Doctors Are Improperly Billing Some on Medicare, U.S. Says

WASHINGTON — Doctors are improperly billing poor people on Medicare for deductibles, co-payments and other costs from which they are supposed to be exempt, the Obama administration says. Federal officials have warned doctors that they may be subject to penalties if they persist in these practices. They could, for example, be fined or excluded from Medicare. The people who are …

Medicare’s “Big Data” Tools Fight & Prevent Fraud to Yield Over $1.5 Billion in Savings

By Dr. Shantanu Agrawal, Raymond Wedgeworth and Kelly D. Bowman In 2015, National ROI of $11.60 for Each Federal Dollar Spent A version of this commentary was published in May 24 editions of Modern Healthcare. New anecdotal content has been added. Please see the following link to view the original content – http://www.modernhealthcare.com/article/20160524/NEWS/160529960/commentary-medicares-big-data-tools-to-fight-and-prevent-fraud-yield Over the past five years, the CMS …

Pitching Medicaid IT in Silicon Valley

By Andy Slavitt, CMS Acting Administrator @aslavitt Earlier this year, I announced a new effort to connect new, innovative companies and their investors to the state Medicaid program IT space. Since this announcement, I have been encouraged by the initial interest from companies that may not have otherwise ever thought about participating in this important health insurance program that covers …

Senator Stabenow Applauds Medicare Proposal to Implement HOPE for Alzheimer’s Act

Tuesday, July 12, 2016 WASHINGTON, D.C. – U.S. Senator Debbie Stabenow (D-MI) today announced that the Centers for Medicare & Medicaid has proposed covering new care planning sessions under Medicare for Alzheimer’s patients and their families to provide an early assessment of the disease and possible treatment options. This proposal would effectively implement legislation introduced by Senator Stabenow, the Health …

2015-2025 Projections of National Health Expenditures Data Released

Total health care spending growth is expected to average 5.8 percent annually over 2015-2025, according to a report published today as a ‘Web First’ by Health Affairs and authored by the Centers for Medicare & Medicaid Services’ (CMS) Office of the Actuary (OACT). Projected national health spending growth remains lower than the average over previous two decades before 2008 (nearly …

The New York Times: National Health Spending To Surpass $10,000 A Person In 2016

National health spending will average more than $10,000 a person this year for the first time, the Obama administration said Wednesday, a milestone that heralds somewhat faster growth in health spending after several years of exceptionally low growth. By 2025, the administration reported, health care will represent 20 percent of the total economy, up from 17.8 percent last year. By …

man with nurse

Round One Health Care Innovation Awards Show Some Promising Results

The Health Care Innovation Awards is a Centers for Medicare & Medicaid Services (CMS) Innovation Center initiative that tests new payment and service delivery models and aims to find better ways to deliver care and bring down costs for Medicare, Medicaid, and/or Children’s Health Insurance Program (CHIP) enrollees. Today we are sharing the second annual independent evaluation reports of round …

mother and daughter

You Gave, Now Save

NCOA, incollaboration with n4a, have updated our consumer guide to benefits, You Gave, Now Save. I have attached a PDF of the guide to this post; you can find it also on our website at www.ncoa.org/yougavenowsave . n4a did a limited print run of the guide, which they are offering through the Eldercare Locator (call 1-800-677-1116); there is an associated …

roll of hundred dollar bills

It’s Easy to Get Extra Help with Your Prescription Costs

Social Security/Posted on April 21, 2016 by Jim Borland, Assistant Deputy Commissioner, Communications In times like these, every dollar counts. Some people qualify for big savings on their Medicare prescription drug costs and don’t even realize it! In fact, if you receive Medicare, you may be eligible for the Extra Help, which could save you about $4,000 per year on …

mi health link

May 5th Forum on MI Health Link

MI Health Link is like ordering a combo meal at your favorite fast food restaurant.  You are choosing a combo which is known as an “integrated care plan” which includes both your Medicare and your Medicaid in one meal!  This plan is for those who are eligible for both Medicare and Medicaid. Those eligible are encouraged to come, as well …