Keyword: medicare

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  • Feds May Reimburse Medicare 'End-of-Life Discussions' After Mocking Palin's 'Death Panels'

    08/31/2014 2:36:43 PM PDT · by 2ndDivisionVet · 20 replies
    Breitbart's Big Government ^ | August 31, 2014 | Tony Lee
    Years after former Alaska Governor Sarah Palin was mocked for being concerned about "death panels," the federal government may reimburse Medicare doctors for end-of-life consultations that critics say would only encourage sick patients to reject costly treatments to prolong life. The New York Times reports that "Medicare may begin covering end-of-life discussions next year if it approves a recent request from the American Medical Association," which is "the country’s largest association of physicians and medical students" and creates "billing codes for medical services, codes used by doctors, hospitals and insurers." According to the Times, the group "recently created codes for...
  • Half of all New Mexicans now on Medicaid and Medicare

    08/23/2014 5:47:02 AM PDT · by george76 · 23 replies
    Albuquerque Business First ^ | Aug 22, 2014 | Dennis Domrzalski
    Since October, 155,000 New Mexico residents have joined the state’s Medicaid rolls, pushing total enrollment to more than 630,000, or nearly a third of the state’s population. On top of that, 410,000 New Mexicans are enrolled in Medicare, the federal health care program for the elderly. Together, total enrollment in those two federal programs are more than 1 million, or half of the state’s 2.1 million population. ... “It’s shocking, and when you add that to the outmigration of people and the lack of economic growth, it’s almost an incentive to stay poor,” said retired University of New Mexico economics...
  • Let’s Privatize Medicare

    08/23/2014 5:39:04 AM PDT · by Kaslin · 12 replies
    Townhall.com ^ | August 23, 2014 | John C. Goodman
    Paul Ryan proposed a private health insurance alternative to Medicare for future retirees, liberal critics pounced. It’s another scheme to undermine health care for the elderly by “privatizing” and “voucher-izing” the program, they said.Yet, almost one third of seniors are already in private health insurance plans. They are called Medicare Part C, or Medicare Advantage, plans. And you would be hard pressed to find any Democratic office holder who wants to abolish them. The reason? Seniors choose to be in these plans because they like them better than traditional Medicare.Not only do seniors like them, but they appear to provide...
  • White House won't reveal documents related to ObamaCare website security

    08/19/2014 1:22:16 PM PDT · by Oldeconomybuyer · 4 replies
    FOX News ^ | August 19, 2014
    The White House has rejected a request to publicly disclose documents relating to the kinds of security software and computer systems behind the federal health care exchange website on the grounds that the information could "potentially" be used by hackers. The Centers for Medicare and Medicaid Services denied a Freedom of Information Act request made late last year by the Associated Press amid concerns that Republicans raised about the security of the website, which had technical glitches that prevented millions of people from signing up for insurance under ObamaCare. In denying access to the documents, including what's known as a...
  • Cancer Screening in Seniors Yields Few Benefits

    08/18/2014 6:42:51 PM PDT · by Innovative · 63 replies
    Medpage Today ^ | Aug 18, 2014 | Charles Bankhead
    Screening older patients for cancer provided minimal benefit at considerable cost and increased use of invasive procedures, reported investigators in two separate studies. "It is particularly important to question screening strategies for older persons," Gross continued. "Patients with a shorter life expectancy have less time to develop clinically significant cancers after a screening test and are more likely to die from noncancer health problems after a cancer diagnosis."
  • A Medicare scam that just kept rolling

    08/16/2014 8:40:54 PM PDT · by E. Pluribus Unum · 20 replies
    Washington (com)Post ^ | August 16, 2014 | David A. Fahrenthold
    The government has paid billions to buy power wheelchairs. It has no idea how many of the claims are bogus. LOS ANGELES — In the little office where they ran the scam, a cellphone would ring on Sonia Bonilla’s desk. That was the sound of good news: Somebody had found them a patient.When Bonilla answered the phone, one of the scam’s professional “patient recruiters” would read off the personal data of a senior citizen. Name. DOB. Medicare ID number. Bonilla would hang up and call Medicare, the enormous federal health-insurance program for those over 65.
  • Medicare Solution

