Saying no to Medicare
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The article reports on insurance guru, Carlos Garcia Flores and his views on Medicare Advantage Plans. Flores says that he is predicting good things from the recent medicare changes. He believes that Medicare Advantage will create positive change in the insurance industry. He says that the...
- Liability Claims in the Medicare Secondary Payer Arena: Planning the Medicare Set-Aside. Joyner, Charles D.; Harper, Christine E. // FDCC Quarterly;Spring2011, Vol. 61 Issue 3, p288
The article presents three ways to protect the interest of Medicare and enforce the Medicare Secondary Payer Act (MSPA), which include conditional payments, Medicare set-aside, and the Medicare, Medicaid, and SCHIP Extension Act of 2007 (MMSEA). It says that Medicare has a statutory right of...
- BY THE NUMBERS: MEDICARE FUTURE. Mayer, Kathryn // Benefits Selling;Mar2012, Vol. 10 Issue 3, p14
The article presents statistics related to Medicare including the 82% middle-income Americans who say that they are extremely or very satisfied with Medicare's access and quality of health care, the 87% who are concerned about the future of their Medicare, and 85% Americans turning age 65 who...
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Medicare: President Obama routinely says he trusts the American people. But when push comes to shove, he always puts his faith in Washington bureaucrats. Case in point is the battle over how to control Medicare costs.
- CMS to scrutinize Medicare formularies. Wechsler, Jill // Managed Healthcare Executive;Jan2005, Vol. 15 Issue 1, p13
The article reports that the U.S. Centers for Medicare and Medicaid Services (CMS) will scrutinize medicare formularies. In evaluating and approving proposals from medicare prescription drug plans, CMS says it will examine a plan's formulary list, pharmacy and therapeutics committee operations,...
- Panel seeks medicare payment rate cut. // H&HN: Hospitals & Health Networks;04/20/97, Vol. 71 Issue 8, p56
Reports that Physician Payment Review Commission is calling for reduction in Medicare Health Maintenance Organization (HMO) reimbursement rates. Estimated amount that Medicare overpays to HMO annually; What the commission says on its annual report to Congress about Medicare HMO reimbursements...
- New Medicare Fee Schedule Provides Boost for Evaluation and Management Services. // American Family Physician;2/15/2009, Vol. 79 Issue 4, p259
The article reports on the potential benefit of the changes in the 2009 Medicare physician fee schedule of the U.S. Centers for Medicare and Medicaid Services for family doctors. It says that family physicians could see about 2% raise for Medicare charges as a result of such changes. Also noted...
- Debate rages over Medicare coverage of sexual dysfunction drugs. Gatty, Bob // Urology Times;4/1/2005, Vol. 33 Issue 4, p49
The article focuses on the issue of Medicare coverage of sexual dysfunction drugs. It is estimated that the new Medicare program is nearly double the government's original 2003 projections. Representative Steve King, a Republican from Iowa, introduced legislation to prohibit Medicare payment for...
- Learn The Real Deal About Charging No-Shows. // Getting Paid in Behavioral Healthcare;Sep2007, Vol. 12 Issue 9, p1
The article reports on the policy issued by Centers for Medicare and Medicaid Services (CMS) in charging Medicare patients if they miss doctor's appointment in the U.S. It says that CMS issued a Medlearn Matters regarding its policy for charging for missed appointments, with a few caveats....
- Brace Your Practice for 27% Medicare Conversion Factor Cut. // General Surgery Coding Alert;Jan2012, Vol. 14 Issue 1, p1
The article says that the Physician Fee Schedule (PFS) conversion factor, to be effective from January 1, 2012, will reduce Medicare payments for general surgical services by 27.4 %. The U.S. Centers for Medicare & Medicaid Services (CMS) says that they are working with the Congress to fix this...
