couple on bridge

Feds To Waive Penalties For Some Who Signed Up Late For Medicare

Each year, thousands of Americans miss their deadline to enroll in Medicare, and federal officials and consumer advocates worry that many of them mistakenly think they don’t need to sign up because they have purchased insurance on the health law’s marketplaces. That decision can leave them facing a lifetime of enrollment penalties. Now Medicare has temporarily changed its rules to …

What to do if you’re wrongfully billed for Medicare costs

Know your rights as a Qualified Medicare Beneficiary. By Stacy Canan and Tim Engelhardt – JAN 18, 2017 If you’re among the 7 million Americans enrolled in the Qualified Medicare Beneficiary (QMB) Program , doctors, suppliers, and other providers aren’t allowed to bill you for Medicare costs when you receive covered medical services, equipment, and supplies. Your Medicare premiums, as …

Medicare-Medicaid ACO Model joins growing number of state-based efforts to improve quality of care, lower costs

Today, the Centers for Medicare & Medicaid Services (CMS) announced the Medicare-Medicaid Accountable Care Organization (ACO) Model, a new initiative designed to improve the quality of care and lower costs for beneficiaries who are enrolled in both Medicare and Medicaid. The Medicare-Medicaid ACO Model builds on the current Medicare Shared Savings Program and advances efforts to partner with states in …

CMS launches new online tool to make Quality Payment Program easier for clinicians

Today, the Centers for Medicare & Medicaid Services (CMS) released a tool to share automatically electronic data for the Medicare Quality Payment Program. This new release is the first in a series that will be part of CMS’s ongoing efforts to spur the creation of innovative, customizable tools to reduce burden for clinicians, while also supporting high-quality care for patients. …

picture of sign that says "Danger Fraud Alert"

Give Fraudsters the Old “One-Two”

Just hang up on phone solicitors offering free gifts in exchange for your Medicare card number or other health information. Read about more ways to beat the Medicare crooks in the link, below. Help fight Medicare fraud | Medicare.gov Learn about examples of Medicare fraud, like getting billed for services or equipment you never got. Learn More WWW.MEDICARE.GOV

CMS Awards Special Innovation Projects

CMS BLOG CMS Awards Special Innovation Projects to Quality Innovation Network-Quality Improvement Organizations Aimed to Drive Better Care, Smarter Spending, and Healthier People October 20, 2016 By: Patrick Conway, MD, MSc Acting Principal Deputy Administrator Deputy Administrator for Innovation and Quality CMS Chief Medical Officer Kate Goodrich, MD Director Center for Clinical Standards and Quality Dennis Wagner, MPA Director, Quality Improvement …

Medicare Open Enrollment

During Medicare Open Enrollment, you can fine tune some of your Medicare coverage. Now’s your chance to compare Medicare Advantage (“Part C”) and Prescription Drug (“Part D”) plans. You could find a plan that offers more, costs less, or both. Start here. Medicare Plan Finder for Health, Prescription Drug and Medigap plans Find and compare Medicare Health Plans, Prescription Drug …

Fight Fraud by Guarding Your Medicare Number

Health care fraud drives up costs for everyone in the health care system.  One way to protect against such fraud is to guard your Medicare number.  Fraud schemes often depend on identity thieves getting hold of people’s Medicare numbers, so treat your number as you would a credit card.   Follow these important steps to protect yourself from fraud:   …