Medicare Sustainable Growth Rate

Posted by:  :  Category: Medicare

Section 101 of the Tax Relief and Health Care Act of 2006 (MIEA-TRHCA) provided a 1-year update of 0% for the conversion factor for CY 2007 and specified that the conversion factor for CY 2008 must be computed as if the 1-year update had never applied. Section 101 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA) provided a 6-month increase of 0.5% in the CY 2008 conversion factor, from January 1, 2008, through June 30, 2008, and specified that the conversion factor for the remaining portion of 2008 and the conversion factors for CY 2009 and subsequent years must be computed as if the 6-month increase had never applied. Section 131 of the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) extended the increase in the CY 2008 conversion factor that was applicable for the first half of the year to the entire year, provided for a 1.1% increase to the CY 2009 conversion factor, and specified that the conversion factors for CY 2010 and subsequent years must be computed as if the increases had never applied.
Source: wikipedia.org

For 17th time in 11 years, Congress delays Medicare reimbursement cuts as Senate passes ‘doc fix’

“I’m pleased that we’ve been able to come to an agreement to vote today on a 12-month fix to the Medicare physician payment system. We need to take action on this to ensure that Medicare patients will be able to see their doctors,” Senate Majority Leader Harry Reid said Monday in a speech on the Senate floor. “But the fact remains that the agreement we have in place is not ideal … Regrettably, we just don’t have the votes right now to fix this problem for good.”
Source: washingtonpost.com

Doctors Face A 24% Pay Cut In Both Medicare And Medicaid Reimbursements

In whose judgment is it a better policy, yours or some superior being or at least one that thinks they are superior to others. The population of the country needs protection from the elitists that think they know better what is best for everyone else. Many of us started multiple company’s, manufacturing and otherwise, over our lives and somehow managed to make decisions as to what is best for us and our families. Many of us still feel we are capable of similar decisions regarding healthcare. Many of us believe the quality of healthcare received should not be reduced for the poor but should be similar to the quality we have received. We believe it can and should be accomplished. 38 States have high risk pools so those (mainly individual policy holders, most groups take on pre-existing conditions) with pre-existing conditions can be insured. The problem is cost and that can be remedied with subsidies at the State level. There is room for many approaches to be tried under what was our system. Unfortunately, a piece of garbage is being crammed down the throats of Americans. I might add the way it works out, is higher cost for most, not lower cost. The loss of coverage by Congressional Budget Office (CBO) estimates is expected to exceed 29,000,000 group plans (small groups require at least 3; normal groups more than 10). My understanding is in excess of 6,000,000 have received cancellations as of this date and the President’s putting off until after the election next year, the Small Business cancellations (minimum of 3 to constitute a small group) and the larger business insurance cancellations explain why there are fewer cancellations than would have occurred under the law, but they will occur and cause companies to have to alter their plans. We have a very innovative and imaginative population and limited problems as a country except those imposed on us from on high. People have an amazing ability to solve problems if you let them. They will normally due what is best for them.
Source: forbes.com

Medicare.gov Physician Compare Home

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

Medicare.gov: the official U.S. government site for Medicare

Posted by:  :  Category: Medicare

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

UnitedHealthcare Health Insurance

Insurance products and services offered are underwritten by All Savers Insurance Company, Health Plan of Nevada, Inc., UnitedHealthcare Community Plan, Inc., UnitedHealthcare Insurance Company, UnitedHealthcare of Alabama, Inc., UnitedHealthcare of Florida, Inc., UnitedHealthcare of Louisiana, Inc., UnitedHealthcare of the Mid-Atlantic, Inc., UnitedHealthcare of the Midwest, UnitedHealthcare of Mississippi, Inc., UnitedHealthcare of New England, Inc.,  UnitedHealthcare of New York, Inc., UnitedHealthcare of North Carolina, Inc., UnitedHealthcare of Ohio, Inc., UnitedHealthcare of Pennsylvania, Inc., Oxford Health Plans (NJ), Inc.
Source: uhc.com

