eHealth - Your Trusted Source for Insurance Products and Options
eHealth is a leading online marketplace offering a broad choice of insurance products, including Medicare Advantage, Medicare Supplement, Medicare Part D plans, individual and family health insurance, small business coverage, and ancillary health insurance products. With over 25 years of experience,
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Understanding Medicare and Long-Term Care Coverage Options
Health Insurance Counseling and Advocacy Program (HICAP) and Legal Assistance for Seniors (LAS) offer free services to help seniors understand and navigate Medicare, long-term care, and related legal issues. LAS supports seniors' independence and dignity by providing assistance with government benef
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Medicare Advantage Plan Payment Rate Trends Over the Past Decade
Analyzing the annual percentage changes in national per capita Medicare Advantage growth rates over the past decade reveals fluctuations in payment rates, with an average annual growth rate of 2.87%. The data reflects the evolving landscape of Medicare Advantage plan payments and policy updates. Thr
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Medicare Advantage Enrollment Trends and Payment Mechanisms
Medicare Advantage enrollment has significantly increased in the past decade, with payments being determined by benchmarks, bids, and quality incentives. The prevalence of chronic conditions is comparable between Traditional Medicare and Medicare Advantage, excluding Special Needs Plans. Dual-eligib
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Navigating Medicare: Your Rights and Options
Understand the ins and outs of Medicare, your entitlements, and how to cover out-of-pocket costs. Learn about the basics of Medicare, your enrollment options, and the importance of timely enrollment. Discover the four parts of Medicare and the role of Medigap insurance.
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Seniors' Experiences with Medicare Marketing and Fraud
During Medicare open enrollment, seniors age 65 and older receive numerous solicitations about plan choices through phone calls, mailings, emails, and advertisements. The frequency of these marketing efforts varies, with some seniors reporting misleading information and fraudulent practices by marke
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Can Medicare Beneficiaries Afford Their Health Care? Findings from Commonwealth Fund 2023
Americans with Medicare face challenges affording health care, with many struggling to pay for essential health services. The Commonwealth Fund 2023 survey reveals that a significant portion of Medicare beneficiaries find it difficult to afford health care costs, leading to delays in necessary care
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Referrals, Advocacy and Reimbursement for DSMES
Explore the critical aspects of referrals, advocacy, and reimbursement for Diabetes Self-Management and Support (DSMES) with insights from Joan Bardsley. Gain knowledge on aligning DSMES with type 2 diabetes care standards, appealing denied Medicare claims, and understanding Medicare policy challeng
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Comprehensive Medicare Drug Coverage in New York
Get the best Medicare drug coverage in New York. Our plans ensure that you have access to the medications you need without breaking the bank. With a wide network of pharmacies and flexible coverage options, you'll have peace of mind knowing you're protected. Discover the plan that fits your needs an
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Evolution of Medicare and the Rise of Direct Contracting Entities
Explore the historical journey of Medicare from its inception to the introduction of Medicare Advantage and Direct Contracting Entities. Understand key acronyms, models, and initiatives shaping the current healthcare landscape, and delve into strategies to address challenges posed by the shift towar
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Medicare Prescription & Outpatient Drugs Data Analysis October 2022
Enrollment in Medicare stand-alone prescription drug plans slightly declined between 2020 and 2021. The rates of enrollment vary between rural and urban states, with higher enrollment in rural states with low Medicare Advantage rates. Across counties, enrollment in prescription drug plans ranges fro
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Important Updates on the New Medicare Card Project
The New Medicare Card Project is nearing completion, with significant changes coming into effect from January 1, 2020. Beneficiaries are advised to use their new Medicare cards, protect their Medicare number, and take necessary steps to ensure smooth transitions. Key points reinforce the importance
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Speech Therapy Guidelines and Medicare Regulations Overview
This content provides detailed information on writing person-centered functional goals in speech therapy, emphasizing SMART goals and best practices. It covers course descriptions, objectives, and Medicare regulations related to speech therapy services. The importance of reasonable and necessary evi
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Understanding Retirement Benefits: Social Security and Medicare Overview
