, Inc. Gordon Asset Management, LLC Greenway Medical Henry Schein Medical Humana Konica Minolta LabCorp Marketing Works McNeary, Inc. Medicus Insurance Company Medstaff National Medical Staffing mindShift Technologies, Inc. MSOC Health NCHA Strategic Partners NextGen Healthcare ONLINE Information Services Physician Discoveries Physicians’ Alliance of America Prince Parker & Associates Professional Recovery Consultants SCA Collections, Inc. Solstas Lab Partners SouthData Stanley Benefits Stern & Associates, P.A. Attorney at Law Total Merchant Services Transworld Systems, Inc. TriMed Technologies Corp TriZetto Provider Solution – Gateway EDI
Source: wordpress.com

Medicare quality program slaps penalties on nearly 1,500 hospitals

The bonuses and penalties are one piece of the health care law’s efforts to create financial incentives for doctors and hospitals to provide better care. They come at a tumultuous time as the technical problems of the healthcare.gov insurance portal and premium prices are stoking questions about the law’s viability. The incentives are among the law’s few cost-control provisions that have kicked in, but it is too early to tell how effective they will be in making hospitals operate more efficiently.
Source: mylocalhealthguide.com

MedicareBob’s Blog: Forsyth County North Carolina Medicare Supplement Quotes

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

Medicare Claim Matter in Probate Estate Removed to Federal Court

An action against Medicare is an action against the United States, and federal law grants the federal courts jurisdiction to hear claims when the United States is a party to interpleader actions. So, the United States moved the case to federal court. The Executor attempted to move it back to state court on several grounds. One such ground was that the probate exception applied. The federal court found, however, that it could resolve the dispute without assuming general jurisdiction over Brown’s estate. In its findings, the court noted that the probate exception is “judicial”, not “constitutional”, meaning that it was created by the courts rather than in the text of a statute or the Constitution. In this case, the court found a basis to hear the case under federal statutes, which overrode the judicially-created probate exception.
Source: ncestateplanningblog.com

Medicare Procurement Program Creates Extreme Hardships For North Carolina Patients, Says AAHomecare

Government Accountability Office report titled Review of the First Year of CMS’s Durable Medical Equipment Competitive Bidding Program’s Round 1 Rebid, the agency may be intentionally undercounting the number of problems. “CMS’s definition of inquiry and complaint may be an optimistic characterization of beneficiary calls,” the report states. “According to CMS, all calls are first classified as inquiries and are only classified as complaints when they remain unresolved by CSRs [customer service representatives].” However, CMS considers giving a caller a list of companies to research on their own sufficient. There is no assistance given and no follow-up done to ensure that beneficiaries get what they need.
Source: ulitzer.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

FL Medicare Plan Ratings Up

Posted by:  :  Category: Medicare

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Medicare Advantage plans, which use managed-care networks to deliver a full range of health care to enrollees, receive most of their premium payments from the federal government. Those who choose to remain in traditional fee-for-service Medicare can enroll in a prescription-drug-only plan. Open enrollment season, which began three weeks ago, ends Dec. 7.
Source: usf.edu

Video: Medicare Advantage Plans Orlando For the disabled – Florida

Florida Medicare Advantage Plans from Freedom Health

Since the health maintenance organization (HMO) deals strictly in Medicare and Medicaid plans, its medicare supplemental coverage is offered in combination with an existing Medicare or Medicaid policy. Therefore, to qualify for one of their health plans, you will already have to be enrolled in a Medicaid policy or Medicare Part A and Part B. Freedom Health has several different Medicare Advantage plans to choose from. These include plans that provide prescription drug coverage and have Part B premium reductions, as well as those aimed at customers with chronic conditions and those who have coverage with both Medicare and Medicaid.
Source: qooqe.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

Analysis Shows 88% of Florida Seniors Can Expect to Pay Higher 2014 Medicare Part D Drug Plan Premiums

Q1Medicare.com is one of the largest independent online resources for Medicare Part D prescription drug plan and Medicare Advantage plan information. Q1Medicare offers a large selection of Frequently Asked Questions, online tools, and a free Medicare Part D Newsletter all designed to help Medicare beneficiaries, healthcare professionals, advocates, advisers, caregivers, and insurance agents better understand both the Medicare Part D prescription drug and Medicare Advantage programs. Q1Medicare.com is operated by Q1Group LLC (Saint Augustine, Florida).
Source: lensaunders.com

