Medicaid Spend Down and Medicare Part D

Posted by:  :  Category: Medicare

Each fall, Medicare uses data from the states to decide whether a person will continue to automatically qualify for Extra Help for the coming year. Using the example from the previous page, let’s say Medicare determines that Julie no longer automatically qualifies for Extra Help. Medicare reviews data from her state for a month where she doesn’t qualify for Medicaid (Month 2). Medicare sends her a gray letter saying she doesn’t automatically qualify and encourages her to apply for Extra Help through Social Security to see if she qualifies based on her income and resources. Even though she no longer automatically qualifies, Julie may still qualify for Extra Help if she applies. After not qualifying (month 2), Julie can meet spend down again in a later month (month 3). Her state tells Medicare, and she gets a letter from Medicare saying she automatically qualifies for Extra Help beginning from the month she qualified for Medicaid at least until December 31 of the same year.
Source: q1medicare.com

Medicare Spending By Year

From the mid 1990s Medicare Part A Hospital Insurance spending (net of Part C spending) declined, from 1.5 percent GDP in 1995 to 1 percent GDP in 2000, and since then it has flatlined a little above 1 percent of GDP. Medicare Part B Supplementary Medical Insurance (net of Part C) also declined, from 0.6 percent GDP to 0.45 percent GDP before recovering to 0.7 percent GDP in 2003. Since then Part B Medicare spending has held fairly steady at 0.6 to 0.7 percent GDP.
Source: usgovernmentspending.com

Medicare Hospital Spending by Claim

The table below divides each hospital’s average episode spending levels into three time periods: 1) during the 3 days prior to the index admission, 2) during the index admission, and 3) during the 30 days after hospital discharge. Within these three time periods, the average episode spending levels are further broken down into seven provider types (e.g., inpatient, outpatient).
Source: medicare.gov

Cracking Down On $70 Billion Worth Of Medicare Fraud

What may at first seem like an accounting disagreement at a big government agency actually has profound implications for U.S. policy and society. Congress is presently mired in an endless debate about when—and how much—to cut entitlement programs in an effort to reduce the federal deficit. The Obama administration proposes trimming $248 billion over 10 years from Medicare alone. Yet if fraudulent losses could be reduced by just a few percentage points, the issue becomes moot—and the medical support that tens of millions of Americans rely upon could continue uninterrupted. “The annual combined cost of Medicare and Medicaid is between $800 and $900 billion annually,” Sparrow says. If only 10% is lost to fraud, he notes, that’s $80 billion a year—pointing to a figure even higher than the $70 billion cited by the GAO. “But if it’s 20% or 30%?” he asks. “We’d easily find $200 billion over 10 years. That means you wouldn’t need to cut reimbursement rates for providers. You wouldn’t need to restrict insurance coverage. You wouldn’t have to increase deductibles. Getting hold of this problem is a much healthier way of dealing with the cost- control imperative than through indiscriminate cutbacks.” The question thus becomes whether the politicians in Washington who are now trying to cut spending on medical care are actually wrestling with the wrong problem. Which means they might settle on the wrong solution.
Source: fastcompany.com

The Mystery of the Missing $1,200 Per Person: Can Medicare’s Spending Slowdown Continue?

Health care observers are still scratching their heads trying to explain why Medicare spending is growing so slowly.  A CBO analysis shows the Great Recession did not have the same effect on Medicare that it had on the slowdown in health care spending generally, which has been documented by our Kaiser colleagues. It is clear that the Medicare savings provisions in the ACA, such as reductions in provider payment updates and Medicare Advantage payments, have played a major role, and the changes included in the law may be having a bigger effect than was expected soon after the law passed.  In addition, the Budget Control Act of 2011 also exerted downward pressure on Medicare spending through sequestration that reduced payments to providers and plans by 2 percent beginning in 2013.  And yet even after incorporating these scheduled payment reductions in the baseline, CBO has continued to lower its projections of Medicare spending.
Source: kff.org

