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

Health Insurance, Medicare Insurance and Dental Insurance

At Humana, we go beyond insurance. We help provide a roadmap to a healthier you. By taking a personalized look at your life and your health, we can help you find the perfect plan and achieve your goals. Start becoming your best you. Start with healthy.
Source: humana.com

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

The Office of the National Coordinator for Health IT has finalized a rule giving it more oversight over certifying EHRs and other technologies that store, share and analyze health information for consumers. It also gained the authority to ask developers to pull noncompliant products from the market.
Source: modernhealthcare.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

2016 Medicare Premiums and Deductibles

You may be able to avoid paying this late enrollment penalty if you delayed Medicare Part B because you had other health coverage, such as through an employer-sponsored group plan (either through your own or your spouse’s work). In this case, you can enroll through a Special Enrollment Period when you or your spouse stop working or that other health coverage ends, whichever comes first. If you have to pay a monthly premium for Medicare Part A, you may decide to delay enrollment in Part A as well and sign up during your Special Enrollment Period. If you enroll in Medicare with a Special Enrollment Period, you generally won’t have to pay a late enrollment penalty.
Source: medicare.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

More Medicare Information

If you live in Puerto Rico you will not receive Medicare Medical Insurance (Medicare Part B) automatically. You will need to sign up for it during your initial enrollment period or you will pay a penalty. To sign up, please call our toll-free number at 1-800-772-1213 (TTY 1-800-325-0778). You also may contact your local Social Security office. You can find your local Social Security office by using our Office Locator.
Source: ssa.gov

Medicare Information, Help, and Plan Enrollment

Humana is a Medicare Advantage [HMO, PPO and PFFS] organization and a stand-alone prescription drug plan with a Medicare contract. Enrollment in any Humana plan depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments and restrictions may apply. [Benefits, premiums and/or member cost-share] may change on January 1 of each year. The [Formulary, pharmacy network, and/or provider network] may change at any time. You will receive notice when necessary.
Source: medicare.com

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

Health Insurance, Medicare Insurance and Dental Insurance

At Humana, we go beyond insurance. We help provide a roadmap to a healthier you. By taking a personalized look at your life and your health, we can help you find the perfect plan and achieve your goals. Start becoming your best you. Start with healthy.
Source: humana.com

Consumer Information and Insurance Oversight

The page could not be loaded. The CMS.gov Web site currently does not fully support browsers with “JavaScript” disabled. Please enable “JavaScript” and revisit this page or proceed with browsing CMS.gov with “JavaScript” disabled. Instructions for enabling “JavaScript” can be found here. Please note that if you choose to continue without enabling “JavaScript” certain functionalities on this website may not be available.
Source: cms.gov

The United States Social Security Administration

What is the National Disability Forum? The National Disability Forum is an open conversation where members of the public, community leaders, and Social Security employees come together to talk about the disability programs…
Source: ssa.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

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 Hospital Compare Quality of Care

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Source: medicare.gov

CREATINE: Uses, Side Effects, Interactions and Warnings

Creatine is a chemical that is normally found in the body, mostly in muscles but also in the brain. It is commonly found in the diet in red meat and seafood. Creatine can also be made in the laboratory. Creatine is most commonly used for improving exercise performance and increasing muscle mass in athletes and older adults. There is some science supporting the use of creatine in improving the athletic performance of young, healthy people during brief high-intensity activity such as sprinting. Because of this, creatine is often used as a dietary supplement to improve muscle strength and athletic performance. In the U.S., a majority of sports nutritionsupplements, which total $2.7 billion in annual sales, contain creatine. Creatine is allowed by the International Olympic Committee, National Collegiate Athletic Association (NCAA), and professional sports. However, the NCAA no longer allows colleges and universities to supply creatine to their students with school funds. Students are permitted to buy creatine on their own and the NCAA has no plans to ban creatine unless medical evidence indicates that it is harmful. With current testing methods, detection of supplemental creatine use would not be possible. In addition to improving athletic performance, creatine is also taken by mouth for creatine deficiency syndromes that affect the brain, chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF), depression, diabetes, fibromyalgia, Huntington’s disease, disease that cause inflammation in the muscles (idiopathic inflammatory myopathies), Parkinson’s disease, diseases of the muscles and nerves, multiple sclerosis, muscle atrophy, muscle cramps, breathing problems in infants while sleeping, head trauma, Rett syndrome, an eye disease called gyrate atrophy, inherited disorders that affect the senses and movement, schizophrenia, muscle breakdown in the spine, and recovery from surgery. It is also taken by mouth to slow the worsening of amyotrophic lateral sclerosis (ALS, Lou Gehrig’s disease), osteoarthritis, rheumatoid arthritis, McArdle’s disease, and for various muscular dystrophies. People apply creatine to the skin for aging skin.
Source: webmd.com

