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Medicare Trying to Save Your Life; Needs You to Help by Using Preventive Services
|
Big penalties await those who delay Medicare enrollments
1/23/12 (Reuters)
- Most seniors on Medicare will pay $99.90 per month this year for Part B outpatient coverage. But how would you like to pay 10 percent more for that
coverage, or 50 percent more?
Failing to sign up for Medicare at the right time can cost you - big time. The monthly Part B premium jumps 10 percent for each
full 12-month period that a senior could have had coverage but didn't sign up.
A mistake can be costly; someone who fails to enroll for five years would face a 50 percent Part B penalty - 10 percent for
each year of delay. That penalty is permanent, and can translate into thousands of dollars in unnecessary lifetime penalty expenses; a headache no one
needs on top of already soaring healthcare costs.
That means it's critical to understand Medicare's rules for filing. (Read
more by Mark Miller at Reuter’s) |
Health & Medicine for Senior Citizens
Preventive Services Not Offered by Doctors at Annual Exams; Seniors Most
Often Ignored
Docs mention about half of recommended preventive services to older patients; most recommended are tests for colorectal
cancer, hypertension, breast cancer
Jan. 26, 2012 - Patients – senior citizens and in particular – are not always presented with the screening tests and
counseling services that are recommended and due during their medical checkups. Those most likely to receive the preventive services were
those over-weight or obese. Read more...download free Medicare
preventive services checklist
Social Security News
Patty Duke Registers Online for Social Security, Medicare in PJs
Patty Duke Show star has volunteered for years to help promote Social Security’s online services to fellow baby boomers -
see video
|
Patty Duke, husband in pajamas join Social Security & Medicare. |
Jan. 23, 2012 - After years of telling people they can apply online for Social Security in their pajamas, Patty Duke has
taken her own advice. Duke turned 65 last month and applied online for retirement and Medicare benefits from home.
Read more, watch video...
Medicare News
Medicare is Trying to Save Your Life; Needs You to Help by Using Preventive Services
Download this free, handy sheet for keeping track of your free Medicare preventive services
Jan. 22, 2012 - Senior citizens have a better chance at a longer, healthier life this year, thanks to the many new
preventive services now offered by Medicare. Many have been added by the health care reform law, called “Obamacare” by its critics, but
officially named the Affordable Care Act. SeniorJournal.com is offering a free checklist to help you keep up with all the preventive services
you are due. Read more, download your free checklist...
|
Many Older Women May Be Able To Skip Osteoporosis Screening: Study
By Mike Stobbe,
Huffington Post
1/19/12
- New research could mean millions of older women can skip frequent screening tests for osteoporosis: If an initial bone scan shows no big problems,
many can safely wait 15 years to have another one, the study suggests.
Government advisers and leading doctor groups urge osteoporosis screening, but no
one has known how often that should happen. The findings offer the best information to date on that question, experts said.
At issues are bone mineral density tests, which usually are done through X-rays and
cost around $250. It takes about 10 minutes and involves less radiation than what's emitted during a chest X-ray. Medicare pays for testing every two
years.
The new study feeds concerns that the tests are done too often, at least for some
women.
Complete story at Huffington Post |
Medicare News
Health Reform Law Achieving Goal of Reducing Growth in Health Care Spending
Spending in 2009 showed lowest rate of increase in the entire 51 year history of tracking; 2010 remained low
Jan. 10, 2012 - A
major goal of the Affordable Care Act, sometimes called “Obamacare” by the health reform law’s critics, has been to curtail the rapid increase
in the cost of health care. A new report indicates it is achieving this goal – U.S. health care spending grew at historically low rates in
2009 and 2010. Read more...
|
President Obama, GOP Have Similar Ideas on Medicare Changes
Baby boomer tsunami forcing actions to reduce spending growth
 1/2/12
- Medicare is headed for big changes in 2012, no matter who wins the White House, according to an analysis by AP reporter Ricardo Alonso-Zaldivar.
And, it is the flood of baby boomers – 1.5 million a year - hitting the Medicare door-opening age of 65 that is forcing changes to slow the spending
growth.
The AP report says there are “surprising similarities” in the remedies being offered by President Barack Obama and
the Republican leader on this issue, Rep. Paul Ryan of Wisconsin.
Squeezing more money out of higher-income senior citizens, limiting Medicare spending, and increasing the age for
eligibility are mentioned by both. >>
Read AP report at Yahoo |
Medicare News
Hospitals Look to Post-Discharge Clinics to Help Hold Down Readmissions
Medicare may penalize hospitals with higher than expected 30-day readmission rates for pneumonia, heart failure, heart
attack - see video
By Michelle Andrews, Insuring Your Health
|

See video on Revolving Door of Readmissions |
Dec. 20, 2011 - For patients, the transition from hospital to home is a critical time. Discharged with follow-up
instructions and often a fistful of medications, many need medical guidance. But too often a smooth handoff to a primary-care physician
doesn't happen, and small recovery glitches become larger ones. The result: In short order the patient is often back in the hospital.
Read more, see video...
Seniors with Chronic Conditions to Get Most Medicare Services at Home
Medicare testing if expanding services will improve care, lower costs for seniors and other disabled
Dec. 20, 2011 - Up to 10,000 Medicare patients with chronic conditions will now be able to get most of the care they need
at home under a new demonstration announced today by the Centers for Medicare & Medicaid Services (CMS).
Read more...
Medicare Enrollment is Still Open to Switch to 5-Star Medicare Advantage Plan
Medicare has new Special Enrollment Period for joining 5-star plans all year long
Dec. 15, 2011 – Just because Medicare kept us well informed about the Open Enrollment Period that ended Dec. 7 with an
unrelenting flow of promotion, you may think enrollment is closed. It may even puzzle you that you are still seeing advertising from Medicare
Advantage plans. Guess what? You can still switch plans, as long as it is to a 5-star plan.
Read more...
Senior Citizen Politics
Wyden-Ryan Plan Could Neutralize Medicare in 2012 Election: Analysis
Rep. Paul Ryan, R-Wis, Sen. Ron Wyden, D-Ore., unveiled new
Medicare plan, would give seniors a fixed amount of money to buy private
insurance or pay for traditional Medicare - plus video from GOP debate on Gingrich position
By Marilyn Werber Serafini, KHN Staff Writer
|

Sen. Ron Wyden, D-Ore., left, and House Budget
Committee Chair Paul Ryan, R-Wis. |
Dec. 16, 2011 - Even with just two congressional supporters, a new Medicare overhaul plan could have big implications for
next year’s congressional election. Indeed, it could neutralize a political problem that has been plaguing Republicans since April, argues
Robert Blendon, a professor of health policy and political analysis at the Harvard School of Public Health.
Read more, see video...
Senior Citizen Politics
Rep. Ryan Joins with Democratic Senator Wayden to Take Another Shot at Medicare Reform
Senior advocates say it is still a voucher system and only winners would be private insurance companies
Dec. 15, 2011 – Rep. Paul Ryan (R-WI), who proposed converting Medicare to a system where senior citizens were given
vouchers to buy health care protection, has joined with an Oregon Democrat, Sen. Ron Wyden, to propose a new idea for changing the government
health care program. Senior advocates don’t seem to like the new plan better than Ryan’s first.
Read more...
Senior Citizen Politics
CMS to Make Drug-Makers Disclose Dealings with Physicians: Senators Prompt Action
Senators Kohl, Grassley force action by agency on their bill which also includes other medical device-makers and teaching
hospitals
 Dec. 15, 2011 – The Centers for Medicare and Medicaid Services yesterday issued a rule that will make public the often
questionable financial relationships between drug and device manufacturers and certain health care providers. The action caused Sen. Herb
Kohl, chairman of the Senate Special Committee on Aging, to postpone a hearing scheduled today aimed at getting this long-delayed Physician
Payments Sunshine Act implemented. Read more...