Arizona medicare supplement plans, Arizona medicare advantage plans

Posted by:  :  Category: Medicare

Medicare advantage plans usually have a lower premium than a Medicare supplement plan.  Many of these types of plans are commonly referred to as HMO’s.  When visiting a physician there is normally a copay.  Many times the prescription drug coverage (part D) is included in the plan.  These plans can change from year to year.  They are county specific so if you move you may be required to change your plan. 
Source: arizonamedicareadvantageplans.com

Arizona Medicare Supplement: Arizona Medigap

There are plenty of companies out there advertising supplemental insurance in Arizona, but how do you know you are picking the right one? First and foremost, you have to make sure that they have competitive prices, as well as a knowledgeable and respectable staff. Arizona Medicare Supplements provides both of those things, as we serve seniors with Arizona Medigap Coverage or Arizona Medicare Supplement policies. We strive to provide affordable rates as well as complete customer service both before and after the sale.
Source: arizonamedicaresupplements.com

Affordable Arizona Medicare Plans

insuranceQuotes is an independent, privately-owned company that provides thousands of consumers with an effective and free way to shop and compare insurance quotes online. We are not affiliated with healthcare.gov or other state-based exchanges; however, through trusted partnerships with thousands of insurance agents in your local area and at over a hundred of the nation’s elite insurance providers, consumers using our services can receive quotes for insurance plans that may appear on state-based and/or federal exchanges, as well as for private plans that meet federal standards to be a qualified health plan under the Affordable Care Act. We do not sell health plans ourselves, but work with these licensed entities.
Source: arizonamedicare.org

Medicare Select Network Hospitals

Posted by:  :  Category: Medicare

ADVOCATE ILLINOIS MASONIC MEDICAL CENTER ADVOCATE TRINITY HOSPITAL AURORA CHICAGO LAKESHORE HOSPITAL COMMUNITY FIRST MEDICAL CENTER HOLY CROSS HOSPITAL JACKSON PARK HOSPITAL JOHN H. STROGER HOSPITAL (COOK COUNTY HOSPITAL) LOUIS A WEISS MEMORIAL HOSPITAL MERCY HOSPITAL AND MEDICAL CENTER MOUNT SINAI HOSPITAL NEUROLOGIC AND ORTHOPEDIC INSTITUTE OF CHICAGO NORTHWESTERN LAKE FOREST HOSPITAL NORTHWESTERN MEMORIAL HOSPITAL NORWEGIAN AMERICAN HOSPITAL PRESENCE RESURRECTION HOSPITAL PRESENCE ST ELIZABETH HOSPITAL CHICAGO PRESENCE ST JOSEPH HEALTH CENTER PRESENCE ST MARY OF NAZARETH HOSPITAL PROVIDENT HOSPITAL OF COOK COUNTY REHABILITATION INST OF CHICAGO RML CHICAGO ROSELAND COMMUNITY HOSPITAL SCHWAB REHABILITATION HOSPITAL ST ANTHONY HOSPITAL SWEDISH COVENANT HOSPITAL THOREK MEMORIAL HOSPITAL UNIVERSITY OF CHICAGO MEDICAL CENTER UNIVERSITY OF ILLINOIS MEDICAL CENTER
Source: bcbsil.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

Tufts Health Plan Medicare Preferred

In 2015, our HMO plans earned 4.5 out of a possible 5 Stars by the Center for Medicare and Medicaid Services. This rating combines the scores our plans received for the various medical and/or prescription drug services our plans offer.
Source: tuftsmedicarepreferred.org

Medicare Hospital Compare Quality of Care

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

Compare Medicare Supplement (Medigap) Plans and Rates in Your Area

"Times have changed since my mother had an AARP J plan and I was totally confused by the options available. Stan walked me through the process in a very educational, methodical, friendly way, and I feel secure now that we’re making the correct decision to provide the best possible coverage for my husband." – Pat K.
Source: medigap360.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 Advantage Plans in 2015

The Kaiser Family Foundation also says that plans and costs are bound to differ wildly in different areas of the country or even regions of the same state. Available plans and premiums can differ when you cross a ZIP code boundary or into a new county. The key is to find different options in your local area and select the one that suits your needs and budget the best. Your own right choice will depend upon the premium, options available in your town or city, the network of medical providers, covered benefits and benefit amounts, and the potential for out of pocket costs.
Source: medicareadvantageplans2015.net

