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Keyword: medicare

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  • Ambulance rides a costly chunk of Minnesota's Medicare payments

    04/15/2014 3:59:20 PM PDT · by TurboZamboni · 8 replies
    Pioneer Press ^ | 4-15-14 | Chrissy Snowbeck
    The federal Medicare health insurance program winds up paying the fare for many of the ambulance rides provided by the city of St. Paul. That's why the city in 2012 was one of the largest single recipients of Medicare payments among non-hospital health care providers in the state, according to data released this month by the federal government. Out of more than 19,000 health care providers during 2012 who cared for Medicare patients in Minnesota, the city's take of more than $2 million was the ninth largest individual sum. Whether they were providing ambulance rides or treating illnesses, the state's...
  • Obama Administration To Insurers: There’s No Such Thing As Illegal Immigrants

    04/10/2014 9:49:30 AM PDT · by Hojczyk · 27 replies
    The Federalist ^ | April 10 | Ben Domenech
    Lost in the overall shuffle concerning the many problems with Obamacare’s exchanges is the central problem of enforcement of those aspects of the law the president hasn’t waived or delayed yet – including the particular challenge when it comes to verifying the immigration status of those applying for taxpayer subsidized insurance. On April 1st, the Centers for Medicare and Medicaid Services issued a new guidance document to health insurers. The CMS guidance says that people whose immigration status is uncertain will be presumed eligible for subsidized coverage in Obamacare’s marketplaces while a further review is pending. Emphasis mine: If there...
  • The Left’s Pro-Single Payer Health Care Graphic: Right Diagnosis, Wrong Prescription

    04/11/2014 11:52:31 AM PDT · by Kaslin · 5 replies ^ | Daniel J. Mitchell
    The new leftist website, Vox, has an article by Sarah Kliff on Vermont’s experiment with a single-payer healthcare system. But I don’t really have much to say about what’s happening in the Green Mountain State, other than to declare that I much prefer healthcare experiments to occur at the state level. Indeed, we should reform Medicaid and Medicare and also fix the tax code so that Washington has no role in healthcare. Then the states can experiment and compete to see what works best. But that’s a topic for another day. The real reason I cite Kliff’s article is that...
  • Abusing Both Medicare and Politics

    04/10/2014 7:33:23 PM PDT · by proxy_user · 4 replies
    The New York Times ^ | April 10, 2014 | New York Times Editorial Board
    Earlier this week, the Medicare system for the first time released a list of its payments to individual doctors, showing that just a few doctors accounted for a huge fraction of Medicare payments. As Frances Robles and Eric Lipton of The Times reported on Thursday, two of those doctors had given lavishly to Democratic politicians in hopes of getting Medicare investigators off their backs. The country’s top recipient of Medicare dollars was Dr. Salomon Melgen, a Florida ophthalmologist who has been repeatedly investigated for overbilling the government for an eye medication. In 2012, he received $21 million in Medicare reimbursements....
  • Sen. Menendez’s donor-doctor is nation’s top Medicare biller

    04/09/2014 5:29:42 PM PDT · by Nachum · 15 replies
    daily caller ^ | 4/9/14 | Neil Munro
    The Florida doctor who entangled Sen. Robert Menendez in an FBI investigation also turns out to be the nation’s No. 1 recipient of Medicare funds. Dr. Salomon Melgin, the Florida eye surgeon, charged the government $320 for giving 37,075 injections of an eye-drug to 645 patients. That’s an average of 57 injections per patient, costing the taxpayer $21 million in 2012. The data was buried in an April 9 release of Medicare data by the Centers for Medicare & Medicaid Studies. The wealthy doctor lives in a palatial house in in North Palm Beach, and donated heavily to Menendez. He’s...
  • 1% Of US Doctors Account For Over $10 Billion Of Medicare Billings

    04/09/2014 8:30:06 AM PDT · by Rusty0604 · 24 replies
    Zerohedge ^ | 04/09/2014 | Tyler Durden
    The top 1% of 825,000 individual medical providers accounted for 14% of the $77 billion in medicare billing in 2012, according to new federal data reported by the WSJ. The data shows a very small number of doctors and medical providers account for a huge amount of the costs for treating the elderly... One researcher summed it up, "There's all sorts of services that are low-value for patients, high-revenue to providers," and leaves us wondering, once again, how the government will manage as Obamacare's "success" washes ashore. A doctor who treats a degenerative eye disease in seniors was paid $21...
  • Data trove shows U.S. doctors reap millions from Medicare