This content provides valuable information from an open forum on retirement benefits, covering topics such as Social Security, Medicare, and what happens to benefits when leaving a job. It includes details on Social Security retirement benefits based on age, statements, contact info, and an overview
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Medicare Physician Fee Schedule Proposal for CY2023 Provisions
The Medicare Physician Fee Schedule (PFS) outlines the payment framework for Medicare Part B services. Each year, CMS proposes changes in an NPRM, allowing stakeholders to comment. Key aspects include telehealth extensions and flexibilities during COVID-19. The PFS rulemaking process leads to final
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Scott Joyce: Your Go-To Expert for Medicare 101 in St. Louis
Medicare 101 St. Louis, is a comprehensive introduction to the Medicare program, designed to educate you on the various parts of Medicare, including Part A (hospital insurance), Part B (medical insurance), Part C (Medicare Advantage), and Part D (pr
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Feasibility of Care Coordination for Dual Eligibles: Characteristics and Opportunities
The Pacific Health Policy Group's report discusses the feasibility of care coordination for dual eligibles, individuals eligible for both Medicaid and Medicare with high rates of complex health conditions. Characteristics include having low incomes, chronic physical and mental health conditions, and
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Overview of U.S. Prescription Drug Spending and Medicare Part D
U.S. prescription drug spending data from 2005 to 2025 shows trends in various payer contributions, with predictions for future years. Medicare Part D's drug spending is broken down, revealing top drugs and rebate percentages. The total Medicare spending in 2015 and average annual growth in Medicare
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Understanding Medicare Prescription Drug Coverage
The material provides comprehensive information on Medicare prescription drug coverage, including the basics, benefits, costs, eligibility, enrollment, extra help, plan comparisons, coverage determinations, and appeals. It covers the four parts of Medicare and explains the requirements and processes
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Prescription Drug Coverage in Medicare Enrollees with Chronic Kidney Disease
This report delves into the sources and parameters of prescription drug coverage in Medicare enrollees with chronic kidney disease (CKD) for the years 2010 to 2015. It explores the trends in Medicare Part D enrollment, out-of-pocket costs, and catastrophic coverage benefits. The data presented sheds
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DePauw University Medicare Benefits Program Overview
This presentation details the DePauw University Medical & Rx Benefits Program for Medicare retirees, presented by Justin Goodwin from Amwins Group Benefits. It covers the agenda for the day, introduction to the program, information about Amwins Group Benefits, DePauw University's role in the Medicar
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Navigating Medicare and Employer Insurance Overlap
Individuals near Medicare eligibility while working or retired often seek HR guidance. However, HR may lack expertise on Medicare interaction, leading to gaps in coverage, penalties, and limitations. To avoid these issues, it's crucial to understand the client's employment status, Medicare eligibili
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Comprehensive Overview of CompanionCare Medicare Supplement Plan
Explore the benefits and coverage provided by the CompanionCare Medicare Supplement Plan effective January 1, 2021. Learn about the plan's offerings, enrollment criteria, and details on Medicare co-pays, coinsurance, and out-of-pocket expenses. Gain insights into who is eligible, moving to Companion
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Understanding Medicare Coverage and Benefits for 2022
Explore key aspects of Medicare including eligibility, coverage, costs, and additional options for more coverage. Get insights on Medicare Part D, what Medicare covers, and what it doesn't. Find details on benefit decisions for individuals aged 65 and above, actively working retirees, and surviving
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The Impact of Retiree Health Costs on Medicare and Medicaid Programs
This content discusses how retiree health costs affect individuals and government programs, specifically focusing on the rising Medicare and Medicaid spending projections. It highlights the challenges posed by out-of-pocket expenses for retirees and the gaps in Medicare coverage that contribute to h
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Understanding Medicare Reimbursement and Inpatient Services in Short Stay Acute Care Facilities
Short stay acute care facilities, also known as hospitals, play a critical role in delivering inpatient and outpatient services to patients. Understanding Medicare reimbursement policies, such as billing for Medicare Part A (IPPS) for inpatient services and Medicare Part B (OPPS) for outpatient serv
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Understanding Medicare Advantage Plans - Overview & Benefits
Dive into the comprehensive overview of Medicare Advantage Plans, covering the history of Medicare, Medicare ABCDs, enrollment periods, service areas, and product details for 2022. Learn about the different parts of Medicare, including Part A which covers inpatient care, Part B for physician service
