Home Health Care News: Medicare Fraud Reporting

Posted by:  :  Category: Medicare

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Valerie has appeared on national television (Today Show), has hosted her own local radio show, and has been interviewed for dozens of publications and radio shows across the country regarding her business and the business of elder care. She fast became the foremost authority in driving sales via the internet, seminars, and e-mail for senior service providers and elder care entrepreneurs. While Valerie’s best known for her expertise in marketing, her students share that her biggest impact comes from her ability to make things happen quickly, even on a small budget.
Source: homecaredaily.com

Video: How to report Medicare Fraud

Paying whistleblower rewards for reporting fraud against the Government earns a 500 percent return on investment and is the most efficient government program

Remarkably, the government actually has a program where it earns a return of investment of over 500 percent (500%). It’s the whistleblower reward program. So far, the Department of Justice has paid out $3 billion in whistleblower rewards (yes, three billion dollars!). But in return, the government has recovered $20 billion in funds back from companies had defrauded the government. In business terms, that is a return of investment of over 500 percent. Compare that to an investment you might make in the stock market and hope for a 10 percent return on investment.
Source: howtoreportfraud.com

Medicare fraud outrunning enforcement efforts

The Department of Health and Human Services Office of Inspector General is set to lose a total of 400 staffers that are deployed nationwide as a primary defense against health care fraud and abuse. Though agency officials have yet to decide which investigations will be shelved as staff dwindles, the existing staff is already stretched so thin that the agency has failed to act on 1,200 complaints over the past year alleging wrongdoing — and expects that number to rise. The OIG began shedding staff at the beginning of the year.
Source: publicintegrity.org

Son Reports Dad’s Company for Medicare Fraud, Park Avenue Medical Assoc.

The whistleblower in the case, Zachary Wolfson, is not only a former employee of Park Avenue Medical Associates, but also the son of Mitchell Wolfson, a founding partner of the company, and its chief medical officer. The son accused the firm, which provides health care services to residents of nursing homes and assisted living facilities in the Northeast, of repeatedly billing Medicare for services that weren’t medically necessary or didn’t comply with Medicare rules.
Source: aarp.org

Hospice Provider Settles Medicare Fraud Allegations

Thanks to a false claims act case filed by former employee, Douglas Stone, Hospice of the Comforter, Inc. (HOTCI), an Orlando-area hospice company, has agreed to pay $3 million to the United States to settle allegations of hospice fraud.  According to a DoJ press release, Mr. Stone filed the case in 2011, alleging that HOTCI directed its staff to admit all referred patients regardless of whether they were eligible for the Medicare hospice benefit, falsified medical records to make ineligible patients appear eligible, employed field nurses without hospice training, established procedures to limit physicians’ roles in assessing patients’ terminal status and delayed discharging patients when they became ineligible for the benefit.
Source: fraudblawg.com

Charlotte man convicted of health care fraud

The Charlotte Observer welcomes your comments on news of the day. The more voices engaged in conversation, the better for us all, but do keep it civil. Please refrain from profanity, obscenity, spam, name-calling or attacking others for their views.
Source: charlotteobserver.com

Medicare Fraud Bust at Least Gave Holder Something Good to Report

It was the latest in a string of similar announcements by Health and Human Services Secretary Kathleen Sebelius and Attorney General Eric Holder as federal authorities crack down on fraud that’s believed to cost the program between $60 billion and $90 billion each year. Stopping Medicare’s budget from hemorrhaging that money will be key to paying for President Barack Obama’s health care overhaul. Sebelius and Holder partnered in 2009 to increase enforcement by allocating more money and staff and creating strike forces in fraud hot spots around the country.
Source: reason.com

HHS Proposes $9.9M Reward for Reporting Medicare Fraud

HHS is proposing a rule that would boost rewards to as much as $9.9 million to people whose reports about suspected Medicare fraud lead to successful fund recoveries. The changes are modeled on an IRS program that has returned $2 billion in fraud since 2003. Over the past three years, President Barack Obama’s administration has recovered more than $14.9 billion in fraud, some of which resulted from fraud reporting by individuals. Under HHS’ proposed changes, a person that provides specific information leading to the recovery of funds may be eligible to receive a reward of 15 percent of the amount recovered. The reward currently sits at 10 percent.  HHS’ new proposal would also increase the cap on the recovery fund awards to $66 million. That means a person can earn as much as $9.9 million if CMS collects more than $66 million as a result of his or her fraud tip. A new funding opportunity released this month supports the expansion of Senior Medicare Patrol activities to educate Medicare beneficiaries on how to prevent, detect and report Medicare fraud. SMP is a national, volunteer-based program that empowers Medicare enrollees to report potential fraud and abuse in the program.
Source: beckershospitalreview.com