    04/08/2014 10:20:05 PM PDT · by blueplum · 23 replies
    Reuters ^ | April 9, 2014 12:24am EDT | SHARON BEGLEY AND M.B. PELL
    (Reuters) :snip: After decades of litigation and over the strenuous objections of the American Medical Association, the leading U.S. doctors group, the federal Centers for Medicare and Medicaid Services (CMS) on Wednesday made public for the first time how much Medicare pays individual doctors. The massive data release, totaling nearly 10 million lines, also includes which medical services each of more than 880,000 physicians and other healthcare providers nationwide billed Medicare for in 2012. :snip: Last December, the inspector general of the Department of Health and Human Services, CMS's parent agency, found that 303 clinicians each collected more than $3...
  • Did an Obamacare supporter just win the Louisiana 5th district seat? (A Republican too)

    11/17/2013 11:32:21 AM PST · by SeekAndFind · 9 replies
    Hotair ^ | 11/16/2013 | Jazz Shaw
    And here I bet some of you thought the 2013 elections were over, didn’t you? Well, they were for the most part, but given the variations in election laws and special circumstances from state to state, there’s always some action brewing someplace. In this case, the congressional seat in Louisiana’s 5th district was open due to Republican Rodney Alexander’s resignation earlier this year to take a job with the Jindal administration. That required a special election, which began earlier this fall. Because of Louisiana’s somewhat unique election structure and the fact that nobody got more than 50% of the vote,...
  • McAllister Supports Amnesty for Illegals (LA05 runoff)

    11/01/2013 2:55:17 AM PDT · by abb · 8 replies
    Lincoln Parish News Online ^ | November 1, 2013 | Walter Abbott
    Vance McAlliser, one of two candidates in a runoff for Congressman from Louisiana’s Fifth District, said yesterday that he supported a “path to citizenship” for aliens that are in the United States illegally. Path to Citizenship is considered by most conservatives to be a politically correct term for amnesty for illegals. From the News Star: And on immigration reform, McAllister said he would support a path to citizenship for those immigrants already here illegally. “We have to secure the borders, but (citizenship) has to be attainable for those people already here,” he said. “It has to be a tough path,...
  • 'Duck Dynasty' Upset in Louisiana May Herald More Surprises in GOP Races

    11/17/2013 7:15:09 PM PST · by 2ndDivisionVet · 11 replies
    NewsMax ^ | November 17, 2013 | John Gizzi
    Hours after political unknown Vance McAllister pulled off a startling upset Saturday night in the special election for Congress in Louisiana's 5th District, pundits and pols were scrambling to figure out how he did it — and whether a trend of "Mr. Outside" and "Miss Outside" defeating established politicians in Republican primaries has begun for 2014. "The election of Vance McAllister to Congress in Louisiana's 5th District reflects the appeal of being an outsider in today's poisonous political environment," Mark Kennedy, former Republican congressman from Minnesota and director of the Graduate School of Political Management at George Washington University, told...
  • Vance McAllister upsets Neil Riser in Louisiana House runoff (GOP-e candidate loses)

    11/17/2013 8:25:53 AM PST · by jimbo123 · 13 replies
    Politico ^ | 11/16/13 | ALEX ISENSTADT
    Businessman Vance McAllister has won the special runoff election for a vacant northeast Louisiana congressional seat, notching an upset win over fellow Republican Neil Riser, according to the Associated Press. With 99 percent of precincts reporting, McAllister, a political newcomer, led Riser, a state senator who had won the support of House Majority Leader Eric Cantor and much of the state’s GOP congressional delegation, 59.7 percent to 40.3 percent. McAllister will succeed former GOP Rep. Rodney Alexander, who resigned in August to take a job in Gov. Bobby Jindal’s administration after spending more than a decade in the House. Riser...
  • Duck Dynasty-endorsed Republican wins La. House seat