Healthcare business news, research, data and events from Modern Healthcare

A list of the nation’s largest staffing firms, ranked by estimated 2013 U.S. temporary staffing revenue. The organizations shown are travel nurse staffing firms, as well as both per diem nurse staffing firms and locum tenens staffing firms. Source: Staffing Industry Analysts. Published Feb.
Source: modernhealthcare.com

Healthcare Identifiers Service

We give different levels of access to the HI Service system based on user needs. To register your organisation with the HI Service and receive a healthcare identifier, you need to complete the appropriate form(s) below and provide us with supporting documentation. Each form includes details of what you need to provide. The forms can be used by health care organisations, Responsible Officers, Organisation Maintenance Officers and authorised employees to change their levels of access to the system, or update their details in the system.
Source: gov.au

Medicare Advantage MSA Plans – Part C Medical Savings Account

Posted by:  :  Category: Medicare

Medicare beneficiaries have the option to enroll in a Medical Savings Account (MSA) plan. Medicare Advantage MSA plans (or Medicare Part C MSA plans) combine health care coverage with a medical savings account. Medicare gives the plan a dollar amount each year for your health care, and the plan then deposits a portion of this money into your bank account. The amount deposited is less than your deductible amount, which is generally quite high, so you will have to pay out-of-pocket before your coverage begins. Individuals enrolled in a Medicare Advantage MSA plan can receive health care from any doctor or hospital. However, some Medicare Advantage MSA plans may have preferred doctors and hospitals you could go to for a lower cost.
Source: ehealthmedicare.com

Compare Medicare Advantage & Supplemental Plans

Medicare Advantage insurance is offered by private insurance companies with a Medicare contract, and replaces Original Medicare Part A and Part B. You must continue to pay your Part B premiums. Medicare Advantage plans typically offer additional benefit options and have less cost-sharing than Original Medicare, and you may have to pay a monthly premium in return for the extra benefits. Medicare Advantage plans come in a variety of formats, such as HMO, PPO and PFFS plans, as well as special needs plans. Medicare beneficiaries can enroll in Medicare Advantage plans if they have Medicare Part A and Part B, but only during designated enrollment periods. These enrollment periods change from time-to-time, so please call us to get the most-up-to-date information.
Source: medicaresolutions.com

How Medicare Advantage Plans work

Medicare Advantage Plans, sometimes called “Part C” or “MA Plans,” are offered by private companies approved by Medicare. If you join a Medicare Advantage Plan, you still have Medicare. You’ll get your Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance) coverage from the Medicare Advantage Plan and not Original Medicare.
Source: medicare.gov

Medicare Part C Advantage

A program which allows you to enroll in private health insurance that offers both Medicare Part A and Part B benefits. Medicare Advantage plans are not supplemental insurance, but rather health insurance plans of their own. Medicare Advantage can also include prescription drug coverage in addition to vision, hearing, and dental. In most cases, you can join even if you have been diagnosed with a pre-existing condition, except for final stage renal disease. Advantage plans must follow guidelines established by Medicare but also vary in terms of costs and rules.
Source: medicaresolutions.com

Get Medicare Advantage Plan Quotes

Initial Coverage Election Period: You can enroll in Medicare Advantage or Medicare Advantage with prescription drug coverage when you first become eligible for Medicare. Your Initial Coverage Election Period (ICEP), is a seven-month period that starts 3 months before the month you turn 65, includes the month you turn 65, and ends 3 months after the month you turn 65. If you are under age 65 and you receive Social Security disability, you qualify for Medicare in the 25th month after you begin receiving your Social Security benefits. If you fall into this category, you may enroll in a Medicare Advantage plan 3 months before your month of eligibility, during the month of eligibility, and 3 months after the month of eligibility. For example, if your Medicare Part A and Part B coverage begins in May, your Medicare Advantage IEP is February through August. See Medicare Advantage Plans
Source: ehealthmedicare.com

Health Information Main Page

Posted by:  :  Category: Medicare

The NIH is conducting a research study for patients with lupus. Doctors are looking for what causes it, how it progresses over time, and the genetic factors that might make a person more likely to develop it.
Source: nih.gov

