Archive for November, 2008

Medicare: Fixes to UMC’s transplant program appear sufficient

Medicare officials said this morning that University Medical Center has turned around its troubled kidney transplant program — the only one in the state — meaning there is no immediate risk that the program will be closed.

TP Systems: SectorLynx Case Management System To Be Used for Medicare Claims

Vancouver, BC, November 26, 2008—-TP Systems Ltd. announced today that the University of Massachusetts Medical School’s Center for health care Financing has entered into a definitive agreement to use its SectorLynx case management system to improve the recovery of state and local government Medicare claims.

Efforts To Reduce Payments To Medicare Advantage Plans Expected From Obama Administration, Congress

The incoming Obama administration and Democratic-led Congress likely will cut payments to private Medicare advantage plans in 2009, an aide to Senate Democrats said Monday during a briefing sponsored by the journal Health Affairs, CQ HealthBeat reports.

Bayer Healthcare in $97.5 million kickback settlement

Diabetic supply maker Bayer Healthcare, a unit of Bayer AG, has agreed to pay $97.5 million to settle allegations that it paid kickbacks to several diabetic suppliers and caused them to submit false Medicare claims, the U.S. Justice Department said on Tuesday.

Researchers Find Poor Use Of Pumps for Ailing Hearts

A new study finds high death rates, repeat hospital stays and soaring medical bills in Medicare patients who receive mechanical pumps.

Study Finds Poor Outcomes With Heart Pumps

A new study finds high death rates, repeat hospital stays and soaring medical bills in Medicare patients who receive mechanical pumps.

Receipt of heart assist pumps by Medicare patients associated with poor outcomes, high costs

Medicare patients who receive ventricular assist devices have high rates of death, illness, prolonged hospital stays, with resulting high costs of care, according to a study in the Nov. 26 issue of JAMA.

Heart Pumps for Medicare Patients Linked With Poor Outcomes

Medicare patients who receive ventricular assist devices have high rates of death, illness, prolonged hospital stays, with resulting high costs of care, according to a study in the November 26 issue of JAMA.

A Third of Medicare Clients Unfamiliar With Benefits

TUESDAY, Nov. 25 — How well a person on Medicare understands the program’s benefits affects their access to health care, a new study says.

Louisiana Gov. Jindal’s Plan For Medicaid Overhaul Similar To Republican Efforts For Medicare In 1995, Editorial States

Louisiana Gov. Bobby Jindal “recently announced a major renovation of the way his state provides health coverage to the poor and uninsured, thus taking up a topic for which most Republicans require a shot of epinephrine just to pay attention,” a Wall Street Journal editorial states.

Private Medicare Advantage Plans Increase Cost, Complexity Of Program Without Evidence Of Improving Care, Studies Find

Private Medicare advantage plans are increasing costs for Medicare but not necessarily improving care, according to two studies published on Monday in the journal Health Affairs, the New York Times reports. Nearly 25% of all Medicare beneficiaries, or about 10.1 million people, currently are enrolled in private plans, the Times reports.

How To Deal With The Booming Costs Of Hip & Knee Replacements – Medicare Bill Could Hit $50 Billion By 2030

Most of us know someone who has had a hip or knee replaced. This type of surgery can be life-altering, creating major improvements in the person’s quality of life. However, with the number of these procedures projected to increase to 4.5 million by the year 2030, payment for all of these surgeries could be a [...]

Seminars teach Medicare choice

The Centers for Medicare and medicaid services are hosting three events in Detroit, Pontiac and Inkster today aimed at educating seniors on how to choose a Medicare health and drug plan during this fall’s open enrollment season.

Medicare changes hit specialty hospitals

HARRISBURG — Fewer patients are being treated at Pennsylvania’s rehabilitation hospitals and long-term acute care hospitals because of changes in Medicare eligibility and reimbursement rates,

Choose Medicare drug plan with care

Be careful – be very careful. That’s the message people with Medicare prescription drug plans are hearing as the time nears to choose a plan for 2009. premiums and the “doughnut hole” of noncoverage are both increasing for 2009, so consumers should be even more cautious when signing up, experts say. Many of the 40-plus [...]