Medicare Supplement, Life, Dental & Critical Condition Insurance

Posted by:  :  Category: Medicare

Sterling recognizes the vital role providers play as the critical link between patients and their health. Sterling treats providers with the respect they deserve with Medicare Supplement expertise, top-notch customer service, quick and accurate claims processing, and comprehensive tools to manage the administrative process.
Source: cigna.com

Sterling Investors Life Insurance

Founded in 1978 and located in Indianapolis, Indiana, Sterling Investors Life Insurance Company proudly serves the insurance needs to middle class America by providing valuable insurance protection across a broad range of insurance plans. We’re not the biggest so we work very hard everyday to make sure that our policyholders and agents across the country receive a level of service from us that always exceeds their expectations. We believe our company reflects the same conservative values as that of our regional surroundings.
Source: sterlinglifeco.com

Medicare Supplemental Plans

Medicare supplemental insurance plans are not only ideal in the sense that they help individuals to cover loose ends that may not be covered under Medicare, but these plans also maintain the rights and protections set forth under and individuals Medicare insurance plan. Additionally, one can maintain the relationship that they have with their current doctors, even if using a Medicare supplemental insurance plan, ensuring that you are comfortable with the medical attention that you are seeking. Supplemental plans work solely to aid individuals in increasing the benefits that they have under their medical insurance, as detailed on various pages through this website. It is important that you become knowledgeable in the current cost and benefits associated with your Medicare insurance plan, as well as the additional benefits that you may eligible for under a Medicare supplemental insurance plan.
Source: medicaresupplementalinsurance.co

Medicare Insurance Plan Providers Search

Advantra Aetna American Continental AmeriChoice Amerigroup AmeriHealth Admiral Life Anthem AvMed Bankers Life and Casualty Blue Cross Blue Shield Bravo Health Insurance CareMore Cigna Clarian Clear One CommUnityCare ConnectiCare VIP Continental Life Coventry Elderplan Empire Excellus Family Life Foresters Forethought Freedom Health Geisinger Genworth Gerber Life GHI Government Personnel Mutual Life Guarantee Trust Life HAP Health Alliance Harvard Pilgrim Health Alliance Health Plus HealthPartners HealthSpring Highmark HIP Health Plan Humana Independence Blue Cross Kaiser Permanente Keystone Loyal American Supplement Mercy Mutual of Omaha New Era Oxford Optimum HealthCare PacifiCare Physicians United Plan Premera Blue Cross Presbyterian Health Plan Priority Health Scott and White Secure Horizons Complete Sentinel Standard Life Sterling SummaCare Summit Health TexanPlus Touchstone Unicare UnitedHealthCare Universal UPMC USAA Viva Health WellCare WellPoint Windsor
Source: medicaresolutions.com

Medigap (Medicare Supplement) Insurance

Plans are assigned letters A through N, and are not to be confused with the “parts” of Medicare, such as Parts A & B. Each Medigap policy plan must offer the same basic benefits, no matter which insurance company sells it. For example Plan K from insurance company ABC must offer the same benefits as Plan K from insurance company XYZ.
Source: mo.gov

