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1. Share of Cost: California Beneficiaries Hit Hard by Medicare Advantage Plan Pull-outs Almost 151,000 beneficiaries in California are in a Medicare Advantage plan that is pulling out of Medicare in 2012. This means these plans are not renewing their Medicare contracts, their plans are terminating by the end of the year, and beneficiaries enrolled in these plans need to choose a new coverage option for 2012. With […]...
2. Share of Cost: 91 People Charged for Fraudulently Billing Medicare $295 Million Have you heard about last week’s arrests in a historic takedown by the Health Care Fraud Prevention and Enforcement Action Team (HEAT) Strike Force? This takedown happened in 8 cities and has resulted in charges against 91 defendants, including doctors, nurses, and other medical professionals, for their alleged participation in Medicare fraud schemes involving approximately […]...
3. Share of Cost: 6 Short Videos Discuss Affordable Care Act Changes Coming in 2014 The California HealthCare Foundation (CHCF) has put together a series of 6 short, under 5-minute videos on what changes to expect from the Affordable Care Act in the next 2 years. Some highlights of the changes happening by 2014 include: Government-funded health insurance (Medi-Cal) will expand to cover 2 to 3 million more Californians who […]...
4. Blue Shield Of California Dental Plan Highlights Blue Shield Of California Dental Plan Higlights...
5. Share of Cost, Medicare Doesn’t Work As Well For Younger, Disabled Beneficiaries As It Does For Older Enrollees [Web First] Medicare is not working as well for its eight million disabled beneficiaries under age sixty-five as it is for its older beneficiaries. We report on a 2008 survey that found significant differences between the two Medicare populations, with the younger group experiencing more problems of cost and access. Even with the Medicare Part D prescription […]...
6. Share of Cost: Watch Out for the American Opportunity Act Scam Did you know that by calling a special 1-800 number you may qualify to receive $500 from the American Opportunity Act?  By providing your Social Security number, date of birth and other personal information, in just 4 weeks you will receive a Visa Check card ready to be loaded with money.  Sound too good to […]...
7. Share of Cost: Consumers Beware of Medicare Advantage Marketing Fraud Last week Julie Schoen, our California Senior Medicare Patrol (SMP) Project Director, spoke on Medicare fraud on a statewide press teleconference hosted by California’s Department of Managed Health Care (DMHC). Both agencies, DMHC and SMP, are committed to protecting beneficiairies from the sometimes malicious and fraudulent practices of a few insurance agents. While most agents […]...
8. Washington Share of Cost, Brain Study Highlights Role Of Dopamine In Impulsive Behavior It’s a common scenario: you’re on a diet, determined to give up eating cakes, but as you pass the cake counter, all resolve disappears… Now, scientists at the Wellcome Trust Centre for Neuroimaging at UCL (University College London) have shed light on the brain processes that affect our will power and make us act impulsively....
9. Share of Cost: Smart Card Technology Proposed to Protect Seniors from Medicare Fraud To combat a reported $60 billion lost to waste, fraud and abuse within the Medicare system, a bi-partisan group of U.S. senators and representatives led by Senators Mark Kirk (R-IL) and Ron Widen (D-OR) have introduced legislation to use existing “smart card” technology to protect Medicare beneficiaries. The Smart Card Alliance strongly supports the new Medicare […]...
10. Share of Cost: Medicare’s Fall Open Enrollment Has Begun ~ Oct 15 – Dec 7 Medicare’s Fall Open Enrollment, officially known as the Annual Enrollment Period (AEP) starts and ends earlier now. From October 15 – December 7, beneficiaries can change their Medicare health plan and Part D coverage and/or return to Original Medicare. Coverage changes become effective January 1, 2012. Learn more about the AEP and other enrollment periods. Beneficiaries can also […]...
11. Share of Cost: Spanish Medicare Fraud; Prevention PSA is on Youtube The National Hispanic Senior Medicare Patrol (NHSMP) has launched a new outreach and communications campaign, which includes a Spanish language public service announcement (PSA).  The PSA is currently being aired in South Florida through mid-September. The PSA, titled El Fraude al Medicare es un Delito. Denúncielo. (Medicare Fraud is a Crime. Report It.), is part of the NHSMP’s Spanish language […]...
12. Michigan Share of Cost, National RN Relief Group Teams Up With Navy For Medical Mission To Haiti Michigan Share of Cost, National RN Relief Group Teams Up With Navy For Medical Mission To Haiti: The first team of registered nurse volunteers from California, Michigan, and Washington State will depart for Haiti Wednesday morning with the Department of Defense’s Continuing Promise, National Nurses United (NNU), the nation’s largest organization of registered nurses, announced. […]...
13. Share of Cost: Medigap Cost-Sharing Changes Meet Diverse Opposition A provision in the 2010 federal health care reform law calls for changes in Medigap policies that essentially shift the burden of health care costs more onto the hands of beneficiaries. Several members in Congress have come to the unsubstantiated conclusion that because some Medigap plans (the most popular ones, C and F) cover most of […]...
14. Despite some enrollment losses, most California health plans still turned a profit in 2010 Health insurance carriers ground California’s market-based health care system, serving about two-thirds of the state’s population. In addition to covering the privately insured, these companies also serve enrollees in managed care plans through Medi-Cal, Medicare, and other public programs. While California health insurers are a strong economic force overall, enrollment was flat in health plans […]...