    08/08/2014 12:56:42 PM PDT · by Kaslin · 41 replies
    Townhall.com ^ | August 8, 2014 | Linda Chavez
    Next week I'm scheduled for a cervical spinal fusion that costs upward of $100,000, but I won't be paying for it. Like 50 million other Medicare recipients, I will receive the medical care I need more or less free of charge thanks to Medicare. It's something most seniors take for granted -- a benefit we believe we're entitled to because, after all, we paid Medicare taxes all our working lives. But as it happens, those taxes aren't nearly enough to pay for the benefits we receive from the system -- at least for most of us. Despite the fact that...
  • Immigrants Contributed Over $182 Billion to Medicare: Report

    08/06/2014 10:41:45 AM PDT · by Oldeconomybuyer · 41 replies
    NBC News ^ | August 6, 2014
    Immigrants have helped pay the nation’s bills, at least when it comes to health care, according to a new report. Immigrants contributed over $182 billion to Medicare’s Hospital Insurance Trust Fund between 1996 and 2011, according to a study released by the Partnership for a New American Economy, a group which advocates for immigration reform. The study found during that same 15-year period, U.S.-born citizens produced a $68.7 billion deficit for the same fund. The Partnership for a New American Economy, a coalition of mayors and business leaders started by Michael Bloomberg and Rupert Murdoch.
  • As Docs Opt Out of Obamacare, a Two-Tiered System Is Born

    08/05/2014 10:03:10 AM PDT · by george76 · 31 replies
    Fiscal Times - Kaiser Health News ^ | August 5, 2014 | Jeffrey Cohen
    On a recent afternoon at his office in Hartford, Conn., Dr. Doug Gerard examines a patient complaining of joint pain. Gerard, an internist, checks her out, asks her a few questions about her symptoms and then orders a few tests before sending her on her way. For a typical quick visit like this, Gerard could get reimbursed $100 or more from a private insurer. For the same visit, Medicare pays less — about $80. And now, with the new private plans under the Affordable Care Act, Gerard says he would get something in between, but closer to the lower Medicare...
  • Docs say Medicare's proposed rates for heart procedure would limit access

    07/19/2014 6:43:27 AM PDT · by Innovative · 12 replies
    Modern Healthcare ^ | July 18, 2014 | Virgil Dickson
    Cardiac surgeons and medical societies are asking the CMS to reconsider proposed payment rates for implanting Abbott's MitraClip, a device that treats a debilitating heart condition. Because the device itself costs more than $30,000, the proposed reimbursement rate would make it “prohibitive for hospitals to be able to offer this significant care so badly needed for a large majority of our patients,” Dr. Gregory Helmer, a cardiologist at the University of Minnesota, said in comments submitted to the CMS.
  • U.S. Medicare program scales back hospice drugs restrictions

    07/19/2014 5:33:03 AM PDT · by Innovative · 37 replies
    Reuters ^ | July 18, 2014 | David Morgan
    The Obama administration on Friday backed down on restrictions of private insurance coverage for hospice drugs under Medicare, saying the regulations were preventing some terminally ill patients from having access to medicine. Under Medicare's Part A hospital program, hospices receive daily payments for each patient but are responsible for all drugs related to a patient's terminal illness. Medicare Part D covers only prescriptions and medications for curative conditions that are unrelated to a terminal illness.
  • Medicare Modifies Controversial Hospice Drug Rule (won't pay for pain relief pills)

    07/19/2014 2:49:07 AM PDT · by Innovative · 22 replies
    Washington Post ^ | July 18, 2014 | Susan Jaffe
    Under the rules that took effect in May, hospice patients or their families could not fill prescriptions through their Part D drug plans until first confirming that the prescriptions were not covered by hospice providers. Drugs related to palliative and comfort care are supposed to be covered under the fixed rate payments to the hospice. Medicare announced Friday that the rules would be revised so that the additional authorization would be required for only four types of medications: pain relievers, anti-nauseants, laxatives, and anti-anxiety drugs that are “nearly always” considered hospice-related.
  • Grimes stands by new ad hitting McConnell on Medicare but does not offer own plan

    07/10/2014 9:39:40 PM PDT · by Republican Wildcat · 8 replies
    cn|2 Pure Politics ^ | 7/08/2014 | Jacqueline Pitts
    Democratic U.S. Senate candidate Alison Lundergan Grimes says Kentucky U.S. Senator Mitch McConnell has taken votes to hurt the state’s seniors but bypassed a question Tuesday about what she would do differently. After addressing the International Brotherhood Of Electrical Workers (IBEW) District 4 Progress Meeting in Louisville Tuesday, Grimes took questions from reporters on her new ad released prior to the event. When asked about the validity of the $6,000 out-of-pocket increase figure used in the ad, Grimes responded by saying McConnell will have to answer to his vote on the Paul Ryan budget. According to a fact check of...
  • New York's Health Insurance Exchange: Don't Pop the Champagne Quite Yet

