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Treasury loan limits Medicare Part B premium increase #easy #loans #for #bad #credit


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AliciaH. Munnell

Congress solved a lot of problems with its Bipartisan Budget Act of 2015. It avoided a standoff over the budget and the debt ceiling, provided breathing room for the Social Security Disability Insurance program, and eliminated profitable Social Security claiming strategies. It also headed off an immediate dramatic increase in Medicare Part B premiums facing about 30 percent of beneficiaries, but it didn’t really solve the underlying problem.

Typically, the Medicare Part B premium is increased each year in line with Part B per capita expenditures. In the absence of any complicating factors, the premium would have increased from $104.90 in 2015 to $120.70 for 2016, as estimated in the 2015 Medicare Trustees Report (released this past summer). The problem is that the law contains a hold-harmless provision that limits the dollar increase in the premium to the dollar increase in an individual’s Social Security benefit. Since Social Security beneficiaries did not receive a cost-of-living adjustment (COLA) for 2016, this provision precludes any increase in Medicare premiums.

This provision, however, applies to only 70 percent of Part B enrollees. The 30 percent not eligible for the hold-harmless provision include new enrollees during the year; enrollees who do not receive a Social Security benefit check; enrollees with high incomes who are subject to the income-related premium adjustment; and dual Medicare-Medicaid beneficiaries, whose full premiums are paid by state Medicaid programs.

According to current law, Part B premiums for other beneficiaries must be raised enough to offset premiums foregone due to the hold-harmless provision. Under the intermediate economic assumptions, the estimated monthly premium in 2016 for these other beneficiaries would have risen from $104.90 to $159.30 – a 52-percent increase. Higher income participants would then have paid multiples of $159.30 depending on their income level. For example, each member of a married couple with household income between $170,000 and $214,000 would have paid a Part B premium in 2016 of $223. Per person premiums would have topped out at $509.80 for couples with more than $428,000 in income.

The budget deal reduces the rate of increase through a loan from the Treasury to the Supplementary Medical Insurance (SMI) Trust Fund, but requires the affected individuals to pay back that loan over time. Specifically, seniors not held harmless will pay a base premium of $118.80 a month in 2016 – essentially the amount the Part B premium would have been for all beneficiaries had the hold harmless provision not applied. The difference between $118.80 and $159.30 would be covered by the Treasury loan. To repay the loan, the affected seniors will pay an additional $3 dollars per month, beginning in 2016, until the loan is repaid. With this additional charge, the full base premium for 2016 is $121.80. Medicare beneficiaries who currently pay higher income-related premiums would pay more than $3 per month toward repaying the loan.

If Social Security beneficiaries do not receive a COLA in 2017, the same procedure will take effect again. But the legislation explicitly denies the Secretary of Health and Human Services the ability to use the fix after 2017.

In short, the budget legislation avoided an immediate problem in 2016 but, if we are entering an era of persistent low COLAs and high health care costs, we need a more permanent solution.

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Asset Protection from Medicaid #medicare #assets


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Asset Protection from Medicaid

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The Deficit Reduction Act of 2005 established a June 30, 2006 deadline for the Secretary of Health and Human Services (HHS) to release regulations for states to come in compliance with the new severe new restrictions on the ability of the elderly to transfer assets before qualifying for Medicaid coverage of nursing home care.

The law extends Medicaid’s “lookback” period for all asset transfers to 5 years, it was originally 3 years and changes the start of the penalty period for transferred assets from the date of transfer to the date when the individual transferring the assets enters the nursing home. Qualification to enter the nursing home is achieved when the individual is out of funds, meaning he/she cannot afford to pay the nursing home. The new federal law applies to all transfers made on or after the date of enactment, February 8, 2006. Any transfer made before February 8 falls under the old transfer rules. Exact enactment provisions are state by state, but it’s clear that non-compliance by 50 state legislatures puts their federal funding at risk.

You can protect yourself from the Medicaid nursing home care by taking action now while you still have your health.

You can reposition (transfer) your assets from you to an irrevocable trust with a truly independent trustee. The key is the “Independence of your Trustee.” The trustee cannot be any-one related to you by blood or marriage. And, you must be willing to give-up complete control over your assets. This lack of perceived control is the most difficult to achieve. Seniors have a deep sense of independence by their ability to control and manage their assets.