More Seniors Report Receiving Medicare Scam Calls

She hung up on the man and reported the call to Social Security and Medicare and they confirmed it was a scam, and  no one from their department was contacting medicare enrollees  about new cards. They also gave her a phone number to report the incident to the  U.S. Department of Social Services Inspector General criminal and fraud reporting hotline.
Source: knco.com

An Explanation Of Medicare Supplement Plan F

Posted by:  :  Category: Medicare

One of the more comprehensive supplement plans that is available is Medicare Plan F.  Consumers and private insurers both favor Plan F.  This is due to the fact that participants often end up getting all necessary care without need to pay out of pocket for anything.  Before you buy Medicare Plan F, you need to make sure that you have a good understanding of everything that is covered by it, so that you know whether or not this supplemental plan best suits your budget and needs.
Source: sammoore.org

Video: AARP Medicare Supplement Plan F – Is It The Best Medicare Supplement?

The Cost of Minnesota’s Average Medigap Plan

By pressing “Click Here And Get Your Quote ” above, (1) I consent to receive phone calls from TZ Insurance Solutions LLC or its affiliates, or one of its third-party partners, or their service provider partners on their behalf, regarding their products and services, at the phone number provided above, including my wireless number, if provided, and (2) I agree to this website’s privacy policy and terms and conditions. I understand that these calls may be generated using an automated technology. Partners may include SelectQuote, Allied Insurance, United Medicare, Insphere, eHealth and Coventry. You are not required to grant consent as a condition of purchasing any property, goods or services.
Source: medicaresupplement.com

Taller Deductible Medicare Dietary Supplement Plan F Duquel Buy It!

Utilizing the ability so that you can see the methodical doctor of that this option is critical. Most Medicare health insurance supplemental plans accept you to make a the physician as well as hospital you favor, but verify that program prior to help you acquiring, just in about situation you ought to find questions. The Federal administration owns and has the Medicare choose. The dietary supplement plans are consistent from the Cardiovascular for Medicare Applications and they unquestionably are bought from corporate insurance providers. As a come of the standardizations, all Medigap dental policies provide the genuine same rewards. This makes is often significantly less challenging and difficult when comparing tips. Nonetheless, specific rates charged by means of the providers might fluctuate considerably.
Source: paginasweb390.com

Cheap Home Insurance Medicare Advantage Vs Medicare Supplement Medigap Plan F

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Source: allinoneinternetsearch.com

Medicare Supplement Plan F

Medicare Supplement Plan F will cover Medicare Part B’s excess charges. In other words, the difference between what the doctor charges and how much of it Medicare actually pays. This plan will protect one from out of pocket costs that may arrive from treatments costing more than Medicare will cover. Medicare Plan F comes with a higher deductible option. With the high deductible option a $2,110 deductible in 2013 needs to be paid before the plan covers anything. This amount may go up each year, but in exchange you will have lower premiums. The catch is that if you become ill, you might end up with higher out of pocket costs.
Source: iassistblog.org

10th Circuit Finds Gov’t Argument Weak in Medicare Fraud Case

Posted by:  :  Category: Medicare

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Rufai and Adegboye initially had both incorporated and set up a durable medical equipment (power wheelchairs and power scooters, in particular) provider called First Century Medical Supply. Rufai and Adegboye were then both convicted under 18 U.S.C. § 1347 and 18 U.S.C. § 2 of aiding and abetting fraudulent claims that First Century had apparently billed to Medicare, on behalf of five beneficiaries.
Source: findlaw.com

Video: Medicare Fraud Case

Man Gets 15 Months In Medicare Fraud Case

According to court records, the $360,293 was lost as a result of bogus prescriptions Jase wrote for power wheelchairs and other unnecessary medical equipment sold by two companies in Baton Rouge and New Orleans.
Source: kpel965.com

The Growth of Healthcare Fraud Qui Tam Lawsuits

Some of the largest hospital cases making headlines were brought by whistleblowers, including a $1 billion case against Daytona, Fla.-based Halifax Health that is headed to trial. The case against Sumter, S.C.-based Tuomey Healthcare System — in which a federal judge ordered the system to pay roughly $237 million in fines — also stemmed from a qui tam suit. One of the system’s specialists filed suit after an unsuccessful contract negotiation with the system.  
Source: beckershospitalreview.com

Late Mountain Home Doctor May Have Crafted Largest Medicare Fraud in State’s History: $14.7M

On Sept. 20, the U.S. Attorney’s Office filed a civil forfeiture lawsuit in an attempt to seize Johnson’s ex-wife’s Mountain Home mansion, which prosecutors said was paid for with proceeds from the Medicare fraud. Johnson’s ex-wife, Cynthia Johnson, paid $600,000 to settle the lawsuit and keep the property. The case was closed Oct. 4.
Source: arkansasbusiness.com