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UnitedHealthcare Expands Medicare Solutions in More Counties for 2022
UnitedHealthcare is increasing its coverage in Medicare Advantage and DSNP plans, aiming to serve more consumers in various counties for 2022. This expansion will provide eligible individuals with more options and access to quality healthcare coverage. The growth in both Medicare Advantage and DSNP
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Medicare Trends in End-of-Life Care for Californians
Californians who died in 2014 were analyzed in terms of Medicare coverage, spending at the end of life, and hospice care utilization. The data shows a decrease in the share of total Medicare spending, variations in spending with age, and an increase in hospice use and spending over the years. Furthe
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Medicare Beneficiary Identification Initiative Overview
The Social Security Number Removal Initiative (SSNRI) aims to enhance Medicare beneficiary protection by replacing SSN-based Health Insurance Claim Numbers with new Medicare Beneficiary Identifiers (MBIs). This initiative mandates the issuance of redesigned Medicare cards by April 2019, minimizing i
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Morality in UK Drug Policy: Policy Constellations Analysis
Morality plays a significant role in shaping drug policy in the UK, as revealed by the research conducted by Professor Alex Stevens at the University of Kent. The study investigates the moral commitments underlying different policy positions in UK drug policy debates, highlighting five ethico-politi
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Evolution of Healthcare Policy: From Failed Public Plan Option to Medicare
In 1962, a public plan option was proposed, but the idea was turned down, leading to the enactment of Medicare in 1965. The concept of a public option as a pathway to universal coverage is explored, highlighting its merits, challenges, and risks. A best-case scenario for a public option strongly tie
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Important Updates on Elder Law, Medicare, and Estate Planning
Explore recent developments in elder law, Medicare premium amounts, Part A and B copayments, and the Jimmo Settlement Agreement clarifying Medicare coverage for skilled nursing care and therapy services. Stay informed on crucial aspects of estate planning and elder care.
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Update on Health Information Technology & Policy Committee Insights
The update on health information technology covers recent developments in federal actions related to healthcare reimbursement rates and interoperability rules. Changes in the Medicare Inpatient Prospective Payment System and Hospital Promoting Interoperability Rule impact hospitals, requiring partic
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Understanding Medicaid and Medicare Programs in Seattle-King County Coalition on Homelessness Training
Gain insights into the complexities of Medicaid and Medicare programs with a focus on eligibility, requirements, applications, and the intersection between the two. Learn about MAGI and Classic Medicaid, Medicare Savings Program, and how to avoid benefit pitfalls. Discover the nuances of Washington
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Understanding the Role of Medicare Beneficiary Ombudsman
Explore the vital role of the Medicare Beneficiary Ombudsman in addressing beneficiary inquiries, providing education, and recommending improvements in Medicare administration. Discover when to contact the Ombudsman for systemic issues, research topics, or feedback on Medicare experiences, including
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Understanding Policy Formulation: Key Concepts and Approaches
Policy formulation is a crucial step in the policy-making process, involving identifying and crafting policy alternatives to address various issues. This phase requires participants to define policy problems, develop alternatives, and select the most feasible solutions based on criteria such as feas
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Handling Medicare Set-Asides: Key Considerations and Compliance Updates
This comprehensive guide covers essential aspects of managing Medicare Set-Asides, including eligibility criteria, confirming Medicare status, compliance with the Medicare Secondary Payer Act, potential penalties for errors in reporting, and strategies to avoid violating the MSP statute. Stay inform
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Understanding Medicare: A Guided Tour for Beneficiaries
Explore Medicare eligibility, enrollment, benefits, and more in this comprehensive program designed for beneficiaries, advocates, and curious citizens. Get informed, engage effectively, and seek expert help to navigate the Medicare system with confidence. Join us on December 5, 2023, for a guided to
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Understanding Medicare Savings Programs - A Comprehensive Guide
Explore the intricacies of Medicare Savings Programs (MSP) through this detailed presentation. From tools and rules to eligibility criteria, learn about the different MSP options like QMB and SLMB and how they assist with Medicare costs. Discover the income limits, benefits, and application process,
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