Revocable or irrevocable trust, what’s that mean? Revocable is when the original person with the assets transfers (repositions) the assets to a trust with strings attached. The tax lingo is “grantor-type trust. The “strings” when the original grantor (person with the assets) elects himself as the trustee, and the beneficiary of the trust. The grantor, the trustee, and the beneficiary are the same person. Effectively you have kissed yourself on the hand and blessed yourself as the pope. This simply will not work. Period.

An irrevocable trust is when the grantor (the person with the assets) gives-up complete control to an independent trustee who in turn will use his judgment as trustee to manage the assets for the beneficiaries of the trust. The fiduciary relationship of the trustee is to the protection of the assets at any cost. The trustee must protect and must diligently invest under the prudent man rules, he cannot ever deal for himself. The courts do not look favorably on dereliction of duties while serving as trustee. An irrevocable trust is the only significant asset protection device for avoiding the Medicaid spend-down provisions.

Asset protection from Medicaid requires foresight and a strong conviction to walk away from perceived control. Inaction is devastating. Seniors must use all their funds first, then qualify for the nursing home. It’s clear, that these new rules are designed to impoverish the healthy spouse.

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Brian Center Health And Rehab Federal No: 345332 near 2501 Downing Street Sw, Wilson NC #brian #center #health #and #rehab,nursing #home #provider,medicare #nursing #home #provider,medicaid #nursing #home #provider,2501 #downing #street #sw,wilson,nc,locations,address,phone #number, #medicare #nursing #home #compare #data, #medicaid #nursing #home #compare #data


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Brian Center Health And Rehab

Brian Center Health And Rehab was recognized and ceritified in 1990 by Centers for Medicare & Medicaid Services as one of model nursing home providers promoting health and improving quality of life. Brian Center Health And Rehab which is located in 2501 Downing Street Sw Wilson, is scientifically measured and assessed by Centers for Medicare & Medicaid Services and is shown to provide good nursing home services or products under the Medicare program. Brian Center Health And Rehab is being offered ceritified services and products in North Carolina.

Address: 2501 Downing Street Sw
Wilson, NC 27895

County: Wilson
Federal Provider Number: 345332

Provider Resides in Hospital: No
Number of Federally Certified Beds: 99
Number of Residents in Federally Certified Beds: 95 (96% occupied)
Continuing Care Retirement Community: No
Special Focus Facility: No
With a Resident and Family Council: Resident
Automatic Sprinkler Systems in All Required Areas: Yes

View recent deficiency information

Survey Date: Thursday, November 14, 2013
Survey Type: Fire Safety
Deficiency: K0011 (A two-hour-resistant firewall separation.)
Scope Severity Code: D
Deficiency Corrected: Deficient, Provider Has Date Of Correction
Date the deficiency was corrected: Monday, November 25, 2013
The inspection cycle of deficiency: 1 (the deficiency was found on a standard inspection)

Survey Date: Thursday, November 14, 2013
Survey Type: Fire Safety
Deficiency: K0144 (Weekly inspections and monthly testing of generators.)
Scope Severity Code: F
Deficiency Corrected: Deficient, Provider Has Date Of Correction
Date the deficiency was corrected: Monday, November 25, 2013
The inspection cycle of deficiency: 1 (the deficiency was found on a standard inspection)

Survey Date: Thursday, November 14, 2013
Survey Type: Fire Safety
Deficiency: K0029 (Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishi)
Scope Severity Code: D
Deficiency Corrected: Deficient, Provider Has Date Of Correction
Date the deficiency was corrected: Monday, November 25, 2013
The inspection cycle of deficiency: 1 (the deficiency was found on a standard inspection)

Survey Date: Wednesday, November 14, 2012
Survey Type: Fire Safety
Deficiency: K0027 (Smoke barrier doors that can resist smoke for at least 20 minutes.)
Scope Severity Code: D
Deficiency Corrected: Deficient, Provider Has Date Of Correction
Date the deficiency was corrected: Wednesday, December 5, 2012
The inspection cycle of deficiency: 2 (the deficiency was found on a standard inspection)

Survey Date: Wednesday, November 14, 2012
Survey Type: Fire Safety
Deficiency: K0029 (Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishi)
Scope Severity Code: D
Deficiency Corrected: Deficient, Provider Has Date Of Correction
Date the deficiency was corrected: Wednesday, December 5, 2012
The inspection cycle of deficiency: 2 (the deficiency was found on a standard inspection)