Hospital in $1 billion Medicare fraud case destroyed evidence

A Florida whistleblower attorney in the case says the records show that the hospital admitted patients when there was no medical need to do so, and billed Medicare for those hospital stays. According to the suit, some patients had unnecessary surgeries. The suit contends that the hospital engaged in these activities for over a decade, and paid kickbacks to doctors for participating in the fraud. With damages that could go as high as $1 billion, this could turn out to be the largest case of Medicare fraud of its kind.
Source: federalwhistleblowerlawyers.com

Hospice Provider Settles Medicare Fraud Allegations

Thanks to a false claims act case filed by former employee, Douglas Stone, Hospice of the Comforter, Inc. (HOTCI), an Orlando-area hospice company, has agreed to pay $3 million to the United States to settle allegations of hospice fraud.  According to a DoJ press release, Mr. Stone filed the case in 2011, alleging that HOTCI directed its staff to admit all referred patients regardless of whether they were eligible for the Medicare hospice benefit, falsified medical records to make ineligible patients appear eligible, employed field nurses without hospice training, established procedures to limit physicians’ roles in assessing patients’ terminal status and delayed discharging patients when they became ineligible for the benefit.
Source: fraudblawg.com

Daily Kos: GOP commits double fraud with Obamacare navigator smear campaign

Unfortunately for Ann Coulter, Rick Scott’s bio does not include any mention of his being a Nigerian prince. But his former company Columbia/HCA shares a similar profile with many of the firms trying to steal billions from American taxpayers. In her 2011 interview with said Don White, spokesman for HHS’s Office of the Inspector General, Sarah Kliff explained why “industry executives may soon end up becoming the poster children for health-care fraud:” Small-time fraudsters represent a small fraction of the Medicare and Medicaid fraud that’s committed, White argues. Last year, the Justice Department recovered $3 billion in false claims overall, a record $2.5 billion of which came from the health-care sector. And, the HHS spokesman points out, big pharmaceutical and medical device corporations are among the worst offenders: Last year alone, the DOJ says it recovered $669 million from Pfizer, $302 million from AstraZeneca and $193 million from Novartis. That’s why the Obama administration has focused on “large corporations, pharmaceutical companies who are illegally marketing” drugs that haven’t been tested, White concludes. Back in Washington, Texas Republican Senator John Cornyn has called for the entire Obamacare navigator program to be shut down. That’s an amazing demand for him to make, given that he along with most of his GOP allies voted for President Bush’s Medicare Part D drug program that used the very same kind of navigator network to help sign up 43 million American seniors for private prescription plans. As Bush’s Health and Human Services Secretary Tommy Thompson announced in May 2004: “Seniors and persons with disabilities need to take advantage of the real savings and real money that is on the table for them…We want to be aggressive in reaching out to these beneficiaries so they don’t miss out on this meaningful benefit to help pay for their medicines.” In July, Thompson’s successor at HHS Mike Leavitt explained to Washington Post op-ed page readers how the Bush administration accomplished their aggressive outreach to millions of new Medicare Rx plan beneficiaries: Before the program was implemented, only 21 percent of seniors had a favorable opinion of it, and 66 percent didn’t understand what the reform would mean for them.
Source: dailykos.com

Lynch Ambulance of Anaheim Settles Medicare Fraud Lawsuit for $3 Million

An Orange County-based ambulance company quietly paid the U.S. government more than $3 million to settle a lawsuit alleging it received over-payments from Medicare and other federal programs through ambulance rides to patients who did not need them. A federal judge in Santa Ana recently unsealed the lawsuit the U.S. Attorney’s office brought against FILYN Corp., which is based in Anaheim under the business name Lynch Ambulance.
Source: ocweekly.com

CMS Proposes to Significantly Increase Reward for Reporting Medicare Fraud

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

Robert Marrero Gets 10 Years in $20 Million Health Care Fraud Scheme

Marrero and his co-conspirators have also acknowledged their alleged involvement in similar fraudulent activities at several other Miami health care agencies including: A&B Health Services Inc., Centrum Home Health Care Inc., Global Nursing Home Health Inc., Lovable Home Health Services Corp., New Concepts In Health Inc., Nursemed Home Care Corp., R&M Health Care Inc., Ubieta Health System Inc., and Vital Care Home Health Services Inc. Total Medicare losses from those criminal schemes are estimated at $50 million.
Source: aronovitzlaw.com

KS company paying millions in Medicare fraud case

Global Medical, Inc. and its parent company, Global Medical Direct, LLC, are mail-order diabetic supply companies.  The United States contends that, between April 1, 2008 and January 31, 2012, owners Robert Shea and Mark Franz caused Global Medical and Global Medical Direct to enter into numerous marketing contracts with insurance brokerage and other companies with customer bases likely to have a high percentage of diabetes patients and paid these companies based on the number of patients referred for diabetic supplies.  The Anti-Kickback Statute makes it unlawful to pay or receive remuneration for patient referrals because of the high-potential for billing abuse to Federal programs, such as Medicare, resulting from these types of arrangements. 
Source: hayspost.com