Medicare News
Feds Recover $2.9 Billion from Health Care Fraud; Cracking Down on Pain Drugs
Medicare drug plans to withhold payment when they see suspicious activity related to OxyContin, Percocet, other narcotics,
painkillers
Dec. 14, 2011 - The Department of Justice recovered over $5.6 billion in total fraud in 2011, up 167 percent since 2008,
and more than half of this - $2.9 billion – was health care fraud, according to an announcement yesterday by Vice President Joe Biden to a
Cabinet meeting focused on the Administration’s effort to cut waste and eliminate misspent dollars.
Read more...
Medicare Offers More Open Enrollment Time for Seniors Who Call Today
Only for seniors who contact any of several sources of assistance before close
of business Wednesday and leave messages
By Susan Jaffe, KHN
Dec. 7, 2011 - Federal officials are extending the Dec. 7 deadline for three days for some people who have had trouble
enrolling in a Medicare prescription drug or private health plan because of the crush of last-minute sign-ups.
Read more...
Wednesday Last Day to Change Medicare Plans; Medicare Touts Savings for Seniors
Nearly three million people with Medicare receiving discounts on prescription drugs, 24.2 million receiving free preventive
care
Dec. 6, 2011 - Today, on the day before Open Enrollment for 2012 ends, the Centers for Medicare & Medicaid Services (CMS)
announced that as of November 1, more senior citizens and people with disabilities on Medicare have seen significantly lower costs for
important health care – through both discounts on brand-name drugs in the Medicare Part D "donut hole" coverage gap and free preventive care.
Read more...
Medicare Lifts Lid on Health Care Provider Data to Help Groups Make Better Choices
Health care law will allow consumer groups, others to compare options, find best value
Dec. 5, 2011 – Medicare has lifted the lid on tons of information gathered from the health care providers that take care
of about 47 million senior citizens and disabled. It is now available to consumer groups, employers and other qualified organizations to be used to help
them make better choices and recommendations about health care providers. Read
more...
Medicare Advantage Plans Still Growing as Open Enrollment Nears End
December 7 last day to change, add health care, drug plans in Medicare for 2012; more gains in MAs expected
By
Mary Agnes Carey, KHN Staff Writer
Dec. 4, 2011 - Despite predictions that last year’s health law would doom Medicare’s private insurance plans, it’s not
happening – at least not yet. Enrollment in Medicare Advantage plans continues to grow at a brisk pace, rising to 8.4 million beneficiaries by
April 2011, about a 6 percent increase from April 2010, according to a
new report from the Government Accountability Office.
Read more...
Medicare News
Departing CMS Administrator's Top Five Accomplishments Highlighted
In Don Berwick era CMS implemented large number of complex, sometimes controversial, rules implementing health reform law; Tavenner takes his job, gets GOP support
Dec. 4, 2011 – Last Friday was Donald Berwick's last day as administrator of the Centers for Medicare & Medicaid
Services. Berwick, a 65-year-old senior citizen, a pediatrician, Harvard professor and well-known quality improvement expert, has served since
July 2010. Read more...
Medicare Adds Obesity Screening, Counseling to Free Preventive Services
Benefit includes face-to-face counseling visit each week for a month, one visit every other week for an additional
five months
Nov. 29, 2011 - Senior citizens struggling with obesity received welcomed news from Medicare today – the addition of
obesity screening and counseling to the list of free preventive services that are now available without cost sharing under the Affordable Care
Act. Read more...
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Medicare's Drug Coverage Gap Shrinks with Health
Care Law
11/28/11 (AP) - Medicare's
prescription coverage gap is getting noticeably smaller and easier to manage this year for millions of older and disabled people with high
drug costs.
The "doughnut hole," an
anxiety-inducing catch in an otherwise popular benefit, will shrink about 40 percent for those unlucky enough to land in it, according to
new Medicare figures provided in response to a request from The Associated Press.
The average beneficiary who falls
into the coverage gap would have spent $1,504 this year on prescriptions. But thanks to discounts and other provisions in President Barack
Obama's health care overhaul law, that cost fell to $901, according to Medicare's Office of the Actuary, which handles economic estimates.
A 50 percent discount that the law
secured from pharmaceutical companies on brand name drugs yielded an average savings of $581. Medicare also picked up more of the cost of
generic drugs, saving an additional $22.
Read more from AP/Yahoo
|
Help Standing By for Senior Citizens as Deadline Nears for Changing Medicare Plans
December 7 deadline earlier than past years for changing drug and health plans in new year
Nov. 28, 2011 - There have been more than 26 million pages views of the Medicare Plan
Finder, since the open enrollment period for 2012 began on October 15. And, it mostly surely will be even busier as the December 7 deadline
for changing Medicare drug and health plans for next year gets closer. Today Medicare reminded senior citizens today that there is a network
of partners and advocates available to assist with counseling and enrolling beneficiaries.
Read more...
That Other Shopping Spree: Medicare Deadline Looms
Senior citizens have until Dec. 7 to choose a Medicare Advantage or new Medicare prescription drug plan - see video, story
for helpful ideas
By Christian Torres, KHN Blog
Capsules
Nov. 25, 2011 - Black Friday is nearly upon us, and along with holiday gift shopping, there’s plenty of Medicare shopping
to do over Thanksgiving weekend. Seniors have only two weeks left to choose a new Medicare Advantage or prescription drug plan, if they want
to change from their current ones. Medicare’s open enrollment deadline was pushed up this year, from Dec. 31 to Dec. 7, as part of the 2010
federal health law. Read more, see video...
|
Medicare's Drug Coverage Gap Shrinks with Health
Care Law
11/28/11 (AP) - Medicare's
prescription coverage gap is getting noticeably smaller and easier to manage this year for millions of older and disabled people with high
drug costs.
The "doughnut hole," an
anxiety-inducing catch in an otherwise popular benefit, will shrink about 40 percent for those unlucky enough to land in it, according to
new Medicare figures provided in response to a request from The Associated Press.
The average beneficiary who falls
into the coverage gap would have spent $1,504 this year on prescriptions. But thanks to discounts and other provisions in President Barack
Obama's health care overhaul law, that cost fell to $901, according to Medicare's Office of the Actuary, which handles economic estimates.
A 50 percent discount that the law
secured from pharmaceutical companies on brand name drugs yielded an average savings of $581. Medicare also picked up more of the cost of
generic drugs, saving an additional $22.
Read more from AP/Yahoo |
Medicare News
Obama Names Marilyn Tavenner to Replace Don Berwick as CMS Head
Berwick confirmation blocked by Republicans, instead got a recess appointment from Obama, expires Dec. 31, steps down Dec.
2.
By Mary Agnes Carey
and Phil Galewitz,
KHN Staff Writers
Nov. 23, 2011 - President Barack Obama is nominating Marilyn Tavenner to succeed
Donald M. Berwick as administrator of the Centers for Medicare and Medicaid Services.
Read more...
Medicare News
Health Leaders Prepare For Round Two Of Healthcare Spending Cuts
Super committee ideas to save money in Medicare include cutting payments to providers, beneficiaries paying more,
increasing the eligibility age
By Marilyn Werber Serafini and Mary Agnes Carey,
KHN Staff Writers
Nov. 21, 2011 - Regardless of whether Congress' super committee meets its deadline for finding ways to reduce the federal
deficit, budget and policy experts are braced for Washington soon to face the painful task of finding more savings - and they anticipate that
health spending will be at the top of the list. Read more...
Medicare Drug Program News
Number of Medicare Part D Drugs Covered by Prescription Drug Plans Varies Widely
Better check your plan now - Patient cost sharing grows as increasing number of plans offer five-tier formularies
Nov. 17, 2011 –
Senior citizens who have not taken advantage of the annual window – Medicare Open Enrollment – when Medicare allows seniors to change health
and drug plans just got a new incentive to compare plans before the December 7 deadline. A new study by Avalere Health finds the number of
drugs covered by plans varies widely and more costs are being pushed to seniors.
Read more...
HHS Offering $1 Billion to Encourage Better Medical Care that Saves Money
Agency says Health Care Innovation Challenge will create jobs, train workers
Nov. 15, 2011 – The Department of Health and Human Services announced yesterday it is making available up to $1 billion
dollars to test creative ways to deliver high quality medical care and save money. Emphasis will be on innovative projects, and the Health
Care Innovation Challenge will also give preference to projects that rapidly hire, train and deploy health care workers.