Survey Date: Wednesday, November 14, 2012
Survey Type: Health
Deficiency: F0309 (Provide necessary care and services to maintain or improve the highest well being of each resident .)
Scope Severity Code: D
Deficiency Corrected: Deficient, Provider Has Date Of Correction
Date the deficiency was corrected: Friday, December 7, 2012
The inspection cycle of deficiency: 2 (the deficiency was found on a complaint inspection)

Survey Date: Thursday, August 23, 2012
Survey Type: Health
Deficiency: F0315 (Ensure that each resident who enters the nursing home without a catheter is not given a catheter, un)
Scope Severity Code: D
Deficiency Corrected: Deficient, Provider Has Date Of Correction
Date the deficiency was corrected: Thursday, September 20, 2012
The inspection cycle of deficiency: 2 (the deficiency was found on a standard inspection)

Survey Date: Thursday, August 23, 2012
Survey Type: Health
Deficiency: F0254 (Provide clean bed and bath linens that are in good condition.)
Scope Severity Code: E
Deficiency Corrected: Deficient, Provider Has Date Of Correction
Date the deficiency was corrected: Thursday, September 20, 2012
The inspection cycle of deficiency: 2 (the deficiency was found on a standard inspection)

Survey Date: Thursday, August 23, 2012
Survey Type: Health
Deficiency: F0456 (Keep all essential equipment working safely.)
Scope Severity Code: E
Deficiency Corrected: Deficient, Provider Has Date Of Correction
Date the deficiency was corrected: Thursday, September 20, 2012
The inspection cycle of deficiency: 2 (the deficiency was found on a standard inspection)

Survey Date: Thursday, August 23, 2012
Survey Type: Health
Deficiency: F0441 (Have a program that investigates, controls and keeps infection from spreading.)
Scope Severity Code: D
Deficiency Corrected: Deficient, Provider Has Date Of Correction
Date the deficiency was corrected: Thursday, September 20, 2012
The inspection cycle of deficiency: 2 (the deficiency was found on a standard inspection)

Survey Date: Thursday, August 23, 2012
Survey Type: Health
Deficiency: F0371 (Store, cook, and serve food in a safe and clean way.)
Scope Severity Code: E
Deficiency Corrected: Deficient, Provider Has Date Of Correction
Date the deficiency was corrected: Thursday, September 20, 2012
The inspection cycle of deficiency: 2 (the deficiency was found on a standard inspection)

Survey Date: Wednesday, August 10, 2011
Survey Type: Fire Safety
Deficiency: K0061 (Properly working alarms on sprinkler valves.)
Scope Severity Code: D
Deficiency Corrected: Deficient, Provider Has Date Of Correction
Date the deficiency was corrected: Saturday, September 24, 2011
The inspection cycle of deficiency: 3 (the deficiency was found on a standard inspection)

Survey Date: Wednesday, August 10, 2011
Survey Type: Fire Safety
Deficiency: K0029 (Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishi)
Scope Severity Code: D
Deficiency Corrected: Deficient, Provider Has Date Of Correction
Date the deficiency was corrected: Saturday, September 24, 2011
The inspection cycle of deficiency: 3 (the deficiency was found on a standard inspection)

Survey Date: Thursday, July 14, 2011
Survey Type: Health
Deficiency: F0428 (At least once a month, have a licensed pharmacist review each resident’s medication (s) and report a)
Scope Severity Code: D
Deficiency Corrected: Deficient, Provider Has Date Of Correction
Date the deficiency was corrected: Tuesday, August 16, 2011
The inspection cycle of deficiency: 3 (the deficiency was found on a standard inspection)

Survey Date: Thursday, July 14, 2011
Survey Type: Health
Deficiency: F0281 (Ensure services provided by the nursing facility meet professional standards of quality.)
Scope Severity Code: D
Deficiency Corrected: Deficient, Provider Has Date Of Correction
Date the deficiency was corrected: Tuesday, August 16, 2011
The inspection cycle of deficiency: 3 (the deficiency was found on a standard inspection)

Number of Facility Reported Incidents: 0
Number of Substantiated Complaints: 5
Number of Fines: 0
Number of Payment Denials: 0
Total Number of Penalties: 0
Total Amount of Fines in Dollars: USD 0

This data allows consumers to compare information about nursing homes. Information here is not an endorsement or advertisement for any nursing home and should be considered carefully. Use it with other information you gather about nursing homes facilities. Talk to your doctor or other health care provider about this.

This data was updated by using data source from Centers for Medicare and Medicaid Services (CMS) which is publicized on Wednesday, October 1, 2014. If you found out that something incorrect and want to change it, please follow this Update Data guide.