ONTARIO: Florida man convicted in truck stop murder

Peterson was on federal probation in a drug trafficking case when he was arrested in June of 2012 in Florida after cold-case investigators used advances in forensic technology to tie him to the gunshot killing of Buster Shackleton in the cab of his semi truck during a 1994 robbery at the former Beacon Truck Stop on East Inland Empire Boulevard in Ontario.
Source: pe.com

Medicare Advantage: Managed Care Open Enrollment Information for You or Your Parents

The proper physician can greatly improve your health, quality of life and longevity.  To select the right primary care provider, certain factors should be taken into consideration.  Examine the quality of physicians at a practice.  Look for physicians that have years of experience managing various illness and medical situations, including emergencies.  The rapport between physicians and staff is of upmost importance.  The staff is integral in tending to patients’ overall needs, from performing procedures to medication refills, the staff will oversee your care and communication with the doctor.  It’s always best if an office has multiple doctors.  When your primary care provider is unavailable, you will have access to a medical doctor that is familiar with your case and treatment.
Source: sflhealthandwellness.com

Medicare Enrollment in Florida 2014: Medicare Independent Agent in Tampa Bay

Medicare Advantage vs. Original Medicare with Medigap: Florida Full Coverage Choices If you’re concerned that an HMO or PPO health plan will overly limit your care, a Medicare Advantage Plan is not your only option. For a small amount more in your monthly premium you can have the best senior healthcare available. When you keep your Original Medicare and supplement it with Medicare Part D and supplemental Medicare Insurance, you have full coverage with very few restrictions. Medicare supplement insurance (Medigap) in Florida protects you from the risk of big hospital and doctor bills. You will be relieved to know that all supplement plan available in Florida are standard. That means you have the benefit of shopping by best price.
Source: tampabaynewswire.com

Riverchase Dermatology and Cosmetic Surgery Hosts Medicare Advantage Open Houses

Riverchase Dermatology and Cosmetic Surgery is Southwest Florida’s largest and most comprehensive skin center. Founded in Naples, Florida in 2000 by Andrew T. Jaffe, MD, Riverchase has maintained its initial vision of providing the best comprehensive skin cancer, dermatology and cosmetic surgery services for over a decade. The caring and skilled providers at Riverchase use the latest techniques and equipment to diagnose and treat a wide range of skin disorders and cosmetic concerns. Riverchase has convenient Southwest Florida locations in North Naples, Downtown Naples, Marco Island, Fort Myers, Downtown Fort Myers, Cape Coral, and North Port. In addition, Riverchase also has two Spa Blue MD locations offering aesthetic spa services in North Naples and Fort Myers. For more information, call 1-800-591-DERM (3376) or visit their website at www.riverchasedermatology.com
Source: aboveboardchamber.com

Health First & Florida Hospital Partnership

Part of the beauty of the partnership is that it will allow each organization to play to its own strengths, while providing a big benefit to clients. “We will be providing what is called a ‘private label product’ for Florida Hospital Healthcare System,” Johnson explained. “They will provide their excellent clinical resources in the form of physicians, hospitals, patient facilities, etc., and we will manage that care through our health plan. The plan will be called Florida Hospital Care Advantage, administered by Health First Health Plans.
Source: spacecoastbusiness.com

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November 16, 2013

Medicare Part D Copay changes for 2014 make good fiscal sense

Posted by:  :  Category: Medicare

The change in effect allows patients, without penalty, to have their copayment adjusted if they decide to receive less than what their monthly copayment allows. For example, if the normal monthly copayment is $30 for 30 days supply but the patient only wants 15 days supply, the copayment will be $15 instead of what we in the pharmacy where forced to charge which was $30.  This is a nice win for the patient especially when resources are tight but it is also a large win for the plans and in fact the payor (which in Medicare Part D is we the taxpayer) as this may lead to a reduction in waste of prescription medications which is becoming a larger issue more now than ever before.
Source: timesunion.com