Read more...
Affluent Seniors Could Take a Hit on Medicare in Deficit Reduction Deal
Conservatives argue that federal government shouldn’t help finance health care benefits for the rich
By Mary Agnes Carey & Marilyn Werber Serafini,
KHN Staff Writers
Nov. 14,
2011 - In the scramble to come up with a deficit-reduction deal by Thanksgiving, members of Capitol Hill's super committee appear to have one
group squarely in their cross hairs: high-income Medicare beneficiaries. Read
more...
Senior Citizen Politics
Medicare Changes are Part of Super Committee Republicans Deal On Tax Revenues
Health On The Hill interviews Kaiser Health News Reporter Mary Agnes Carey - video and transcript
Nov. 9, 2011 - With the deadline for a recommendation from the budget-cutting super committee
drawing near, Republicans are turning their attention to Medicare. They are suggesting raising the age to join, increasing fees for some,
cutting pay to healthcare providers and for drugs. Jackie Judd discusses these issues with Mary Agnes Carey, who covers the super committee of
Kaiser Health News. Read more, see video...
Medicare News
Medicare Adds Free Annual Cardiovascular Discussion with Health Care Provider
Part of joint Million Heart initiative with CDC; Senior citizens and others get Medicare help in fighting number one killer
Nov. 9, 2011 - Medicare is adding coverage for a number of preventive services to reduce cardiovascular disease,
including a free annual face-to-face meeting with a care provider to determine the best way to help prevent cardiovascular disease.
Read more...
When TLC Doesn't Satisfy Patients or Medicare, Elite Hospitals May Pay A Price
Winning praise from patients becomes a pressing obsession for hospitals nationwide: soon
Medicare will start taking patient satisfaction into account when paying hospitals
By Jordan Rau, KHN Staff Writer
Nov.
8, 2011 - "I'm a great kvetcher," said Pearl Schwartz, sitting in her hospital bed at NYU Langone Medical Center. Indeed, during her
brief stay to receive a pacemaker, Ms. Schwartz, an 88-year-old retired state worker, had a litany of complaints.
Read more...
Medicare Helps Seniors in Open Enrollment By Highlighting Five Star Plans
Period for changing Medicare plans open until Dec. 7; Affordable Care Act has saved seniors $1.2 billion on drugs this
year
Nov.
7, 2011 - Senior citizens should be checking on the opportunities for changing to a Medicare drug or health plan
that better meets their needs for 2012 during this annual Open Enrollment Period. Medicare says it is highlighting plans that have achieve an
overall quality rating of five stars with a “gold star” icon on the
Medicare’s Plan Finder. Read more...
Physicians Take Another Big Medicare Pay Hit; Opens Annual
Congressional Battle
Obama administration has consistently fought to change 1997 law that causes annual lobbying effort by medical groups
Nov. 2, 2011 -
The annual big-dollar battle over the rate of pay for physicians kicked off yesterday with a rule from the Centers for Medicare & Medicaid Services
that set the rates for 2012 – the cut was slightly less than expected but still a gigantic 27.4 percent. The CMS rule was mandated to follow current
law, although the administration is firmly against the cuts. Read more...
Medicare Cuts Payment Rates to Home Health Care Companies
About half the cut in payment rate in 2012 - 2011 was result of provision in
2010 health law that lowered the fees
By Phil Galewitz, Capsules: The KHN Blog
Nov. 2, 2011 - Medicare will
cut payment rates to home health agencies by 2.3 percent in 2012 — the sixth
consecutive annual decrease in fees to the industry. The decision, which will lop off an estimated $430 million from the program next year,
follows concerns by a congressional advisory panel that the agencies are overpaid.
Read more...
Medicare Announces Premiums for 2012, Part B Increase Just $3.50 Monthly for Most
Most senior citizens will see an increase in Social Security of about $43 in 2012, producing a gain after Part B cost of
39.50 per month
Oct. 27, 2011 – The wait is over. Medicare announced the premiums and deductibles senior citizens will be paying in 2011,
which included the increase for the most expensive premium seniors pay, Part B, which many feared would wipe out the cost-of-living increase
in Social Security. The news is good, at least for most seniors, the increase in Part B will be just $3.50, which barely touches the $43 COLA
increase for the average senior. Read more...
More Than 25 Percent of Medicare Drug Plans Get Poor Ratings from CMS
Centers for Medicare and Medicaid Services putting these plans on notice: improve performance or face expulsion from
Medicare
By
Marilyn Werber Serafini, KHN Staff Writer
Oct. 26, 2011 - Nationally, more than a quarter of Medicare’s rated prescription drug plans that will be available to
seniors in 2012 get poor ratings from federal officials. And in the Washington metro area, 36 percent rate unacceptably low, according to an
analysis of Medicare data. Read more..
Social Security News
Part B: Expensive Part of Medicare May Squash COLA for Seniors
Announcement due this week - what will it mean to you?
Oct. 24, 2011 - Millions of senior wait for the other shoe to drop…the one they may squash their 2012 increase from
Social Security. This year, for the first time in two years, senior citizens and others depending on Social Security will receive a
cost-of-living increase for 2012. The other shoe, however, is the cost of Medicare Part B for 2012, which could wipe out the COLA gain.
Read more...
Medicare News
Medicare Begins Release of Patient Safety Ratings For Hospitals
First step toward paying less to institutions with poor patient results, avoidable deaths; moves away from set payment per
service
By Jordan Rau, KHN Staff Writer
Oct. 17, 2011 - Medicare has begun publishing patient safety ratings for thousands of hospitals as the first step toward
paying less to institutions with high rates of surgical complications, infections, mishaps and potentially avoidable deaths.
Read more...
Medicare Now Offering Free Screening, Counseling for Depression, Alcohol Misuse
New services added to a growing list of preventive services by Medicare to help seniors avoid costly care
Oct.
17, 2011 - Medicare will now cover screening for depression, as well as, alcohol misuse screening and behavioral counseling, according to a
news release by the Centers for Medicare & Medicaid Services on Friday. Read
more...
Medicare Open Enrollment Begins Saturday; More Benefits, Better Choices, Lower Costs
Affordable Care Act gives seniors with Medicare cheaper prescription drugs, free preventive services, and lower costs,
says CMS
Oct. 12, 2011 - With more benefits, better choices and lower costs, the Centers for Medicare & Medicaid Services (CMS) is
encouraging people with Medicare and their families to begin reviewing drug and health plan coverage options for 2012. The Medicare Open
Enrollment Period - which begins earlier this year on Saturday, October 15 – has been expanded to last seven weeks and will end on December 7.
Read more...
Seniors Flock to Medicare Preventive Services, Drug Discounts as Enrollment Period Opens
October is National Breast Cancer Awareness month – good time for free meeting with your doctor (see Medicare Options 2012
at a glance)
Oct. 6, 2011 – With the annual period for those in Medicare to make changes in their plans about to open on October 15,
the Centers for Medicare and Medicaid Services announce that 20.5 million have taken advantage of the free Annual Wellness Visit or other free
preventive services this year. Another 1.8 million have received drug discounts in the Medicare Part D “donut hole” of almost $1 billion
through August. Read more...
GAO Finds Abuse in Medicare Drug Program, Mostly Younger Patients Admitted for Disabilities
Less than 30% by senior citizens: of 170,000 prescribed drugs from 5 or more docs in 2008, about 120,000 (71%) were
eligible for Medicare Part D based on a disability - see hearing video
Oct. 5, 2011 – Prescription drug abuse in Medicare Part D is a serious and growing public health problem, according to a
Government Accountability Office report presented yesterday to a senate subcommittee hearing. The report points out, however, that over 70
percent of the abuse is not by senior citizens in the program but by younger Americans in Medicare based on a disability.
Read more...
