Blogs

Wide differences found in what hospitals charge patients for same procedures

Wide differences found in what hospitals charge patients for same procedures By Elise Viebeck – 05/08/13 09:30 AM ET The federal government released stunning figures Wednesday showing dramatic variations in what hospitals charge Medicare for routine procedures.  The Medicare agency reported that medical claims for the same procedure can differ by tens of thousands of …

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Strengthening Medicare

Strengthening Medicare Nearly 50 million seniors and Americans with disabilities depend on Medicare every day. The health care law makes Medicare stronger and extends the life of the Medicare Trust Fund by eight years. Reducing prescription drug costs in Medicare: Over 6 million seniors and people with disabilities have saved more than $5.7 billion on …

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Making Care More Affordable

Making Care More Affordable The health care law is bringing down health care costs and making sure health care dollars are spent wisely. • 80/20 Rule: The health insurance companies of 76 million Americans now have to meet the 80/20 rule, or Medical Loss Ratio, where they must spend at least 80 cents of your …

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How the Health Care Law Benefits You

http://www.healthcare.gov/law/information-for-you/benefits.html How the Health Care Law Benefits You The Affordable Care Act forces insurance companies to play by the rules, prohibiting them from dropping your coverage if you get sick, billing you into bankruptcy because of an annual or lifetime limit, or, soon, discriminating against anyone with a pre-existing condition. All Americans will have the …

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Health Insurance Market Reforms: Pre-Existing Condition Exclusions

Health Insurance Market Reforms: Pre-Existing Condition Exclusions Insurers pursue multiple strategies to reduce the cost of covering enrollees with pre-existing conditions, or medical conditions and health problems that existed before the individual enrolled in a health plan. One strategy, the pre-existing condition exclusion, allows insurers to refuse to cover any costs associated with care for …

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CMS’ Proposed Rules on Observation Status Will Not Help Beneficiaries

medicareadvocacy.org http://www.medicareadvocacy.org/2013/03/28/cms-proposed-rules-on-observation-status-would-not-help-beneficiaries/ CMS’ Proposed Rules on Observation Status Would Not Help Beneficiaries The Center for Medicare & Medicaid Services (CMS) recently issued proposed rules and an interim CMS Ruling to allow hospitals to bill Medicare Part B after a Part A claim is denied. 78 Fed. Reg. 16,632 (March 18, 2013).[1]  These actions address some …

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More people filing medical claims, less money for state health insurers

More people are filing medical claims, and that means less money for state health insurers By Robert Weisman, Globe Staff The state’s largest commercial health insurers posted lower third-quarter financial results Thursday, with most blaming an increase in claims for medical care after a two-year period during which many people went to the doctor less …

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Adria Gross from MedWise Insurance Advocacy – Speaking on Current & Upcoming Health Care Laws

February 21, 2013 at 11:00 AM, Adria Gross from MedWise Insurance Advocacy will be speaking about the Current & Upcoming Health Care Laws.  Refreshments; Free; Held at the Esplanade, 168 Red Schoolhouse Road,  Chestnut Ridge; For details, contact Carolyn Geiger, Tel. 574-4950; avi@avi-eyes.org;  www.avi-eyes.org. Established in 1973, the Association for the Visually Impaired (AVI) assists …

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