Compare Medicare Insurance Plans with TotalMedicare.com

Learn: With so much information floating around the Medicare system, we try convey the details you need in simple, straightforward terms. Our experts have summarized the important facts, provided links to government resources and created tools to help you learn about the costs associated with various Medicare plans and programs.
Source: totalmedicare.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

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

The Office of the National Coordinator for Health IT has finalized a rule giving it more oversight over certifying EHRs and other technologies that store, share and analyze health information for consumers. It also gained the authority to ask developers to pull noncompliant products from the market.
Source: modernhealthcare.com

Healthcare – Just Facts

[Under Medicare Part C] Most beneficiaries have the option to enroll in private health insurance plans that contract with Medicare to provide Part A and Part B medical services. The share of Medicare beneficiaries in such plans has risen rapidly in recent years, reaching 25.0 percent in 2010 from 12.4 percent in 2004. Plan costs for the standard benefit package can be significantly lower or higher than the corresponding cost for beneficiaries in the “traditional” or “fee-for-service” Medicare program, but prior to the Affordable Care Act [ACA, a.k.a. Obamacare], private plans were generally paid a higher average amount, and the additional payments were used to reduce enrollee cost-sharing requirements, provide extra benefits, and/or reduce Part B and Part D premiums. These benefit enhancements were valuable to enrollees but also resulted in higher Medicare costs overall and higher premiums for all Part B beneficiaries, not just those who were enrolled in MA plans. Under the ACA, payments to plans will be based on “benchmarks” in a range of 95 to 115 percent of fee-for-service Medicare costs, with bonus amounts payable for plans meeting high quality-of-care standards. (Prior to the ACA, the benchmark range was generally 100 to 140 percent of fee-for-service costs.) As these changes phase in during 2012-2017, the overall participation rate for private health plans is expected to decline from 25 percent in 2010 to about 15 percent in 2020.
Source: justfacts.com

Medical Records and Health Information Technicians : Occupational Outlook Handbook: : U.S. Bureau of Labor Statistics

Medical records and health information technicians, commonly referred to as health information technicians, organize and manage health information data. They ensure that the information maintains its quality, accuracy, accessibility, and security in both paper files and electronic systems. They use various classification systems to code and categorize patient information for insurance reimbursement purposes, for databases and registries, and to maintain patients’ medical and treatment histories.
Source: bls.gov

Annual Statistical Supplement, 2011

Posted by:  :  Category: Medicare

Beginning January 1, 2006, upon voluntary enrollment in either a stand-alone PDP or an integrated Medicare Advantage plan that offers Part D coverage in its benefit, subsidized prescription drug coverage. Most FDA-approved drugs and biologicals are covered. However, plans may set up formularies for their drug coverage, subject to certain statutory standards. (Drugs currently covered in Parts A and B remain covered there.) Part D coverage can consist of either standard coverage or an alternative design that provides the same actuarial value. (For an additional premium, plans may also offer supplemental coverage exceeding the value of basic coverage.) Standard Part D coverage is defined for 2006 as having a $250 deductible, with 25 percent coinsurance (or other actuarially equivalent amounts) for drug costs above the deductible and below the initial coverage limit of $2,250. The beneficiary is then responsible for all costs until the $3,600 out-of-pocket limit (which is equivalent to total drug costs of $5,100) is reached. For higher costs, there is catastrophic coverage; it requires enrollees to pay the greater of 5 percent coinsurance or a small copay ($2 for generic or preferred multisource brand and $5 for other drugs). After 2006, these benefit parameters are indexed to the growth in per capita Part D spending (see Table 2.C1). In determining out-of-pocket costs, only those amounts actually paid by the enrollee or another individual (and not reimbursed through insurance) are counted; the exception is cost-sharing assistance from Medicare’s low-income subsidies (certain beneficiaries with low incomes and modest assets will be eligible for certain subsidies that eliminate or reduce their Part D premiums, cost-sharing, or both) and from State Pharmacy Assistance Programs. A beneficiary premium, representing 25.5 percent of the cost of basic coverage on average, is required (except for certain low-income beneficiaries, as previously mentioned, who may pay a reduced or no premium). For PDPs and the drug portion of Medicare Advantage plans, the premium will be determined by a bid process; each plan’s premium will be 25.5 percent of the national weighted average plus or minus the difference between the plan’s bid and the average. To help them gain experience with the Medicare population, plans will be protected by a system of risk corridors, which allow Part D to assist with unexpected costs and to share in unexpected savings; after 2007, the risk corridors became less protective. To encourage employer and union plans to continue prescription drug coverage to Medicare retirees, subsidies to these plans are authorized; the plan must meet or exceed the value of standard Part D coverage, and the subsidy pays 28 percent of the allowable costs associated with enrollee prescription drug costs between a specified cost threshold ($250 in 2006, indexed thereafter) and a specified cost limit ($5,000 in 2006, indexed thereafter).
Source: ssa.gov