Medicare Advantage, Part D Drug Program Get Proposals for New Benefits in 2013
New rules will put into regs 50% discount for donut hole drugs, new tools stopping fraud and abuse
Oct. 4, 2011 – New rules proposed yesterday for Medicare Advantage and the prescription drug benefit program (Part D)
will implement new benefits under the Affordable Care Act and increase patient protections, according to an announcement by the Centers for
Medicare & Medicaid (CMS). Read more...
Medicare to Pay Bonuses to Primary Care Doctors for Better Care, Efficiency
Comprehensive Primary Care initiative modeled after private health insurers
Sept. 29, 2011 - A new initiative to help primary care physicians deliver higher quality, more coordinated and
patient-centered care to Medicare patients, was launched yesterday, according to Health and Human Services. Medicare will work with commercial
and state health insurance plans to offer additional support to primary care doctors who better coordinate care for their patients.
Read more...
Report Finds Hospitals Not Meeting Medicare Readmission Goals, Facing Penalties
Medicare to reduce payments for readmissions, exposing hospitals to considerable financial risks; first report shows
stagnant performance, variations in care
Sept. 29, 2011 - As scorekeeping begins for new Medicare penalties for hospitals with excessive numbers of patients
returning shortly after they are discharged, a new Dartmouth Atlas Project report shows little progress over a five-year period in reducing
these hospital readmissions and improving care coordination for Medicare patients.
Read more...
Senior Citizen Politics
How Obama Plans To Cut Medicare, Medicaid Costs By $320 Billion
Biggest cut to Medicare requires drug companies to lower their rates, saving Medicare an estimated $135 billion over 10
years- watch videos
By Phil Galewitz, KHN Staff Writer
Sept. 19, 2011 - In his plan to trim the federal deficit, President Barack Obama Monday proposed $320 billion in cuts to
Medicare and Medicaid, largely by changing how the federal government pays health providers, slashing payments to drug companies, and
dramatically changing the way it splits the costs of Medicaid with the states, according to a fact sheet the White House released today.
Read more, see videos...
Senior Citizen Politics
Medicare Advantage Premiums Dropping 4%, Enrollment Up Despite
Dire GOP Predictions
Republicans, insurance companies predicted high prices, less benefits after Obama health law
By Phil Galewitz, KHN Staff Writer
Sept.
16, 2011 - Dire predictions by insurers and Republicans that the 2010 health law would cause private Medicare health plans to raise prices and lower
benefits on beneficiaries have turned out to be a false alarm — at least for now.
Read more...
State Insurance Chiefs Tell Congress Don’t Make Seniors Pay More for Medicare Medigap Policies
‘…will also cause serious confusion for seniors with fixed incomes who rely on Medigap insurance to protect
them...’
By Susan Jaffee, Kaiser Health News
Sept.
16, 2011 - State insurance commissioners are preparing some stern words of advice for members of Congress trying to reduce the federal
deficit: don’t touch Medicare supplemental insurance. Read more...
2012 Medicare Advantage Premiums Drop, Enrollment Projected to Rise
‘Seniors will enjoy more free benefits and cheaper prescription drugs;’ open enrollment earlier – Oct. 15 – Dec. 7
Sept. 15, 2011 – Medicare Advantage plans will be less expensive in 2012 and the plans project enrollment will increase
by 10 percent, according to an announcement today by Health and Humans Services.
Read more...
2012 Medicare Handbook, Drug Plan Changes Due to You by
Late September
CMS says new open enrollment period, October 15-December 7, marks important change
Sept.
15, 2011 - This year marks an important change in Medicare’s annual open enrollment, the time period during which people can choose to change plans or
shift from Medicare Advantage to Traditional Medicare, according to the Centers for Medicare and Medicaid Services. Open Enrollment starts earlier –
October 15, 2011 – and lasts longer to give beneficiaries enough time to review and make changes to their coverage.
Read more...
Medicare News
Private Medicare Plans Defy Predictions, Growing Despite Health Law Cuts
Medicare Advantage plans expect to earn about $41 a month per member, after paying medical expenses
By Christopher Weaver, KHN Blog
Sept. 12, 2011 - The industry of private Medicare health plans is continuing to grow, despite steep
cuts enacted in the 2010 federal health law, according to a
report released Friday by the Kaiser Family Foundation (KHN is an
editorially-independent program of the foundation). Nearly 12 million of the nation’s 47 million Medicare enrollees are now in private plans,
up from 11 million last year. Read more...
Medicare News
Medicare Enrollment for Drug Plans, Medicare Advantage Earlier This Year
Open enrollment begins October 15 rather than November 15
|
Medicare
Enrollment Opens Oct. 15 - Ends Dec. 7, 2011 |
Sept. 12, 2011 – Senior citizens are already receiving information on the 2012 drug plans from their Medicare Part D
insurance companies. Registration for next year is coming earlier this year – it has been changed to open October 15 and end on December 7 in 2011.
Read more...
|
Medicare Chief Berwick Turns 65, First To Join
Medicare
9/09/11
- Friday is a big day for Medicare chief Donald Berwick. He turns 65 and will become the first head of the federal health insurance
program for the elderly and disabled to be a beneficiary at the same time.
“I’m excited,” he told KHN in a
pre-birthday interview Thursday. “I feel like I’m in my 20s still. I don’t feel 65. It’s going to be a great day to celebrate.”
He hopes to have his Medicare
card within a few weeks, although he said he’s getting no special treatment in the application process. By Phil Galewitz,
Capsules, Kaiser Health News |
Medicare News
New Health Care Law Creating Big Savings for Senior Citizens: CMS Data
Through July about 1.3 million with Medicare save on donut hole drug discounts; 18.9 million get
free preventive care - links to info to help you save
Sept. 8, 2011 – More senior
citizens and people with disabilities on Medicare are seeing a big drop in important health care costs because of provisions in the Affordable
Care Act, according news today from the Centers for Medicare & Medicaid Services.
Read more...
Medicare’s ABCs: Many Senior Citizens in Program for Years May Not Know Ins and Outs
Understanding the parts of Medicare matters, especially when it comes to premiums and enrollment; below are the basics
By Ron Pollack, Executive Director, Families USA
Aug. 31, 2011 - We’re
proud of our grandchildren as they grow in knowledge, such as when they first learn their ABC’s. Unfortunately, when we qualify for Medicare,
we discover that we have to learn our ABCs all over again, and it’s a lot tougher this time around.
Read more...
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Got Medicare? You may be paying too much
Older Americans often pick Advantage plans that cost them more
9/2/11 - Medicare Advantage plans
can save older Americans money, but difficulty choosing among the many available plans often prevents them from realizing substantial
cost-savings.
One in four Medicare recipients -
about 11.7 million Americans - get their health-care coverage through about 3,900 Medicare Advantage plans, also known as Medicare C.
These policies are administered by private health insurers and can be significantly less expensive than pairing traditional Medicare with
a Medigap plan and a prescription drug plan.
The problem is, Medicare
beneficiaries don’t always choose the plan that would save them the most money.
More at Market Watch by Anya Martin
|
Medicare News
Medigap Changes Meet Resistance from States, Insurers, Consumer Advocates
Some seniors may forego medically necessary care because they can't afford it -- even
though they have a Medigap policy
By Susan Jaffe
Aug. 30, 2011 - A provision of the 2010
federal health law seeking to increase Medicare beneficiaries’ share of health care costs is meeting resistance from an unlikely group of 33
state insurance regulators, health insurers and consumer advocates charged with revising Medigap insurance policies that cover most
out-of-pocket expenses. Read more...
Senior Citizen Politics
Problem for Super Committee is Cost of Health Care: Former GOP Senator Danforth
Listen or read transcript of Kaiser Health News interview where former senator tells it like it is
Aug. 24, 2011 - Editor’s Note: Many say “Medicare is broken.” It has become a mantra for the Republicans, led by
Rep. Paul Ryan, R-Wis., who have been trying to convert the program to private insurance supported by vouchers paid to seniors. The real
problem is that “Health care is broken,” not Medicare. Medicare is in trouble because of the out-of-control cost increases by drug companies and healthcare
providers. Former GOP senator, John “Jack” Danforth, tells it like it is to Mary Agnes Carey, Kaiser Health News.
Read more...