    11/18/2013 2:57:59 AM PST · by Timber Rattler · 26 replies
    Washington Examiner ^ | November 17, 2013 | PAUL BEDARD
    An unknown political novice who has never visited Washington, D.C., won a special election for Louisiana's 5th District seat Saturday on the endorsement of the “Duck Dynasty” family and a promise to fix Obamacare. Vance McAllister beat establishment candidate Neil Riser, a state senator, in Saturday's runoff election created when former Rep. Rodney Alexander resigned on Sept. 26 to become secretary of the Louisiana Department of Veterans Affairs under Republican Governor Bobby Jindal.
  • 'Duck Dynasty' Upset in Louisiana May Herald More Surprises in GOP Races

    11/17/2013 7:14:59 PM PST · by statestreet · 8 replies
    NewsMax ^ | November 17, 2013 | John Gizzi
    Hours after political unknown Vance McAllister pulled off a startling upset Saturday night in the special election for Congress in Louisiana's 5th District, pundits and pols were scrambling to figure out how he did it — and whether a trend of "Mr. Outside" and "Miss Outside" defeating established politicians in Republican primaries has begun for 2014.
  • Duck Dynasty'-backed candidate wins Louisiana congressional election

    11/17/2013 5:45:53 PM PST · by Lorianne · 5 replies
    Fox News ^ | 17 November 2013
    Vance McAllister, a political newcomer with the backing of the popular "Duck Dynasty" TV family, was elected as Louisiana's newest member of Congress Saturday night. According to the Louisiana Secretary of State's website, McAllister led establishment candidate Neil Riser 59.7 percent to 40.3 percent -- a difference of over 17,500 votes -- with 976 of a possible 981 precincts reporting. McAllister advanced to this weekend’s election to face off against Riser after an October contest with more than a dozen other candidates from both political parties -- in what is known as a “jungle primary.” The seat in Louisiana's 5th...
  • 'Duck Dynasty' Endorsed Candidate Wins Special Election, Upsets GOP Establishment Opponent

    11/21/2013 10:27:42 AM PST · by SeekAndFind · 21 replies
    Christian Post ^ | 11/21/2013 | Michael Gryboski
    A political candidate endorsed by a member of the "Duck Dynasty" family has upset his establishment opponent in a special election held in Louisiana. Vance McAllister, a businessman who received an endorsement from Willie Robertson not long before the vote, was victorious against La. State Senator Neil Riser this past weekend. In the special runoff election held for the vacated Fifth Congressional District seat of Louisiana, McAllister defeated Riser with 59.7 percent of the vote versus Riser's 40.3 percent, reported Politico. Riser had strong support from Republican establishment figures at the state and federal level and was expected to win...
  • McAllister wins 5th District congressional seat

    11/16/2013 8:22:47 PM PST · by House Atreides · 46 replies
    Vance McAllister, a political newcomer with the backing of the popular "Duck Dynasty" TV family, is Louisiana's newest member of Congress. McAllister, who largely self-funded his campaign, beat establishment candidate Neil Riser, a state senator, in Saturday's runoff election for the vacant 5th District seat. Both men are Republicans.
  • Surprise: Obama Administration Again Delays Obamacare's Medicare Cuts

    04/08/2014 3:09:22 PM PDT · by Kaslin · 5 replies ^ | April 8, 2014 | Guy Benson
    obody -- and I mean nobody -- should be surprised by this: Amid heavy pressure from insurers, lawmaker and advocates, the Obama administration has backed off proposed cuts to Medicare Advantage for the second year in a row. They’ll rise by 0.4 percent in 2015 instead of undergoing the originally proposed 1.9 percent cut....“The changes CMS included in the final rate notice will help mitigate the impact on seniors, but the Medicare Advantage program is still facing a reduction in payment rates next year on top of the 6 percent cut to payments in 2014,” said [AHIP] president Karen Ignagni....
  • Springtime Observations On Obamacare

    04/08/2014 9:44:16 AM PDT · by Oldpuppymax · 1 replies
    Coach is Right ^ | 4/8/14 | Michael D. Shaw
    It is a fool’s errand to attempt a cost-benefit analysis on government programs. War, for example, is probably the oldest government program. It is easy enough to determine the cost in lives and treasure, but it is far more difficult to determine the benefits, and then, if these benefits were worth the cost. Back in the day, victory was the goal, and presumably the overriding benefit. In the past, “victory” was always understood as causing your enemy to surrender. Nowadays, of course, that is no longer the case. In the 1960s, it became popular to declare “war” on all sorts...
  • Obama backs down on cuts to Medicare (House floor protest by RATS)

