Medicare
Annals of Long-Term Care on the Web is a comprehensive resource for clinical information on geriatric medicine and long-term care as well as Medicare. We hope the articles below provide timely information for your practice.
Medicare Update: Medicare Part B?s BIG Changes
Medicare Update: Medicare Part B?s BIG Changes Feature: Medicare Update: Medicare Part B?s BIG Changes - Richard G. Stefanacci, DO, MGH, MBA, AGSF, CMD; Series Editor: Barney S. Spivack, MD, FACP, AGSF, CMD The ? In addition to physician services, Medicare Part B also covers supplies such as durable medical services and medications provided within a physician office. a physician service, while covered under Medicare Part B outside a LTC facility, are Medicare Part D?covered medications ...
Medicare Gets Tough
Medicare Gets Tough Medicare Part D: Medicare Gets Tough- Richard G. Stefanacci, DO, MGH, MBA, AGSF, CMD; Series Editor: Barney S. Spivack, MD, FACP, AGSF, CMD Click here to download full article in PDF format Medicare is getting a little tougher in 2007 in several ways. MEANS TESTING OF MEDICARE PART B PREMIUMS For the first time since Medicare? TOUGHER 2007 MEDICARE PART D Medicare Part D is also getting tougher for Medicare beneficiaries for 2007.
Reimbursement Politics
LEGISLATIVE CHANGES HR 6408 is the bill that will maintain the current level of Medicare physician reimbursements, and will provide a 1.5% increase in reimbursements to physicians who agree to report data on certain quality-of-care measures. Establish a Physician Assistance and Quality Initiative Fund available to finance future Medicare physician reimbursement and quality improvement proposals ¬ This legislation was signed into law on December 27, just days before the planned 5.1% reduction...
Medicare Part D Q and A;10 Most Asked Questions About the Medicare Prescription Drug Program
questions regarding which prescription drug plan (PDP) provides the greatest level of access to medications on an individual basis. CMS has set up a transition process whereby Medicare beneficiaries would continue to have access to their nonformulary medications as they move from one plan to another, such as from Medicaid to Medicare prescription drug plan for those currently with both insurances (Medicare and Medicaid). Many Medicare beneficiaries will need to change from their medications...
Medicare Part D Update: Clarifying Medicare Part D Enrollment Numbers
Medicare Part D Update: Clarifying Medicare Part D Enrollment Numbers Feature: Medicare Part D Update: Clarifying Medicare Part D Enrollment Numbers- Richard G. Stefanacci, DO, MGH, MBA, AGSF, CMD; Series Editor: Barney S. Spivack, MD, FACP, AGSF, CMD Click here to download full article in PDF format What are the real numbers regarding enrollment and why does it matter? The part of this statement that is clearly not true is to say that 37 million Medicare recipients are enrolled in Medicare ...
MEDICARE PHYSICIAN FEE SCHEDULE, ASSISTANCE FOR MEDICARE PART D, PART B PREMIUM SURCHARGE, OLDER AMERICANS ACT, PAY FOR PERFORMANCE
MEDICARE PHYSICIAN FEE SCHEDULE, ASSISTANCE FOR MEDICARE PART D, PART B PREMIUM SURCHARGE, OLDER AMERICANS ACT, PAY FOR PERFORMANCE Washington Update: MEDICARE PHYSICIAN FEE SCHEDULE, ASSISTANCE FOR MEDICARE PART D, PART B PREMIUM SURCHARGE, OLDER AMERICANS ACT, PAY FOR PERFORMANCE Click here to download full article in PDF format CMS? Final Physician Fee Rule Calls for Higher Payments for Evaluation and Management Services, But Also for Overall 5.0% Fee Cut, Starting January 1 Payments for ...
Filling the Donut Hole
Filling the Donut Hole Medicare Part D: Filling the Donut Hole- Richard G. Stefanacci, DO, MGH, MBA, AGSF, CMD; Series Editor: Barney S. Spivack, MD, FACP, AGSF, CMD Click here to download full article in PDF format Before the new plan year starts on January 1, marking once again the beginning of the prescription drug benefit cycle, many Medicare beneficiaries will find themselves having a difficult time obtaining their medications because of the gap in coverage. Many are just now entering ...
WHAT LONG-TERM CARE RESIDENTS AND THEIR CAREGIVERS NEED TO KNOW ABOUT MEDICARE?S NEW DRUG PRESCRIPTION COVERAGE (AND HOW YOU CAN HELP)
S NEW DRUG PRESCRIPTION COVERAGE (AND HOW YOU CAN HELP)- Linda Hiddemen Barondess, Executive Vice-President Click here to download full article in PDF format This month, Medicare and dual Medicare-Medicaid beneficiaries will start signing up for Medicare? Everyone with Medicare in long-term care will qualify for the new Medicare benefit (which will be offered through regional Medicare prescription drug plans, and as part of Medicare managed care, now known as Medicare Advantage). The exact ...
Medicare Part D Update: How to Help Your Patients Choose the ?Right? Prescription Drug Plan
There are basically two types of prescription plans: those covering just prescription drugs known as prescription drug plans (PDPs), and those from Medicare Advantage Prescription Drug (MA-PD) plans that cover not only the prescription drugs but also benefits offered under Medicare Part A (hospital insurance) and Medicare Part B (medical insurance). By going to www.medicare.gov, and utilizing the Compare Medicare Prescription Drug Plans, a practice can start by entering its zip code, because...