Senior Citizen Politics
Group Fighting to Save Senior Citizen
Benefits in Social Security, Medicare Finds An Angel - Maybe
GOP appointee to Super Committee, Rep. Fred Upton, says senior benefits should not be cut for those in program
Aug.
20, 2011 – The group that organized earlier this year to protect the Social Security and Medicare benefits of senior citizens –the Strengthen Social
Security Campaign – thinks they have found a possible critical ally in a Republican appointee to the new super committee charged with making a big
dent in the deficit. Rep. Fred Upton (R-MI) says that current Medicare and Social Security beneficiaries should not face any reductions in benefits,
according to the SSSC. Read more...
Medicare News
Medicare Advantage Programs Overwhelm Senior Citizens with Complex Choices
Elderly often have to sift through dozens of options; those with cognitive problems might benefit most from MA
Aug. 18, 2011 - In health care, more choice may not always lead to better choices, particularly for the elderly. In a new
study, researchers from Harvard Medical School's Department of Health Care Policy found that the large variety of managed care plans offered
by the Medicare Advantage program may be counter-productive. Elderly patients, particularly those with low cognitive ability, often make poor
decisions - or no decisions at all - when faced with an overwhelming number of complex insurance choices.
Read more...
Senior Citizen Politics
Analysis: Medicare, Liberals And The Lesser Of Two Evils
Fear is that cuts would leave the elderly without adequate financial protection or access to medical care
By Jonathan Cohn
Aug. 15, 2011 - Why does the debt ceiling deal give liberals so much heartburn? Many reasons, obviously. But a big one is
the possibility that it will trigger automatic cuts to Medicare, the jewel of the Great Society and the program on which virtually every
senior citizen depends for health insurance. Read more...
Medicare News
Over Two Million Low-Income Seniors May Be Missing Big Savings on Drugs
Medicare’s Low-Income Subsidy is easy to check for eligibility, says CMS
Aug.
9, 2011 - Some senior citizens and others in Medicare could qualify for assistance with their prescription drug costs, and be
eligible this year to pay no more than $2.50 for generic drugs and $6.30 for each brand name drug. The Centers for Medicare & Medicaid
Services estimates more than 2 million people may be eligible for the subsidy, but are not currently enrolled.
Read more...
Senior Citizen Politics
Medicare ‘Not Just A Seniors’ Issue’ - Pollster Finds
An even more important political issue now than in the past
By Stephanie Stapleton, Capsules – The KHN Blog
Aug. 8, 2011 - Even though the health insurance program for senior citizens and the
disabled survived the initial phase of the debt-ceiling deal without suffering cuts,
Medicare is likely to be a target in the next round.
Read more...
Medicare News
Average Cost of Medicare Drug Plans Will Not Increase in 2012, Discounts for Donut Hole
‘Obama Care’ has provided 17 million seniors with free preventive services; 900,000 received 50% discount on
prescription drugs
Aug. 5, 2011 –
Senior citizens got good news from the Obama administration yesterday – the average prescription drug premiums for Medicare Part D will not
increase in 2012. In announcing the news Health and Human Services (HHS) added that more people with Medicare are receiving discounts on
prescription drug costs and the new no-cost preventive services provided by the Affordable Care Act, which is often referred to as “Obama
Care” by opponents. Read more...
Senior Citizen Politics
Debt Deal 'Super' Committee's Impact On Health Spending Explained
Q&A: How congressional
super committee's deliberations could influence Medicare and Medicaid
By Mary Agnes Carey and Phil
Galewitz, KHN Staff Writers
Aug.
4, 2011 - The deal President Barack Obama and Congress struck this week to raise the nation's debt ceiling has prompted many questions about
how a special "super committee" established by the law will affect federal health care programs.
Read more...
Senior Citizen Politics
Health Care Providers Scurry to Prepare for Medicare Budget Cuts to Come with Debt Deal
Social Security and Medicaid exempted from budget cuts - see video below
Aug. 2, 2011 - The Senate passed and President Obama quickly signed this afternoon the battered bill to
raise the U.S. debt ceiling and begin efforts to reduce the deficit. At least one of the programs that primarily impacts senior citizens –
Medicare – is certain to feel the budget axe in at least the second round of the $2 trillion in deficit reductions.
Read more, see video...
Caregiver & Elder Care News
Senior Citizens Skip Drugs Due to Cost, Even if Not On
Expensive Cancer Meds
Study confirms drug costs are significant barrier to effective medical treatment
Aug.
1, 2011 – Despite the high cost of drugs for cancer treatment, the cost burden may be no greater for these patients than for other senior
citizens on Medicare. A new study finds one in ten of Medicare’s elderly do not stick to their prescribed medication due to the expense.
Read more...
Medicare News
Medicare Prepares Rule to Penalize Hospitals With High Readmission Rates
Almost 7% of acute-care hospitals had higher-than-expected readmissions rates for heart failure, heart attack or
pneumonia
By Jordan Rau, KHN Staff Writer
Aug.1, 2011 - When hospitals discharge patients, they typically see their job as done. But soon, they
could be on the hook for what happens after Medicare patients leave the premises, and particularly if they are readmitted within a month.
Read more...
Senior Citizen Politics
Medicare, Medicaid Appear to Have Escaped Budget Cuts This Round: Health on the Hill
KHN Senior Correspondent Mary Agnes Carey has been investigating to understand why
July 28, 2011 - Neither the Boehner nor the Reid plans include cuts to Medicare or
Medicaid. KHN’s Mary Agnes Carey talks with Jackie Judd about why that happened and what could bring these entitlements back into the
deficit-reduction conversation. Read more...
Medicare News
Medicare Drug Program Helped Seniors Become Healthier, Reduce Other Care Cost
Drug cost dropped as expected but health improved, too, for those who had not enjoyed drug coverage
July 26, 2011 - Among elderly Medicare beneficiaries with limited prior drug coverage, implementation of Medicare Part D
was associated with significant reductions in nondrug medical spending, such as for inpatient and skilled nursing facility care, according to
a study in the July 27 issue of the Journal of the American Medical Association (JAMA.)
Read more...
Medicare News
Senior Citizens May See Changes in Medicare Medigap Policies
AARP Endorses Bill
to Improve Value of Medigap Policies for Consumers - See in box
By Julie Appleby, KHN Staff Writer
July 26, 2011 - As debt limit
talks drag on, lawmakers are eying possible changes in Medicare supplemental plans - moves that could increase seniors’ out-of-pocket costs.
Read more...
Senior Citizen Opinions & Analysis
Sleep Problems Usually Covered by Insurance, Medicare Covering More
Medicare pay for sleep testing increased from $62 million in 2001 to $235 million in 2009; Medicare now covers dental
appliance for sleep apnea
By Michelle Andrews, Kaiser Health News
July 12, 2011 - The diagnosis and treatment of sleep disorders have come a long way in recent years. In the past, people
who snored might be advised to sew a tennis ball onto the back of their pajama top. The "snore ball" would discourage them from sleeping on
their back and might quiet their droning. Read more...
Medicare News
Medicare Bites Bullet to Cover Expensive Provenge,
Prostate Cancer Drug for Bad Cases
CMS
also to continue expensive breast cancer drug, Avastin; Sipuleucel-T activates immune system to defend
against prostate cancer; first approved autologus cellular immunotherapy
July 1, 2011 - Medicare patients with metastatic
prostate cancer can get a first-of-its kind treatment approved by the
Food and Drug Administration in April, under a final coverage decision
issued yesterday by the Centers for Medicare & Medicaid Services (CMS). Provenge (sipuleucel-T) activates a patient’s own immune system to
defend him against prostate cancer. The majority of the men tested with
the drug were senior citizens - age 65 or older.
Read
more...
Senators Lieberman, Coburn Make Statements on Their
Plan to Save Medicare, Reduce Debt
Note: The following is a news release issued
yesterday by Senators Joe Lieberman and Tom Coburn on a proposal
to change Medicare, including a gradual increase of the age for
eligibility to 67, although this is not mentioned in their release. See
video statements, too.
