CMS examines inappropriate steering of people eligible for Medicare or Medicaid into Marketplace plans

Concerns raised about impact of 3rd party premium provider & affiliated organization payments The Centers for Medicare & Medicaid Services (CMS) today issued a request for information seeking public comment on concerns that some health care providers and provider-affiliated organizations may be steering people eligible for, or receiving, Medicare and/or Medicaid benefits into Affordable Care Act-compliant individual market plans, including …

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CMS extends, expands fraud-fighting enrollment moratoria efforts in six states

CMS extends, expands fraud-fighting enrollment moratoria efforts in six states New demonstration enhances agency’s enrollment and investigative options Today, the Centers for Medicare & Medicaid Services (CMS) announced an extension and statewide expansion of fraud-fighting temporary provider enrollment moratoria efforts in six states, along with a new related demonstration project to allow for certain exceptions to the moratoria and heightened …

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 Part D is coming up!

Many people are still working when they’re first eligible for Medicare, and they need to decide if they should get Medicare Part B coverage. Those newly eligible for Medicare who are still working or have employer coverage have important decisions to make. It’s important they understand how and when to enroll, as well as the consequences of not enrolling. Those …

Take Care With Medicaid

MEDICARE FRAUD COSTS taxpayers and the government. Anyone can abuse the system and commit health-care fraud: health-care providers, suppliers, employees, companies. Here’s some information to help you protect yourself from related scams. Examples of Medicare fraud you might encounter include: Someone uses your Medicare card to get unauthorized supplies, equipment or care A provider bills Medicare for services or equipment …

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Financial Protections for Medicare Enrollees Are Eroding

Enrollment in Medicare Advantage continues to climb steadily as spending reductions enacted in the Affordable Care Act reduce historical overpayments to the private plans, according to a new analysis by the Kaiser Family Foundation. But limits on out-of-pocket spending for Medicare-covered services are rising, providing less protection for enrollees with relatively high health care expenses. Medicare Advantage enrollment grew in …

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The Michigan Medicare Medicaid Assistance Program statewide service offers free counseling for the 2015 Medicare Plan changes and new enrollments.

October 15th starts the Medicare Open Enrollment period for 2015. Now is the time to change plan benefits, provider networks, drug formularies and monthly premiums. During the Medicare Open Enrollment period, October 15th to December 7th, all Medicare beneficiaries have the option to change their plans for 2015. This includes anyone with Original Medicare, a Medicare Advantage Health Plan or …