    04/08/2014 2:54:06 AM PDT · by Libloather · 6 replies
    PressTV ^ | 4/08/14
    The Obama administration on Monday canceled planned cuts to Medicare Advantage amid a drumbeat of election-year opposition from Democrats. The cuts would have reduced the benefits that seniors receive from insurance plans in the program, which offers an alternative to traditional Medicare. The reversal came as a relief to many Democrats, who feared the cuts would create a backlash among seniors in the midterm elections. “In many parts of the country, including New York, Medicare Advantage works very well. They’ve shouldered their share already and this proposed cut would have been disproportionate, hurting seniors who would lose doctors or pay...
  • For Dems, a problem with seniors

    04/06/2014 3:44:29 PM PDT · by Libloather · 41 replies
    The Hill ^ | 4/06/14 | Alexandra Jaffe
    Democrats are facing a senior problem that could get even worse this year. The party has traditionally had trouble with older voters, losing the group aged 65 and over by 21 points in 2010 — when Republicans picked up 63 seats — and by 12 points in the 2012 presidential race. Seniors are the GOP’s most reliable voting bloc in midterm years, turning out in higher numbers than Democratic base voters. A recent Gallup poll showed seniors have become even more Republican over the last two decades; in 2013, 48 percent considered themselves Republican. That spells trouble for Democrats, who...
  • Obama’s new healthcare dilemma

    04/06/2014 3:36:03 AM PDT · by SkyPilot · 33 replies
    the hill ^ | 6 Apr 14 | Jonathan Easley
    Democrats are battling the White House over proposed cuts to Medicare Advantage, creating a new divide on healthcare just as the party had begun to rally around ObamaCare’s 7.1 million enrollees. The issue threatens the newfound momentum Democrats have on healthcare after a late surge of ObamaCare enrollees surprised and electrified a party that had been beaten down after months of bad news associated with the healthcare law’s rollout. It’s particularly sensitive during an election year, as both parties court senior voters, who make up a disproportionate percentage of the voting population in midterm elections. The issue creates another...
  • Seniors, doctors, lawmakers rail against UnitedHealthcare (CT)changes (Losing care due reps vote)

    03/08/2014 4:50:52 AM PST · by raybbr · 28 replies ^ | 03/07/14 | Mary E. O’Leary
    hamden >> Seniors and U.S. Rosa L. DeLauro planned their next move Friday as they looked for ways to keep UnitedHealthcare and federal agencies accountable after the large insurer cut Yale-New Haven Hospital and more than 2,200 doctors around the state from their Connecticut networks. DeLauro, D-3, said she will ask the federal General Accounting Office to investigate the Center for Medicare and Medicaid Services on how it determined the remaining practitioners will be enough to serve patients and whether UHC gave the required notice to Greater New Haven clients. The letter has been signed by all five of Connecticut’s...
  • Ryan unveils House GOP budget claiming balance (another Budget Resolution)

    04/01/2014 10:11:52 AM PDT · by sickoflibs · 16 replies
    yahoo news ^ | 4/1/2014 | ANDREW TAYLOR
    WASHINGTON (AP) — House Budget Committee Chairman Paul Ryan unveiled an updated Republican budget plan Tuesday that would slash $5.1 trillion in federal spending over coming decade and promises to balance the government's books with wide-ranging cuts in programs like food stamps and government-paid health care for the poor and working class. Ryan's plan would also cut Pell Grants for low-income students and pensions for federal workers, while steering away from cuts to benefits for senior citizens, at least in the short term. The proposal would reprise a voucher-like Medicare program for future retirees that would be the basis for...
  • The October Surprise that Could Cripple the Practice of Medicine

    03/28/2014 5:03:31 AM PDT · by afraidfortherepublic · 50 replies
    The American Thinker ^ | 3-28-14 | Brian Joondepth
    You won’t read about the International Classification of Disease (ICD) on TMZ or hear it discussed on The View, but it has the potential to be an unpleasant October surprise in the health care world. It is a list of codes that physicians and hospitals use when billing insurance companies. These codes cover all manner of medical diagnoses for diseases, conditions, and injuries. The first version of the ICD appeared in 1946, with periodic revisions since. Six months from now, on October 1, the latest version, the ICD-10, will be implemented in the U.S. We are late to the party,...
  • Hospitals Plot the End of Insurance Companies