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

F & J Deductible Announcements

Medicare supplemental (Medigap) Plan F can be sold with a high deductible option. Before June 1, 2010, Medigap Plan J could also be sold with a high deductible. Effective January 1, 2016, the annual deductible amount for these two plans is $2180, the same amount as for 2015. The deductible amount for the high deductible version of plans F and J represents the annual out-of-pocket expenses (excluding premiums) that a beneficiary must pay before these policies begin paying benefits. CMS updates the deductible amount for plans F and J each year, after release of the August Consumer Price Index for all Urban Consumers (CPI-U) figures by the Bureau of Labor Statistics, which generally occurs in mid-to late September.
Source: cms.gov

What’s in Store for Medicare’s Part B Premiums and Deductible in 2016, and Why?

The absence of a COLA affects the amount of the Medicare Part B premium charged to enrollees because it triggers the broader application of a provision in the Social Security law known as the hold-harmless provision. In a year where the Social Security COLA is insufficient to cover the amount of the Medicare Part B premium increase for an individual, the law prohibits an increase in the Part B premium that would result in a reduction in that individual’s monthly Social Security benefits from one year to the next. (For an example of how the hold-harmless provision works in a typical year with a Social Security COLA, see Appendix B.) The hold-harmless provision affects a different number of beneficiaries each year, depending on the level of their Social Security benefits, the size of the COLA, and the increase in the Medicare Part B premium. In years with no COLA, a majority of beneficiaries are protected by the hold-harmless provision.
Source: kff.org

