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Maryland’s all payer hospital model’s ex...

Maryland’s unique “all payer” health care hospital model has been authorized by the Federal health officials through 2019 as the state tries to get approval on applying a similar plan for outpatient service providers for doctors and skilled nurses as well as rehabilitation centers. The program regulates the amount a hospital can charge as an exchange for the federal government covering a larger share of the Medicare costs covered in othered states which is a strong step Maryland is able to take in fulfilling a federal requirement for lowering the annual Medicare costs by...

How Medicare and Medicaid could change f...

It was a rough ride in 2017 for the health care policy in the U.S. Even though the Obamacare repeal didn’t happen, the ACA individual mandate was killed by the GOP tax law. This is a change in the federal law the will impact millions of Americans in the years to come, more so those who are 50 – 64 years of age. Starting in 2019, those in this group will see jumps averaging $1,500 in their health insurance premiums found in an AARP study. Medicaid covers Americans who are poor, seniors, and the disabled and the affects will have an impact all throughout the U.S. In...

2017 Best Medicare Plans and Ratings

A 2017 Best Medicare Plans Report was released by US New and World Report with new ratings resourced for the beneficiaries of Medicare to help in searching for options that offer the best coverage options offered during the annual OEP (Open Enrollment Period) which started October 15th and remains open until December 7th 2016. Plan ratings that are offered on the US News Health Insurance website include Honor Rolls for the Best Medicare Advantage Plans & the Best Part D Plans. Then they Highlight the insurance companies who offer highly rated health coverage...

Starting November 28 2016, Rights to Sue...

Starting November 28, 2016, when placing loved ones in nursing homes it will not require signing away legal rights. The regulators for Medicare and Medicaid barred any nursing homes receiving federal funding from being able to require any residents in advance to agree to resolving disputes using arbitration as opposed to doing this in court. This was a big breakthrough. The end of this pre dispute arbitration clauses for nursing home contracts will mean it’s the end of this unacceptable practice which has acted as a shield for nursing homes from any liability involving...

2 Unknown Mysteries when it comes to Med...

One; there are a large amount of Medicare beneficiaries who have been deciding to opt out of government run insurance programs. As an alternative they are choosing private plans, Medicare Advantage plans being offered.  This trends strength challenges the predication coming from the Congressional Budget Office and nobody can fully explain this. Two, that the traditional Medicare growth in spending has slowed as opposed to the historical expectations and trends. While there may be theories on this we still do not fully understand what could be causing this either. Trying...
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