    03/27/2014 10:13:38 AM PDT · by Star Traveler · 100 replies
    The Fiscal Times ^ | Thursday, March 27, 2014 | Rob Garver
    The problems with the implementation of the Affordable Care Act may be masking another major change in the way health care is delivered to U.S. consumers, experts believe. At a conference in Washington on Thursday, health care and business professionals said that there’s an increasing trend in the industry toward cutting insurance companies out of the process entirely, as large, regional hospital systems move into the insurance business. Dr. Kenneth L. Davis, CEO and president of Mount Sinai Health System, the largest health care provider in the state of New York, said that starting next year, Mt. Sinai will begin...
  • So you want single payer? Medicare has 375,000 case appeals backlog (And rising...)

    03/19/2014 3:31:34 PM PDT · by SeekAndFind · 7 replies
    Hotair ^ | 03/19/2014 | Bruce McQuain
    And that sort of a backlog has Democrats worried. POLITICO brings us up to date: Rep. Jim McDermott (D-Wash.) is sounding the alarm this morning about a massive backlog within the Office of Medicare Hearings and Appeals. The 357,000-appeal clog delays providers from having their cases heard for longer than two years, McDermott noted in a letter to HHS Secretary Kathleen Sebelius. ” “The agencies must review their administrative procedures and act now to protect seniors who are struggling to get Medicare payment appeals addressed,” he wrote. He argued that problems with recovery auditors have been identified as the leading...
  • Try Not To Punch Your Screen As These Seniors Explain What Obamacare Has Done To Them

    03/12/2014 3:04:17 PM PDT · by lowbridge · 6 replies ^ | march 12, 2014 | daniel noe
    The possibility of being called a liar by Harry Reid isn't stopping this group of senior citizens from speaking out.
  • Obama drops Medicare changes

    03/10/2014 10:06:01 AM PDT · by Sub-Driver · 26 replies
    March 10, 2014, 12:38 pm Obama drops Medicare changes By Elise Viebeck The Obama administration is abandoning a surprise plan to alter Medicare drug coverage rules after it was almost unanimously panned by Congress and K Street. Medicare chief Marilyn Tavenner alerted lawmakers Monday that her agency would not finalize regulations giving insurers more leeway to limit the number of drugs they cover for Medicare beneficiaries. Critics argued that making the change, which the administration said would save money, would have hampered seniors' access to necessary medications Democrats had worried the issue could have hurt them in the midterm elections....
  • Obamacare blocks patients paying for treatment (with own money)

    03/09/2014 1:39:00 PM PDT · by aMorePerfectUnion · 27 replies
    WND ^ | March 6, 2014 | Bob Unruh
    A new report by the Robert Powell Center for Medical Ethics at National Right to Life warns that one of the Obamacare provisions that ex-House Speaker Nancy Pelosi said Americans would discover if Congress passed the bill is that some seniors will not be allowed to spend as much as they wish on their health care. The extreme position was revealed in a special report by the NRLC titled “The Affordable Care Act and Health Care Access in the United States,” which analyzes four fundamental policy areas of Obamacare. It finds several ways that the federal health care law “will...
  • A Look At Population Health

    03/07/2014 9:02:05 AM PST · by Oldpuppymax
    Coach is Right ^ | 3/7/14 | Michael D. Shaw
    For better or worse, the incursion of national governments into health care—including our own Medicare system—has permanently altered virtually all aspects of how care is delivered. Even before the Affordable Care Act (Obamacare) explicitly brought federal control to every facet of this industry irrespective of the type of insurance coverage, Medicare’s influence would reach far beyond its statutory purview of health care for seniors. Not surprisingly, the Centers for Medicare & Medicaid Services (CMS) has become the lead agency for Obamacare, and, somewhat ironically, has spared no expense in the pursuit of saving money on health care. For example, CMS...
  • Insurers: Medicare Advantage cuts cost seniors $900 per year

