Where are the New Medicare ACOs? A Regional Breakdown

Posted by:  :  Category: Medicare

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1. ACMG (Florida, Georgia) 2. ACO Providers (Texas) 3. Accountable Care Coalition of Greater Houston (Texas) 4. Accountable Care Coalition of Maryland Primary Care (District of Columbia, Maryland) 5. Accountable Care Coalition of Mississippi (Mississippi) 6. Accountable Health Care 4U (Kentucky, Ohio, West Virginia) 7. Accountable Physicians of North Mississippi (Mississippi) 8. Arkansas Accountable Care (Arkansas) 9. Arkansas Health Network (Arkansas) 10. Augusta Care Partners (Virginia) 11. Baroma Health Partners (Florida) 12. Baroma Health Partners (Louisiana) 13. Bayview Physicians (North Carolina, Virginia) 14. Broward Guardian (Florida) 15. Buena Vida y Salud (Texas) 16. Care Coordination Services (Virginia, West Virginia) 17. Carolinas ACO (North Carolina, South Carolina, Virginia) 18. CaroMont (North Carolina, South Carolina) 19. Central Virginia Accountable Care Collaborative (North Carolina, Virginia) 20. Colonial ACO (South Carolina) 21. Covenant Health Partners (New Mexico, Texas) 22. Delmarva Health Network (Delaware) 23. Duke Connected Care (North Carolina) 24. First Coast Health Alliance (Florida) 25. Genesis Accountable Physician Network (Texas) 26. Georgia Physicians for Accountable Care (Georgia) 27. Health Choice Care (Florida, Missouri, Rhode Island) 28. Health Connect ACO (Virginia) 29. Health Point ACO (Florida) 30. Johns Hopkins Medicine Alliance for Patients (District of Columbia, Maryland) 31. Loudoun Medical Group ACO (Virginia, West Virginia) 32. Louisiana Physicians ACO (Louisiana) 33. MD Valuecare (Virginia) 34. Medical Clinic of North Texas (Texas) 35. Mid-Atlantic Primary Care ACO (District of Columbia, Maryland, Virginia) 36. North Georgia HealthCare Partnership (Alabama, Georgia) 37. Northeast Alabama Primary Health Care (Alabama) 38. Northwest Florida Health Partners (Alabama, Florida, Mississippi) 39. Oklahoma Health Initiatives (Kansas, Oklahoma) 40. Orange Accountable Care of South Florida (Florida) 41. Physician First ACO (Florida) 42. Premier Patient Healthcare (Oklahoma, Texas) 43. PremierMD ACO (Florida) 44. Privia Quality Network (District of Columbia, Maryland, Virginia) 45. Seton Health Alliance (Texas) 46. St. Joseph Health Partners ACO (Texas) 47. St. Vincent’s Accountable Care Organization (Florida) 48. Sunshine ACO (Texas) 49. SW Provider Partners (Texas) 50. THP-Meritus ACO (Maryland, Pennsylvania, West Virginia) 51. Tidewater Accountable Care Organization (Virginia) 52. University Radiology Development Corporation (Virginia) 53. UPSA ACO (Texas) 54. UR Care (District of Columbia, Maryland) 55. UT Southwestern Accountable Care Network (Texas) 56. VPI ACO (Virginia) 57. WakeMed Key Community Care (North Carolina)
Source: beckershospitalreview.com

Video: Mississippi Medicare Supplements

MHA Press Room: Dartmouth Atlas Report Examines Prescription Drug Use among Medicare Patients

Dartmouth researchers found that the health status of a region’s Medicare population accounts for less than a third of the variation in total prescription drug use, and that higher spending is not related to higher use of proven drug therapies. The study raises questions about whether regional practice culture explains differences in the quality and quantity of prescription drug use.
Source: typepad.com

Medicare Expert Patricia Barry, Ask Ms. Medicare

Eligibility Learn about how you can qualify for health coverage under Medicare. Enrollment Learn about when and how to sign up for Medicare according to your circumstances. Disenrollment Learn about how to opt out of Medicare if you are already enrolled. Out of Pocket Expenses Learn about your share of Medicare costs. Medical Coverage (Part A and Part B) Learn about medical services covered under Part A (hospital insurance) and Part B (outpatient insurance). Prescription Drug Coverage (Part D) Learn about how Medicare’s prescription drug program works. Medicare Private Health Plans Learn about the Medicare Advantage program, an alternative way of receiving Medicare benefits. Sources of Information and Help Learn about how to find personal help on Medicare issues.
Source: aarp.org

MedicareBob’s Blog: Hinds County Mississippi 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 Seeks To Curb Spending On Post

In McAllen, Texas, doctors and hospitals have received most of the criticism for the region’s high Medicare spending, which is greater than in any other part of the country except Miami. Medicare records, however, show inpatient hospital use and spending in 2011 was around the national average, and outpatient care was significantly below average. McAllen’s post-acute spending was the true outlier. McAllen beneficiaries were more than 2 1/2 times as likely to use home health services, long-term care hospitals and rehab facilities than were the average Medicare beneficiary in 2011. As a result, Medicare spent $4,752 per capita on post-acute services, while the national per capita spending average was $1,894. 
Source: kaiserhealthnews.org

Where Does Your Trust Lay, America?