June 29, 2011 – Today (yesterday), Senators Joe
Lieberman (I-CT) and Tom Coburn (R-OK) revealed their bipartisan
proposal to save Medicare and reduce the debt. The Lieberman/Coburn
proposal would save more than $600 billion over 10 years, based on
reviews of Congressional Budget Office (CBO) estimates, and up to an
additional $100 billion savings from implementing the program integrity
provisions.
Read
more...see video
Senior Citizen Politics
Lieberman-Coburn Medicare Proposal Could Stress
Strapped Senior Citizens: NPR Blog
Half of seniors had income under $22,000 in 2010;
25% had income under $13,000; just 5% had incomes above $85,000.
By
Julie Rovner,
NPR Health Blog
June 29, 2011 - Can seniors afford to pay more for
Medicare? Medicare patients would pay more - in some cases much more -
under a bipartisan bill introduced in the Senate today (Tuesday 6/29).
But can they really afford it?
Read more...
Senior Citizen Politics
Senate Proposal to Raise Medicare Eligibility Age Draws Quick Democrat
Opposition
Proposal by Senators Coburn, Lieberman would increase
eligible age to 67, save $600 billion
June
29, 2011 - As negotiations over raising the nation's debt ceiling continue, two
senators - Tom Coburn, R-Okla., and Joseph Lieberman, I-Conn. - advanced a new
plan to produce the amount of savings from the Medicare program need to meet the
debt reduction target. The approach, though, which includes raising the
eligibility age to 67, was swiftly rejected by top Democrats.
Read more...
Medicare News
More Senior Citizens Using Free Medicare Preventive
Care; New Push by CMS Begins
Campaign to educate seniors about new free
preventive care provided by Affordable Care Act; Over 780,000 received
Annual Wellness Visit between January 1 - June 10 - see video.
June 23, 2011 - The Centers for Medicare and
Medicaid Services (CMS) has released a new report showing that more than
5 million Americans with traditional Medicare - or nearly one in six
people with Medicare - took advantage of one or more of the recommended
preventive benefits now available for free, thanks to the Affordable
Care Act. At the same time the agency launched a campaign to urge more
older Americans to take advantage of the free medical exams.
Read more, see
video...
CMS to Make Medicare Info on Quality,
Cost of Health Care Providers Available
Affordable Care Act opens opportunity
for public to select better care and lower cost
June 9, 2011 -
New rules have been proposed by the Centers for Medicare & Medicaid
Services to make available to U.S. consumers and employers information
generated by Medicare that will enable them to select higher-quality,
lower-cost physicians, hospitals and other health care providers in
their area. The proposal and request for comments were published
yesterday in the Federal Register.
Read more...
Medicare Begins Moving Health Care Providers Toward
Accountable Care Organizations
New Pioneer ACO Model could save Medicare up to $430
million over three years
|
HMOs, PPOs
Now Meet
Medicare's
ACOs |
May 26, 2011 – When Medicare patients are given
more effective medical care it saves money for Medicare. That is a
logical deduction, since improved, healthy patients require less future
care, and one that is driving the Centers for Medicare & Medicaid
Services (CMS) to establish Accountable Care Organizations (ACOs). Three
of the first steps in this effort were announced recently.
Read
more...
Free Guide to Medicare Changes Under New Health Law
from Consumer Reports
For those in Medicare or about to join, there are
important changes, including new benefits, since the Affordable Care Act
May 20, 2011 – A free guide to the changes in
Medicare created by the Affordable Care Act is available from
Consumer Reports. The 15-page guide is easily downloaded in pdf
format or can be ordered by phone.
Read
more...
Medicare News
Gloomier-Than-Expected Forecast for Medicare:
Trustees Say Out of Money in 2024
Sluggish economy hurting but health reform helping
save money for critical senior citizen program - see links to other
news reports, news release from CMS below story
May 16, 2011 - Medicare will start running out of
money in 2024 -- five years earlier than projected last year — as a
result of the sluggish economic recovery, the program’s trustees
reported Friday.
Read
More...
Medicare News
Job of
Controlling Medicare Costs Goes to Independent Payment Advisory Board
How will the IPAB change Medicare? What does this mean to
senior citizens?
By Bara
Vaida, Kaiser Health News
In collaboration with
The Washington Post
May
9, 2011 - It sounds like a new Apple product, but IPAB is actually a
controversial board at the heart of a highly charged battle over Medicare, the
federal health program for the elderly and disabled.
Read more...
Medicare News
CMS Issues New Regs Making Free Flu Shots Even More
Available for Senior Citizens
Remove barriers for seniors who want to receive
annual flu shots as part of their Medicare preventive health routine
May
4, 2011 – Medicare has taken action to make seasonal flu vaccinations
more available and suggested the new requirements for Medicare-certified
providers will encourage senior citizens getting the free shots when
they are at the doctor’s office for their free preventive health
checkup.
Read more...
Medicare News
Medicare/Medicaid Issues Infection Control
Violations to 15 Percent of Nursing Homes
Strong correlation between low staffing levels and
the receipt of an infection control deficiency citation
May 3, 2011 – Fifteen percent
of U.S. nursing homes receive deficiency citations for infection control
per year, according to a new study published in the May issue of the
American Journal of Infection Control, the official publication of
APIC - the Association for Professionals in Infection Control and
Epidemiology.
Read
more...
Medicare Shifting Strategy to Pay Hospitals for
Quality Care Over Quantity
It
is part of new “quality” emphasis in new health care
bill (Affordable Care Act)
May 2, 2011 – Medicare is making a change in the
strategy for payments to hospitals that will reward quality treatment rather
than the quantity of care provided. The change was set in motion by the
new health law, the Affordable Care Act. Following is the report by
Jordan Rau of Kaiser Health News on what it means to senior citizens.
Read
more...
Nursing Home Industry Leader Worries About Cuts To
Medicare, Medicaid
Does not like Independent Payment Advisory Board in
health bill; opposes GOP plan to turn Medicaid into a block grant
program
By Phil Galewitz, KHN Staff Writer
April
25, 2011 - Mark Parkinson, who heads the nation’s largest nursing home
lobby, finds it hard to celebrate government estimates predicting an
explosion in the number of Americans aged 85 and older during the next
few decades.
Read
more...
AHCA Pushing Bill to Protect Senior Citizens' Full
Access to Skilled Nursing in Medicare
Improving Access to Medicare Coverage Act of 2011 presented
by Senators John Kerry (D-MA), Olympia Snowe (R-ME) and Representatives Joe
Courtney (D-CT), Tom Latham (R-IA)
April 26, 2011 - The American Health
Care Association (AHCA) on April 14 issued a news release applauding the
introduction of “bipartisan” legislation in both Houses of Congress to remedy
for senior citizens the “complex and confusing process resulting from
observation status during a hospital stay.”
Read more...
When Doctors Profit from MRI the Back Scans and
Surgery Increase for Medicare Patients
‘Medicare spending alone would go down about 25
percent if self-referral were really policed or eliminated’
By Carl Sherman, Contributing Writer
Health Behavior News Service
April 26, 2011 - When doctors own or lease MRI
equipment, their patients are more likely to receive scans for low back
pain. Patients of orthopedists are more apt to undergo back surgery as
well, according to a study published online in Health Services Research.
Read more...
Senior Citizens Not Taking Advantage of Some New, Free Medicare Testing
Seniors not lining up for free mammograms, colonoscopies, but
free wellness checkup is luring patients
By Susan
Jaffe, Kaiser Health News, with
The Washington Post
April
26, 2011 - Despite tough economic times, there are some things the government
can’t give away. Starting this year, seniors enrolled in Medicare no longer have
to pay for more than a dozen tests and other services to help prevent or control
cancer and other costly and debilitating diseases. These benefits, which also
include an annual wellness exam, are part of the new federal health-care law.
Read more...
Thousands
of Medicare Senior Citizens Will Be Asked to Join Study on Functional
Ability
Long-term study will examine how the daily lives of older
adults change as they age
April
20, 2011 - Thousands of Medicare beneficiaries will receive an invitation in May
to be part of a special study looking at the impact of age-related changes on
functional ability. The National Health and Aging Trends Study (NHATS) will be
seeking some 9,000 senior citizens - aged 65 and older - to participate in this
long-term study, funded by the National Institute on Aging (NIA), part of the
National Institutes of Health.
