Changes in the Use and Costs of Diagnostic Imaging Among Medicare Beneficiaries With Cancer, 1999

Posted by:  :  Category: Medicare

Financial Disclosures: Dr Curtis reported receiving research support from Allergan, Eli Lilly and Company, GlaxoSmithKline, Medtronic, Merck & Co, Johnson & Johnson (Ortho Biotech), Novartis, OSI Eyetech, and Sanofi-Aventis. Dr Curtis has made available online a detailed listing of financial disclosures (http://www.dcri.duke.edu/research/coi.jsp). Dr Schulman reported receiving research support from Actelion Pharmaceuticals, Allergan, Amgen, Arthritis Foundation, Astellas Pharma, Bristol-Myers Squibb, The Duke Endowment, Genentech, Inspire Pharmaceuticals, Johnson & Johnson, Kureha Corporation, Medtronic, Merck & Co, Nabi Biopharmaceuticals, National Patient Advocate Foundation, NovaCardia, Novartis, OSI Eyetech, Pfizer, Sanofi-Aventis, Scios, Tengion, Theravance, Thomson Healthcare, and Vertex Pharmaceuticals; receiving personal income for consulting from McKinsey & Company and the National Pharmaceutical Council; having equity in Alnylam Pharmaceuticals; having equity in and serving on the board of directors of Cancer Consultants Inc; and having equity in and serving on the executive board of Faculty Connection LLC. Dr Schulman has made available online a detailed listing of financial disclosures (http://www.dcri.duke.edu/research/coi.jsp). No other disclosures were reported.
Source: jamanetwork.com

The Facts on Medicare Spending and Financing

A number of changes to Medicare have been proposed that could help to address the health care spending challenges posed by the aging of the population, including: restructuring Medicare benefits and cost sharing; eliminating “first-dollar” Medigap coverage; further increasing Medicare premiums for beneficiaries with relatively high incomes; raising the Medicare eligibility age; shifting Medicare from a defined benefit structure to a “premium support” system; and accelerating the ACA’s delivery system reforms. At the same time, changes have been proposed to improve coverage under Medicare in order to limit the financial burden of health care costs on older Americans and younger beneficiaries with disabilities, though such changes would likely require additional spending. In addition to these potential changes, which would affect future spending levels, revenue options could also be considered to help finance care for Medicare’s growing and aging population.
Source: kff.org

Medicare Fraud Reporting Center

Medicare Whistleblowers are typically healthcare professionals who are aware of hospitals, clinics, pharmacies, Nursing Homes, Hospices, long term care and other health care facilities that routinely overcharge or seek reimbursement from government programs for medical services not rendered, drugs not used, beds not slept in and ambulance rides not taken. If you have information about a person or a company that is cheating the Medicare program (or any other government run healthcare program), you may be able to collect a large financial reward for reporting it here.
Source: medicarefraudcenter.org

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 Plans for Different Needs

UnitedHealthcare is dedicated to helping people nationwide live healthier lives. Our goal is to simplify the health care experience, help you meet your health and wellness needs and carry on trusted relationships with care providers. We offer a wide range of Medicare Advantage, Medicare prescription drug and Medicare Special Needs Plans that might be a good fit for you.
Source: uhcmedicaresolutions.com

Medicare Nursing Home Profile

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

Australian Government Department of Human Services

This information was printed Saturday 27 August 2016 from humanservices.gov.au/ It may not include all of the relevant information on this topic. Please consider any relevant site notices at humanservices.gov.au/siteinformation when using this material.
Source: gov.au

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

A list of the nation’s 44 largest healthcare management consulting firms, includes the full details from every question on Modern Healthcare’s 11th annual Management Consultant Firms Survey. Firms ranked by 2015 revenue from total healthcare consulting fees. Source: Published Aug. 22, 2016, p. 42.
Source: modernhealthcare.com

Medicare.gov Nursing Home Compare

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

Documentation of Skilled Versus Unskilled Care for Medicare Beneficiaries: Speech

Medicare guidelines state that all services must be medically necessary and be provided at a level of complexity and sophistication that requires a speech-language pathologist to perform the tasks. They further stipulate that the interventions provided “require the expertise, knowledge, clinical judgment, decision making and abilities of a therapist that assistants, qualified personnel, caretakers or the patient cannot provide independently” (Medicare Benefit Policy Manual, Chapter 15, Section 220.3B [PDF]).
Source: asha.org

