Health care law creates funding cuts, challenges for Macon hospital

Central Georgia Health System Inc. in Macon is facing about $200 million in funding cuts over a 10-year period under the new health care law. It is one of 1,500 hospitals across the country known as safety net providers who care for a large number of uninsured patients Continue reading

Joppel Website Helps Universal Health Care Medicare Members Find New Health Insurance Coverage in Wake of Recent …

ORANGE, Calif.–(BUSINESS WIRE)– The recent filing for bankruptcy by Universal Health Care has left 37,500 Florida seniors scrambling to find new health insurance before their window to make a choice closes on May 31. In response, the nations premier online resource designed to help seniors select the right health insurance coverage has established a special hotline to help with this urgent need. Medicare beneficiaries enrolled in Universals Medicare Advantage plans are understandably concerned about their coverage and urgently in need of a new Medicare plan, said Kyal Moody, senior vice president of Joppel. Continue reading

Philadelphia Freedom Valley YMCA Joins With the Silver&Fit(R) Exercise & Healthy Aging Program to Offer No Cost and …

SAN DIEGO, April 1, 2013 (GLOBE NEWSWIRE) — The Silver&Fit Exercise & Healthy Aging program, a fitness program for older adults offered by American Specialty Health Fitness, has signed a contract with the Philadelphia Freedom Valley YMCA to provide no cost or low cost exercise programs to Medicare beneficiaries in the region. The Philadelphia Freedom Valley YMCA is now offering the Silver&Fit program to Medicare members enrolled in Humana, Aetna or Health America Medicare Advantage plans. Continue reading

Health care law changes will be drastic for many

JEFFERSON Its the only service in America where we dont directly pay for it. Thats the curious nature of health care in America, especially for those who have some type of insurance that picks up the tab, said Joe Giangola, an Ashtabula insurance professional who participated in a discussion on the subject Tuesday evening. Giangola said that while Americans historically have been isolated from the real cost of care, that is about to change as more than 40 million uninsured Americans must find insurance or face a penalty. Continue reading

Plain Talk: Single-payer health care is still right way to go

For the 11th straight year, Michigan Democratic Rep. John Conyers has introduced what he calls the Expanded and Improved Medicare for All Act to establish a universal, single-payer health care system in the United States similar to what exists in most developed countries throughout the world. Conyers plan is the real health care reform that the United States, if its politicians werent so beholden to special interests, would have adopted decades ago. Continue reading

Another View How Medicare’s low prices drive up health care costs

Steven Brill’s recent Time magazine cover story, “Bitter Pill: Why Medical Bills Are Killing Us,” is an extraordinarily well-reported look at medical pricing, demonstrating that high health-care prices have little relationship to underlying cost. For many commentators, the much lower prices paid by Medicare suggest an obvious solution to our health-care problems – “Medicare for all.” There’s only one problem with this “obvious” solution: Medicare has been a primary driver of the explosion of health-care costs in the United States despite – and perhaps because of – the low prices it pays Continue reading

Bringing down health care costs isn’t always complicated

Accustomed as we are to thinking of hospitals as beneficent providers of lifesaving and often charitable care, it comes as a shock to learn how many are engaging in, not to put too fine a point on it, price gouging. As Steven Brill shows in his cover story in this weeks Time magazine, nonprofit hospitals, even more than for-profit ones, chase 12 percent profit margins with eye-popping markups on everything from cardio stress tests to gauze pads. The United States spends more per capita on health care, almost $9,000 a year, than any other country, yet it stands in the lowest quartile for life expectancy of developed countries. Continue reading

UPAC-Moultrie recognized for quality health care

ATLANTA Alliant GMCF, the Medicare Quality Improvement Organization (QIO) for Georgia, has recognized UPAC-Moultrie for improving the quality of health care for Georgians. We are very proud of our dedicated employees and their focus on resident-centered care. UPAC-Moultrie is committed to delivering the highest quality service, said Vickie Patterson, administrator Continue reading

Gorman Health Group Welcomes Dawn Aston and Michael Bush to the Firm's Elite Team of Government Health Care Experts

WASHINGTON, Feb. 11, 2013 (GLOBE NEWSWIRE) — Gorman Health Group (GHG), the leading consulting firm and solutions provider in government health care programs, announces today the arrival of two new additions to the firm’s team of government health care experts. Dawn Aston and Michael Bush bring a combined 53 years of experience in a variety of topic areas, including Health Insurance Exchanges, Medicare Advantage and Part D, and health reform implementation Continue reading

Health Care Fraud, Record $4.2 Billion Recovered In 2012, USA

Editor’s Choice Main Category: Medicare / Medicaid / SCHIP Also Included In: Litigation / Medical Malpractice Article Date: 12 Feb 2013 – 0:00 PST Current ratings for: Health Care Fraud, Record $4.2 Billion Recovered In 2012, USA Health and Human Services (HHS) Secretary Kathleen Sebelius and Attorney General Eric Holder issued a report which showed that for every dollar the US government spent on health care-related fraud and abuse investigations over the last 36 months, it got $7.90 back. This is a record over a three-year period since the HCFAC (Health Care Fraud and Abuse) Program began sixteen years ago Continue reading

Medicare Agency Nominee Likely to Face Health Care Law Questioning

Marilyn Tavenner has another shot to be confirmed as leader of the Centers for Medicare and Medicaid Services, but getting there will require defending the 2010 health care law to Senate Republicans. Tavenner is the acting administrator of the agency, which has not had a confirmed leader in seven years. Even though Tavenner herself is generally respected, the agency charged with overseeing major federal health programs and implementation of the health care law (PL 111-148, PL 111-152) comes with a lot of controversy. Continue reading

1 In 10 Doctor Practices Flee Medicare To Concierge Medicine

As Medicare whacks away at what doctors are paid and health insurers move away from paying fees for service to bundled payments, more physicians who own their own practices will start direct pay or concierge medicine in the next one to three years. Continue reading

Health care reform rewards hospital quality

Buried amid the better-known and more controversial mandates of health care reform lies an unassuming little change to Medicare billing that may have a greater impact on the medical care you receive than any other aspect of the Affordable Care Act. Continue reading

Medicare Information for Iowa by Medicare Pathways – Video




Medicare Information for Iowa by Medicare Pathways What is my cost sharing with Medicare for 2013? www.medicarepathways.com Original Medicare, also known as Part A and B, only covers up to 80% of your medical costs in most cases. Part A is hospital insurance that helps cover inpatient care in hospitals, skilled nursing facility, hospice, and home health care.Part B helps cover medically-necessary services like doctors' services, outpatient care, home health services, and other medical services. Continue reading

Aetna and BayCare to Introduce Collaborative Care in Tampa

TAMPA, Fla.–(BUSINESS WIRE)– Aetna (NYSE: AET), BayCare Health System and BayCare Physician Partners, announced today a new collaborative care agreement designed to improve the quality of care for Aetna members and lower overall health care costs. Continue reading