Video: Medicare PartD

Daily Kos: How Democrats helped Republicans save BushCare

In 2006, the bill went into effect. It was a disaster. Computer systems didn’t communicate with one another. Seniors were confused. Some of the poorest and sickest enrollees — “dual eligibles” who qualify for aid under both Medicare and Medicaid — weren’t able to get their drugs. It was so bad that in his 2006 State of the Union address, Bush “said nothing about the new Medicare prescription drug program, an initiative Republicans once hoped to trumpet but has angered many seniors in its implementation,” reported the Washington Post. Much like Republican opponents of the Affordable Care Act in 2010, most Democratic Senators and almost all Democratic House members voted against Bush’s Medicare Rx plan because they considered it an unnecessarily expensive, unfunded giveaway to insurance companies and pharmaceutical firms. But unlike Republican obstructionists who went to the Supreme Court, attempted to repeal and defund the law, blocked the expansion of Medicaid, refused to set up their own state health care exchanges, sought to cut-off funds for Obamacare “navigators,” tried to halt spending on outreach and customer service, and even proclaimed they would refuse to answer constituent calls, Democrats at all levels helped save Bush’s signature health care achievement from its disastrous roll-out. As then-Senator Hillary Clinton reasoned in 2006 (below):
Source: dailykos.com

CMS Announces 2014 Medicare Part A Premiums, Deductible

The daily coinsurance amounts for 2014 will be $304 for a beneficiary’s 61st through 90th day of hospitalization (days one through 60 are fully covered), $608 for lifetime reserve days — the extra days Medicare will cover with a high coinsurance after the 90-day benefit period ends, limited to 60 per person in their lifetime. Additionally, patients will pay $152 for days 21 through 100 of extended care services in a skilled nursing facility during a benefit period.
Source: beckershospitalreview.com

Medicare Part D: A First Look at Plan Offerings in 2014

In contrast to the program’s first years, a growing number of PDPs are using preferred pharmacy networks, whereby enrollees pay lower cost sharing for their prescriptions when they use preferred pharmacies (although cost-sharing differences vary considerably across the plans).  This trend has gained prominence in recent years with the market entry of co-branded PDPs featuring relationships with specific pharmacy chains, such as the Humana Walmart-Preferred Rx PDP (new in 2011) and the Aetna CVS/Pharmacy PDP (new in 2012).  In 2006, there were some co-branding relationships between PDPs and pharmacy chains, but in general they were not accompanied by lower cost sharing at the pharmacy chains.  About 72 percent of all PDPs in 2014 will have a preferred pharmacy network with lower cost-sharing levels when prescriptions are filled at preferred pharmacies.  For example, in the AARP Medicare Rx Saver Plus PDP, the copayment for a preferred brand drug will be $20 in a preferred pharmacy and $30 in another network pharmacy.  Copayments in the new Humana Walmart Rx Plan at a preferred pharmacy will be $1 for drugs on the preferred generic tier and $4 for drugs on the non-preferred generic tier, compared to $10 and $33, respectively, at other network pharmacies.
Source: kff.org

Medicare Part D Savings from Preferred Pharmacy Networks

A CMS study dated April 30, 2013 found that, contrary to CMS’s expectations, negotiated prices for drugs were sometimes higher in certain preferred networks.  Milliman, however, estimated that prescription drug plans with higher negotiated prices represented only 4% of total scripts included in the study.  Milliman also presented several considerations not taken into account by CMS.  For example, the CMS study did not take into account the full range of contractual terms used to reduce costs in preferred network plans.  Overall, Milliman found that preferred pharmacy networks could play an important role in reducing Medicare Part D costs in the future.
Source: jdsupra.com

Medicare Part B Premium Costs Will Hold Steady in 2014

USA Today: Medicare Part B Premiums Won’t Go Up In 2014 The premiums for Medicare Part B will remain flat in 2014 and seniors have saved $8.3 billion on Part D prescriptions since the Affordable Care Act was enacted in 2010, the Department of Health and Human Services announced Monday. Medicare Part B covers medically necessary services, as well as preventive services (Kennedy, 10/28).
Source: kaiserhealthnews.org

Ask The Experts: Retirement

A. I don’t know about “need.” However, I can tell you that Medicare Part A, in combination with your BC/BS plan will cover all of your hospital stays, post-hospital skilled nursing facility care, home health and hospice care with few or no out-of-pocket costs. Further, Part A won’t cost you a penny because you already paid for it through payroll deductions.
Source: federaltimes.com

Medicare Part B premiums to remain flat for 2014

"We continue to work hard to keep Medicare beneficiaries’ costs low by rewarding providers for producing better value for their patients and fighting fraud and abuse. As a result, the Medicare Part B premium will not increase for 2014, which is good news for Medicare beneficiaries and for American taxpayers," said CMS Administrator Marilyn Tavenner.
Source: allvoices.com