    03/02/2014 8:51:20 AM PST · by Libloather · 17 replies
    The Hill ^ | 2/27/14 | Elise Viebeck
    The health insurance industry fighting proposed cuts to Medicare Advantage payments argued they will raise seniors' out-of-pocket costs next year. America's Health Insurance Plans (AHIP), a trade group, blasted the reductions with a report Thursday finding that beneficiaries could pay as much as $900 more in 2015 if the cuts take effect. The report by consulting firm Oliver Wyman concluded that Medicare Advantage (MA) plans could see a 5.9 percent total cut to their payments next year as a result of changes proposed by federal health officials. The Centers for Medicare and Medicaid Services (CMS) floated a 2015 cut of...
  • Mich. Hospital Cites Obamacare for Recent Job Cuts: ‘We Had No Choice’

    02/28/2014 9:37:09 AM PST · by Behind Liberal Lines · 29 replies
    National Review ^ | February 28, 2014 11:23 AM | By Andrew Johnson
    A northern-Michigan hospital is cutting 43 positions in part because of costs related to the Affordable Care Act, its CEO says. David Zechman of McLaren Northern Michigan told a local television station the layoffs were “something that we had no choice in doing.” Zechman cited the changes to Medicaid and Medicare under the health-care law that cut reimbursement rates for the hospital’s services. “We still have the same costs of taking care of patients, but it’s hard to keep doing the same things you’re doing if you’re paid less for the same amount of costs and services you provide —...
  • Plan to Limit Some Drugs in Medicare Is Criticized

    02/24/2014 8:28:11 PM PST · by Seizethecarp · 29 replies
    New York Times ^ | February 21, 2014 | KATIE THOMAS and ROBERT PEAR
    An alliance of drug companies and patient advocates, joined by Democrats and Republicans in Congress, is fiercely opposing an Obama administration proposal that would allow insurers to limit Medicare coverage for certain classes of drugs, including those used to treat depression and schizophrenia. The administration’s proposal would remove the protected status from three classes of drugs that has been in place since the program’s inception in 2006: immunosuppressant drugs used in transplant patients, antidepressants and antipsychotic medicines. They include many well-known drugs, such as Wellbutrin, Paxil and Prozac to treat depression, and Abilify and Seroquel to treat schizophrenia. Three other...
  • Democrats rushing to cancel Medicare cuts they asked for in Obamacare

    02/22/2014 12:42:41 PM PST · by SeekAndFind · 20 replies
    Hotair ^ | 02/22/2014 | Jazz Shaw
    Last month, Ed brought up the subject of how insurance companies were reacting to scheduled cuts to Medicare which were part of Obamacare. The news wasn’t good for them, and now Democrats are moving toward full blown panic mode after HHS announced that the cuts are on the way. The Obama administration ignited a new election-year controversy Friday when regulators handed down fresh cuts to Medicare Advantage (MA).Next year, plans in the program will see their payments cut by at least 2 percent on average between ObamaCare and a regular annual update, the announcement stated.The Centers for Medicare and Medicaid...
  • Health care act no more a 'job killer' than Social Security or Medicare

    02/21/2014 4:33:38 AM PST · by TurboZamboni · 15 replies
    Pioneer Press ^ | 2-19-14 | Edward Lotterman
    The critics are right, however, that some people will choose to work less because they qualify for a tax-credit based subsidy. If not for this government program, they would have to work harder and employment numbers would be higher. So might total output or gross domestic product. This aspect of the Affordable Care Act distorts economic efficiency. But don't kid yourself that this is anything new. Social Security has the same effect. About 41 million people currently get Social Security retirement benefits. Many still do work, at least part-time. But most do not. If not for their monthly checks, which...
  • Medicare Advantage plans may face cuts

    02/22/2014 8:05:31 AM PST · by Olog-hai · 15 replies
    Associated Press ^ | Feb 22, 2014 3:52 AM EST | Ricardo Alonso-Zaldivar
    Cuts are on the table next year for Medicare Advantage plans, the Obama administration says. The politically dicey move affecting a private insurance alternative highly popular with seniors immediately touched off an election-year fight. The announcement gave new ammunition to Republican critics of President Barack Obama’s health care law, while disappointing some Democratic senators who had called on the administration to hold rates steady. Insurers are still hoping to whittle back the cuts or dodge them altogether. …
  • Senate Democrats: Why Didn't Someone Tell Us Obamacare Would Cut Medicare?