    07/03/2014 10:58:15 AM PDT · by Oldeconomybuyer · 1 replies
    Forbes ^ | July 3, 2014 | By Paul Howard and Yevgeniy Feyman
    Obamacare advocates in New York have had good reason to celebrate. In contrast to Oregon’s and other state-based exchanges, New York’s exchange rollout was a relatively smooth, successful affair. Now for some cold water: New York still has a long way to go. New York State’s Medicaid program, already among the nation’s largest and most expensive, just grew by 10%. And 87% of the new Medicaid enrollees were eligible under New York’s generous, old rules. This means the state will be picking up 50% of the cost for much of this population—not the 10% headline rate for the newly eligible,...
  • Harris v Quinn more important than Hobby Lobby?

    06/30/2014 2:55:44 PM PDT · by 2ndDivisionVet · 10 replies
    Hot Air ^ | June 30, 2014 | Ed Morrissey
    In terms of direct impact on overreaching government power, perhaps the decision getting the least attention today is the most intriguing. Harris v Quinn addressed a movement in several states — Illinois in this case, but also in Minnesota and others — to force people into public-employee unions even though they are not directly employed by government, but privately employed and paid in part through public aid. The decision in this case narrowly centered on that distinction, but offers a window into a path for broader rollbacks of forced participation in PEU funding: The Supreme Court dealt a blow to...
  • Houston Ambulance Operator Sentenced for Her Role in $2.4 Million Health Care Fraud Scheme

    06/15/2014 10:01:21 AM PDT · by Larry381 · 7 replies
    FBI Houston ^ | June 13, 2014 | U.S. Department of Justice Office of Public Affairs
    The owner and operator of a Houston-area ambulance company was sentenced today to serve 97 months in prison for her role in a $2.4 million Medicare fraud scheme. Gwendolyn Climmons-Johnson, 54, was convicted by a federal jury in Houston, Texas, on October 30, 2013, of one count of conspiracy to commit health care fraud and four counts of health care fraud. In addition to the prison sentence, Climmons-Johnson was also sentenced to serve three years of supervised release and ordered to pay $972,132 in restitution. According to evidence presented at trial, Climmons-Johnson was the owner and operator of Urgent Response...
  • UnitedHealthcare to cut doctors for Mass. seniors

    06/08/2014 10:51:22 AM PDT · by Rusty0604 · 25 replies
    Boston Globe ^ | 06/07/2014 | Tracy Jan
    National insurance giant UnitedHealthcare plans to cut up to 700 Massachusetts doctors from its physician network for seniors enrolled in its private Medicare plan as a way to control costs, according to company officials. For elderly patients enrolled in the plan, the cuts mean they will have to find a new doctor or eventually switch to a new health plan that covers their current doctor. The move, effective Sept. 1, follows similar cuts made by the insurer to its Medicare Advantage provider networks in 11 other states... There is also pending legislation in Congress to prevent health plans from cutting...
  • Investigation: Feds overpaid $70B to Medicare Advantage

    06/04/2014 3:10:32 PM PDT · by Oldeconomybuyer · 6 replies
    The Hill ^ | June 4, 2014 | By Ferdous Al-Faruque
    The federal government wrongfully paid Medicare Advantage programs almost $70 billion, mostly through overbilling between 2008 and 2013, according to a new report. The Center for Public Integrity released the first of its four part investigative series Wednesday on Medicare Advantage payments that examines the use of risk scores used by providers to charge the government more for sicker patients. Medicare Advantage covers nearly 16 million people and is expected to cost more than $150 billion this year. However, reviews by the Centers for Medicare and Medicaid Services have also found billing errors in 30 percent or more of patient...
  • Medicaid Enrollment Surges By More Than 1 Million In April

    06/04/2014 2:51:28 PM PDT · by Oldeconomybuyer · 10 replies
    Kaiser Health News ^ | June 4, 2014 | By Phil Galewitz
    Medicaid enrollment surged by more than 1 million people in April, bringing the total growth in the state-federal health insurance program for the poor since September to about 6 million, the Obama administration said Wednesday. Overall, Medicaid enrollment in 47 states and the District of Columbia topped 65 million in April, compared to 59 million in September for those same states, according to the report from the Centers for Medicare & Medicaid Services. Connecticut, Maine and North Dakota did not report their Medicaid enrollments. “This is good news,” said Rachel Klein, director of organizational strategy & enrollment at Families USA,...
  • Feds to Consider Paying Doctors for End-of-Life Planning (Death Panels Resurrected)