Washington, D.C. has a unique solution for the problems caused by their meddling: They want to meddle some more. The healthcare overhaul known as “Obamacare” was passed in response to increasing healthcare costs. President Obama promised Americans that under this law, “If you like your [insurance] plan, you can keep it.” Unfortunately, due the regulations within Obamacare, thousands of people have lost their insurance plan, or seen costs rise. America was deceived, yet again, by the belief that government is the answer to social issues. Due to this delusion, thousands more are now uninsured.
Source: themississippicollegian.com

In A Major Shift, Medicare Wants Power to Ban Harmful Prescribers

And the agency will tighten a loophole that has allowed doctors to prescribe to patients in the drug program, known as Part D, even when they were not officially enrolled with Medicare. Under the new rules, doctors and other providers must formally enroll if they want to write prescriptions to the 36 million people in Part D. This requires them to verify their credentials and disclose professional discipline and criminal history.
Source: propublica.org

Don’t mess with Medicare (Mississippi Sound Off)

I see in this morning’s paper where Gautier has just found out they have a $1 million shortfall. That is easy to explain. The city government is throwing money right and left. We have sidewalks to nowhere; streetlights that don’t meet regulations and need to be removed; landscaping the medians that they can’t mow or keep weeded now; clock towers; sculptures for a non-existent downtown. Citizens, let’s clean house and get rid of all of them. We need practical thinking, level-headed leaders — not pie-in-the-sky dreamers.
Source: gulflive.com

Medicare Supplement Products from State Mutual Approved in Mississippi

We are pleased to announce the availability of lower cost Medicare Supplement Insurance in Mississippi. The Mississippi Department of Insurance approved Medicare Supplement Insurance plans from State Mutual Insurance Company and made it possible for us to offer extremely competitive Medicare Supplement Insurance rates for qualifying Mississippi seniors.
Source: statemutualinsurance.com

Medicare Supplements in Mississippi

Are you an Insurance Forums member yet ? To sign up for your FREE INSTANT account, please fill out the form below ! Username:     Password:   Confirm Password:     E-Mail:   Confirm E-Mail:          Question of the day:   Please type “insurance” in this box I agree to forum rules 
Source: insurance-forums.net

Medicare Plan Finder for Health, Prescription Drug and Medigap plans

Posted by:  :  Category: Medicare

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Between January 1–February 14, if you’re in a Medicare Advantage Plan, you can leave your plan and switch to Original Medicare. If you switch to Original Medicare during this period, you will have until February 14 to also join a Medicare Prescription Drug Plan to add drug coverage. Your coverage will begin the first day of the month after the plan gets your enrollment form.
Source: medicare.gov

Video: Medicare Health Plans Atlanta

Medicare Advantage enrollment tops 15 million

“In Georgia and Texas, UnitedHealthcare gained more than 50,000 members in each state. Humana, with an aggressive MA growth strategy in many areas of the country, experienced mixed results in many states,” the report said. “However, Humana did add 50,254 MA members in Kentucky, 30 percent of its overall gain year-over-year.”
Source: benefitspro.com

UnitedHealthcare Dropping Hundreds Of Doctors From Medicare Advantage Plans

Medicare officials review the private plans every year to make sure they comply with network adequacy and other requirements, but the agency did not approve the reconfigured networks resulting from the new provider cancelations. Spokesman Raymond Thorn said the agency “is currently reviewing UHC and other plans’ provider networks and closely monitoring all areas that have experienced disruptions to ensure that beneficiaries have full, transparent and timely information and access to needed care.”
Source: kaiserhealthnews.org

Tax Deductions On Supplemental Medicare Insurance

The answer is in affirmative. Considering the normal restrictions, the premiums paid by the Medicare supplement insurance is eligible for tax deductions. It is deductible as medical expense. If the expenses go beyond 7.5 percent of your adjusted gross income, you are eligible for deductions. This may not come as a benefit for healthy taxpayers. However, with the increase in health care costs, you may become eligible. When health care costs go high, it is likely that you may incur medical expenses over and above 7.5 percent of your adjusted gross income.
Source: taxpremium.com