    02/20/2014 6:59:30 AM PST · by Cheerio · 59 replies
    NRO ^ | February 20, 2014 | Jim Geraghty
    The National Republican Senatorial Committee points out that North Carolina Sen. Kay Hagan and other vulnerable Senate Democrats are now whacking the Centers for Medicare & Medicaid… for enacting changes required by Obamacare. Hey, Senator Hagan, if you want to blame someone, blame the foolish or dishonest lawmakers who voted for the law! Wait a minute, that’s you! In 2009, Senator Kay Hagan (D-NC) promised North Carolinians who depend on Medicare that she was going to “protect Medicare” and that they would “not see a drop in their Medicare coverage.”
 But in 2010 Kay Hagan voted to slash Medicare Advantage...
  • Obama faces budget dilemma (Hussein's Social Security & Medicare cuts)

    02/16/2014 5:52:39 AM PST · by Libloather · 8 replies
    The Hill ^ | 2/15/14 | Erik Wasson
    President Obama is facing a deepening dilemma about whether to abandon cuts to Social Security in his next fiscal blueprint, which is due out in March. Obama touched the third rail of American politics last year when he proposed a new formula for Social Security and other entitlements that would result in benefits being cut over time. Now congressional Democrats and unions are ramping up their pressure on Obama to drop the proposal, which many fear could become an albatross for the party in the midterm elections. “We want the president to make very clear that he is going to...
  • What Republicans and Democrats Don’t Understand About The Insurance Company ‘Bailout’

    02/15/2014 6:09:35 PM PST · by 2ndDivisionVet · 9 replies
    EurAsia Review ^ | February 15, 2014 | John C. Goodman
    Last week I testified before the House Oversight committee on the “risk corridors” in the (ObamaCare) exchanges. Republicans claim that this is a device to bail out the insurance companies. Democrats, in the unusual position of defending the insurance companies, actually claimed that the government was going to make a “profit” because of it. I was in the uncomfortable position of not agreeing completely with either side. The Affordable Care Act creates a new health insurance marketplace (the exchange). But because of the great uncertainty about what buyers will enter the market and who will buy what product, the law...
  • AAPS Warns Against Proposed “Permanent Fix” to SGR

    02/12/2014 10:45:26 AM PST · by grumpygresh · 6 replies
    Once again, the American Medical Association is calling on patients and doctors to barrage Congress with pleas to permanently end the Clinton-Gingrich Sustainable Growth Rate (SGR) formula for cutting Medicare costs. The proposed tiny yearly “updates” (0.5%) for 5 years are even less than the inadequate Social Security cost-of-living increases. The cost of a postage stamp, for example, increased by 6.5% in January. “How can the AMA possibly agree to a virtual 5-year fee freeze when the value of the dollar could deteriorate drastically?” Orient asks. AAPS argues that Medicare can calculate reimbursements however it likes, but the fee should...
  • Will You Owe Debt After Death? The Medicaid Surprise

    01/27/2014 8:25:49 AM PST · by rktman · 58 replies ^ | 1/27/2014 | Morgan Brittany
    This was not in the fine print of the Affordable Care Act (that no one read), and there was nothing in it that changed the existing law from 1993. The ACA however, did expand the number of people who are eligible for Medicaid, so now there are more people from the ages of 55 to 65 whose estates could be on the hook for Medicaid expenses after the beneficiary dies. This sounds like a cash grab to me. Many states have not changed the law to limit the amount of expenses the government can claim are owed for Medicaid, but...
  • Hospital Chain Said to Scheme to Inflate Bills (DOJ case against hospital)

    01/26/2014 5:07:06 AM PST · by Red in Blue PA · 26 replies
    Every day the scorecards went up, where they could be seen by all of the hospital’s emergency room doctors. Physicians hitting the target to admit at least half of the patients over 65 years old who entered the emergency department were color-coded green. The names of doctors who were close were yellow. Failing physicians were red. The scorecards, according to one whistle-blower lawsuit, were just one of the many ways that Health Management Associates, a for-profit hospital chain based in Naples, Fla., kept tabs on an internal strategy that regulators and others say was intended to increase admissions, regardless of...
  • Medicare Changes: 'Under Observation'

    01/24/2014 4:08:22 PM PST · by Lorianne · 7 replies
    NBC News ^ | January 2014 | Kate Snow reporting
    Video 3:03 News story about rehab being taken off Medicare coverage.
  • Medicaid v Medicare