    06/02/2014 9:36:04 AM PDT · by abb · 33 replies
    Stateline ^ | June 1, 2014 | Michael Ollove
    The federal government may reimburse doctors for talking to Medicare patients and their families about “advance care planning,” including living wills and end-of-life treatment options — potentially rekindling one of the fiercest storms in the Affordable Care Act debate. A similar provision was in an early draft of the federal health care law, but in 2009, former Republican vice-presidential candidate Sarah Palin took to Facebook to accuse President Barack Obama of proposing “death panels” to determine who deserved life-sustaining medical care. Amid an outcry on the right, the provision was stripped from the legislation. Now, quietly, the proposal is headed...
  • Medicare coverage ban on sex-change surgery lifted

    05/30/2014 11:31:31 AM PDT · by reaganaut1 · 33 replies
    Associated Press ^ | May 30, 2014 | Lisa Leff
    SAN FRANCISCO (AP) — Transgender people receiving Medicare may no longer be automatically denied coverage for sex reassignment surgeries, a U.S. Department of Health and Services review board ruled Friday in a groundbreaking decision that recognizes the procedures as a medically necessary and effective treatment for individuals who do not identify with their biological sex. Ruling in favor of a 74-year-old Army veteran whose request to have Medicare pay for her genital reconstruction was denied two years ago, the agency's Departmental Appeals Board ruled that a three-decade-old HHS rule excluding such surgeries from the procedures covered by the national health...
  • Federal health board rules Medicare can pay for transgender recipients' sex-change surgeries

    05/30/2014 10:05:05 AM PDT · by Lady4Liberty · 11 replies
    SAN FRANCISCO (AP) — Federal health board rules Medicare can pay for transgender recipients' sex-change surgeries.
  • ATT Retiree Medical QuestionRE;Dumped to private exchange

    05/29/2014 7:33:34 AM PDT · by CGASMIA68 · 11 replies
    5/29/14 | cgasmia68
    Question for any retired medicare ATT Freepers that are being dumped by ATT on to AON Hewitt. Have you been to any meetings and if so how bad are we going to take it. Have you spoken to the "licensed insurance rep" for you area? I haven't been to any thing as yet but trying to get a feel for this and get more info but its all reallll vauge and I am sure we are going to take it up the wazoo real bad. Freepmail me if you like. Thanks
  • Watch Out, Grandma: ObamaCare risks for the elderly

    05/19/2014 2:10:42 PM PDT · by Rusty0604 · 12 replies
    New York Post ^ | 05/18/2014 | Betsy McCaughey
    On May 7, the Obama administration boasted that ObamaCare was improving health-care quality for seniors, and it pulled out a bag of statistical tricks to prove it. But a closer look shows that it’s not improving care. It’s skimping on it, socking seniors with unexpected bills for “observation care” and likely shortening their lives. President Obama’s Department of Health and Human Services announced that fewer seniors discharged from the hospital are returning for additional care within a month’s time. HHS claims that this drop in “readmissions,” from 18.5 percent in 2012 to 17.5 percent in 2013, signals quality improvement. Nationwide,...
  • Watch Out, Grandma: ObamaCare risks for the elderly

    05/20/2014 5:30:58 AM PDT · by SJackson · 20 replies
    NY Post ^ | 5-19-14 | Betsy McCaughey
    On May 7, the Obama administration boasted that ObamaCare was improving health-care quality for seniors, and it pulled out a bag of statistical tricks to prove it. But a closer look shows that it’s not improving care. It’s skimping on it, socking seniors with unexpected bills for “observation care” and likely shortening their lives. President Obama’s Department of Health and Human Services announced that fewer seniors discharged from the hospital are returning for additional care within a month’s time. HHS claims that this drop in “readmissions,” from 18.5 percent in 2012 to 17.5 percent in 2013, signals quality improvement. Nonsense....
  • Lung cancer screening could cost Medicare billions