Overview of Medicare Contract Transition for Jurisdiction B from NGS to CGS

Posted by:  :  Category: Medicare

CGS was represented at the Region B Council meeting last week. They stated that they value the activity and communication with the Councils, and – at least for now – expect to continue to participate in both Jursidiction C and Region B Councils, separately. We don’t know where the Region B Council will meet, but all agreed that there are significant advantages to in-person meetings rather than teleconferences.
Source: universalss.com

National Government Services

National Government Services is one of the few organizations in the federal health care market that has true roots in health care and a history of delivering solutions that solve complex challenges. Our capabilities are designed to be flexible, scalable, and most importantly the right fit to meet our customers’ demands.
Source: ngsservices.com

Affordable Medicare Plans

Medicare can be quite overwhelming as you sort through your options and try to figure out what healthcare you need. For many of us, it’s the first time we really have to read the fine print, compare plans and understand the different options. But don’t worry, we’ve done the hard work for you and summarized Medicare in simple terms to help you find your best options. Once you have a level of comprehension under your belt, shop and compare Medicare plans to make sure you’re getting the best prices and coverage.
Source: medicare-plans.org

Wisconsin Chiropractic Association

The WCA is pleased to announce that your coverage will continue with a new company, and your policy will be grandfathered effective September 1, 2016. Additionally, your current policy will be augmented with Business Overhead Expenses [BOE] coverage. This added coverage will pay your mortgage/rent, utilities, temporary doctor replacement during your absence, etc.
Source: site-ym.com

Electronic Health Records (EHR) Incentive Programs

Posted by:  :  Category: Medicare

The American Recovery and Reinvestment Act of 2009 (ARRA) (Pub.L. 111–5) was enacted on February 17, 2009. Title IV of Division B of ARRA amends Titles XVIII and XIX of the Social Security Act (the Act) by establishing incentive payments to eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs), and Medicare Advantage Organizations to promote the adoption and meaningful use of interoperable health information technology (HIT) and qualified electronic health records (EHRs). These incentive payments are part of a broader effort under the HITECH Act to accelerate the adoption of HIT and utilization of qualified EHRs.
Source: cms.gov

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

Extra Help with Medicare Prescription Drug Plan Costs

Medicare beneficiaries can qualify for Extra Help with their Medicare prescription drug plan costs. The Extra Help is estimated to be worth about $4,000 per year. To qualify for the Extra Help, a person must be receiving Medicare, have limited resources and income, and reside in one of the 50 States or the District of Columbia.
Source: ssa.gov

California Health Advocates

We provide accurate, unbiased information about Medicare benefits and long-term care for Californians. Learn how Medicare works, ways to supplement your coverage, about low-income programs, prescription drugs and your long-term care options.
Source: cahealthadvocates.org

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 Plans for Different Needs

Posted by:  :  Category: Medicare

UnitedHealthcare is dedicated to helping people nationwide live healthier lives. Our goal is to simplify the health care experience, help you meet your health and wellness needs and carry on trusted relationships with care providers. We offer a wide range of Medicare Advantage, Medicare prescription drug and Medicare Special Needs Plans that might be a good fit for you.
Source: uhcmedicaresolutions.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

The Medicare Part D Prescription Drug Benefit

The Medicare Modernization Act of 2003 (MMA) established a voluntary outpatient prescription drug benefit for people on Medicare known as Part D, which went into effect in 2006. All 55 million people on Medicare, including those ages 65 and older and those under age 65 with permanent disabilities, have access to the Medicare drug benefit through private plans approved by the federal government. During the Medicare Part D open enrollment period, which runs from October 15 to December 7 each year, beneficiaries can choose to enroll in either stand-alone prescription drug plans (PDPs) to supplement traditional Medicare or Medicare Advantage prescription drug (MA-PD) plans (mainly HMOs and PPOs) that cover all Medicare benefits including drugs. Beneficiaries with low incomes and modest assets are eligible for assistance with Part D plan premiums and cost sharing. This fact sheet provides an overview of the Medicare Part D program and information about 2016 plan offerings, based on data from the Centers for Medicare & Medicaid Services (CMS) and other sources.
Source: kff.org

UniCare State Indemnity Plan

Posted by:  :  Category: Medicare

Benefits Information Find a Doctor Check Your Claims Compare Your Costs Avoid Balance Billing Health and Wellness Health Care Quality Initiatives Member Discounts Notification Requirements Request Plan Materials Forms and Documents Contact Us Email Us
Source: unicarestateplan.com

What Is an Indemnity Insurance Plan?