Best Medicare Supplement Insurance Quotes

Every Medicare supplemental insurance plan must follow federal and state laws designed to protect you. Medicare supplement plan insurance companies can only sell you a “modernized” Medicare supplemental insurance plan identified by letters A through N. Each modernized Medicare supplemental insurance plan must offer the same basic benefits, no matter which insurance company sells it.
Source: medicaresupplementplans.com

Compare Medicare Supplement Plans 2015Compare Medicare Supplement Plans 2015

With ever increasing numbers of people turning 65 and needing Medicare health care benefits, the choices are numerous. Is a Medicare Supplement plan the best option, or perhaps a Medicare advantage plan? Several people have turned to supplemental insurance for Medicare Part A and Part B and have been extremely happy with their coverage. We’ll help you to compare Medicare Supplement Plans in 2015 so you can choose the best coverage to fit your needs, as well as not overpay for it.
Source: comparemedicaresupplementplans2015.com

Compare Medicare Supplement Plans

For Texas residents. If a checkmark appears in a column of this Medicare Supplement chart, the Medigap policy covers 100% of the described medicare benefit. If a column lists a percentage, the medicare supplement policy covers that percentage of the described medicare benefit. If a column is blank, the medicare supplement insurance policy doesn’t cover that benefit.
Source: mysenioradvisorsgroup.com

Medicare Information for Retirees

Posted by:  :  Category: Medicare

Annuitants and certain individuals on subsidized extended coverage age 65 or older who wish to pay subsidized rates for health insurance premiums must enroll in the Medicare Advantage (MA) PPO Standard or Premium option offered by Blue Cross Blue Shield of Georgia (BCBSGa).  See Plan Documents for rate resolutions and annuitant subsidy policies.
Source: georgia.gov

Georgia Medicare Supplements

Georgia Medicare Supplements provides an added bonus as well as competitive rates: a staff that is dedicated to helping you complete your application and answer any questions you may have before or after you receive coverage. This includes discussing health conditions, the six-month waiting period, rate guarantees, and premium changes that might matter to you while getting your coverage. Finding an agent that specializes in this area is important so that no mistakes are made.
Source: georgiamedicaresupplements.com

Medicare Flu Shot Codes: Q2035, Q2036, Q2037, Q2038

Posted by:  :  Category: Medicare

Effective January 1, 2011- the Centers for Medicare & Medicaid Services (CMS) will no longer recognize and will no longer reimburse CPT Code 90658 Influenza Virus Vaccine, Split Virus for flu shots. CMS has established five separate influenza vaccine HCPCS codes to distinguish between the brand-names of influenza vaccines for governmental tracking purposes. Make sure to use these new codes in your medical billing.  Although the new Medicare codes distinguish between vaccine brands for Medicare, the HCPCS code G0008 Administration of Influenza Virus Vaccine must still be used for the administration of the flu vaccine for Medicare patients.
Source: capturebilling.com

How to Reform Medicare: First Stage to Fix the Current Program

[5]The significant differences in official long-term projections, including projections of the program’s unfunded liability, reflect the differences in agency assumptions, particularly about the likelihood of the continuation of current law. The Medicare Trustees and the Congressional Budget Office (CBO) are required to make projections under current law, which assumes, for example, that the large Medicare Part A payment reductions are sustainable and that the projected 29.4 percent reduction in Medicare physician payment will be implemented in 2012. The Office of the Actuary in the Centers for Medicare and Medicaid Services (CMS) makes projections based on the premise that key elements of current law are simply “unworkable.” See John D. Shatto and M. Kent Clemens, “Projected Medicare Expenditures Under an Illustrative Scenario with Alternative Payment Updates to Medicare Providers,” Centers for Medicare and Medicaid Services, Office of the Actuary, May 13, 2011, at https://www.cms.gov/ReportsTrustFunds/downloads/2010TRAlternativeScenario.pdf (September 19, 2011).
Source: heritage.org