    05/14/2014 5:33:24 PM PDT · by Olog-hai · 4 replies
    Associated Press ^ | May 14, 2014 5:21 PM EDT
    Every person covered by Medicare would shell out an additional $3 a month if the government agreed to pay to screen certain current and former smokers for lung cancer, a new study estimates. It would cost Medicare $2 billion a year to follow recent advice to offer these lung scans—and fuel angst about rising health costs that are borne by everyone, not just smokers, the study found. […] Lung cancer is the world’s top cancer killer, mainly because it’s usually found too late for treatment to do much good. Most deaths involve Medicare-age people, and most are due to smoking....
  • Pregnant women gain new options under health law (more Medicaid)

    05/10/2014 6:30:17 PM PDT · by Olog-hai · 6 replies
    Associated Press ^ | May 10, 2014 9:18 AM EDT | Ricardo Alonso-Zaldivar
    The health care law has opened up an unusual opportunity for some mothers-to-be to save on medical bills for childbirth. Lower-income women who signed up for a private policy in the new insurance exchanges will have access to additional coverage from their state’s Medicaid program if they get pregnant. Some women could save hundreds of dollars on their share of hospital and doctor bills. Medicaid already pays for nearly half of U.S. births, but this would create a way for the safety-net program to supplement private insurance for many expectant mothers. Officials and advocates say the enhanced coverage will be...
  • New Medicare Harms to Home Health: Saving Dollars, But Costing Lives?

    Obamacare has made drastic changes in Medicare procedures for obtaining durable medical equipment (DME) for home health services. Most patients will not be aware of the hidden new rules until they are hit with higher costs or denial of services or needed supplies. Medicare's new rules cut prices by 45 percent below the current fee schedule, on average, and 72 percent below current rates for diabetic supplies. What reputable business can survive a 45 percent or 72 percent cut in revenue? When patients' home health services are cut, the hardest hit are patients with chronic lung disease, congestive heart failure,...
  • We Just Saw The Biggest Explosion In Health-Care Spending In Over 30 Years, A Big Impact On GDP

    04/30/2014 8:58:06 AM PDT · by SeekAndFind · 29 replies
    Business Insider ^ | 04/30/2014 | BRETT LOGIURATO
    Spending on health care grew an astounding 9.9% in the Bureau of Economic Analysis' advance estimate of first-quarter GDP. It's the biggest percent change in health-care spending since 1980, when health-care spending jumped 10% in the third quarter. Analysts said it's primarily due to a consumption boost from the implementation of the Affordable Care Act. Adjusted for inflation, America is spending more on health care than ever before.Personal consumption grew by 3.0%, about half of which was due to the growth in health-care spending, said Ian Shepherdson, chief economist for Pantheon Macroeconomics. "If health-care spending had been unchanged, the headline GDP growth number would have...
  • Dem congressman: Let’s face it, pretty much all criticism of Obama is racist

    04/30/2014 1:26:57 AM PDT · by 2ndDivisionVet · 31 replies
    Hot Air ^ | April 29, 2014 | Allahpundit
    Via BuzzFeed, deep thoughts from Rep. Bennie Thompson, adding his two cents on a Nation of Islam radio show to the characteristically thoughtful Conversation About Race that America’s having this week. It’s fun listening to this on the same day that Chris Lehane is defending the memo he wrote for the Clinton White House nearly 20 years ago about the “vast right-wing conspiracy” that was out to take down Billary. Every Democratic president, it seems, is the subject of unprecedented conservative vitriol, although Clinton at least could point to his eventual impeachment as evidence that it was true. Thompson’s case...
  • Feds Spent $26.2 Million On Medicare Advantage For Illegal Immigrants

    04/25/2014 5:05:45 PM PDT · by Oldeconomybuyer · 9 replies
    The Daily Caller ^ | April 25, 2014 | by Caroline May
    The Centers for Medicare and Medicaid Services has improperly paid millions of dollars to Medicare Advantage organizations on behalf of illegal immigrants. In a new report released Friday, the Department of Health and Human Services’ Office of Inspector General (OIG) revealed that for calendar years 2010 through 2012, CMS provided $26.2 million in improper payments to Medicare Advantage organizations for 1,600 “unlawfully present beneficiaries” — or nearly $16,375 per illegal immigrant.
  • Medicare is as useful as Linus's security blanket.