Dearborn resident sentenced to four years in prison in Medicare fraud case

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Source: crainsdetroit.com

well being for dummies humana medicare part d drug list

Posted by:  :  Category: Medicare

well being for dummies humana medicare part d drug list well being for dummies humana medicare part d drug list well being for dummies humana medicare part d drug list well being for dummies humana medicare part d drug list well being for dummies humana medicare part d drug list
Source: geneticshealing.com

Video: Medicare for Dummies

Medicare Supplements (Medigap) For Dummies

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

Why Chiropractic Care is Important For Older Individuals

Musculoskeletal disorders: Basically, there is a decline in muscle strength as people age. Strength declines take place after the age of 60 and accelerate in individuals 80 years of age or older. This is an area however, where chiropractic can help. After a full spinal evaluation, a chiropractor in Canberra can suggest and walk an older patient through a number of helpful isometric and strength resistance exercises. Such exercises, when performed correctly, can increase muscle strength and help prevent further injury. By continuing to do them, even individuals 80 years or older and see increases in muscle strength over time.
Source: mymedicarefordummies.com

Medicare for Dummies: The ABC of Medicare

In 2011, Part D includes a monthly premium of $30. On the initial stage, you will need to pay the total cost of your prescriptions until you reach $310—which is your deductible amount. After reaching the amount of your deductible, the drug plan pays the 75% of the prescription drugs until the total costs amounts to $2,840. Once it has reached the said amount, the stage of non-coverage, known as the “donut hole” begins. Beneficiaries pay 100% (with the exemption of 50% discount on certain brand name prescription drugs) the for the prescription drugs until it reaches $4550. After reaching said amount, the drug plan picks up most of the drug cost with minimal co-pay.
Source: medicarebase.com

Kathleen Sebelius Given ‘Websites For Dummies’ In Tennessee

“There is no question there is still an extraordinary amount of misinformation,” she said. “If 55% of the people understand a little more about how it affects them and their families, that means that 45% of the people still don’t have any idea, and may have believed that there is anything from death panels for Medicare constituents or something will happen to their health benefits or any number of things that continue to be said over and over again.”
Source: businessinsider.com

jobsanger: Grayson Calls For Public Option (Medicare For Anyone Who Wants It)

Has anyone ever complained that the Medicare website crashed? No.  Has anyone ever complained that Medicare refused him coverage? No.  Has anyone ever complained that Medicare cut him off when his care got too expensive?No.  Has anyone ever whined that Medicare is socialism? Well, yes. In 1961, Ronald Reagan said that Medicare would bring on a socialist dictatorship. As if.  The real problem that we have is not that some website doesn’t work. The real problem isnot that Obamacare somehow is compelling employers to drop health coverage (because it’s not). The real problem is not that some insurance companies are canceling some policies – when has that ever not happened?  Here are the real problems: 
Source: blogspot.com

How Washington State Made Its Health Insurance Exchange Work; Philly Plans Big Exchange Push

Posted by:  :  Category: Medicare

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The Wall Street Journal: State Exchanges Started Late, Clashed With Vendors It was on a cold, sunny day in Baltimore last January that Curt Kwak, chief information officer of the Washington Health Benefit Exchange, first realized that the signature feature of President Obama’s Affordable Care Act could be in trouble. … According to Mr. Kwak, several of his peers hadn’t yet selected a systems integrator — tech vendors who play crucial roles in fitting together the multiple components of health insurance exchanges that allow consumers to select and enroll in health plans. In contrast, Mr. Kwak had had a systems integrator in place since the previous January. … Systems integrators were key to helping states manage information from federal and private sources that weren’t built to swap large volumes of data in real time (Boulton, 11/26).
Source: kaiserhealthnews.org

Video: PPACA Implementation: State Health Insurance Exchanges and Essential Health Benefits Advocacy

Washington 3rd among states in health

Two states with their own exchanges – Hawaii and Oregon – have not posted any enrollment figures to date. Both have had significant problems with their websites. Oregon’s site is still unable to process applications, which prompted Cover Oregon officials to announce recently that they will hire 400 new workers to manually process applications.
Source: seattletimes.com

Oregon health care exchange website never worked, has no subscribers

“Oregonians have questions,” said state Senate President Peter Courtney, a Democrat, in a written statement on Tuesday. “What went wrong with the rollout? How are they going to fix it? When are they going to get it right? Is the website contractor doing everything it can? Our people need to know.”
Source: nbcnews.com

Auto rates and health insurance?