Compare Medicare Part D vs. Medicare Supplement Plans

Costs associated with Medicare Part D plans can vary by location and carrier. General plan costs include monthly premiums, yearly deductibles, coinsurance, and copayments. A unique aspect of Medicare Part D plans is the coverage gap, also known as the “donut hole.” In 2013, once you and your plan have spent $2,970 on covered prescription drugs, then you enter the coverage gap. In this gap, you are responsible for the total cost of your prescription drugs. There are discounts available in this coverage gap. Once you have spent $4,700, your plan coverage begins again.
Source: ehealthmedicare.com

Help Available During Medicare Part D Open Enrollment « Area Agency on Aging 1

Each plan is given a Star Quality Rating.  When considering a Part D plan, you want to consider the plan’s quality rating, in addition to the cost of the plan, to ensure that you are enrolling in the best plan for you. Stars for each plan show how well the plan performs in a particular category. Star ratings range from 1 to 5 stars.  A rating of 1 star means “poor” quality, 2 stars means “below average” quality, 3 stars means “average” quality, 4 stars means “above average” quality and 5 stars means “excellent” quality.
Source: aaa1b.com

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November 16, 2013

Medicare beneficiaries should study prescription drug plans

Posted by:  :  Category: Medicare

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That can be a costly oversight — particularly for Medicare beneficiaries with certain chronic diseases, such as heart disease, diabetes, Alzheimers and chronic obstructive pulmonary disease, who are more likely to overspend on prescription drugs, according to eHealth, Inc., which operates eHealthMedicare.com and conducted the study.
Source: typepad.com

Video: Florida Medicare Supplement Plans, CALL 954-381-1766 visit www.insuranceaccesstoday.com/medicare.php

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

Florida Medicare Advantage Plans from Freedom Health

Since the health maintenance organization (HMO) deals strictly in Medicare and Medicaid plans, its medicare supplemental coverage is offered in combination with an existing Medicare or Medicaid policy. Therefore, to qualify for one of their health plans, you will already have to be enrolled in a Medicaid policy or Medicare Part A and Part B. Freedom Health has several different Medicare Advantage plans to choose from. These include plans that provide prescription drug coverage and have Part B premium reductions, as well as those aimed at customers with chronic conditions and those who have coverage with both Medicare and Medicaid.
Source: qooqe.com

Florida Blue Medicare Plans

These days, everyone is looking for a few ways to save money. With Florida Blue Medicare plans, securing a low rate is easy because they can offer discounts and reduced rates that many newer companies cannot. The reason is simple. Florida Blue has been serving the residents of Florida for generations and they’ve built a solid customer base of happy satisfied clients. As a consequence, they’re not driven by profit margins, and don’t need to be concerned with building a loyal following. Instead, they can offer deep discounts and low rates creating the most affordable Medicare plans to keep you happy.
Source: frederiksted.org

Florida Elder Law and Estate Planning: Alert to Medicare beneficiaries: Ignore scammers pitching marketplace plans!

If you are 65 and older and receiving Medicare benefits, forget about the Affordable Care Act and the new marketplace insurance exchanges. You do NOT need to purchase new coverage through your state’s insurance marketplace. Says Richard Olague, spokesman for the Centers for Medicare and Medicaid Services: “We want to reassure Medicare beneficiaries that they are already covered, that their benefits aren’t changing and that the marketplace doesn’t require them to do anything different. Specifically, they do not have to change their Medicare coverage or enroll in any marketplace plan.”
Source: blogspot.com

Medicare Enrollment in Florida 2014: Medicare Independent Agent in Tampa Bay

Medicare Advantage vs. Original Medicare with Medigap: Florida Full Coverage Choices If you’re concerned that an HMO or PPO health plan will overly limit your care, a Medicare Advantage Plan is not your only option. For a small amount more in your monthly premium you can have the best senior healthcare available. When you keep your Original Medicare and supplement it with Medicare Part D and supplemental Medicare Insurance, you have full coverage with very few restrictions. Medicare supplement insurance (Medigap) in Florida protects you from the risk of big hospital and doctor bills. You will be relieved to know that all supplement plan available in Florida are standard. That means you have the benefit of shopping by best price.
Source: tampabaynewswire.com

Free Medicare Workshop Comes to Panama City, Florida for Those Who Have Questions About Their Medicare Benefits and Options