Medicare: Planning For Your Future Health

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Source: budgetpulse.com

Helping seniors navigate Medicare

Seniors nearing 65 may be interested in an entertaining new book entitled “Medicare for Dummies,” by Patricia Barry, a recognized expert on Medicare. This new title in the popular “For Dummies” series of books shares her 15 years of experience in advising readers across the country about navigating Medicare Advantage health plans, plus traditional Medicare and the Part D prescription drug program.
Source: ahchealthenews.com

Proposed Medicare Part C and D Rules Address Prescriptions, Agents, Aliens

CMS has proposed changes to the Medicare Advantage (MA) (Part C) and the Prescription Drug Benefit Program (Part D) regulations for calendar year 2015. If finalized, the changes would: (1) clarify program eligibility requirements to exclude illegal aliens; (2) provide new tools to combat fraud and abuse; (3) adjust agent/broker compensation and limit their referral fees; (4) upgrade agent/broker testing and training requirements; (5) require MA organization and Part D sponsors to report and return Medicare overpayments; (6) strengthen MA plan accountability for valid risk adjustment data; and (7) help CMS identify strong applicants for program participation and remove consistently poor performers. The
Source: wolterskluwerlb.com

Medicare Advantage Plans Explained

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 Medicare 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 plan 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 What is a Medicare Advantage plan
Source: croweandassociates.com

Medicare Advantage 2014 Spotlight: Plan Availability and Premiums

While many organizations offer Medicare Advantage plans, a few – particularly Humana, United Healthcare, and the Blue Cross and Blue Shield (BCBS) affiliates – have particularly large geographic spread and these organizations historically account for a disproportionate share of enrollment. In 2014, 44 percent of available plans are being offered by one of these three firms or affiliates (Table A4).  Plans offered by these firms are available to most beneficiaries.  Nationwide, 83 percent of Medicare beneficiaries will have access to one or more Humana plans, 73 percent will have access to a BCBS affiliated plan (including BCBS plans offered by Wellpoint), and 68 percent will have access to a United Healthcare plan (Exhibit 5; Table A5).  The general availability of these firms’ products has not noticeably changed from 2013 to 2014.  However, the similarities in BCBS offerings from 2013 to 2014 obscure a decline in availability of BCBS branded Wellpoint plans (declining from 88 plans to 55 plans between 2013 and 2014), which is mostly offset by the growth in plans offered by other BCBS affiliates (growing from 205 plans to 233 plans between 2013 and 2014).
Source: kff.org

How to Get the Most Out of Your Medicare Advantage Plan

Medicare Advantage (MA) is one of the options available to Medicare Recipients. It combines Medicare Part A, B, and often D coverage, and is offered by private insurance companies. MA Plans must provide all of the services covered by Original Medicare, but usually at a lower cost. Each can charge different co-payments and have rules for how you receive services (like whether you need a referral to see a specialist or if you have to go to network only doctors for non-emergency care). To be eligible for that kind of plan, you must have Medicare Part A and B, live in the plan’s service area, and you cannot have End-Stage Renal Disease (permanent kidney failure). Most plans in San Diego County have no additional monthly premium and include prescription drug coverage (Part D). MA plans offer a variety of preventive tests, checkups at $0.00 co-payment and  additional benefits like vision, dental, fitness club membership, transportation, as well as discounts for products and services.
Source: sbhis.net

Medicare Health Plan Advisor in San Diego Discusses Senior Plan Options

Annual Open Enrollment is occurring right now. If you are a Medicare recipient, you will start getting post cards, letters and flyers inviting you to meetings, promoting different plans and offering services of various insurance brokers. If you are considering changing your plan, please make sure that you choose the right person to help you out.  Check his/her record at the California Department of Insurance website. Ask how many companies do they represent (currently there are 12 MAPD and many more Medicare Supplements and PDP companies available in San Diego county). Make sure the broker you choose has offices in your county.  Research his/her knowledge about the doctors and hospitals that you are using.  Ask about their credentials and training. Make sure they will be available to you after enrollment.
Source: pomeradonews.com

Financial Analyst Expects Slower Growth for Medicare Advantage in 2014

Another thing I have noticed over the years of selling Medicare Advantage is companies pay initial commission $480 for 2014 on anyone that was in the previous month on Original Medicare regardless if they had ever been on Medicare Advantage plans. I’ve had customers that were voluntary or involuntary dis enrolled from there plans, went back to Original Medicare and then I signed them up again for Medicare Advantage and I have always been paid the Initial commission all over again. I didn’t think that would be the case with MIPPA in 2008. Perhaps CMS just can’t keep up with all of it and they just pay the Initial commission all over again if a person is coming from Original Medicare.
Source: ritterim.com