Medicare/medicaid - PowerPoint PPT Presentation


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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Medicaid and CHIP Coverage of New Treatments for Sickle Cell Disease

This communication highlights the Medicaid and Children's Health Insurance Program (CHIP) coverage of new treatments for Sickle Cell Disease (SCD), focusing on the approval of milestone gene therapies, Casgevy and Lyfgenia. It discusses the commitment of CMS to improving healthcare access, quality,

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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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Understanding Racial and Ethnic Disparities in Health Care Utilization and Access

This presentation explores disparities in health care access among Medicare beneficiaries, focusing on the impact of loss of Medicaid and supplemental insurance eligibility. It discusses the challenges faced by Black and Hispanic individuals above the Medicaid cutoff, their lower likelihood of havin

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Medicaid Dentist Westminster: Find a Dentist Near Me Who Takes Medicaid

Without insurance, many people are unable to pay for a dental examination. Medicaid patients may encounter difficulties as they search for a Medicaid Dentist Near Me\u2014a dentist who takes Medicaid. For those who cannot afford medical care, the government offers health insurance through Medicaid.

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Finding-Your-Smile-Best-Medicaid-Dentist-Near-Me-in-Westminster

Dental & Implant Centers of Colorado - Westminster is your go-to Medicaid Dentist Near Me for exceptional dental care. Our clinic offers a full range of dental services, from preventive care to complex treatments, all covered under Medicaid. We pride ourselves on a patient-centric approach, providin

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Understanding Targeted Case Management (TCM) in Connecticut

Targeted Case Management (TCM) in Connecticut is a set of services aimed at assisting individuals with serious chronic mental illness, including substance use disorders. TCM providers play a crucial role in helping clients access medical, clinical, social, and educational services to enhance their q

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Overview of Medicaid Administrative Claiming (MAC) for NWD/ADRC Presentation

This presentation template is designed to engage state-level partners, such as Medicaid agencies and aging units, in understanding the benefits of Medicaid Administrative Claiming for the NWD System. It covers the infrastructure development, Medicaid agency's role, and addresses questions and concer

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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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Importance of Medicaid in Jails: Enhancing Healthcare Access

State Health Partners focuses on improving healthcare access for individuals with limited resources or complex needs, especially within the context of Medicaid and jails. Medicaid plays a crucial role in supporting jails to provide healthcare services, impacting cost savings, improved health outcome

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Medicaid Coverage Expansion Initiatives in the District of Columbia

The Department of Health Care Finance in the District of Columbia plays a crucial role in administering various public health insurance programs, including Medicaid. With a vision to provide necessary support to all residents for active engagement in their health, the department focuses on improving

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Accessing Healthcare for Children: Important Information on Medicaid Programs

Learn about accessing healthcare for children through important Medicaid programs such as Early and Periodic Screening, Diagnostic and Treatment (EPSDT), Ohio's Medicaid in Schools Program, and Disability Rights Ohio's Medicaid Pro Bono Program. Disability Rights Ohio is a non-profit organization ad

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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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Delaware Division of Medicaid: Unwinding from COVID-19 Public Health Emergency

Delaware Division of Medicaid and Medical Assistance (DMMA) is preparing to transition back to typical operations post the COVID-19 Public Health Emergency. The plan includes communication strategies, efficient workload management, and reducing the risk of coverage loss. Goals focus on member/stakeh

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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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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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Medicaid Coverage Gap Impact in Non-Expansion States

The coverage gap in states without Medicaid expansion affects approximately 28.5 million uninsured nonelderly individuals, with the majority being low-income adults and people of color. The Medicaid expansion under the ACA aimed to fill long-standing gaps in coverage but became a state option due to

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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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Medicaid Program Expenditure Analysis August 2022

Analysis of Medicaid program expenditures in August 2022 reveals interesting insights. Total enrollees in August 2022 were 1,358,275 with total expenditures amounting to $304,664,691.2. The report delves into expenditure distribution across various services, top drug classes per fiscal year, and Med

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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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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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Medicaid Program for Long-Term Care Services in Missouri

The Medicaid program administered by the Department of Health and Senior Services in Missouri provides long-term care services for elderly and disabled individuals. The program evaluates participants' needs based on a 21-point count to determine eligibility for nursing home or home and community-bas

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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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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: Coverage Options and Enrollment Details

Medicare is a federal health insurance program catering to individuals aged 65 and older, those with certain disabilities, end-stage renal disease, or ALS. It offers different coverage options including Part C Medicare Advantage Plans. Enrollment details, premiums, and benefits such as hospital insu

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Revamping Medicare Card System for Improved Security

The Medicare Access and CHIP Reauthorization Act of 2015 initiated a project to replace Social Security Number-based Health Insurance Claim Numbers with unique Medicare Beneficiary Identifiers. The primary goal is to reduce beneficiary vulnerability to identity theft. The project involves operationa

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Medicare and Medicaid In-Network Rates

This content provides details on Medicare and Medicaid in-network rates reported by CMS on August 27, 2020. It includes information on plan names, IDs, market types, and negotiation information. The file also contains links to relevant network files. The data is structured to facilitate understandin

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