A professional indemnity insurance policy transfers the liability of paying for damages or losses suffered or caused by the insured from the policy owner to the insurance company. If a professional indemnity insurance policy owner is sued, the insurance company will pay for his court fees. Insurers will also conduct their own investigation into the claims made against the policy owner. Claims and judgments won against the policy owner will be paid by the insurer up to the coverage limit.
Source: ehow.com

Utah Counties Indemnity Pool –

Group Homes Noah Hoagland, 801-532-7300 Jail Liability Frank Mylar, 801-858-0700 Land Use Bart Kunz, 801-524-9331 Personnel Kristin VanOrman, 801-532-7080 Tribal Courts Jesse Trentadue, 801-523-7300 Workers Comp Ask a Safety Consultant
Source: utah.gov

UniCare State Indemnity Plan: Welcome to the UniCare State Indemnity Plan

Benefits Information Find a Doctor Check Your Claims Compare Your Costs Avoid Balance Billing Health and Wellness Health Care Quality Initiatives Member Discounts Notification Requirements Request Plan Materials Forms and Documents Contact Us Email Us
Source: unicarestateplan.com

Coventry Medicare: Advantra (HMO/PPO)

Posted by:  :  Category: Medicare

Whether you are an employer, health care provider, someone interested in enrolling, or already a current member, our goal is to provide you with valuable and convenient online resources and information. Come explore the ways in which we can help you take charge of your Medicare Advantage coverage.
Source: coventryhealthcare.com

Coventry Medicare: Advantra Plans

Our Medicare Advantage plans are open to all Medicare beneficiaries eligible by age or disability and living in the plan’s service area. You must be entitled to Medicare benefits under Part A and be enrolled in Part B. You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third party. If you switch to premium withhold or move from premium withhold to direct bill, it can take up to three months for the switch to take effect. You will be held responsible for those premiums.  You may enroll during specific times of the year. You cannot enroll in this plan if your current or former employer helps pay for your drugs.  For information on enrollment periods and for full information on Coventry benefits, please click here to contact our Customer Service Department.
Source: coventryhealthcare.com

HealthAmerica/HealthAssurance: Home

For existing members, to obtain the terms of your policy or a copy of your plan document, please contact us at the number located on the back of your member ID card. If you are not an existing member, for additional information on the terms of the policy or a copy of the plan document, please contact us using the phone number under the Contact Us tab.
Source: coventryhealthcare.com

Medicare Supplement Insurance Carriers

Posted by:  :  Category: Medicare

Lists the insurance companies that are licensed by the Arizona Department of Insurance that are actively marketing Medicare Supplement insurance policies in Arizona, and the types of plans that each offers.
Source: az.gov

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

BCBS Medicare Advantage Plans

Posted by:  :  Category: Medicare

This insurance carrier understands the importance of Medicare, and they’ve gone to great lengths to ensure its continued success among beneficiaries. This is vital, as research suggests that the country’s senior citizen population of number of senior citizens will grow to 90 million by 2050, adding to the demand for healthcare services. In addition, over a 20-year period, a 65-year-old couple’s average total medical expenses will be $218,000, in addition to what Medicare already covers. As such, in April 2015, the carrier announced the launch of a private health insurance exchange, designed to assist Medicare-eligible retirees with the switch from group health benefits to individual Medicare Advantage coverage, including MA, Part D and Medigap plans.
Source: medicare.net

BCBS Medicare Supplement Insurance Plans

Your state officials control which Medigap plans are available in your state, but you can see the benefits of all 10 forms of Medigap insurance by clicking here. And, our instant quotes will show you a selection of Medigap plans for your state offered by leading insurance companies that have been prescreened for financial soundness. We rely on A.M. Best, an independent financial rating organization, and represent insurers with some of the highest ratings.
Source: medigapadvisors.com

Michigan Medicare Health Insurance Plans

Medicare is a health insurance program run by the government for people age 65 and older, and for people under 65 with certain disabilities. Understanding more about Medicare will make it easier to choose the right plan. Our Medicare 101 section has resources to help you do that.
Source: bcbsm.com