    04/23/2014 4:07:57 AM PDT · by moneyrunner · 8 replies
    The Virginian ^ | 4/19/2014 | Moneyrunner
    SCIENCE! It turns out that the latest study of the effectiveness of Medicare on patient health is non-existent. Here's the summary from the New England Journal of Medicine: CONCLUSIONS This randomized, controlled study showed that Medicaid coverage generated no significant improvements in measured physical health outcomes in the first 2 years, but it did increase use of health care services, raise rates of diabetes detection and management, lower rates of depression, and reduce financial strain. Like a child's security blanket, it made people who had it feel better for having it.
  • Feds Begin Fingerprinting 'High Risk' Medicare Providers and Suppliers

    04/16/2014 4:38:01 AM PDT · by ilovesarah2012 · 23 replies
    weeklystandard.com ^ | April 15, 2014 | JERYL BIER
    Four years after Obamacare became law, the Department of Health and Human Services (HHS) is notifying Medicare providers and suppliers of new fingerprint-based background checks. Eventually, all individuals who hold a five percent or greater stake in a Medicare supplier or provider that is categorized as "high risk" will be subject to the requirement. The provision is part of the Medicare, Medicaid, and CHIP Program Integrity Provisions (Title E) of the Affordable Care Act, and gives the HHS secretary broad discretion in applying the background check requirements depending on the potential for abuse, fraud, and/or waste. The new requirements are...
  • Ambulance rides a costly chunk of Minnesota's Medicare payments

    04/15/2014 3:59:20 PM PDT · by TurboZamboni · 8 replies
    Pioneer Press ^ | 4-15-14 | Chrissy Snowbeck
    The federal Medicare health insurance program winds up paying the fare for many of the ambulance rides provided by the city of St. Paul. That's why the city in 2012 was one of the largest single recipients of Medicare payments among non-hospital health care providers in the state, according to data released this month by the federal government. Out of more than 19,000 health care providers during 2012 who cared for Medicare patients in Minnesota, the city's take of more than $2 million was the ninth largest individual sum. Whether they were providing ambulance rides or treating illnesses, the state's...
  • Obama Administration To Insurers: There’s No Such Thing As Illegal Immigrants

    04/10/2014 9:49:30 AM PDT · by Hojczyk · 27 replies
    The Federalist ^ | April 10 | Ben Domenech
    Lost in the overall shuffle concerning the many problems with Obamacare’s exchanges is the central problem of enforcement of those aspects of the law the president hasn’t waived or delayed yet – including the particular challenge when it comes to verifying the immigration status of those applying for taxpayer subsidized insurance. On April 1st, the Centers for Medicare and Medicaid Services issued a new guidance document to health insurers. The CMS guidance says that people whose immigration status is uncertain will be presumed eligible for subsidized coverage in Obamacare’s marketplaces while a further review is pending. Emphasis mine: If there...
  • The Left’s Pro-Single Payer Health Care Graphic: Right Diagnosis, Wrong Prescription

    04/11/2014 11:52:31 AM PDT · by Kaslin · 5 replies
    Townhall.com ^ | Daniel J. Mitchell
    The new leftist website, Vox, has an article by Sarah Kliff on Vermont’s experiment with a single-payer healthcare system. But I don’t really have much to say about what’s happening in the Green Mountain State, other than to declare that I much prefer healthcare experiments to occur at the state level. Indeed, we should reform Medicaid and Medicare and also fix the tax code so that Washington has no role in healthcare. Then the states can experiment and compete to see what works best. But that’s a topic for another day. The real reason I cite Kliff’s article is that...
  • Abusing Both Medicare and Politics

    04/10/2014 7:33:23 PM PDT · by proxy_user · 4 replies
    The New York Times ^ | April 10, 2014 | New York Times Editorial Board
    Earlier this week, the Medicare system for the first time released a list of its payments to individual doctors, showing that just a few doctors accounted for a huge fraction of Medicare payments. As Frances Robles and Eric Lipton of The Times reported on Thursday, two of those doctors had given lavishly to Democratic politicians in hopes of getting Medicare investigators off their backs. The country’s top recipient of Medicare dollars was Dr. Salomon Melgen, a Florida ophthalmologist who has been repeatedly investigated for overbilling the government for an eye medication. In 2012, he received $21 million in Medicare reimbursements....
  • Sen. Menendez’s donor-doctor is nation’s top Medicare biller