The Five Star Quality Rating System is not a substitute for visiting the nursing home. This system can give you important information, help you compare nursing homes by topics you consider most important, and help you think of questions to ask when you visit the nursing home. Use the Five-Star ratings together with other sources of information.


Welcome to Blow the Whistle – Houston Whistleblower Law #medicare #whistle #blower


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Being a whistleblower is heroic, but stressful.
We re here to help.

Our clients are heroes. They choose to do what s right against tremendous odds and under great pressure.

At Kreindler Associates, we know that being a whistleblower is stressful business. Standing up for what is right is often a lonely and difficult task. Rather than being treated as the heroes that they are, whistleblowers are often persecuted by those engaged in fraud and by those too afraid to take a stand against wrongdoing. That s why we provide an unparalleled level of service, support and legal assistance for our whistleblower clients. Our practice is national in scope, and we file cases throughout the country.

How can we help?

Fill out this confidential form and we will reach out to you shortly.

our mission

Being a whistleblower can feel like David taking on Goliath.
We help level the playing field.

Kreindler Associates law practice is dedicated exclusively to representing whistleblowers who are willing to take a stand against unscrupulous corporations that are ripping off federal and state governments. Whether the fraud involves Medicare, military procurement or another government function, we pride ourselves on the high level of support and outstanding legal assistance we give to our clients.

Recent blog posts

Jun 5, 2017 | 0 Comments

Dr. Darren Sewell worked as a physician and health care director for Freedom Health, a Tampa-based HMO, from 2007 to 2012, and two years into his tenure at the HMO, he worked with an attorney to file a federal lawsuit against Freedom Health based on widespread. read more

May 22, 2017 | 0 Comments

The IRS has had the power to make awards to whistleblowers for exactly 150 years as of 2017 (the initial law allowing for awards, which is still on the books, was enacted in 1867), and the agency is showing no signs of slowing down the process of making such awards. read more

May 17, 2017 | 0 Comments

Tax fraud costs the U.S. government $458 billion a year, which works out to thousands of dollars per honest taxpayer. The IRS has only limited ability to detect taxpayer fraud, however, which is why for many years it has awarded ordinary citizens who relay information. read more


Home care under feds fraud microscope – Modern Healthcare Modern Healthcare business news, research, data and events #medicare #fraud #detroit


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Home care under feds’ fraud microscope

Home care under feds’ fraud microscope

Years ago, William Dombi was riding in a taxi when the cabbie turned to him and asked him what he did for a living. Dombi told him he worked in home healthcare and hospice .

He goes, ‘Oh, isn’t there a lot of fraud in those areas?’ Dombi recalled the driver saying.

It wasn’t what Dombi, a vice president at the National Association for Home Care and Hospice, hoped to hear. You don’t want to end up with a reputation like that, he said.

That’s part of the reason Dombi’s organization has supported the U.S. Justice Department’s efforts to curb home healthcare fraud in recent years. The home-care industry has been the focus of numerous fraud investigations, settlements and judgments. That’s related to the proliferation of home healthcare agencies, the relative ease of committing fraud through them, and increased scrutiny by federal prosecutors, experts say.

The government and the home-care industry have been working to combat fraud by putting a hold on approving new centers in some areas of the country, capping certain types of government payments to agencies and using data analyses to uncover foul play. Some say the move toward value-based payments and away from fee-for-service might make committing such fraud more difficult, while others say it may just change the character of the fraud.

Home healthcare is under the microscope now, said Mark Silberman, a partner with Duane Morris in Chicago who represents home healthcare agencies. I have no reason to believe those efforts won’t continue.

About half of Justice’s current healthcare fraud caseload involves home healthcare allegations, said Peter Carr, a Justice Department spokesman. Dombi estimates he’s seeing a new indictment or conviction on an almost weekly basis.

Home-care, durable medical equipment, and mental healthcare are the three biggest areas for healthcare fraud, said Marc Smolonsky, a consultant who works on healthcare fraud issues and formerly served as an HHS associate deputy secretary responsible for healthcare fraud operations. Home care, he said, is an easy target for fraudsters, who can bill Medicare for many types of services under the umbrella of home care. Once you have access to beneficiaries, you can submit all sorts of bills using their beneficiary numbers, he said.

Drawing the HEAT

In 2010, 1 in 4 home-care agencies had questionable billings, according to a 2012 study by HHS’ Office of Inspector General.

