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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Florida Medicaid Overview
Florida Medicaid is a crucial program providing health care coverage to low-income individuals in the state. The program is administered by the Florida Commission on Mental Health and Substance Abuse, overseeing core functions to ensure high-quality care, transparency, and cost-effectiveness. Medica
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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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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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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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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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December 2023 Medicaid Forecast update
Indiana Family and Social Services Administration released the December 2023 update for Medicaid forecasts, projecting expenditures and funding through SFY 2025. The report includes detailed information on program areas, growth rates, federal funds, and assistance funding needs, highlighting key cha
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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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Medicaid Expansion and Business Community Impact
Medicaid expansion plays a crucial role in the business community, supporting job creation, economic activity, and the overall stability of healthcare systems. It offers vital health coverage to low-income individuals, bridging the gap for those ineligible for traditional Medicaid but unable to affo
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Ensuring Rights and Community Living for Medicaid-funded Home-Based Services
The Home and Community Based Services Settings Rule under Medicaid ensures individuals receiving services have full access to community living benefits, including autonomy, privacy, dignity, and choice in decision-making. The rule emphasizes person-centered planning, integration with the community,
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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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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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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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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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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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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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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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