Archive for October, 2008

Survey Results Show Negative Impact Of Medicare Part D “Classes Of Clinical Concern”

A report of survey results issued by the Academy of managed care Pharmacy indicates that current government regulations requiring Medicare‘s Part D prescription drug plans to include all drugs in certain designated classes could be costing US taxpayers an additional $511 million per year.

PCMA Applauds New CMS Medicare Electronic Prescribing Rule

The Pharmaceutical Care Management Association. The final rule rewards physicians and other eligible professionals who adopt this life-saving technology with bonus payments starting in 2009:

Medicare drug spending drops $6B

Washington, Oct. 31 — U.S. Medicare prescription drug spending fell $6 billion to $44 billion this year due to a widespread use of low-cost generic drugs, the government said.

Humana and Metropolitan Health Networks Announce Availability of Patient Centered Medical Homes to Humana Medicare …

LOUISVILLE, Ky.—-Humana and Metcare of Florida, Inc., a wholly-owned subsidiary of Metropolitan Health Networks, Inc. , today announced the establishment of patient centered medical homes for Humana medicare Advantage members in nine Metcare centers in Central and South Florida.

Atlanta Dental to lay off 60 employees

Atlantic dental of Coral Gables notified the state it would lay off 60 employees starting Dec. 8. The firm manages dental benefits for government programs such as Medicare.

Health-Related Meetings

WEDNESDAYFLU SHOTS, Medicare Part B or $30 private pay, 10 a.m.-2 p.m., Southland Suites of Lakeland, 4250 Lakeland Highlands Road. Shots given by Maxim Healthcare.THURSDAYFREE CHAIR MASSAGES, during 8:30 a.m.-6 p.m. open house at Traviss Career Center, 3225 Winter Lake Road, Lakeland.

Congress to tackle Medicare in 2009

U.S. lawmakers in Congress are expected to battle over Medicare next year as program spending increases, The Wall Street Journal said.The newspaper said it is unclear whether Medicare will be dealt with alone or as part of a wider healthcare overhaul. The rising federal budget deficit will make it difficult for either of the presidential [...]

Congressional Democrats Prepare To Address Medicare During Next Session

Democratic members of Congress are “girding for a major battle” next year over potential Medicare changes, the Wall Street Journal reports. According to the Journal, regardless of whether Democratic presidential nominee Sen. Barack Obama or Republican presidential nominee Sen. John McCain (Ariz.

Major Illnesses in U.S. Seniors Cost $196 Billion Annually

THURSDAY, Oct. 30 — In 2007, six major illnesses among Americans age 65 and older resulted in medical and lost productivity costs of more than $196 billion, according to researchers who analyzed Medicare and National Health Interview Survey data.

Federal grand jury indicts three on health care fraud

A federal grand jury indicted three people who are accused of submitting $3 million in false Medicare claims.

Primary health care needs shake-up: govt

Australia‘s primary health care system will continue to favour the rich and could break down if Medicare is not overhauled, Health Minister Nicola Roxon says.

Huge health care crisis brewing

The number of seniors eligible for Social Security will almost double, and the cost of this social benefit will more than double, by 2030. Approximately 50 percent of the federal budget is now used to pay for Social Security, Medicare, and medicaid and without any changes that will increase to about 80 percent by 2030. [...]

American Medical Association Holds Meetings To Discuss Medicare Physician Payment Fix

The American Medical Association has begun meetings with its member groups to develop a consensus solution to the Medicare physician payment cuts “that send Congress scrambling every year to 18 months to stave them off,” CongressDaily reports. The sustainable growth rate formula, which is used to calculate Medicare reimbursements, has imposed periodic reductions in the [...]

New AMA survey highlights need to improve Medicare’s PQRI

Washington, D.C. – Key elements of Medicare‘s Physician Quality Reporting Initiative must be improved so that physicians can successfully participate and use the information to increase the quality of patient care.

Humana Reports 40% Decrease In Q3 Earnings In Part Because Of Lower Medicare Drug Plan Revenues

Humana on Monday announced that third-quarter earnings decreased by 40% to $183 million, or $1.09 per share, from $302.4 million, or $1.78 per share, a year earlier, in large Part Because of investment losses and an expected decrease in premium revenue from Medicare prescription drug plans, the AP/Seattle Times reports.