Read more...
Senior Citizen Politics
Obama Budget Plan Cuts Deficit by $4 Trillion,
Strengthens Medicare, Medicaid, Social Security
Around two-thirds of budget is
spent on Medicare, Medicaid, Social Security, and national security -
watch video
April 13, 2011 - President Barack Obama on
Wednesday shared his plans to cut the deficit by $4 trillion in 12
years, which, according to a fact sheet distributed by the White House,
includes saving $480 billion in health care costs by 2023. Obama
proposes holding Medicare cost growth down by strengthening the
Independent Payment Advisory Board and making Medicaid more flexible
without using block grants. And, about the other program vital to senior
citizens, Social Security, his fact sheet said, “No current
beneficiary should see the basic benefit reduced; nor will we
accept an approach that slashes benefits for future
generations.”
Read
more....
Senior Citizen Politics
Partnership for Patients to Improve Care, Lower Costs
Introduced by Obama Administration
Potential savings of $50 billion
for Medicare plus billions for Medicaid by improving hospital care
April 12, 2011 – The Obama administration today
announced the Partnership for Patients, a national partnership aimed at
saving $35 billion in health care costs – up to $10 billion for Medicare
– and saving 60,000 lives by stopping millions of preventable injuries
and complications in patient care over the next three years.
Read
more...
Senior Citizen Politics
President to Outline Strategy to
Make Entitlements More Secure for Senior Citizens
President Obama lays out his
budget reduction plan on Wednesday, to change course for Medicare,
Medicaid, Social Security
April
11, 2011 – Still reeling from the Republican proposal to severely cut
Medicare and Medicaid and to push Medicare toward a private insurance
program, senior citizens are now bracing for cost reduction proposals
for entitlement programs expected on Wednesday from President Barack
Obama. Read
more...
Senior Citizen Opinions & Analysis
GOP Plan Replaces Medicare’s Guaranteed Benefits
with ‘Premium Support’ Payment
Budget does not address root of high Medicare costs
-rising costs in the entire health care sector
By Joe Baker, President, Medicare Rights Center
April 5, 2011 – The math of
the proposed House budget, introduced today by Budget Committee Chairman
Ryan, is really quite simple - Medicare consumers (those over 65 and
people with disabilities) pay more for health care and the federal
government pays a lot less. The proposal ends Medicare as we know it
today, replacing Medicare’s guaranteed benefits with a “premium support”
payment or voucher that consumers can use to buy private insurance.
Read more...
Medicare News
Politics Heat Up In Response to GOP Budget's
Medicare, Medicaid Proposals
Newspapers: 'politically risk', 'little chance', 'converts
Medicare to premium support program', 'you'll need to pay a bigger share'
April 5, 2011 - The blueprint advanced today by
House Budget Committee Chairman Paul Ryan, R-Wis., would attempt to rein
in the long-term costs of Medicare and Medicaid while squeezing $6.2
trillion dollars from the nation's deficit over the next 10 years.
Newspapers seem to see a frisky political battle ahead judging from
today's coverage.
Read more...
Medicare News
Understanding Rep. Ryan's Plan for Medicare Based on
Premium Support
September poll found 69 percent of senior citizens
- people older than 65 - opposed vouchers for Medicare - see video
By Kaiser Health News Staff
April 5, 2011 - House Budget
Committee Chairman Paul Ryan, R-Wis., left many details to Congress when
he unveiled his plan today to make major changes to Medicare as part of
a fiscal 2012 budget resolution. He says his overall objective is to
convert Medicare into a premium support program for which the government
will spend a specific amount for beneficiaries' care, a fundamental
shift from the current fee-for-service program.
Read
more, see video discussion..
Medicare News
Medicare, Medicaid
Are Targets in GOP's 'Path to
Prosperity' That Shifts More Costs to Seniors
Democrats say it cuts medical care to the “most
vulnerable Americans”
April 5, 2011 – The
Republicans sent shock waves through millions of older Americans that
depend on Medicare or Medicaid with their 2012 budget proposal today
that is named “Path to Prosperity,” which appears to shift more of the
cost of healthcare back to the senior citizens. Democrats immediately
challenged the plan, saying it would result in medical care cuts to the
nation’s most vulnerable Americans.
Read
more...
GOP
Proposals on Medicare Could Shift Costs to Senior Citizens, other
Beneficiaries
This is week when Republicans show their hand for cutting
Medicare, Medicaid; yesterday House Budget Chairman Paul Ryan (R-Wis) gave
a glimpse of what's to come; GOP hits elderly in states, too
|
Republicans Also Slash States' Spending on Elderly
AARP Says Texas
Dishonors Elders |
By Mary
Agnes Carey, Kaiser Health News Staff Writer
April 4, 2011 - Amid the buzz about a
possible government shutdown over this year's budget looms a more difficult
question: What to do about entitlement programs, especially Medicare?
Read more...
Medicare Introduces Shared Savings Program with New
Accountable Care Organizations
|
HMOs, PPOs
Now Meet
Medicare's
ACOs |
ACOs will be joint health care effort for better
patient care at lower costs, says CMS
April 2, 2011 – Senior
citizens have become pretty familiar with HMOs and PPOs as managed care
options in the Medicare Advantage Program. Now, meet the new ACOs. The
Centers for Medicare & Medicaid Services (CMS) last week introduced the
Accountable Care Organizations, which CMS says will help doctors,
hospital and other health care providers better coordinate care for
Medicare patients.
Read
more...
One Retiree Health Reform Program So Popular It Will
Stop Taking Applications
Early Retiree Reinsurance Program has used nearly
$1.8 billion to help early retirees; nearing funding limit
April 1, 2011 – One program in the Affordable Care
Act has been so successful that no more applications will be accepted
after May 5. The Centers for Medicare & Medicaid Services released a
report yesterday showing the Early Retiree Reinsurance Program has
provided nearly $1.8 billion to organizations to reduce health insurance
costs for retirees and their families.
Read more...
Medicare Does Not Free Some Seniors from Need to
Skip High Priced Heart Drugs
Cost of heart drugs makes patients skip pills,
putting themselves at risk, says Mayo Clinic study
March 30, 2011 - For more than 5 million Americans
with heart failure, a critical step to better health is taking the
medications they're prescribed. But many patients, including senior
citizens on Medicare, fail to do so, putting themselves at greater risk
of hospitalization and even death. In a study appearing in the April
issue of Mayo Clinic Proceedings, Mayo Clinic researchers found
the drugs' cost is one of the biggest deterrents.
Read
more...
Health & Medicine for Senior Citizens
Senior Citizens Jumping Online to Monitor Personal
Health Records
Read all about personal health records below news
report , with key links
March 28, 2011 - Senior
citizens, for once, are not the age group lagging behind in an online
endeavor. A study to measure participation on adopting the use of online
personal health records finds those patients aged 65 and older are more
likely to get involved than young adults between the ages of 18 and 35.
Read more...
New Free Medicare
Annual Wellness Checkup Drawing Many Senior Citizens to the Doctor
New preventive
services will lower Medigap costs, cost sharing; help employers and
states
March 23, 2011 - The new free annual wellness visit
added to Medicare coverage for senior citizens and others in the program
by the Affordable Care Act has brought more than 150,000 into medical
offices in less than two months, according to information released by
Health and Human Services.
Read more...
Agencies Join in Effort to Increase Senior Citizen
Use of Preventive Services
Magnifying self-reported data
for senior citizens not receiving recommended preventive services, new
guide underscores need for linking community and clinical strategies
focusing on the underserved
March 15, 2011 - Every day in America about 10,000
people turn 65. By the year 2030, roughly one out of every five
Americans will be aged 65 years and older. Unfortunately, many senior
citizens currently do not receive vaccinations, screenings, and other
preventive services national experts recommend, according to the Centers
for Disease Control and Prevention.
Read
more.