Canadian Health, Disease, & Medication Information

Recalled meats linked to a type of food poisoning called listeria may have you worried. Learn more about this foodborne illness – its causes, symptoms, and some ways to protect yourself from infection.
Source: medbroadcast.com

Health News and Information

Traumatic brain injury (TBI) is a leading cause of death and disability in the United States, contributing to as many as a third of injury-related deaths. When a patient presents to the emergency department with a TBI in isolation or as part of multi-system injury, he or she is stabilized, evaluated and a treatment…
Source: news-medical.net

Medicare.gov: the official U.S. government site for Medicare

Posted by:  :  Category: Medicare

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

Medicare.gov Nursing Home Compare

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

How Medicare Advantage Plans work

Medicare Advantage Plans, sometimes called “Part C” or “MA Plans,” are offered by private companies approved by Medicare. If you join a Medicare Advantage Plan, you still have Medicare. You’ll get your Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance) coverage from the Medicare Advantage Plan and not Original Medicare.
Source: medicare.gov

Medicare.gov Physician Compare Home

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

Medicare Open Enrollment 2015

Posted by:  :  Category: Medicare

Doughnut hole: A gap in prescription drug benefits. In 2015, Part D enrollees will pay a monthly premium and may, depending on the plan, pay a deductible on prescriptions. Once any deductible is met, they pay copayments or co-insurance for their drugs until total drug spending – what the plan pays and what the enrollee pays combined – reaches $2,970 for the year. Then the enrollee pays 47.5 percent of the cost of brand-name drugs and 79 percent of the cost of generics until total out-of-pocket expenses for the year reach $4,750. After that, the enrollee reaches catastrophic coverage and pays only a small portion of drug costs, either 5 percent or copayments of $2.65 for generics and $6.60 for brands, whichever is more.
Source: medicarehealthinsurancefacts.com

Medicare Open Enrollment, 8 Changes You Can Make

Reader stories help us fine-tune our education efforts and strengthen our calls for action on issues that matter most to you. We read and learn from every story and may use yours (with permission) to brief legislators, inspire other readers and more. Please share your story with us. Do
Source: aarp.org

Medicare Open Enrollment…

Medicare Programs Affordable Care Act Medicare Card Replacement Medicare Definitions Medicare Doughnut Hole Medicare Eligibility Medicare Extra Help Medicare Fee Schedule Medicare Fraud Medicare Handbook Medicare Open Enrollment Medicare Plan Part A Medicare Plan Part B Medicare Plan Part C Medicare Plan Part D Medicare Prevention Services Medicare Rates For 2015 Medicare Supplemental Insurance Medigap Eligibility Medigap Policies MyMedicare Information Welcome to Medicare Physical Exam
Source: medicareprograms.net

Medicare.gov: the official U.S. government site for Medicare

Posted by:  :  Category: Medicare

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

how to apply for a medicare card

You will need to fill out the form called ‘copy or transfer from one Medicare card to another’   and bring two forms of identification with you (like a birth certificate, student card, health care card, driver

Hospital Patients’ Survey Data

Posted by:  :  Category: Medicare

The Centers for Medicare & Medicaid Services (CMS), along with the Agency for Healthcare Research and Quality (AHRQ), developed the HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) Survey, also known as Hospital CAHPS®, to provide a standardized survey instrument and data collection methodology for measuring patients’ perspectives on hospital care. The HCAHPS Survey is administered to a random sample of patients continuously throughout the year. CMS cleans, adjusts and analyzes the data, then publicly reports the results. The HCAHPS survey
Source: medicare.gov

Data for Medicare Replacement Card Applications filed via the Internet

The goal of the Social Security Administration (SSA) is to improve core services provided to the public and provide alternative methods for conducting business with the agency. In support of this goal, SSA provides a wide range of Internet services to allow the public to conduct business via this widely used medium. For example, SSA offers members of the public who receive benefits the opportunity to obtain a replacement Medicare Card via the Internet. Our goal is to make it easier and faster for individuals to request a Medicare Replacement Card via the Internet from the comfort and convenience of their homes or offices.
Source: socialsecurity.gov