The rapid growth of home-care agencies has contributed to the problem, experts say. In Florida, the number of home-care agencies exploded more than 10 years ago after the state eliminated a requirement that agencies get certificates of need before opening, Dombi said. Suspiciously high costs followed, with Miami home-care firms claiming high rates of Medicare outlier payments for unusually high-cost patients. In 2009, Medicare paid Miami-area home health agencies more than $976 million, and more than half of those payments were for outliers, according to a February report by HHS and Justice.

The volume of necessary care can’t sustain that growth, so people start doing things they shouldn’t be doing, Dombi said. The vast majority of new agencies have been for-profit.

To crack down on that and other fraud, Justice and HHS in 2009 formed the Health Care Fraud Prevention and Enforcement Action Team, known as HEAT. The HEAT Medicare Fraud Strike Force, composed of federal, state and local investigators, now operates in nine cities, including Baton Rouge, La. Chicago, Dallas, Detroit, Houston, Los Angeles, Miami, New York and Tampa, Fla.

Those cities, particularly Miami and Detroit, are where many fraud cases now are being identified as investigators probe agencies and billings. The Miami Strike Force charged more than 202 defendants for their roles in fraudulently billing Medicare about $570 million for home-care services from fiscal 2009 to 2013, the Justice Department’s Carr said. In Detroit, as of fiscal 2013, 84 people had been charged with allegedly billing Medicare for $150 million in fraudulent home-care claims.

In one of the largest cases of home-care fraud, Justice charged Dr. Jacques Roy of Dallas with running a $374 million fraud scheme. Roy ran Medistat Group Associates, which authorities say certified more than 11,000 patients for home-care services they did not need, allowing the company and a number of home-care agencies to submit claims for Medicare and Medicaid services. Roy allegedly used home-care agencies as recruiters so Medistat could bill the unnecessary home visits and medical services, according to Justice. Roy, who has pleaded not guilty, is awaiting trial, while several other people charged in the case have pleaded guilty.

Allegations of billing for unnecessary services and paying kickbacks are common in home-care fraud cases. Some observers say it can be easy for agencies to cross such lines accidentally, while others say those doing wrong know it.

The confusion sometimes arises because services a medical professional deems appropriate are not always the same as what the government will pay for, said Amanda Barbour, a lawyer with Butler Snow in Jackson, Miss. who has defended home-care companies against fraud allegations.

But Dombi said many fraud cases aren’t about subjective determinations of medical necessity but rather whether agencies billed for services that were never even provided or were clearly unnecessary. These are pretty black and white, Dombi said.

Kickback cases

Many cases also involve allegations of kickbacks paid to recruiters another area that can be clear-cut or murky, experts say.

Home healthcare agencies are not allowed to pay recruiters to bring in patients for services paid for by the federal government, Barbour said. Sometimes agencies unintentionally break the law, such as by setting up a bonus program for employees who refer patients, she said. But that’s not to say other fraudsters don’t know what they’re doing when paying kickbacks to doctors, independent recruiters and/or others to bring in more beneficiaries. It can go from the benign to the not so benign, she said.

Amid such allegations of fraud, Barbour said it’s important agencies make sure they hire expert staff. Home healthcare is a really hot-button issue, she said. This is something that’s really going to be scrutinized, so you should really just expect someone’s going to come knock on your door one day.

The industry has to be aggressive in seeking solutions, Dombi said. His association has advocated temporarily halting the establishment of new home-care agencies in certain parts of the country. CMS has stopped approving new agencies for government payment in the Chicago, Detroit, Dallas, Fort Lauderdale, Houston and Miami areas. The association also asked the government to limit the percentage of revenue any one agency can get from Medicare outlier payments. The Patient Protection and Affordable Care Act caps that figure at 10% of total payments.

Dombi said it’s important to stop home-care fraud, both for the sake of taxpayers and his industry. We want to avoid across-the-board rate cuts and regulatory requirements where the good guys end up paying for the offenses of the bad guys, he said.

Related content


Medicare Advantage vs #magaly #olivero,evi #heilbrunn,medicare,health #care,medicare-bucket-analysis #[consumer #advice,medicare,health insurance]


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Medicare Advantage vs. Medicare Cost Plans: What’s the Difference?

In 2014, about 471,200 Americans are enrolled in Medicare Cost plans, which is far less than the 15.7 million who have Medicare Advantage plans. (iStockPhoto)

Depending on where you live, Medicare Cost plans may offer the “best of both worlds” for older adults who want the flexibility of keeping their traditional Medicare benefits while simultaneously having access to out-of-network health care providers.