    01/23/2014 4:00:55 PM PST · by umgud · 22 replies
    Vanity | 1/23/14 | self
    What are the major differences between Medicaid, Medicare? Which covers more? Since Obamacare thrusts so many into Medicaid, and has raised income limits, can a retiree chose Medicaid over Medicare? Can I assume a person who retires early (at 62) and can't get Medicare until 66, can get Medicaid?
  • Barack Uses ObamaCare to Keep Seniors in Pain and Die Earlier

    01/22/2014 4:28:48 PM PST · by grundle · 32 replies ^ | Janaury 2014
    On Oct. 1, 2012 the Obama administration started awarding bonus points to hospitals that spend the least on elderly patients. It will result in fewer knee replacements, hip replacements, angioplasty, bypass surgery and cataract operations. These are the five procedures that have transformed aging for older Americans. They used to languish in wheelchairs and nursing homes due to arthritis, cataracts and heart disease. Now they lead active lives. But the Obama administration is undoing that progress. By cutting $716 billion from future Medicare funding over the next decade and rewarding the hospitals that spend the least on seniors, the Obama...
  • Aetna CEO: We May Just Have to Pull Out of Obamacare

    01/22/2014 10:35:29 AM PST · by jazusamo · 47 replies
    PJ Media ^ | January 22, 2014 | Bryan Preston
    The Obama administration claims that its Obamacare sign-up numbers aren’t that far off from where they need to be. They have a vested interest in selling the program as a success, and have proven themselves dishonest about it from the beginning. Obama knew that his “if you like your healthcare, you can keep your healthcare” promise was bogus the entire time. The CEO of Aetna insurance, Mark Bertolini, has a different take on the president’s signature healthcare law. Aetna CEO Mark Bertolini told CNBC on Wednesday that Obamacare has failed to attract the uninsured, and he offered a scenario in...

    01/20/2014 9:35:15 AM PST · by Thank You Rush · 19 replies
    Classifying Medicare patients admitted to hospitals can be classified as "observation status" or "inpatient." The bill that seniors will ultimately end up with depends on this classification. If they are in need of rehabilitation in a nursing home after hospitalization and the classification of "observation status" was applied to their records at the hospital, Medicare does not pay for the nursing home.
  • Medicare posts hospitals' 'clean and dirty laundry' on Hospital Compare website

    01/20/2014 4:53:15 AM PST · by afraidfortherepublic · 11 replies
    Post and Courier ^ | 1-20-14 | Lauren Sausser
    Patients can make choices about which hospital they use based on many factors, including advertisements on billboards and signs on the back of city buses. While annual hospital rankings published in magazines like U.S. News & World Report and Consumer Reports offer conflicting advice on the best places to seek treatment, plain-and-simple geography can also matter. So do health insurance networks and recommendations from friends or physicians. “How does the consumer know which to believe?” said Dr. Todd Shuman, vice president and chief quality officer for Roper St. Francis Healthcare. “Should they believe this, or should they believe this? Or...
  • Top insurer warns that Obamacare enrollment mix worse than expected [Humana, Medicare Advantage]

    01/10/2014 11:34:48 PM PST · by Cincinatus' Wife · 99 replies
    Washington Examiner ^ | January 10, 2014 | Philip Klein
    Humana Inc., the nation's fourth-largest health insurer by market share, warned Thursday that the risk pool of applicants for insurance through President Obama's health care law would be worse than previously expected. Ever since the botched rollout of the health care law's exchanges in October, the policy community has been eager to know more about the mix of individuals signing up for insurance through the law. Because the law forces insurers to cover those with pre-existing conditions, insurers need to attract a critical mass of young and healthy individuals with lower medical costs into the exchanges to offset the cost....
  • ACA: Wrong Direction for America's Seniors

    01/09/2014 12:48:35 PM PST · by Kaslin · 8 replies ^ | January 9, 2014 | Hector Barreto
    Words matter. “If you like your doctor, you will be able to keep your doctor, period. If you like your healthcare plan, you'll be able to keep your healthcare plan, period,” President Obama said during a speech to the American Medical Association in June 2009. Honoring your commitments is the cornerstone of trust in our leaders. The American people won’t accept illusions or misdirection’s. That’s why its troubling that because of the Affordable Care Act (ACA) or Obamacare, Medicare will be cut by $1.05 trillion, 6.3 million Americans have lost their healthcare coverage since its implementation and millions more stand...