Visiting Nurse Service of New York

Posted by:  :  Category: Medicare

Since the devastation of Sandy, VNSNY’s Emergency Response team is coordinating the efforts of thousands of professional and paraprofessional clinicians and office staff who continue to work around the clock to ensure that care is delivered seamlessly. Please donate online now to help us give New Yorkers the care they deserve, call 212-609-1525 to make a contribution over the phone, or print our donation form and mail it directly to us. We have established the VNSNY Relief Fund to help the many patients and employees affected by the aftermath of Sandy.
Source: vnsny.org

Visiting Nurse Service of New York's Choice Health Plans: Continuous Care Management for Dually Eligible Medicare and Medicaid Beneficiaries

The Commonwealth Fund and the Institute for Healthcare Improvement convened 15 experts in May 2013 to help address the controversy over the measurement of hospital readmissions. Experts agreed that Medicare should, through payment and other means, be encouraging greater coordination of care, improvement in care transitions, and mitigation of risks that leave patients vulnerable to readmission.
Source: ihi.org

Visiting Nurse Service, Inc. > VNS Services > Home Health Care

VNS is a full-service home health care organization, providing nursing, physical therapists, speech and occupational therapists, home care aides, social workers, and dieticians all providing care under your doctor’s guidance.  We also arrange for home medical equipment and serve twenty-three Indiana Counties: Boone, Brown, Carroll, Cass, Clinton, Clay, Grant, Hamilton, Hancock, Hendricks, Howard, Johnson, Madison, Marion, Miami, Monroe, Montgomery, Morgan, Owen, Putnam, Shelby, Tipton, and Wabash.
Source: vnsi.org

Manhattan U.S. Attorney Settles Civil Fraud Claims Against Visiting Nurse Service For Obtaining Millions In Medicaid Payments By Enrolling Ineligible Individuals In Its Managed Long

Preet Bharara, the United States Attorney for the Southern District of New York, and Thomas O’Donnell, Special Agent in Charge of the U.S. Department of Health and Human Services, Office of Inspector General’s (“HHS-OIG”) New York Region, announced today that the United States has settled civil fraud claims under the False Claims Act against VISITING NURSE SERVICE OF NEW YORK, VNS CHOICE, and VNS CHOICE COMMUNITY CARE (collectively, “VNS”) related to the enrollment of ineligible members in the VNS Choice managed long-term care plan (“Choice MLTCP”). VNS improperly billed the Medicaid program for 1,740 members whose needs did not qualify for the managed care plan. These members were improperly referred by social adult day care centers (“SADCCs”), or received services primarily from SADCCs, many of which provided substandard and minimal care.
Source: justice.gov

Medicare Plans & Coverage: Part A, Part B, Part C, Part D

Medicare is a federal insurance program that covers hospitalization expenses as well as doctor and medical expenses. To be eligible for Medicare, one must be an American citizen 65 years or older, or younger with a qualifying disability.
Source: medicareconsumerguide.com

Visiting Nurse Service of New York

Founded in 1893 by Lillian D. Wald, the Visiting Nurse Service of New York (VNSNY) is the largest not-for-profit home- and community-based health care organization in the United States, serving the five boroughs of New York City and Nassau, Suffolk, and Westchester Counties, as well as parts of upstate New York. VNSNY offers a comprehensive array of programs and health plans designed to meet the diverse health and personal care needs of its patients and members, to improve their quality of life, and to reduce the number and length of hospitalizations.
Source: wikipedia.org

The Visiting Nurse Service of New York's Choice Health Plans: Continuous Care Management for Dually Eligible Medicare and Medicaid Beneficiaries

The Visiting Nurse Service of New York created a managed care plan serving lower-income, vulnerable patients enrolled in a partially capitated Medicaid Managed Long-Term Care program or a fully capitated Medicare Advantage Special Needs Plan, or both. Every health plan member is assigned a care manager who collaborates with an interdisciplinary care team and the member’s primary care physician to enhance access to appropriate services, improve care coordination and transitions, and promote optimal health outcomes and independent living. Other key components of the model include comprehensive member assessments, patient and family education, transitional and palliative care provided by nurse practitioners, and the use of risk stratification, information technology, and staff training. Over time, Medicare plan members have experienced fewer hospital admissions, readmissions, and emergency visits. The health plan’s experience should inform organizations and policymakers interested in integrating care for patients with special needs.
Source: commonwealthfund.org