Number of Medicare Patients Treated Data

This shows the number of Medicare patient discharges that a hospital treated for selected conditions, organized by Medicare Severity – Diagnosis Related Groups (MS-DRGs). Patients are assigned to a MS-DRG based on diagnosis, surgical procedures, age, and other information. Providers submit this information on their bills to Medicare, then Medicare uses it to determine how much the provider should be paid. Hospital Compare shows information for each hospital on selected MS-DRGs for the current data collection period. If a MS-DRG has “Complications” or “Comorbidities” in its title, it means that the hospital may have treated some patients that may be considered more complicated.
Source: medicare.gov

Medicare Enrollment & Claims Data

Medicare is the federally funded program that provides health insurance for the elderly, persons with end-stage renal disease, and some disabled. For persons age 65 and over, 97 percent are eligible for Medicare. Almost all Medicare beneficiaries have Part A coverage that includes hospital, skilled-nursing facility, hospice and some home health care. 96 percent of elderly Part A beneficiaries choose to pay a monthly premium to enroll in Part B of Medicare that covers physician and outpatient services. Medicare Part C refers to HMO enrollment. While some Medicare beneficiaries are enrolled in HMOs, most have fee-for-service (FFS) coverage. In 2006, Medicare initiated Part D, which provides prescription drug coverage for beneficiaries who purchase the benefit. In 2008, the Centers for Medicare & Medicaid Services (CMS) estimates that approximately 60% of beneficiaries have Part D coverage.
Source: cancer.gov

Hospital Cost Transparency

Home office expense:  Worksheet G-3 uses the declared not the allowed home office expense in reporting Net Income.  To find the Allowed Home Office Expense and adjust the facility’s Net Income data, Worksheet A-8-1 is needed.    One hospital chain had over $100,000,000 in profit before taxes reported on their SEC 10 K report.  However, adding the net revenues before taxes of all the facilities less than 30,000,000 could be accounted for.  One aberration found was that some of the facilities had a very high home office expense disallowed amount. 
Source: healthwatchusa.org

Medicare Health Outcomes Survey

The following literature review is a synthesis of selected articles of functional status outcomes in older adults and is designed to supplement the guide for MAOs above entitled, “Opportunities for Improving Medicare HOS Results through Practices in Quality Preventive Health Care for the Elderly.” The included outcomes target short form assessments of health that span the physical to psychological from well-established questionnaires. In addition, outcome measures include activities of daily living that capture functional limitations in Medicare Advantage recipients. The articles were selected from the vantage point of interventions that could impact on the functional status outcomes in elderly populations. The HOS includes the Veterans RAND 12 Item Health Survey (VR-12) as the core measure for the physical (PCS) and mental (MCS) summary scores. It also includes HEDIS
Source: hosonline.org

Medicare Supplemental Insurance

Posted by:  :  Category: Medicare

One major problem that people face after they find and purchase a Medicare Supplemental Insurance plan is that the insurance plan isn’t giving them back what they truly need. This is the very reason that motivated us to come up with a service that will help you in figure out the best Medicare Supplemental Insurance plan for YOU, that will be most beneficial to YOU in the future as your need for medical assistance increases. We can help you in save money while choosing a plan. We do this by helping you find a local Medicare Supplement Insurance agent who will guide you down the right path in purchasing the right Medicare Supplemental Plan.
Source: medicaresupplement-insurance.com

Medicare Supplement Insurance Quote Engine

In addition to Medicare supplement insurance, we are pleased to be participating in the Medicare Advantage market. The Medicare Advantage policy is a low cost alternative to a Medicare supplement policy and is especially advantageous for those less than 65 years old. The Private Fee For Service (PFFS) is a type of Advantage plan that allows Medicare recipient to visit any doctor, any hospital, anywhere. Therefore, many Medicare recipients are well served by the lower cost Private Fee For Service plan.
Source: bestmedicaresupplement.com