Not exactly fighting words, or even particularly surprising, I’ll grant you. But CFA went on to laud California for its approach to auto insurance rate regulation, which requires insurers to obtain prior approval from the state insurance commission before imposing rate increases on home and auto policyholders. In fact, the Cali regulations go one step further by enabling consumers who challenge auto rate hikes to be compensated for their trouble. Coincidentally, the reforms were adopted in 1988, exactly a quarter-century ago.
Source: bankrate.com

Vermont Confirms Security Breach To Health Care Exchange Website

During a meeting of the House Health Care Committee on Nov. 5, Rep. Mary Morrissey, R-Bennington, asked Larson to comment on information she had received about a security breach or breaches on the system. Larson said his department had investigated one such complaint and it had proven unfounded.
Source: cbslocal.com

Walker's Health Care Mess in Wisconsin

As state senator Tim Cullen, Democrat of Janesville, wrote in a letter to his colleagues: “Put simply, the [governor’s] proposal would pay to cover the second-lowest income group by delaying coverage to the very poorest Wisconsin citizens who have no coverage today.”
Source: progressive.org

State senator challenges governor to give up health insurance or expand Medicaid

Supporters of Medicaid expansion have a majority of the Unicameral on their side, but have failed to gather enough votes to overcome a filibuster against it. Supporters would also need enough votes to override a threatened veto from the governor who argues the state cannot afford any more Medicaid costs and questions whether the federal government would uphold its funding promise.
Source: nebraskaradionetwork.com

State successes show health law can work

In California, nearly 80,000 people had selected private health plans as of Nov. 19 — way beyond the 27,000 people who had picked private health plans in October through the federal website that serves 36 states. In New York, more than 76,000 had enrolled as of Nov. 24, including roughly 41,000 in private health plans and 35,000 in Medicaid. Enrollment has been also been going smoothly in Washington state and Connecticut — and even in Kentucky, Mitch McConnell’s home state, where Democratic Gov. Steve Beshear has been a vocal advocate of the law.
Source: politico.com

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December 03, 2013

Medicaid Questions Delay Some Health Insurance Purchases In Colorado

Posted by:  :  Category: Medicare

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If you select “Keep me signed in on this computer”, you can stay signed in to WebMD.com on this computer for up to 2 weeks or until you sign out. This means that a cookie will stay on your computer even when you exit or close your browser which may reduce your levels of privacy and security. You should never select this option if you’re using a publicly accessible computer, or if you’re sharing a computer with others. Even if you select this option there are some features of our site that still require you to log in for privacy reasons.
Source: webmd.com

Video: Obamacare: Medicaid enrollment outpacing private insurance could cause serious issues

Why We Need Real Healthcare Reform

Roy references several studies to prove this point, but one is particularly surprising. “A Johns Hopkins study of patients undergoing lung transplantation, published in the Journal of Heart and Lung Transplantation, found that Medicaid patients were 8.1 percent less likely to be alive 10 years after their transplant operation, compared with those with private insurance and those without insurance,” Roy writes. “Medicaid was a statistically significant predictor of death three years after transplantation, even after controlling for other clinical factors.”
Source: freebeacon.com

Connecticut Is Only State Enrolling More In Private Insurance Than Medicaid Under Obamacare…

As part of the health law commonly known as Obamacare, the Medicaid program in Connecticut and many other states will expand Jan. 1 to cover more adults without minor children. In addition, exchanges like Access Health are selling private insurance plans that, for many people, are expected to come with discounted premiums, subsidized by the federal government.
Source: weaselzippers.us

