The Leading Business Education Network for Doctors, Financial Advisors and Health Industry Consultants

Customer Service in Medicare and Medicaid Plans

4 Responses

1. Ann, on June 28, 2010 at 12:43 AM said:

   CMS To Expand Medicare Preventive Services in 2011

   On Friday, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would implement key provisions in the Affordable Care Act of 2010 that expand preventive services for Medicare beneficiaries, improve payments for primary care services, and promote access to healthcare services in rural areas. The proposed policies would apply to payments under the Medicare Physician Fee Schedule for services furnished on or after January 1, 2011.

   The proposed rule would implement provisions in the Affordable Care Act that will eliminate out-of-pocket costs for beneficiaries for most preventive services, including the new annual wellness visit. This visit augments the benefits of the Initial Preventive Physical Examination (IPPE or “Welcome to Medicare Visit”) with an annual wellness visit that allows the physician and patient to develop a personalized prevention plan that includes not only the preventive services generally available to the Medicare population, but additional services that may be appropriate because of the patient’s individual risk factors.

   Source: PMNews #3,896

   LikeLike
2. Debra, on August 11, 2010 at 11:10 AM said:

   Obama Signs Medicaid Measure

   The House used a rare recess session recently to pass legislation 247-161 extending enhanced federal Medicaid payments through mid-2011. President Barack Obama later signed the measure only hours after it cleared the House, according to the Associated Press.

   The federal government since last year has been paying 6.2% more of its share of Medicaid as a means to help individual states stave off the effects of a sluggish economy. Under the bill, the enhanced payments would phase down over two quarters in 2011, first to 3.2% and finally to 1.2% through June.

   Source: Matthew DoBias, Modern Healthcare [8/10/10]

   LikeLike
3. Ann Miller RN MHA, on December 18, 2011 at 12:57 PM said:

   What about Provider Service?
   [Bill Would Require Medicaid to Pay Promptly]

   Reps. Brian Bilbray (R-CA) and Anna Eshoo (D-CA) have introduced legislation that would require the Medicaid program to reimburse all providers—including nursing facilities, hospitals and community health centers—in a more timely manner.

   The bill, known as the Fair Pay to Medicaid Providers Act, would extend to these healthcare providers a provision that requires Medicaid to reimburse 90% of claims to physicians in 30 days and the remainder within 90 days, according to Eshoo’s office.

   Source: Jessica Zigmond, Modern Healthcare [12/12/11]

   LikeLike
4. Gregory, on July 1, 2012 at 3:16 PM said:

   Supreme Court ruling leaves states with major decision on Medicaid

   The Supreme Court’s ruling yesterday that the Medicaid expansion in the ACA is optional leaves states with a major decision (Source: “The Supreme Court forces states to make a big Medicaid decision.

   http://www.healthpolicyreview.org/daily_review/2012/06/supreme-court-ruling-leaves-states-with-major-decision-on-medicaid.html?utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+typepad%2Fhealthpolicyreview+%28Ohio+Health+Policy+Review%29

   Here’s how they’ll do it.,” Washington Post Wonk Blog, June 29, 2012).

   Gregory

   LikeLike