“The key difference between Medicare Cost plans and other types of Medicare plans is that enrollees are not restricted to the plan’s network of providers. They can go outside the network to receive Medicare-covered services,” says David Lipschutz, senior policy attorney at the Center for Medicare Advocacy, a nonprofit in the District of Columbia.

Medicare is the federal health insurance program for people who are age 65 and older and for certain individuals with disabilities. Medicare Part A covers inpatient hospital stays, while Part B covers doctor services. Medicare Part C refers to Medicare Advantage plans offered by private companies, and Medicare Part D offers prescription drug coverage.

In some parts of the country, older adults have the option to enroll in Medicare Cost plans offered by private companies. But unlike Medicare Advantage plans, people with Medicare Cost plans maintain their traditional Medicare Part A and Part B coverage.

According to Gerald Kominski, director of the Center for Health Policy Research at the University of California–Los Angeles, Medicare Cost plans are a “hybrid” between health maintenance organizations, which restrict enrollees to a network of providers, and preferred provider organizations that have a broader network of providers.

“Medicare Cost plans are essentially an HMO with the option to opt out of the limited network and see any doctor using traditional fee-for-service Medicare,” Kominski says. “It’s like an HMO with an escape clause.”

Some Medicare Cost plans include prescription drug coverage. or individuals can purchase a stand-alone Medicare prescription drug plan. Beneficiaries who seek out-of-network care pay the Part A and Part B coinsurance and deductible. To access services, enrollees must show their original Medicare card and cost plan card. People with Medicare Cost plans can return to traditional Medicare at any time, even outside the Medicare open enrollment period.

Historically, Medicare Cost plans provided a managed care option in areas of the country that traditionally had few Medicare Advantage plans, Lipschutz explains. Medicare Cost plans pay based on the reasonable cost of delivering services, while Medicare Advantage plans accept the financial risks if costs exceed fixed payments per enrollee. With Medicare Cost plans, traditional Medicare steps in only when the enrollee goes out-of-network for care. not when costs are exceeded.

That’s why consumers deciding between Medicare Cost and Medicare Advantage plans – which are both offered by private companies – should consider whether they want access to out-of-network doctors and hospitals. People with Medicare Cost plans can see out-of-network providers because traditional Medicare kicks in at that point, and the enrollee pays the deductible for Part A and Part B. It’s one of the main reasons why Medicare Cost plans are convenient for those who travel during their retirement. Consumers with a Medicare Advantage plan must see providers in-network and pay out-of-pocket if they happen to be traveling outside of their coverage area.

In 2014, a total of 471,211 Americans in 15 states and the District of Columbia have Medicare Cost plans, according to the Kaiser Family Foundation. That’s significantly less than the 15.7 million Americans enrolled in Medicare Advantage plans.

Looking at what’s available in 2015, Medicare Cost plans account for approximately 10 percent of the roughly 44,100 health insurance plans available to those 65 and older.

Overall, Minnesota has the nation’s largest concentration of people with Medicare Cost plans. An estimated 289,000 of the state’s 836,000 Medicare beneficiaries have Medicare Cost plans, according to Jean Wood, executive director of the Minnesota Board on Aging. Minnesotans will be able to choose from 21 Medicare Cost plans in 2015.

Wood attributes the popularity of Medicare Cost plans to the large number of “snow birds” – older adults who move to a warmer climate for several months during the year. “People can leave Minnesota and their Medicare Cost plan reverts to original Medicare Part A and B, which they can use fairly easily when they are out of state,” Wood says. “They appreciate having that flexibility.”

Periodic discussions by federal officials to abolish Medicare Cost plans have concerned Minnesotans throughout the years, she says, “but our citizenry has been able to persuade Congress [to keep the plans] every time the subject has come up.”


South Oaks Rehabilitation And Healthcare Center Federal No: 676267 near 2101 Frate Barker Rd, Austin TX #south #oaks #rehabilitation #and #healthcare #center,nursing #home #provider,medicare #nursing #home #provider,medicaid #nursing #home #provider,2101 #frate #barker #rd,austin,tx,locations,address,phone #number, #medicare #nursing #home #compare #data, #medicaid #nursing #home #compare #data


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South Oaks Rehabilitation And Healthcare Center

South Oaks Rehabilitation And Healthcare Center was recognized and ceritified in 2010 by Centers for Medicare & Medicaid Services as one of model nursing home providers promoting health and improving quality of life. South Oaks Rehabilitation And Healthcare Center which is located in 2101 Frate Barker Rd Austin, is scientifically measured and assessed by Centers for Medicare & Medicaid Services and is shown to provide good nursing home services or products under the Medicare program. South Oaks Rehabilitation And Healthcare Center is being offered ceritified services and products in Texas.