Medicare Fee, Payment , Reimbursement Procedure code, ICD, Denial: October 2011

Eligible professionals do not have to enroll or file an intent to participate in the eRx Incentive Program. Professionals who choose to participate by reporting the eRx measure through claims can simply report the G-code on service lines of Medicare Part B Physician Fee Schedule (PFS) professional-services claims. Beginning with the 2010 eRx Incentive program year, eligible professionals may also qualify to earn an eRx incentive by reporting the eRx measure to a qualified registry. Professionals participating in a registry that self-nominates and qualifies to submit data on behalf of eligible professionals for a particular program year should expect to receive more information from the registry on how to participate. Only registries qualified for the Physician Quality Reporting System are eligible to become qualified for purposes of submitting data on the eRx measure on behalf of eligible professionals. In addition to the claims-based reporting mechanism and the registry-based reporting mechanism, CMS tested electronic health record (EHR) data submission, in cooperation with EHR vendors. After successful completion of the 2009 Physician Quality Reporting System EHR Testing Program and a determination that there was at least one “qualified” EHR vendor, an eligible professional may potentially be able to earn an eRx incentive payment through the EHR-based reporting mechanism beginning with the 2010 eRx Incentive Program (if the eligible professional is using one of the EHR products that CMS “qualified” in its 2009 Physician Quality Reporting System EHR Testing Program). Only an EHR vendor that is qualified for the Physician Quality Reporting System is eligible to become qualified for purposes of an eligible professional being able to earn an eRx incentive through submission of eRx measure data extracted from a qualified EHR product. NEW! CMS Is Now Accepting Public Comment on Proposed 2012 Physician Quality Reporting System EHR Measure Specifications The Centers for Medicare & Medicaid Services (CMS) is now accepting public comment on proposed Electronic Health Record (EHR) Measure Specifications under consideration for possible inclusion in the 2012 eRx Incentive Program for future program years. 2010 eRx Incentive Program As described in the 2010 Medicare PFS final rule (to view the rule, click on the “Statute/Regulations” link at left), CMS retains the claims-based reporting mechanism. In addition, CMS will accept eRx measure data submitted by a qualified registry on behalf of an eligible professional or eRx measure data extracted from a qualified EHR product. Since only EHR products that are qualified for the Physician Quality Reporting System are eligible to become qualified for the eRx Incentive Program, this was contingent upon the successful completion of our 2009 Physician Quality Reporting System EHR Testing Program, a determination that one or more EHR vendors participating in the 2009 Physician Quality Reporting System EHR Testing Program was “qualified,” and one or more qualified Physician Quality Reporting System EHR vendors notified us of their desire to have one or more of their products qualified for purposes of the 2010 eRx Incentive Program. Registry-Based Submission for 2010 Incentive To qualify to submit eRx measure data on behalf of eligible professionals seeking eRx incentive payments for 2010, registries must be qualified to submit 2010 Physician Quality Reporting System data on behalf of eligible professionals. To become qualified to submit 2010 Physician Quality Reporting System data on behalf of eligible professionals, and thus, be eligible to become qualified to submit 2010 eRx measure data on behalf of eligible professionals, registries are required to go through a self-nomination and vetting process if they are new to Physician Quality Reporting System registry reporting, or to notify CMS of their desire to continue Physician Quality Reporting System data submission in 2010 if they were qualified in 2009 and successfully submitted their users’ quality data. To become qualified, registries must meet certain technical and other requirements specified by CMS. The document “Registry Requirements for Submission of 2010 Physician Quality Reporting System Data on Behalf of Eligible Professionals” describes the high-level requirements for a registry to qualify to submit under the registry-based reporting alternatives for the 2010 Physician Quality Reporting System. This document also outlines how a registry can become qualified for 2010 Physician Quality Reporting System data submission. Any registry that wants to report the eRx measure for the 2010 eRx Incentive Program also will have to follow the requirements contained in this document. This document provides the data submission specifications for registry-based reporting to be utilized by the qualified registries. An updated list of registries that have become “qualified” to submit quality data to CMS on behalf of their eligible professionals for 2010 Physician Quality Reporting System. This list consists of qualified registries for the 2008 and 2009 Physician Quality Reporting System that have successfully submitted 2008 Physician Quality Reporting System data on behalf of eligible professionals to us and that have notified us of their desire to submit 2010 eRx measure data on behalf of eligible professionals. Additional registries were added to the list of qualified registries for the 2010 eRx Incentive Program upon completion of the 2010 registry self-nomination process. The self-nomination process to qualify additional registries for the 2010 eRx Incentive Program was completed during summer 2010. EHR-Based Submission for 2010 Incentive To qualify to submit eRx measure data on behalf of eligible professionals or group practices seeking eRx incentive payments for 2010, EHR vendors must be qualified to report 2010 Physician Quality Reporting System EHR measures. In early 2010, CMS finished vetting EHR vendors that self-nominated to participate in the 2009 EHR Testing Program. EHR vendors that successfully completed the 2009 EHR Testing Program are qualified to report 2010 Physician Quality Reporting System EHR measures and may potentially be qualified to report the 2010 eRx measure. A list of qualified EHR vendors for the 2010 eRx Incentive Program is posted here. Qualified Electronic Health Record (EHR) Vendors for 2010 Physician Quality Reporting System and Electronic Prescribing Incentive Programs An updated list of EHR vendors and their programs that have become “qualified” to submit quality data to CMS by eligible professionals 2010 Physician Quality Reporting System reporting. Each of these EHR vendors has gone through a thorough vetting process for the product and version listed including checking their capability to provide the required Physician Quality Reporting System data elements for 10 Physician Quality Reporting System measures. Some EHRs are also capable of reporting the electronic prescribing measure. In addition to capturing the required data elements for the measure calculation, these “qualified” EHR products can also transmit the required information in the requested file format. While the listed EHR vendors and their EHR products have successfully completed the vetting process, CMS cannot guarantee that any other product or version of software from the listed vendors will be compatible for EHR based submission for Physician Quality Reporting System. Additional 2010 EHR products that passed “qualification” were posted by mid-January 2010. 2011 eRx Incentive Program EHR-Based Submission for 2011 Incentive To qualify to report the eRx measure for 2011, EHR vendors will need to be qualified to report 2011 Physician Quality Reporting System EHR measures. EHR vendors who wish to qualify to participate in the 2011 Physician Quality Reporting System EHR program must have submitted a self-nomination letter requesting inclusion in the 2011 Physician Quality Reporting System Testing Process in 2010 by no later than January 31, 2010. The 2011 Physician Quality Reporting System EHR vendor qualification process and requirements for the 2011 Physician Quality Reporting System EHR Testing Process are described in the “Requirements for EHR Vendors to Participate in the 2011 Physician Quality Reporting System EHR Program”. Any EHR vendor that wants to report the eRx measure for the 2011 eRx Incentive Program also will need to have followed the requirements contained in this document.
Source: medicarepaymentandreimbursement.com