Compare Medicare Advantage & Supplemental Plans

Medicare Advantage insurance is offered by private insurance companies with a Medicare contract, and replaces Original Medicare Part A and Part B. You must continue to pay your Part B premiums. Medicare Advantage plans typically offer additional benefit options and have less cost-sharing than Original Medicare, and you may have to pay a monthly premium in return for the extra benefits. Medicare Advantage plans come in a variety of formats, such as HMO, PPO and PFFS plans, as well as special needs plans. Medicare beneficiaries can enroll in Medicare Advantage plans if they have Medicare Part A and Part B, but only during designated enrollment periods. These enrollment periods change from time-to-time, so please call us to get the most-up-to-date information.
Source: medicaresolutions.com

Compare Medicare Supplement Insurance Plans & Medigap Plans and Rates for
2011. See Plan Chart for AL, AR, AZ, CO, FL, GA, IA, ID, KS, KY, LA, MD, MI, MO, MN, MS,
NC, NE, NM, OH, OK, SC, TN, TX, VA & WV. Medigap Insurance Plans including the
Popular Plan F & G

Year after year we have found Medicare Supplement Plan F or Medicare Supplement Plan G to be the best value for the dollar. The new Plan N is a great alternative to a Medicare Advantage plan.  Plan N might be recommended depending on which state you live in and how much the supplement cost in relation to available Medicare Advantage plans. A plan N will provide more coverage and a very reasonable premium. In Florida we have the lowest rate for plan F & plan N. See the Medicare Supplement Plan chart below. In general, the higher you go up in the plan chart the more Gaps the plan fills. Medicare Supplement Plan F is the most comprehensive supplement plan and there is not a better plan than F. Most people will select a Plan F. However, depending on your personal situation there may be a more cost efficient choice.
Source: themedicarechannel.com

Medicare.gov: the official U.S. government site for Medicare

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

Medicare.gov: the official U.S. government site for Medicare

Posted by:  :  Category: Medicare

The page could not be loaded. The Medicare.gov Home page currently does not fully support browsers with "JavaScript" disabled. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available.
Source: medicare.gov

Compare Medicare Advantage & Supplemental Plans

Medicare Advantage insurance is offered by private insurance companies with a Medicare contract, and replaces Original Medicare Part A and Part B. You must continue to pay your Part B premiums. Medicare Advantage plans typically offer additional benefit options and have less cost-sharing than Original Medicare, and you may have to pay a monthly premium in return for the extra benefits. Medicare Advantage plans come in a variety of formats, such as HMO, PPO and PFFS plans, as well as special needs plans. Medicare beneficiaries can enroll in Medicare Advantage plans if they have Medicare Part A and Part B, but only during designated enrollment periods. These enrollment periods change from time-to-time, so please call us to get the most-up-to-date information.
Source: medicaresolutions.com

Medicare Supplement Plan F

*A benefit period begins on the first day you receive services as an inpatient in a hospital and ends after you have been out of the hospital and have not received skilled care in any other facility for 60 days in a row. ** NOTICE: When your Medicare Part A hospital benefits are exhausted, the insurer stands in the place of Medicare and will pay whatever amount Medicare would have paid for up to an additional 365 days as provided in the policy’s “Core Benefits.” During this time the hospital is prohibited from billing you for the balance based on any difference between its billed charges and the amount Medicare would have paid.
Source: bcbstx.com

Medicare Supplement High Deductible Plan F

* A benefit period begins on the first day you receive services as an inpatient in a hospital and ends after you have been out of the hospital and have not received skilled care in any other facility for 60 days in a row. ** NOTICE: When your Medicare Part A hospital benefits are exhausted, the insurer stands in the place of Medicare and will pay whatever amount Medicare would have paid for up to an additional 365 days as provided in the policy’s “Core Benefits.” During this time the hospital is prohibited from billing you for the balance based on any difference between its billed charges and the amount Medicare would have paid.
Source: bcbstx.com