::  About Us  :   At The Movies  :   Lottery Numbers  :   Tide Tables  :   The Phone Book  :   Trolly Routes & Schedule  :   TV Guide  :   Upcoming Events  :   Useful Links  :: ::  National News  :   World News  :   Entertainment News  :   National Sports  :   Local Sports  :   CrimeStoppers Tip Line  :   Sex Offender Search  :   Local Mug Shots  ::
Source: baycommunitynews.com

Florida Blue Medicare Plans

One of the benefits of choosing Florida Blue Medicare plans is access to value added services that help you stay healthy and informed. With a variety of online tools and resources, it’s possible to do everything from check availability for a new doctor and estimate costs before going to an appointment to getting expert advice on important health care decisions. These services and more are provided free of charge by Florida Blue and are available to each and every Medicare member, making it even easier to make important health care related decisions.
Source: diannebos.com

Sample Letter for Physicians

In my work with Medicare, one of the questions people ask me often is which plan is the best one. That’s not something I can answer, because picking a plan is an important and personal decision. Each person has a unique set of priorities. How do you weigh your options? Now’s the time to think about what matters to you, and pick the Medicare plan that meets your needs.
Source: floridahealthcarelawfirmblog.com

Health First & Florida Hospital Partnership

Part of the beauty of the partnership is that it will allow each organization to play to its own strengths, while providing a big benefit to clients. “We will be providing what is called a ‘private label product’ for Florida Hospital Healthcare System,” Johnson explained. “They will provide their excellent clinical resources in the form of physicians, hospitals, patient facilities, etc., and we will manage that care through our health plan. The plan will be called Florida Hospital Care Advantage, administered by Health First Health Plans.
Source: spacecoastbusiness.com

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November 16, 2013

Doug Ross @ Journal: Naturally: Virginia Democrat Wants to Force Doctors to Accept Medicare and Medicaid Patients

Posted by:  :  Category: Medicare

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FYI last night at the Great Falls Grange debate, Democrat delegate candidate Kathleen Murphy said that since many doctors are not accepting medicaid and medicare patients, she advocates making it a legal requirement for those people to be accepted. She did not recognize that the payments are inadequate to cover the doctors’ costs. She also did not recognize there is a shortage of over 45,000 physicians now and that it is forecast to be 90,000 in a few years. Democrats appear to want to make physicians slaves of the state, but Democrats don’t admit they would just drive more doctors out of practice into retirement and other occupations. The Obamacare law and regulations are causing millions of people to lose their health insurance, drop many doctors and hospitals. The HHS internal forecast is 93 million Americans would lose their health insurance due to the Obamacare law and rules about adequacy of insurance. …I hope physicians rise up and speak out for common sense, protecting quality medical care in the US and giving patients freedom to choose… Next on the agenda: government will tell doctors where they can live and practice. Guaranteed. If you live in Virginia or know folks who do, make sure to support Ken Cuccinelli for Governor. That is, if you believe in liberty. Hat tip: Drudge Report.
Source: blogspot.com

Video: Virginia Medicare Advantage Plans

Medicaid Expansion Falters in Virginia

The Commonwealth Institute also argues that because expanded Medicaid would shoulder more of the cost for community mental health services, “it would reduce state spending for these services” and “save the state $292 million over the next nine years.” Sounds good. But in the next breath the report says many mental health agencies “have waiting lists,” so “Medicaid expansion could free up capacity and funding” for them. In other words, those savings might get plowed right back into the local agencies. This might be a wonderful thing for Virginia’s neglected system of mental health treatment. But should it qualify as a savings?
Source: reason.com

For Medicaid patients, access is good overall

Boston Marathon Caroline County Celebrate Virginia Live Civil War Colonial Beach crime Culpeper Culpeper County Dahlgren Dominion Raceway election 2013 Falmouth intersection fatal fire Fredericksburg Fredericksburg baseball Fredericksburg Va. Getting There Health Care Historic Half Hurricane Sandy Interstate 95 King George King George County National Slavery Museum Orange County outage power outage Rappahannock River roads robbery shutdown Spotsylvania Spotsylvania County Stafford Stafford County state politics storm traffic transportation UMW University of Mary Washington VDOT VRE Westmoreland County
Source: fredericksburg.com

State Highlights: U. of Va. Hospital CEO Says Health Law Could Cost Millions; D.C. Hospital Cutting Jobs

