Medicare

Posts related to Medicare.

Improved Information for Stakeholders in Medicare

Improved Information for Stakeholders in Medicare

The Medicare Rights Center has recently released the new website, Medicare Rights.org.This redesigned website will make it easier for beneficiaries, heatlhcare providers, journalists and other interested parties to find answers to Medicare questions. There is an improved search function and a new navigational structure, as well as a more modern design for viewing on...

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Educational Podcasts for the Health Care Consumer

Educational Podcasts for the Health Care Consumer

Free podcasts are available to the general public, courtesy of my professional association, the National Association of Healthcare Advocacy Consultants (NAHAC).   For instance, Richard Heasley, director of San Francisco’s Conard House, presented a teleconference on May 16, 2012  entitled “Effective Teamwork with Psychiatric Patients.” Other topics include eldercare, patient safety, Medicare, and many others. You can...

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Caveat emptor*

Caveat emptor*

There is a Catch-22 (well, one of several) for health care consumers trying to manage medical expenses. This is especially galling if you happen to be in a so-called “consumer-directed health plan,” also known as a high-deductible plan. What’s the catch? The idea of the consumer-directed plan is to make you aware of how...

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California’s Criteria for Dual-Eligibles

California’s Criteria for Dual-Eligibles

Well before the PPACA was enacted, certain individuals over age 65 or collecting federal disability payments may be eligible to participate in both Medicare and Medicaid (termed “Medi-Cal” in California). Such an individual is termed a “dual eligible.” The advantages to dual-eligibility include greater financial assistance and access to services which may not be available...

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Are You a “Dual Eligible”? If so, your prescription drug benefits are enhanced.

Are You a “Dual Eligible”? If so, your prescription drug benefits are enhanced.

If you live in, say,  New York and are on Medicaid, then you become Medicare eligible, do you use Medicaid’s prescription plan, Medicare’s prescription plan, or both? Short answer: Both. But – once eligible for Medicare, Part D is the primary payor for dual eligibles for prescription medication and Medicaid is always the insurer...

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Medi-Cal: California’s Medicaid Program

Medi-Cal

In California, Medicaid is termed “Medi-Cal.” It is governed by federal and state governance as well as the governance of 58 counties, and is a patchwork of various programs and services subject to complex federal, state and county criteria eligibility. The applicant must supply proof of California residency. A social security number or pending application...

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Listen To My Heart…

Listen To My Heart…

Volunteering to observe interaction between doctor and patient, a journalist reported her experience of 18 second-year Harvard Medical School students encountering their first “live” cardiology case. All of them passed the difficult art of auscultation (the stethoscope has not yet become obsolete, low-tech though it is), but most flunked the bedside-manner experiment. Indeed, can you...

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Rare Diseases Day 2011: When Those Hoofbeats *Are* Zebras

February 28 is internationally recognized as Rare Diseases Day.  Yes, even though doctors are inclined to ascribe hoofbeats to horses rather than zebras, sometimes there truly is a zebra. Why should we allocate precious dollars to researching uncommon maladies that affect only a small percentage of people? 1.  That uncommon malady may be a...

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Making Decisions About Medical Care – Before You Get Sick.

We don’t like to think about it much, but in fact 25% of us are already battling multiple chronic conditions.  Medical schools train for treating a single diagnosis.  So 75% of doctors aren’t evaluating patients’ maladies comprehensively and are probably making errors, some of which are critical. Ideally, your PCP is the conduit of the...

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Top Spine Surgeons Reap Royalties, Medicare Bounty – WSJ

In fact, many spine surgeries aren't needed.

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