2006 ANNUAL AUTHOR/SUBJECT INDEX
2006 ANNUAL AUTHOR/SUBJECT INDEX Annual Index: 2006 ANNUAL AUTHOR/SUBJECT INDEX Click here to download full article in PDF format AUTHOR INDEX AGS Clinical Practical Guidelines. 2006;14(9):20-27. [Correction in: Annals of Long-Term Care: Clinical Care and Aging 2006;14(11):15] Leigh-Pemberton RA, von Moltke LL, Greenblatt DJ. 2006;14(9):20-27. [Correction in: Annals of Long-Term Care: Clinical Care and Aging 2006;14 (11):15] Norman KM, Yoshikawa TT.
Medicare Update: Medicare Part B?s BIG Changes Feature: Medicare Update: Medicare Part B?s BIG Changes - Richard G. Stefanacci, DO, MGH, MBA, AGSF, CMD; Series Editor: Barney S. Spivack, MD, FACP, AGSF, CMD The ? In addition to physician services, Medicare Part B also covers supplies such as durable medical services and medications provided within a physician office. a physician service, while covered under Medicare Part B outside a LTC facility, are Medicare Part D?covered medications ...
Medicare Gets Tough Medicare Part D: Medicare Gets Tough- Richard G. Stefanacci, DO, MGH, MBA, AGSF, CMD; Series Editor: Barney S. Spivack, MD, FACP, AGSF, CMD Click here to download full article in PDF format Medicare is getting a little tougher in 2007 in several ways. MEANS TESTING OF MEDICARE PART B PREMIUMS For the first time since Medicare? TOUGHER 2007 MEDICARE PART D Medicare Part D is also getting tougher for Medicare beneficiaries for 2007.
LEGISLATIVE CHANGES HR 6408 is the bill that will maintain the current level of Medicare physician reimbursements, and will provide a 1.5% increase in reimbursements to physicians who agree to report data on certain quality-of-care measures. Establish a Physician Assistance and Quality Initiative Fund available to finance future Medicare physician reimbursement and quality improvement proposals ¬ This legislation was signed into law on December 27, just days before the planned 5.1% reduction...
questions regarding which prescription drug plan (PDP) provides the greatest level of access to medications on an individual basis. CMS has set up a transition process whereby Medicare beneficiaries would continue to have access to their nonformulary medications as they move from one plan to another, such as from Medicaid to Medicare prescription drug plan for those currently with both insurances (Medicare and Medicaid). Many Medicare beneficiaries will need to change from their medications...
Medicare Part D Update: Clarifying Medicare Part D Enrollment Numbers Feature: Medicare Part D Update: Clarifying Medicare Part D Enrollment Numbers- Richard G. Stefanacci, DO, MGH, MBA, AGSF, CMD; Series Editor: Barney S. Spivack, MD, FACP, AGSF, CMD Click here to download full article in PDF format What are the real numbers regarding enrollment and why does it matter? The part of this statement that is clearly not true is to say that 37 million Medicare recipients are enrolled in Medicare ...
MEDICARE PHYSICIAN FEE SCHEDULE, ASSISTANCE FOR MEDICARE PART D, PART B PREMIUM SURCHARGE, OLDER AMERICANS ACT, PAY FOR PERFORMANCE Washington Update: MEDICARE PHYSICIAN FEE SCHEDULE, ASSISTANCE FOR MEDICARE PART D, PART B PREMIUM SURCHARGE, OLDER AMERICANS ACT, PAY FOR PERFORMANCE Click here to download full article in PDF format CMS? Final Physician Fee Rule Calls for Higher Payments for Evaluation and Management Services, But Also for Overall 5.0% Fee Cut, Starting January 1 Payments for ...
Filling the Donut Hole Medicare Part D: Filling the Donut Hole- Richard G. Stefanacci, DO, MGH, MBA, AGSF, CMD; Series Editor: Barney S. Spivack, MD, FACP, AGSF, CMD Click here to download full article in PDF format Before the new plan year starts on January 1, marking once again the beginning of the prescription drug benefit cycle, many Medicare beneficiaries will find themselves having a difficult time obtaining their medications because of the gap in coverage. Many are just now entering ...
S NEW DRUG PRESCRIPTION COVERAGE (AND HOW YOU CAN HELP)- Linda Hiddemen Barondess, Executive Vice-President Click here to download full article in PDF format This month, Medicare and dual Medicare-Medicaid beneficiaries will start signing up for Medicare? Everyone with Medicare in long-term care will qualify for the new Medicare benefit (which will be offered through regional Medicare prescription drug plans, and as part of Medicare managed care, now known as Medicare Advantage). The exact ...
There are basically two types of prescription plans: those covering just prescription drugs known as prescription drug plans (PDPs), and those from Medicare Advantage Prescription Drug (MA-PD) plans that cover not only the prescription drugs but also benefits offered under Medicare Part A (hospital insurance) and Medicare Part B (medical insurance). By going to www.medicare.gov, and utilizing the Compare Medicare Prescription Drug Plans, a practice can start by entering its zip code, because...
2006 ANNUAL AUTHOR/SUBJECT INDEX Annual Index: 2006 ANNUAL AUTHOR/SUBJECT INDEX Click here to download full article in PDF format AUTHOR INDEX AGS Clinical Practical Guidelines. 2006;14(9):20-27. [Correction in: Annals of Long-Term Care: Clinical Care and Aging 2006;14(11):15] Leigh-Pemberton RA, von Moltke LL, Greenblatt DJ. 2006;14(9):20-27. [Correction in: Annals of Long-Term Care: Clinical Care and Aging 2006;14 (11):15] Norman KM, Yoshikawa TT.