Address: 2101 Frate Barker Rd
Austin, TX 78748

County: Travis
Federal Provider Number: 676267

5% Or More Ownership Interest

Provider Resides in Hospital: No
Number of Federally Certified Beds: 120
Number of Residents in Federally Certified Beds: 100 (84% occupied)
Continuing Care Retirement Community: No
Special Focus Facility: No
With a Resident and Family Council: Resident
Automatic Sprinkler Systems in All Required Areas: Yes

View recent deficiency information

Survey Date: Sunday, July 27, 2014
Survey Type: Health
Deficiency: F0425 (Provide routine and emergency drugs through a licensed pharmacist and only under the general supervi)
Scope Severity Code: E
Deficiency Corrected: Deficient, Provider Has Date Of Correction
Date the deficiency was corrected: Wednesday, August 27, 2014
The inspection cycle of deficiency: 1 (the deficiency was found on a complaint inspection)

Survey Date: Sunday, July 27, 2014
Survey Type: Health
Deficiency: F0514 (Keep accurate, complete and organized clinical records on each resident that meet professional stand)
Scope Severity Code: E
Deficiency Corrected: Deficient, Provider Has Date Of Correction
Date the deficiency was corrected: Wednesday, August 27, 2014
The inspection cycle of deficiency: 1 (the deficiency was found on a complaint inspection)

Survey Date: Sunday, July 27, 2014
Survey Type: Health
Deficiency: F0332 (Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.)
Scope Severity Code: E
Deficiency Corrected: Deficient, Provider Has Date Of Correction
Date the deficiency was corrected: Wednesday, August 27, 2014
The inspection cycle of deficiency: 1 (the deficiency was found on a complaint inspection)

Survey Date: Tuesday, November 19, 2013
Survey Type: Health
Deficiency: F0425 (Provide routine and emergency drugs through a licensed pharmacist and only under the general supervi)
Scope Severity Code: F
Deficiency Corrected: Deficient, Provider Has Date Of Correction
Date the deficiency was corrected: Friday, January 3, 2014
The inspection cycle of deficiency: 1 (the deficiency was found on a complaint inspection)

Survey Date: Tuesday, November 19, 2013
Survey Type: Health
Deficiency: F0282 (Provide care by qualified persons according to each resident’s written plan of care.)
Scope Severity Code: E
Deficiency Corrected: Deficient, Provider Has Date Of Correction
Date the deficiency was corrected: Friday, January 3, 2014
The inspection cycle of deficiency: 1 (the deficiency was found on a complaint inspection)

Survey Date: Wednesday, December 12, 2012
Survey Type: Health
Deficiency: F0371 (Store, cook, and serve food in a safe and clean way.)
Scope Severity Code: F
Deficiency Corrected: Deficient, Provider Has Date Of Correction
Date the deficiency was corrected: Thursday, January 31, 2013
The inspection cycle of deficiency: 2 (the deficiency was found on a standard inspection)

Survey Date: Wednesday, December 12, 2012
Survey Type: Health
Deficiency: F0363 (Make sure menus meet the resident’s nutritional needs and that there is a prepared menu by which nut)
Scope Severity Code: E
Deficiency Corrected: Deficient, Provider Has Date Of Correction
Date the deficiency was corrected: Thursday, January 31, 2013
The inspection cycle of deficiency: 2 (the deficiency was found on a standard inspection)

Number of Facility Reported Incidents: 2
Number of Substantiated Complaints: 1
Number of Fines: 0
Number of Payment Denials: 0
Total Number of Penalties: 0
Total Amount of Fines in Dollars: USD 0

This data allows consumers to compare information about nursing homes. Information here is not an endorsement or advertisement for any nursing home and should be considered carefully. Use it with other information you gather about nursing homes facilities. Talk to your doctor or other health care provider about this.

This data was updated by using data source from Centers for Medicare and Medicaid Services (CMS) which is publicized on Wednesday, October 1, 2014. If you found out that something incorrect and want to change it, please follow this Update Data guide.