Senior Citizen Opinions & Analysis
The Donald Berwick Predicament:
Draws High Praise as Head of CMS but Won’t Be Confirmed
‘Universally regarded…
thoughtful guy who is not partisan;’ endorsed
by two former GOP heads of CMS but GOP senators say 'No'
By Harold Pollack
and Christopher Lillis, M.D., Kaiser Health News
March 14, 2011 -
Dr. Donald Berwick runs the Centers for Medicare & Medicaid Services. He
now serves under a recess appointment that will expire at the end of
this year. And, although the president could take the politically risky
step of extending his tenure with another recess appointment, officially
naming him to run the agency for the long haul would require Senate
confirmation. News reports suggest that this won't happen. Berwick may
not even receive a hearing.
Read more...
Senior Citizen Politics
Putting Senior
Citizens Back to Work Popular Way to Help Social Security Medicare
Even senior
citizens like this idea and the idea for increasing eligibility age says
Harris Poll
March 9, 2011 –
Persuading you (senior citizens) to go back to work, or continue to
work, is a popular idea with most Americans for making Medicare and
Social Security more financially viable, according to a new Harris Poll.
But, guess which age group likes this idea the most – older people. The
public and the seniors also likes the idea of raising the age for
joining these programs.
Read
more...
Medicare News
Study Says Medicare
Cuts Will Send Hospice Industry into Profit Loss
Hospice group,
NHPCO, backed study says 88 percent could have negative margins by 2019
March 7, 2011 –
The profit margin for companies providing hospice care could decline
from the two percent it achieved in 2008 to a negative 14 percent by 2019 due to recent
cuts to Medicare reimbursements, according to the results of a survey
released today by the National Hospice and Palliative Care Organization.
The independent study was commissioned by NHPCO.
Read
more...
Health Law Forces
Changes to Reduce Hospital Readmissions of Medicare Patients
Experts say
problems might have been avoided with better handoff from hospital to
people responsible for next phase of patient's recovery
By Michelle
Andrews, Kaiser News Network
Feb. 23, 2011 -
"Welcome back" are two words you'd really rather not hear at a hospital,
especially if you've just been discharged. Yet, one in five Medicare
patients – primarily senior citizens - found themselves back in the
hospital within 30 days of leaving it in 2003 and 2004, according to a
recent
study in the New England Journal of Medicine. Even more troubling is
the possibility that three-quarters of those readmissions might have
been
prevented, as estimated in a 2007 report by the Medicare Payment
Advisory Commission (MedPAC), an independent agency that advises
Congress. Read
more...
Expanding Medicare Fraud Strike Force Grabs 111 for
$225 Million in False Billing
Doctors, nurses, health care company owners and
executives among the defendants charged
Feb. 18, 2011 - The Medicare Fraud Strike Force
yesterday charged 111 defendants in nine cities, including doctors,
nurses, health care company owners and executives, and others, for their
alleged participation in Medicare fraud schemes involving more than $225
million in false billing.
Read
more...
Medicare Projects Senior Citizens to See Big Savings
on Medical Equipment, Supplies
Competitive bidding program focuses on lower costs
for items like power wheelchairs, oxygen equipment, diabetic supplies –
as much as 32% off
Feb.
16, 2011 – Senior citizens in Medicare could pay up to 32 percent less
for certain medical equipment and supplies, such as oxygen equipment,
certain power wheelchairs and mail order diabetic supplies, according to
an announcement today by the Centers for Medicare & Medicaid Services.
Read
more...
Higher Income
Senior Citizens May be in For Sticker Shock on Medicare Drug Premiums
Change took
effect in January extending income-related provisions to Medicare Part D
By Mary Agnes
Carey, KHN Staff Writer
Feb. 14, 2011 -
The Obama administration often touts the health-law provision that over
the next decade will close the unpopular "doughnut hole" - a gap in
Medicare prescription drug coverage. But officials rarely cite another
provision, one that might cause sticker shock among some seniors.
Starting this year, more affluent beneficiaries will have to pay higher
premiums for their drug benefits.
Read more...
Senior Citizen Politics
President Obama’s Budget Offers Health Care Cuts to
Stop Big Medicare Pay Cut for Doctors
Roundup of media reports by Kaiser Health News
indicates the plan ‘avoids’ tackling entitlement spending
Feb.
14, 2011 - President Barack Obama's budget plan includes a two-year
Medicare "doc-fix" that uses heavy cuts in other health payments to
stave-off a scheduled 25 percent reduction in Medicare physician
reimbursements. Meanwhile, news outlets also report the plan
"avoids" tackling entitlement spending.
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more...
Medicare News
Senior
Stroke Survivors Can Not Afford Life Saving Drugs Even with Medicare
Part D
11% of stroke survivors said they weren’t taking
their medications as prescribed because they couldn’t afford them
Feb. 11, 2011 – Many senior citizens that have
survived a stroke and are covered by Medicare’s prescription drug
program – Part D – cannot afford the medications they need to prevent
future strokes and other cardiovascular disease-related events,
according to research presented at the American Stroke Association’s
International Stroke Conference 2011. Young, uninsured stroke survivors
face the same obstacle.
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more...
Medicare’s New Preventive Services Provide Free
Opportunity for Seniors to Stay Healthy
Affordable Care Act improvements kicked in for 2011 –
Welcome to Medicare now free for senior citizens in original Medicare -
see video
Feb. 10, 2011 - The Affordable Care
Act of 2010 has significantly expanded the "preventive services" offered
to senior citizens in Medicare but most importantly the cost has
virtually been eliminated. It provides an exciting opportunity for older
Americans - particularly those on tight budgets - to take better care of
themselves and to, hopefully, avoid or delay chronic and crippling
diseases.
Read more, watch video on Affordable Care Act for seniors...
Senior Citizens Still Have Until February 14 to Switch from Medicare Advantage Plans
Changes is back to Original Medicare and drug plan rather than managed care
Feb. 9, 2011 –
Senior citizens that chose a Medicare Advantage Plan and have found it
is not a good fit for their needs, still have a chance to switch back to
Original Medicare. The Medicare Advantage Disenrollment Period runs
until February 14.
Read more...
Lowering the
Co-Pays for Mental Health Care Does Not Move Senior Citizens to Seek
Help
Seniors in
Medicare Advantage plans not motivated by rather large increases or
decreases in co-pays for outpatient mental health care
Feb. 8, 2011 –
Senior citizens with mental health conditions and enrolled in a managed
care plan – Medicare Advantage – are not enticed to seek mental health
care by lowering the co-pays required. The Affordable Care Act has
forced a lowering of outpatient mental health co-pays to the same as
required for other care in hopes of helping more seniors receive help.
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more...
Social Security News
Nearly Half of
Senior Citizens Receiving Smaller Social Security Checks in 2011
New survey finds
lack of COLA hurting seniors as over 60% see their expenses rise,
Medicare premiums reduce checks
Feb. 3, 2011 -
Forty-four percent of seniors are receiving lower Social Security checks
this year compared to 2010, while even more are dealing with
significantly higher expenses. The findings come from an annual survey
of elderly Americans, released earlier today by The Senior Citizens
League (TSCL), which claims to be one of the nation's largest
nonpartisan senior citizens advocacy groups.
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more...
Medicare News
Medicare Wants to
be Sure Senior Citizens Know Where to File Health Care Complaints
CMS proposes rule
requiring providers to give seniors and other beneficiaries written
notice of their rights
Feb.
2, 2011 – Medicare thinks senior citizens and other beneficiaries should
be informed about their right to have their beef heard, when they have
concerns about the quality of care they receive from health care
providers in the Medicare program.
Read more...
Obama Administration Abruptly Pulls Plug on Medicare
End-of-Life Counseling
Original sponsor of provision intends to reintroduce
legislation allowing Medicare to pay for such discussions with doctors
that many view as helpful to critically ill seniors
Jan. 10, 2011 - Three days after enacting a
Medicare regulation that would have reimbursed doctors for discussing
end-of-life planning with patients during their annual checkups, the
Obama administration has reversed course and last week withdrew the
regulation, according to a report in ElderLawAnswers.com.
Read more...
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