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All posts by: Roy Welch

Do you need to compare Medicare prescription drug plans each year during Open Enrollment or when first signing up for Medicare? If you are using medication and some of your drugs are not generic it would be a good idea...
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Are all Medicare Advantage Plans the same? No, they are not. If you are turning 65, it is a good idea to compare what is available to you in your area. During Open Enrollment you also have an opportunity to...
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What is a Medicare Supplement Plan, also known as a Medigap Plan? It is a supplement to your Original Medicare Part A hospital and Part B doctors and outpatient services. It will pay a portion of what Part A and...
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JUN 04MORE ON PHARMACY The current rebate system plays a central role driving up costs for consumers, preventing them from making informed decisions, study says. Jeff Lagasse, Associate Editor After reviewing tens of millions of insurance claims for the country’s 49 most...
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MAY 20MORE ON PHARMACY Part D plans required to give drug pricing information through electronic prescribing or EHR Pharmacy groups express frustration that CMS did not reform direct and indirect remuneration fees. Susan Morse, Senior Editor Medicare Part D plans will be...
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If you want to build functional strength and stability, bodyweight exercises are hard to beat. That’s true for all levels of exercisers, but especially if you’re new to strength training (https://www.silversneakers.com/blog/qa-new-strengthtraining- start-here/). “It’s really important to be able to control...
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MAY 03MORE ON POLICY AND LEGISLATION Susan Morse, Senior Editor Establishing a single-payer system would be a major undertaking that would involve substantial changes in the extent of coverage, provider payment rates, and the financing methods of healthcare, the Congressional Budget Office said in...
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APR 01MORE ON REVENUE CYCLE MANAGEMENT Susan Morse, Senior Editor What keeps revenue cycle directors up at night? Plenty, it turns out. There are operational matters to conquer, increasingly demanding consumer expectations, new care and reimbursement models — as well as the mounting pressure...
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UnitedHealth plans to update its provider directories to show its beneficiaries those hospitals that use non-participating hospital-based physicians. Susan Morse, Senior Editor WHAT HAPPENED UnitedHealthcare sent out an advanced notice to more than 700 hospitals that its emergency room contractor, Envision...
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The program outperforms the fee-for-service version when it comes to higher rates of preventive screenings, fewer avoidable hospitalizations. Jeff Lagasse, Associate Editor Patients with certain chronic conditions enrolled in Medicare Advantage — the managed-care option in Medicare — experience better health...
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