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Letters: The Hole in the Middle of Medicare

To the Editor: Valero DovalRelated (September 2, 2008) (August 30, 2008) Re “Medicare’s Troubling Drug Gap” (editorial, Sept. 2), about a rule that forces people who hit a certain threshold to pay more than $3,000 until coverage kicks in again:You say “there is no easy solution short of increasing federal spending or finding a way to drive down the cost of drugs.” How about repealing the provision...

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GAO Report: Medicare Part D Low-Income Subsidy

Medicare Part D Low-Income Subsidy: Assets and Income Are Both Important in Subsidy Denials, and Access to State and Manufacturer...

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Warfarin Response Testing: Medicare Calls for Feedback on Reimbursement

Guest post from Trisha Brown, MS, CGC, DNA Direct’s VP of Clinical Affairs: FDA announced last year that the agency would update the label for the blood thinner warfarin to note that patients’ genetic makeup could strongly influence their response to the drug. Too high a dose of warfarin, and patients may experience uncontrolled [...]

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Australia: Medicare crackdown on healthcare fraud

MEDICARE Australia will investigate the effects of big corporate health players on the public purse and target aggressive advertising of unnecessary tests as it dramatically scales up its checks on the health profession. (The Australian)

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Marketing Materials for Medicare Prescription Drug Plans

Marketing Materials for Medicare Prescription Drug Plans (PDF; 1.4 MB) Source: U.S. Department of Health and Human Services, Office of Inspector General Overall, PDP marketing materials did not meet CMS guidelines. Eighty-five percent of marketing materials failed to meet at least one element of CMS’s guidelines. These elements reflected the array of requirements in the guidelines, [...]

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Brief Updates on Heathways and the Medicare Group Practice Demo

Follow-up on prior musings of the Disease Management Care Blog: Here’s an additional report that answers one of the questions poised by the DMCB on the Physician Group Practice Demo: were the awards enough to make up for the direct costs and foregone revenue? Read about Medicare’s definition of ‘win-win’ for yourself. And, the DMCB wonders if Jim Cramer of ‘ Mad Money ’ hasn’t been reading its posts...

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Medicare Part D Sucks

If you want to have an article on hand to share with people who tell you that Medicare Part D is just swell, this one would be a good choice: Part D offers a disturbing window on the future of...

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HOUSTON PHYSICIAN CONVICTED OF DEFRAUDING MEDICARE IN WHEELCHAIR FRAUD SCHEME!

$200 KICKBACKS FOR THE SCHEME! Dr. Michael D. Kim, 68, has been convicted of conspiracy to defraud the Medicare program and 17 counts of health care fraud in a scheme to defraud Medicare of $29 million. Kim was found guilty today by a federal jury after less than two hours of deliberation. The evidence presented at trial proved Kim fraudulently certified physically-fit Medicare beneficiaries for motorized...

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Oppn has right to block 'bad policy'

Hockey flags rising health insurance premiums if Labor's Medicare changes go through. 7 Sep 2008 1:53 PM

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HHS Provides Prescription Drug and Durable Medical Equipment Assistance for Uninsured Louisiana Victims of Hurricane Gustav

WASHINGTON - HHS Secretary Mike Leavitt today announced $1 million in individual assistance for Louisiana victims of Hurricane Gustav, through a new Emergency Prescription Assistance Program (EPAP) administrated by the Centers for Medicare and Medicaid Services (CMS).

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Patient Account Manager in ENGLEWOOD, CO

Patient Account Manager – leading a team of 5 individuals the patient account manager is responsible for handling all of the account functions from the clinic to billing. 99 of the coverage for the patients is done through federal aid so Medicare and Medicaid experience is a must. Experience with ICD9, CPT, CICP and CHP, or a general working knowledge of the industry is key. Personal traits that must...

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Beware: Natural Substance Knock-Offs in FDA Pipeline are Dangerous

Some of the natural substances taken through the FDA approval process don't appear to be dangerous. Omacor, the FDA approved fish oil, is only a problem because it is so expensive compared to regular fish oil -- although taxpayers bear the brunt of this price difference, because Medicare won't reimburse any other fish oil. However, there are other natural substances coming through the FDA approval...

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Drug plan marketing routinely fails to meet Medicare guidelines

WASHINGTON - About 85 percent of the marketing materials that private insurers use for their prescription drug plans fail to meet all of Medicare's guidelines for those products, federal auditors said Thursday.The marketing products include enrollment applications for the Medicare drug benefit or explanations of a plan's benefits and rules. The Centers for Medicare and Medicaid Services has dozens...

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For Pete Sake

This is from a Wall Street Journal editorial on the discovery that almost one-third of Medicare's medical equipment payments were improper or fraudulent. Mr. Stark and his ilk consistently claim that Medicare is a model for government-run "universal" health care because it spends less on overhead than the private sector. True, Medicare's administrative costs are just [...]

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Dems: Make Meds Cheaper

For Medicare seniors. Stuart reports .