ObamaCare Intensifying Doctor Shortage Crisis as Medicaid Balloons

” We have seen above, that the FIRST STEP in the revolution by the working class, is to RAISE the proletariat to the position of the RULING CLASS, to win the battle of democracy.” “The proletariat will use it’s POLITICAL SUPREMACY to wrest, by degrees, all CAPITAL from the bourgeoisie, to CENTRALIZE all instruments of PRODUCTION in the HANDS OF THE STATE, ie., of the proletariat organized as the ruling class; and to increase the total of productive forces as RAPIDLY as possible.” Of the ten tenets to ensure this system.. 2.” a heavy PROGRESSIVE or graduated income tax” 3. “abolition of the right to inheritance” 4. “Confiscation of the property of all emigrants and rebels” (In Russia some government officials were allowed to own private property while the “proletariat ” had to surrender theirs) 5.”Centralization of credit in the hands of the STATE, by means of a NATIONAL BANK with STATE capital and an exclusive monopoly” – (done- ) By Karl Marx and Fredrich Engels footnotes: government-owned corporation (GOC) or state-owned enterprise (SOE) Government-owned corporations are common with natural monopolies and infrastructure such as railways and telecommunications, strategic goods and services (mail, weapons), natural resources and energy, politically sensitive business, broadcasting, demerit goods (alcohol) and merit goods (healthcare). when the Ukrainans refused to join Ioseb Besarionis dze Jugashvili, (AKA Stalin) they were shipped off, shot and starved to death. So much for ANY proletariat rising to the top and taking over and so much for freedom from the bourgeoisie who actually allowed the “masses” to try to raise “themselves” up by their own labors. Communism is a bunch of crap and a very thin veil for the corporations to control the masses through centralized power with puppet leaders and wall street money. “On July 21, 2010, President Barack Obama signed into law the federal Dodd-Frank Wall Street Reform and Consumer Protection Act (“Dodd-Frank”), which contains the Nonadmitted and Reinsurance Reform Act of 2010 (“NRRA”). The NRRA applies to nonadmitted insurance, which includes surplus line insurance and directly-procured insurance, and to reinsurance.”…. “Eligibility requirements A state may not impose eligibility requirements on, or otherwise establish eligibility criteria for, nonadmitted insurers domiciled in a United States jurisdiction, except in conformance with sections 5(A)(2) and 5(C)(2)(a) of the NAIC’s Non-Admitted Insurance Model Act, UNLESSS the STATE HAS has ADOPTED NATIONWIDE UNIFORM REQUIREMENTS, FORMS and PROCEDURES that INCLUDE ALTERNATIVE NATIONWIDE UNIFORM ELIGIBILITY REQUIREMENTS.[21] In addition, a state may not prohibit a surplus line broker from placing nonadmitted insurance with, or procuring nonadmitted insurance from, a nonadmitted insurer domiciled outside the United States that is listed on the quarterly listing of alien insurers maintained by the NAIC’s INTERNATIONAL INSURERS DEPARTMENT(“IID”).[22]” No more socialism masquerading as liberators /equalizers of the masses.
Source: thenewamerican.com

Many Texans fall into Medicaid, insurance marketplace gap

FILE – In this Friday, Nov. 22, 1963 file photo, seen through the foreground convertible’s windshield, President John F. Kennedy’s hand reaches toward his head within seconds of being fatally shot as first lady Jacqueline Kennedy holds his forearm as the motorcade proceeds along Elm Street past the Texas School Book Depository in Dallas. Gov. John Connally was also shot. (AP Photo/James W. “Ike” Altgens)
Source: baylorlariat.com

Missouri hospitals feeling impact of not expanding medicaid cove

States that expanded medicaid, like Illinois and Iowa, will get 100-percent of their Medicaid costs covered the first three years.  In Missouri, lawmakers rejected an expansion, meaning Hannibal Regional Hospital could stand to lose more than $100,000 in the first year of cuts.  Those cuts will gradually increase year after year with no increase in Medicaid reimbursement from the federal government.  CEO Todd Ahrens said that’s forcing the hospital to look at services they provide, how they provide them, and the workforce. 
Source: wgem.com

IACI backs Medicaid expansion, calls for studying insurance

Idaho’s biggest business lobby, the Idaho Association of Commerce and Industry, has come out in favor of Medicaid expansion, a move that could save the state budget more than $600 million in the next decade and save county property taxpayers $478 million. In a letter to Gov. Butch Otter dated Friday, IACI President Alex LaBeau called for re-convening Otter’s task force on Medicaid redesign – which last year recommended the expansion, along with various changes to the Medicaid program – to look at how best to accomplish it.
Source: spokesman.com

Health Law’s Medicaid Expansion Running Smoothly

Medpage Today: ACA’s Medicaid Enrollment Fairly Smooth In a time where not much seems to be going as planned in the Affordable Care Act’s rollout, it’s no surprise that Medicaid enrollment is going as expected and sign-ups outnumber those for private coverage by nearly 4-to-1, experts said Friday. For one thing, states that have expanded their Medicaid programs are also the same ones doing aggressive outreach, as they generally support the act and its coverage expansions, said Matt Salo, executive director of the National Association of Medicaid Directors. Furthermore, states have had an easier time enrolling those eligible for Medicaid than they have enrolling people in private health coverage, even when the latter is subsidized, Salo said [in Washington] at an Alliance for Health Reform briefing on initial results for enrollment in the ACA’s exchanges, or marketplaces (Pittman, 11/24).
Source: kaiserhealthnews.org

Fast Track to Coverage: Facilitating Enrollment of Eligible People into the Medicaid Expansion

To help states launch the expansion and efficiently enroll eligible individuals, CMS has offered states a series of facilitated enrollment options. These options include strategies, referred to as “fast track enrollment” in this issue brief, that allow states to enroll eligible individuals into coverage using data already available from their Supplemental Nutrition Assistance programs (SNAP) and/or their Medicaid or Children’s Health Insurance Program (CHIP) programs for children. These strategies complement the array of other pathways currently in place to connect Medicaid-eligible individuals to coverage, which include applying directly through state Medicaid agencies or through the new Marketplaces established by the ACA. To date, these fast track enrollment strategies have been implemented in four states: Arkansas,
Source: kff.org