California Healthline: How Can State Hasten Payment Reform? According to the California Scorecard on Payment Reform released last month, almost 42 percent of commercial payments to providers in California are tied to how well the providers deliver care, measuring quality, outcomes and efficiency. Compared with a national average of about 11 percent in the National Scorecard on Payment Reform released in the spring, California is ahead of the curve. However, the 42 percent of providers who are reimbursed for care based on value in California are countered by the 58 percent reimbursed for the number of tests and procedures they perform. We asked stakeholders what California can do to hasten and improve health care payment reform (11/11).
Source: kaiserhealthnews.org

The Virginia Gentleman: Virginia Democrat Proposes Forcing Doctors to Accept Medicare and Medicaid Patients

Democrat House of Delegates candidate Kathleen Murphy believes that the state should force doctors to take Medicare and Medicaid patients. Of course the reimbursements that doctors receive don’t even cover their costs, but to the socialist Murphy that is ok. A little involuntary servitude to the state is a good thing. Kathleen Murphy is the Democrat running for the House of Delegates against Barbara Comstock. Kudos to the Mason Conservative to reporting the story.
Source: blogspot.com

Virginia’s Medicaid Travesty

As Sabrina Tavernise and Robert Gebeloff reported in The Times on Thursday, two-thirds of the country’s poor, uninsured blacks and single mothers and more than half of the uninsured low-wage workers live in those states. The reform law originally sought to help poor and middle-income people through two parallel mechanisms. One was a mandatory expansion of Medicaid (which in most states cover primarily children and their parents with incomes well below the poverty level) to cover childless adults and to help people with income levels above the poverty line. Those with slightly higher incomes would be eligible for federal subsidies to buy private policies on the new insurance exchanges.
Source: baconsrebellion.com

Medicare chief relies on bipartisan goodwill to weather Obamacare storm

After years of flying under the political radar — and just months after her confirmation as President Obama’s administrator for the Centers for Medicare & Medicaid Services (CMS) — the former Virginia health secretary is at the center of the storm over the botched rollout of Obamacare’s public health exchanges.
Source: washingtonexaminer.com

Virginia Democrat Calls For Forcing Doctors To Accept Medicare And Medicaid Patients

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Source: brotherjohnf.com

Virginia Democrat Calls For Forcing Doctors To Accept Medicare And Medicaid Patients

This is just the beginning of the end for Dr.s. Pushing back against the O administration is never a good idea, as the medical device industry has seen (O introduced a tax on medical devices to pay for Obamacare to get even with their criticisms). The only docs that have any leverage are those who can retire tomorrow. This will be the first move. The next move is to remove their medical licenses if they do not comply. After that comes the "health care access" issue. Mooshelle has already brought this one up a couple years ago – not enough docs in the inner city. Most GPs like to have their homes and offices in the suburbs but most FSA members live in the inner city. I have heard rumblings about things like, "Your medical license is based on an office location in (bad neighborhood). We are not issuing you a license if you plan to practice in (nice neighborhood). People from the suburbs will be forced to come to the inner city for medical care in some cases. After this comes the medical school admissions practices. Not enough friends of politicians in med school right now? We can fix that! After this comes more government-supported medical schools to open at colleges that will be willing participants in this process. They’ll be lining up to take the money. Pretty soon (10+ years), the health care industry will just be a duplication of every other government organization with friends in high places and political appointees running the show while you wait in line – for months. Ask any Canadian how it works for them.
Source: northeastshooters.com

An Economic and Policy Analysis of Medicaid Expansion in Virginia

Conclusion. Medicaid comprises nearly one of every four dollars spent by the state of Virginia, with about one-third of general revenue dollars going towards Medicaid, and is growing at an unsustainable rate.51 Virginia would be better served to free those earning above 100 percent of the federal poverty level to seek subsidized coverage in the health insurance exchange. For families earning less than 100 percent of poverty, Virginia could tailor its Medicaid program in ways that make sense and meet Virginia residents’ specific needs. These services might include selectively covering some optional populations but not others. The program might also involve providing limited benefits rather than an open-ended entitlement to whatever health care is available. In any case, some of this spending would still qualify for federal matching funds – albeit at a rate of about 64 percent, rather than 90 percent.
Source: ncpa.org

Could Virginia Start Forcing MD’s to Accept Medicare & Medicaid Patients?

FYI last night at the Great Falls Grange debate, Democrat delegate candidate Kathleen Murphy said that since many doctors are not accepting medicaid and medicare patients, she advocates making it a legal requirement for those people to be accepted.
Source: thedailydigest.org

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