Compare Medicare 2015 health plans options in Connecticut , Medicare Advantage plans in Connecticut, Medicare Supplements, What are my 2014 Medicare plan choices in Connecticut, CT, Medicare choices, Medicare Part D, 2014 Connecticut Medicare Plan Choices, choices and Medicare options information for Connecticut Residents, Medicare Advantage plans for 2014, How do I compare Medicare Plans in Connecticut?

Posted by:  :  Category: Medicare

Medicare Options, LLC, provides enrollment assistance for senior and disabled residents of Connecticut with their Medicare Health Plan choices including Medicare Medigap plans in Connecticut, Medicare Advantage Plans, Part D prescription drug plans from Aetna, ConnectiCare, United Healthcare, and WellCare in the towns of: Amston, Andover, Avon, Baltic, Berlin, Bloomfield, Bolton, Bozrah, Brandford, Bristol, Burlington, Centerbrook, Cheshire, Chester, Clinton, Colchester, Columbia, Coventry, Cromwell, Deep River, Durham, East Berlin, East Glastonbury, East Haddam, East Hampton, East Hartford, East Killingly, East Lyme, East Windsor, Ellington, Elmwood, Essex, Farmington, Forestville, Glastonbury, Groton, Guilford, Haddam, Hadlyme, Hamden, Hartford, Hebron, Higganum, Ivoryton, Jewett City, Kensington, Killingly, Killingworth, Lebanon Ledyard, Lyme, Madison, Manchester, Marlbourgh, Meriden, Middle Haddam, Milldale, Moodus, Moosup, Mystic, New Britain, New London, Newington, North Branford, Norwich, Old Lyme, Old Mystic, Old Saybrook, Plainville, Plantsville, Poquonock, Portland, Preston, Rockfall, Salem, Saybrook, South Glastonbury, South Lyme, South Windsor, Southington, Terryville, Tolland, Uncasville, Vernon, Wallingford, Waterford, West Hartford, West Mystic, Westbrook, Wethersfield, Windsor, Windsor Locks. We serve the counties of, Hartford County, Tolland County, New London County, Middlesex County, New Haven County, Litchfield County. We are licensed and Certified to advise and enroll medicare recipients on medicare supplements, medicare advantage plans, medicare part D prescription coverage, retirement planning, Long-Term care options, fixed annuities, Reverse Mortgage programs, and eldercare attorney referrals. Consult a tax advisor before making tax related decisions. Consult an attorney specializing in estate planning before making any decisions regulated by federal or state law, such as trusts and wills. MedicareOptions.info provides free information on Medicare options in Connecticut. Medicare Plan Choices in Connecticut for 2014 will help seniors find the best medicare plan for their situation. This site allows people to compare Medicare Advantage Plans in Connecticut. We do not choose which plan is best for beneficiaries, but provide information on Medicare Plans so they can compare their Medicare Choices. Most Medicare Beneficiaries simply want to know, how do I compare Medicare plans in Connecticut. We help them find the best Medicare Plan that suits your particular needs for 2015.
Source: medicareoptions.info

Compare All Medicare Plan Options

Coverage is available to residents of the service area and separately issued by one of the following plans: Wellmark Blue Cross and Blue Shield of Iowa,* Blue Cross and Blue Shield of Minnesota,* Blue Cross and Blue Shield of Montana,* Blue Cross and Blue Shield of Nebraska,* Blue Cross Blue Shield of North Dakota,* Wellmark Blue Cross and Blue Shield of South Dakota,* Blue Cross Blue Shield of Wyoming.*
Source: wellmark.com

Medicare Hospital Compare Quality of Care

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 Plan Finder for Health, Prescription Drug and Medigap plans