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

Texas Medicare Advantage Plans (Medicare Part C)

Texas Medicare Advantage is an alternative to Original Medicare (Parts A and B). Through this plan you will receive both your Medicare Part A and Part B benefits, which include medical and hospital coverage. Medicare Advantage plans offer at least the same amount of coverage as Original Medicare, and must cover emergency and urgent care. Some plans offer additional coverage such as dental, vision, and hearing. Generally, you will have fewer out-of-pocket costs through a Medicare Advantage plan than through Original Medicare, but you will still be required to visit doctors within your plan?s network.
Source: mytexasmedicare.net

Texas Medicare Advantage Plans with Prescription Drug Coverage

Medicare Advantage plans are also available with or without prescription drug coverage. If you want to combine your health and prescription drug coverage into one plan, you can join any type of MA health plan (like a Health Maintenance Organization Plan or a Special Needs Plan) that includes this coverage. These plans are also known as Medicare Advantage Prescription Drug plans or MAPDs. Like other Medicare Advantage plans, MAPDs are required to offer the same coverage as Original Medicare; however, these plans also include the added benefit of prescription drug coverage.
Source: mytexasmedicare.net

Humana Medicare Advantage Plan Reviews

Humana Advantage is constantly denying services (preauthorization and payment) for covered services. My mom was “stuck” in the hospital because they refuse to pre-certify the next level of care. The SNF would not take her because she was too sick and Humana would not approve her to go to a rehab or long term acute care hospital where she could get the therapy she needed to recover. In short, the peer-to-peer yielded nothing. Then the hospital case manager filed an appeal…while I was standing there when she did it but the next day, they had no record of…then I filed an appear, which again the next day they had no record of. We had to get an Indiana State Representative to listen to our story and get personally involved to get her out of the hospital—like 5 days later. You can file a formal complaint with Medicare by calling 1-800-633-4227Â FREE. I also turned to social media to get the word out that Humana Advantage is terrible and never choose it. The only thing that will make this stop these terrible practices is their pocketbook so get the word out to keep others from having to go through all this. Also, open enrollment starts Oct 1 every year—be sure to change!
Source: reviewopedia.com

Get Medicare Part D Quotes in Seconds

As could be expected, prices for Humana policies rocketed for the 2015 calendar year. Mean premiums for Humana Part D jumped from $21.80 to $38.70. Medicare Part D is priced at $41.55 and Part D Medicare comes in at the slightly lower price of $38.80. Humana’s standalone market share coverage has dropped to 18.6% whereas their Medicare Part D policies have increased to a market share of 12.8%.
Source: medicareaide.com