Letter: Church cut DI wages, now it should back Medicaid

Reader comments on sltrib.com are the opinions of the writer, not The Salt Lake Tribune. We will delete comments containing obscenities, personal attacks and inappropriate or offensive remarks. Flagrant or repeat violators will be banned. If you see an objectionable comment, please alert us by clicking the arrow on the upper right side of the comment and selecting “Flag comment as inappropriate”. If you’ve recently registered with Disqus or aren’t seeing your comments immediately, you may need to verify your email address. To do so, visit disqus.com/account. See more about comments here.
Source: sltrib.com

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December 03, 2013

‘Habilitation’ Among New Health Care Benefits

Posted by:  :  Category: Medicare

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This is just another opportunity for the medical device community to use up the limited funds that will be available. People will have all sort of communicative devices that are no help to them, continue to be issued canes, wheelchairs, rollators, they cannot use. The use of these things should be limited as many are issued for people who have no ability to use them. It is a big problem now, and will be an even bigger problem if the medical device companies have their way.
Source: disabilityscoop.com

Video: Health Insurance Benefits Philippines

Bare Bones Health Plans Expected To Survive Health Law

“It seems like mini-meds have morphed,” said Lydia Mitts, a health policy analyst for Families USA, a consumer advocacy group. The new limited benefit policies “are not the same animal but are still substandard coverage.” Employers offering these sorts of plans do face some risks, experts said. If a large employer doesn’t offer “minimum essential coverage,” it’s potentially liable for fines of $2,000 per full-time worker after the first 30 workers. Under the abstruse wording of the health law, however, skinny plans appear to qualify as minimum essential coverage.
Source: kaiserhealthnews.org

10 health care benefits covered in the Health Insurance Marketplace

The page could not be loaded. The Healthcare.gov website currently does not fully support browsers with ‘JavaScript’ disabled. Please note that if you choose to continue without enabling ‘JavaScript’ certain functionality on this website may not be available.
Source: healthcare.gov

Affordable Care Act’s 10 Essential Health Benefits

As of Oct. 1, every state will have a health insurance marketplace, where consumers can shop for coverage. In addition to mandating that insurers in those marketplaces offer the 10 essential health benefits, the health care law also sets certain standards that all insurers must meet, whether they’re providing health insurance through an employer or directly to individuals and small groups. The law:
Source: aarp.org

Small Business Health Insurance

Change is a disrupter, however for small businesses who have been increasingly priced out of traditional health insurance options, change is opening up new opportunities to offer employee health insurance. To understand the new opportunities, it’s important to understand the landscape of small business health insurance now.
Source: zanebenefits.com

REALTORS® Core Health Insurance

It is important to understand the difference between Major Medical (comprehensive coverage) and Limited Medical insurance. Major Medical provides catastrophic coverage and high limits of coverage (typically $1 million or more). Limited Medical (RCHI) provides the guarantee of affordable insurance but limits its coverage to everyday illnesses and accidents. In addition, the maximum benefits paid in each medical situation are capped. Unfortunately NAR is unable to offer a group Major Medical plan at this time. For more information on this issue, please click here.
Source: realtor.org

Survey: Employers expect health benefits to cost more; small companies consider dropping coverage

In Business Insurance, Jerry Geisel explained that cost increases were slower than normal this year because employers shifted more costs to workers through consumer-directed health plans (CDHPs). “This year, 18% of employees were enrolled in CDHPs, up from 16% in 2012 and just 8% in 2008,” he wrote. “With CDHPs, in which a health savings account or health reimbursement arrangement is linked to a high-deductible plan, employers can significantly cut health costs because CDHPs cost about 20% less than traditional plans, such as preferred provider organization coverage.”
Source: healthjournalism.org

Top tech officer at health insurance agency resigns

“Two separate reports, one from the General Accountability Office in June and another from the Department of Health and Human Services’ Office of Inspector General in August, identified significant challenges months ahead of the Oct. 1 deadline,” Hatch said. “Yet there is no indication that the warnings from these two independent, non-partisan watchdogs, were heeded by the government.”
Source: nbcnews.com

6 Quick Facts on Small Business Health Insurance

In the last several years, new health insurance options have emerged that give businesses – especially small businesses – more control over the cost of health insurance. The number one reason over half of small businesses don’t offer health insurance is cost. These alternatives reduce the cost of offering health benefits. These alternatives to traditional health insurance include Health Savings Accounts (HSAs), Health Reimbursement Arrangements (HRAs), association-sponsored plans, and defined contribution health plans (i.e. an employer-funded healthcare allowance paired with personal health insurance). Out of these, defined contribution is becoming the most popular because it allows a small business to “name it’s price” for health benefits and have controlled liability over the lifetime of the benefits.
Source: zanebenefits.com