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 Supplement Insurance

To help consumers understand and compare Medicare Supplement insurance plans (Medigap plans), the 10 available policies were standardized by the National Association of Insurance Commissioners (NAIC). These standards can be found in NAIC’s Medicare Supplement Insurance Minimum Standards Model Act. The 10 Medigap plans have letter designations ranging from A to N, each with a set of basic and extra benefits. The combination of benefits in each plan may not be altered by insurers, nor may the letter designations be changed. Three states – Massachusetts, Minnesota, and Wisconsin are referred to as waiver states because they are permitted by statute to have different standardized Medigap plans.
Source: medicare-solutions.org

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 (Medigap) Plans and Rates in Your Area

"Times have changed since my mother had an AARP J plan and I was totally confused by the options available. Stan walked me through the process in a very educational, methodical, friendly way, and I feel secure now that we’re making the correct decision to provide the best possible coverage for my husband." – Pat K.
Source: medigap360.com

Medicare Supplement Plans

To be eligible to enroll in a Medicare Supplement plan, you must be enrolled in both Medicare Part A and Part B. The best time to enroll in a plan is during the Medigap Open Enrollment Period, which begins on the first day of the month that you are both age 65 or older and enrolled in Part B, and lasts for six months. During this period, you have the guaranteed issue right to join any plan of your choice, meaning that you may not be denied coverage based on any pre-existing conditions. If you miss this enrollment period and attempt to enroll in the future, you may be denied coverage based on your medical history.
Source: ehealthinsurance.com

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 Supplemental, Advantage, and Part D Plans

Because of the significant amount of out-of-pocket payments required by traditional Medicare, a booming market of private-sector insurance products has grown up around the government programs. These Medicare-related insurance products are one of the fastest-growing segments of the U.S. health insurance industry overall. And they are the part of the market on which a smart consumer should focus his or her attention. Medicare Providers mission is to help seniors understand these products and provide tools assist in the decision making process.
Source: medicare-providers.net

Medicare Advantage provider information

Pursuant to the Medicare regulations at 42 CFR 422.214, a non-contracted provider must accept, as payment in full, the amount that it could collect if the beneficiary were enrolled in the Medicare Fee-for-Service program. In accordance with this regulation, Priority Health will be reducing the net payment to a non-contracted provider by 2% for dates of service or discharge after April 1, 2013. For contracted providers whose reimbursement rate is indexed to original Medicare rates, Priority Health will be reducing the net payment by 2% for dates of service or discharge after April 1, 2013. The 2% reduction in payment is provider liability and cannot be balance-billed to members.
Source: priorityhealth.com

Fact Check: Obamacare’s Medicare Cuts

Posted by:  :  Category: Medicare

Next Generation Leaders The 100 Most Influential People Ask the Expert Know Right Now New Adventurers Person of the Year 2014 Pittsburgh: The Comeback Question Everything Shaping Our Future Solutions That Matter TIME Explains Top 10 Everything of 2014 Top of the World Wonders of the World A Year In Space
Source: time.com

Rebates, benefits vary in Medicare Advantage plans across country

Insurers operating Medicare Advantage plans in California, Florida, Louisiana, Missouri, New Mexico, Nevada, New York, Texas and Washington, D.C., provide more benefits at no cost to their members than the national average. Conversely, plans in Alaska, Montana, Wyoming, South Dakota, Minnesota, New Hampshire and Delaware provide less than the average–between $0 and $25 in extra value–to their members, according to The Hill’s Healthwatch.
Source: fiercehealthpayer.com

Australian Psychological Society : Medicare rebates for mental health services provided by psychologists: Information for clients

Psychologists study the way people feel, think, act and interact. Through a range of strategies and therapies they aim to reduce distress and to enhance and promote emotional wellbeing. Psychologists are experts in human behaviour, and have studied the brain, memory, learning and human development. Psychologists can assist people who are having difficulty controlling their emotions, thinking and behaviour, including those with mental health problems such as anxiety and depression, serious and enduring mental illness, addictive behaviours and childhood behaviour disorders.
Source: org.au