    04/09/2014 5:29:42 PM PDT · by Nachum · 15 replies
    daily caller ^ | 4/9/14 | Neil Munro
    The Florida doctor who entangled Sen. Robert Menendez in an FBI investigation also turns out to be the nation’s No. 1 recipient of Medicare funds. Dr. Salomon Melgin, the Florida eye surgeon, charged the government $320 for giving 37,075 injections of an eye-drug to 645 patients. That’s an average of 57 injections per patient, costing the taxpayer $21 million in 2012. The data was buried in an April 9 release of Medicare data by the Centers for Medicare & Medicaid Studies. The wealthy doctor lives in a palatial house in in North Palm Beach, and donated heavily to Menendez. He’s...
  • 1% Of US Doctors Account For Over $10 Billion Of Medicare Billings

    04/09/2014 8:30:06 AM PDT · by Rusty0604 · 24 replies
    Zerohedge ^ | 04/09/2014 | Tyler Durden
    The top 1% of 825,000 individual medical providers accounted for 14% of the $77 billion in medicare billing in 2012, according to new federal data reported by the WSJ. The data shows a very small number of doctors and medical providers account for a huge amount of the costs for treating the elderly... One researcher summed it up, "There's all sorts of services that are low-value for patients, high-revenue to providers," and leaves us wondering, once again, how the government will manage as Obamacare's "success" washes ashore. A doctor who treats a degenerative eye disease in seniors was paid $21...
  • Data trove shows U.S. doctors reap millions from Medicare

    04/08/2014 10:20:05 PM PDT · by blueplum · 23 replies
    Reuters ^ | April 9, 2014 12:24am EDT | SHARON BEGLEY AND M.B. PELL
    (Reuters) :snip: After decades of litigation and over the strenuous objections of the American Medical Association, the leading U.S. doctors group, the federal Centers for Medicare and Medicaid Services (CMS) on Wednesday made public for the first time how much Medicare pays individual doctors. The massive data release, totaling nearly 10 million lines, also includes which medical services each of more than 880,000 physicians and other healthcare providers nationwide billed Medicare for in 2012. :snip: Last December, the inspector general of the Department of Health and Human Services, CMS's parent agency, found that 303 clinicians each collected more than $3...
  • Did an Obamacare supporter just win the Louisiana 5th district seat? (A Republican too)

    11/17/2013 11:32:21 AM PST · by SeekAndFind · 9 replies
    Hotair ^ | 11/16/2013 | Jazz Shaw
    And here I bet some of you thought the 2013 elections were over, didn’t you? Well, they were for the most part, but given the variations in election laws and special circumstances from state to state, there’s always some action brewing someplace. In this case, the congressional seat in Louisiana’s 5th district was open due to Republican Rodney Alexander’s resignation earlier this year to take a job with the Jindal administration. That required a special election, which began earlier this fall. Because of Louisiana’s somewhat unique election structure and the fact that nobody got more than 50% of the vote,...
  • McAllister Supports Amnesty for Illegals (LA05 runoff)

    11/01/2013 2:55:17 AM PDT · by abb · 8 replies
    Lincoln Parish News Online ^ | November 1, 2013 | Walter Abbott
    Vance McAlliser, one of two candidates in a runoff for Congressman from Louisiana’s Fifth District, said yesterday that he supported a “path to citizenship” for aliens that are in the United States illegally. Path to Citizenship is considered by most conservatives to be a politically correct term for amnesty for illegals. From the News Star: And on immigration reform, McAllister said he would support a path to citizenship for those immigrants already here illegally. “We have to secure the borders, but (citizenship) has to be attainable for those people already here,” he said. “It has to be a tough path,...
  • 'Duck Dynasty' Upset in Louisiana May Herald More Surprises in GOP Races

    11/17/2013 7:15:09 PM PST · by 2ndDivisionVet · 11 replies
    NewsMax ^ | November 17, 2013 | John Gizzi
    Hours after political unknown Vance McAllister pulled off a startling upset Saturday night in the special election for Congress in Louisiana's 5th District, pundits and pols were scrambling to figure out how he did it — and whether a trend of "Mr. Outside" and "Miss Outside" defeating established politicians in Republican primaries has begun for 2014. "The election of Vance McAllister to Congress in Louisiana's 5th District reflects the appeal of being an outsider in today's poisonous political environment," Mark Kennedy, former Republican congressman from Minnesota and director of the Graduate School of Political Management at George Washington University, told...
  • Vance McAllister upsets Neil Riser in Louisiana House runoff (GOP-e candidate loses)