2013 Employer Health Benefits Survey

Annual premiums for employer-sponsored family health coverage reached $16,351 this year, up 4 percent from last year, with workers on average paying $4,565 towards the cost of their coverage, according to the Kaiser Family Foundation/Health Research & Educational Trust (HRET) 2013 Employer Health Benefits Survey.
Source: kff.org

5 Ways To Buy Health Insurance Without A Government Exchange

A licensed broker will know all the ins and outs of the business and will be able to help find the best plan for you and your family. If you find the language of health insurance confusing – deductibles, co-pays, provider networks – this may be your best route. A broker can explain the details of your plan so you aren’t hit with unexpected medical bills, and your broker will handle much of the tedious paperwork. Visit the National Association of Health Underwriters website to locate a licensed broker in your area.
Source: cbslocal.com

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December 03, 2013

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

Posted by:  :  Category: Medicare

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

Video: Medicare Supplemental Insurance in Naples Florida Part 3

What are Medicare Supplement Plans?

Medicare Supplements available after 2006 do not offer prescription drug coverage and you will need to join a stand-alone Medicare Part D prescription drug plan to get these benefits.  Some Medicare Supplement Plans providing prescription coverage still exist, but they are no longer available for new beneficiaries. (Medigap policies H, I, and J provided limited prescription drug coverage from 1992-2005 and people enrolled in these plans may continue to use them.)
Source: nwbs.us

Kazor.com World Community News

These types of leads can be bought directly from a lead generation company, or may be obtained by signing up with a venture that gives its agents leads. Both methods have their pros and cons, and it only makes good sense to try both ways, if you have the opportunity to do so. In reality, buying leads directly is generally the best way to go, because you have total control over what you what, when you want it, how many leads you want, where you want them and various other important things, like demographics, location and so forth.
Source: kazor.com

Can Be Medicare Supplemental Insurance Cover Plan

Purchasing to move to be able to Dubai, it a very good idea that you sequence insurance to keep your medical and extremely healthcare requirements are usually covered after new house purchase. The health care contracts in the Mixed Arab Emirates include different for voters and resident retirees altogether. Retirees are expected which will be covered using a private car insurance plan against medical related expenses and hospitalisation as free physicians care and significant discounts at governments health centres and as well as hospitals is managed to citizens nothing but.
Source: jimm-skachat.com

Knowing Medicare Supplement Medical Care Insurance

A lot Florida residents can familiar with big group medicare part f implies of their employer when they have ever performed for a pretty big corporation (in The southwest a large arrange is considered an organisation or group provides more than 75 employees). However, when it in order to understanding individual health insurance in Florida therefore how it works or understanding small corporation medical insurance citrus and how functions it turns in order to be somewhat unique from the large group of people medical insurance program that most suffer from known so incredibly well for so many years.
Source: pejouhesh.com

Medicare Supplemental Insurance

We also offer a Plan F High Deductible Medicare Supplement Insurance plan* that is designed to save you money if you stay healthy and keeps the cost of insurance affordable. There is a one-time deduction that must be met each year with this plan. With a Medicare Supplement Insurance plan from Pekin Life Insurance Company you will also have access to discounts on eye exams, eyeglasses, contact lenses, LASIK correction surgery, hearing aids, hearing exams, and more at NO CHARGE.
Source: pekininsurance.com

What is Medicare Supplement (Medigap) Insurance

In order to sign up for Medicare Supplement coverage, you must already have Part A and Part B. These plans are offered by private insurance companies and come in 10 standardized policy types that are denoted by the letters A-N. The standardization of these plans means that no matter where you shop, the Medigap policy details remain consistent. For example, the benefits associated with Plan F are the same no matter where you buy it, though costs may differ across all carriers. Not every carrier of Medicare Supplement Insurance offers all 10 plan types, and three states in the U.S. have their own version of these plans: Massachusetts, Minnesota, and Wisconsin.
Source: ehealthmedicare.com

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December 03, 2013

Shingles Vaccinations Not Covered For Some Medicare Beneficiaries

Posted by:  :  Category: Medicare

A. Shingles is a painful rash caused by a virus that can lead to long-term nerve damage called postherpetic neuralgia. All Medicare Part D prescription drug plans cover the shingles vaccine, which is recommended by the Centers for Disease Control and Prevention for people age 60 and older. But Medigap plans, which may cover the deductible and coinsurance amounts for services provided under Medicare Parts A and B (hospitalization and outpatient care), don’t offer any financial help on the co-payments for vaccines and other drugs covered under Part D.
Source: kaiserhealthnews.org

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