The Five Star Quality Rating System is not a substitute for visiting the nursing home. This system can give you important information, help you compare nursing homes by topics you consider most important, and help you think of questions to ask when you visit the nursing home. Use the Five-Star ratings together with other sources of information.


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Saving money is a vital concern for nearly everyone. Because of this, it is important that you find the best possible rates for your insurance policies with coverage from the top companies. Luckily, it is much easier to find a great rate for insurance now more than ever before.

In the past, you were pretty much stuck accepting whatever type of insurance your agent could find for you. Then, around ten years ago, nearly every insurance company started offering their product online. Soon after, people started feeling as though they were insurance experts and handled their polices online themselves. This wasn’t a bad thing—in many cases. However, there are downfalls to working directly with the insurance companies.

In many cases, insurance customers do not understand what type of coverage they need. They take the lowest possible rate, without looking into the repercussions that could be caused. This is fine and good—until the time comes that they need to get something back from the insurance company.

Because of this, working with an independent agency is actually still a superior way to obtain insurance. Our office can help you get the coverage you need at a price you can afford. Additionally, we now offers features that make it even easier! For instance, you can compare insurance quotes online right from our website! Just follow links above to get rates on auto . home . life and, you can even buy online if you choose! Don’t worry, we’ll double check your work and make sure you didn’t miss anything 🙂 It’s all a part of what it means to Go Mega !

Unlike trying to compare by visiting each site yourself, using one of these tools means that you are comparing apples to apples. Therefore, not only are you paying as little as possible, you are still getting the type of coverage you need. Spend some time researching the options, and then let us make things easy for you and save you money too!

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Treasury loan limits Medicare Part B premium increase #online #personal #loans


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AliciaH. Munnell

Congress solved a lot of problems with its Bipartisan Budget Act of 2015. It avoided a standoff over the budget and the debt ceiling, provided breathing room for the Social Security Disability Insurance program, and eliminated profitable Social Security claiming strategies. It also headed off an immediate dramatic increase in Medicare Part B premiums facing about 30 percent of beneficiaries, but it didn’t really solve the underlying problem.

Typically, the Medicare Part B premium is increased each year in line with Part B per capita expenditures. In the absence of any complicating factors, the premium would have increased from $104.90 in 2015 to $120.70 for 2016, as estimated in the 2015 Medicare Trustees Report (released this past summer). The problem is that the law contains a hold-harmless provision that limits the dollar increase in the premium to the dollar increase in an individual’s Social Security benefit. Since Social Security beneficiaries did not receive a cost-of-living adjustment (COLA) for 2016, this provision precludes any increase in Medicare premiums.

This provision, however, applies to only 70 percent of Part B enrollees. The 30 percent not eligible for the hold-harmless provision include new enrollees during the year; enrollees who do not receive a Social Security benefit check; enrollees with high incomes who are subject to the income-related premium adjustment; and dual Medicare-Medicaid beneficiaries, whose full premiums are paid by state Medicaid programs.

According to current law, Part B premiums for other beneficiaries must be raised enough to offset premiums foregone due to the hold-harmless provision. Under the intermediate economic assumptions, the estimated monthly premium in 2016 for these other beneficiaries would have risen from $104.90 to $159.30 – a 52-percent increase. Higher income participants would then have paid multiples of $159.30 depending on their income level. For example, each member of a married couple with household income between $170,000 and $214,000 would have paid a Part B premium in 2016 of $223. Per person premiums would have topped out at $509.80 for couples with more than $428,000 in income.

The budget deal reduces the rate of increase through a loan from the Treasury to the Supplementary Medical Insurance (SMI) Trust Fund, but requires the affected individuals to pay back that loan over time. Specifically, seniors not held harmless will pay a base premium of $118.80 a month in 2016 – essentially the amount the Part B premium would have been for all beneficiaries had the hold harmless provision not applied. The difference between $118.80 and $159.30 would be covered by the Treasury loan. To repay the loan, the affected seniors will pay an additional $3 dollars per month, beginning in 2016, until the loan is repaid. With this additional charge, the full base premium for 2016 is $121.80. Medicare beneficiaries who currently pay higher income-related premiums would pay more than $3 per month toward repaying the loan.

If Social Security beneficiaries do not receive a COLA in 2017, the same procedure will take effect again. But the legislation explicitly denies the Secretary of Health and Human Services the ability to use the fix after 2017.

In short, the budget legislation avoided an immediate problem in 2016 but, if we are entering an era of persistent low COLAs and high health care costs, we need a more permanent solution.

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