    11/17/2013 8:25:53 AM PST · by jimbo123 · 13 replies
    Politico ^ | 11/16/13 | ALEX ISENSTADT
    Businessman Vance McAllister has won the special runoff election for a vacant northeast Louisiana congressional seat, notching an upset win over fellow Republican Neil Riser, according to the Associated Press. With 99 percent of precincts reporting, McAllister, a political newcomer, led Riser, a state senator who had won the support of House Majority Leader Eric Cantor and much of the state’s GOP congressional delegation, 59.7 percent to 40.3 percent. McAllister will succeed former GOP Rep. Rodney Alexander, who resigned in August to take a job in Gov. Bobby Jindal’s administration after spending more than a decade in the House. Riser...
  • Duck Dynasty-endorsed Republican wins La. House seat

    11/18/2013 2:57:59 AM PST · by Timber Rattler · 26 replies
    Washington Examiner ^ | November 17, 2013 | PAUL BEDARD
    An unknown political novice who has never visited Washington, D.C., won a special election for Louisiana's 5th District seat Saturday on the endorsement of the “Duck Dynasty” family and a promise to fix Obamacare. Vance McAllister beat establishment candidate Neil Riser, a state senator, in Saturday's runoff election created when former Rep. Rodney Alexander resigned on Sept. 26 to become secretary of the Louisiana Department of Veterans Affairs under Republican Governor Bobby Jindal.
  • 'Duck Dynasty' Upset in Louisiana May Herald More Surprises in GOP Races

    11/17/2013 7:14:59 PM PST · by statestreet · 8 replies
    NewsMax ^ | November 17, 2013 | John Gizzi
    Hours after political unknown Vance McAllister pulled off a startling upset Saturday night in the special election for Congress in Louisiana's 5th District, pundits and pols were scrambling to figure out how he did it — and whether a trend of "Mr. Outside" and "Miss Outside" defeating established politicians in Republican primaries has begun for 2014.
  • Duck Dynasty'-backed candidate wins Louisiana congressional election

    11/17/2013 5:45:53 PM PST · by Lorianne · 5 replies
    Fox News ^ | 17 November 2013
    Vance McAllister, a political newcomer with the backing of the popular "Duck Dynasty" TV family, was elected as Louisiana's newest member of Congress Saturday night. According to the Louisiana Secretary of State's website, McAllister led establishment candidate Neil Riser 59.7 percent to 40.3 percent -- a difference of over 17,500 votes -- with 976 of a possible 981 precincts reporting. McAllister advanced to this weekend’s election to face off against Riser after an October contest with more than a dozen other candidates from both political parties -- in what is known as a “jungle primary.” The seat in Louisiana's 5th...
  • 'Duck Dynasty' Endorsed Candidate Wins Special Election, Upsets GOP Establishment Opponent

    11/21/2013 10:27:42 AM PST · by SeekAndFind · 21 replies
    Christian Post ^ | 11/21/2013 | Michael Gryboski
    A political candidate endorsed by a member of the "Duck Dynasty" family has upset his establishment opponent in a special election held in Louisiana. Vance McAllister, a businessman who received an endorsement from Willie Robertson not long before the vote, was victorious against La. State Senator Neil Riser this past weekend. In the special runoff election held for the vacated Fifth Congressional District seat of Louisiana, McAllister defeated Riser with 59.7 percent of the vote versus Riser's 40.3 percent, reported Politico. Riser had strong support from Republican establishment figures at the state and federal level and was expected to win...
  • McAllister wins 5th District congressional seat

    11/16/2013 8:22:47 PM PST · by House Atreides · 46 replies
    Vance McAllister, a political newcomer with the backing of the popular "Duck Dynasty" TV family, is Louisiana's newest member of Congress. McAllister, who largely self-funded his campaign, beat establishment candidate Neil Riser, a state senator, in Saturday's runoff election for the vacant 5th District seat. Both men are Republicans.
  • Surprise: Obama Administration Again Delays Obamacare's Medicare Cuts

    04/08/2014 3:09:22 PM PDT · by Kaslin · 5 replies
    Townhall.com ^ | April 8, 2014 | Guy Benson
    obody -- and I mean nobody -- should be surprised by this: Amid heavy pressure from insurers, lawmaker and advocates, the Obama administration has backed off proposed cuts to Medicare Advantage for the second year in a row. They’ll rise by 0.4 percent in 2015 instead of undergoing the originally proposed 1.9 percent cut....“The changes CMS included in the final rate notice will help mitigate the impact on seniors, but the Medicare Advantage program is still facing a reduction in payment rates next year on top of the 6 percent cut to payments in 2014,” said [AHIP] president Karen Ignagni....