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Ben has been a member since August 29th 2011, and has created 127 posts from scratch.

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Medicare Supports Nursing Home Neglect

In this nation, there are so many seniors reaching out to nursing homes that it’s become a multi-billion dollar industry. Due to the rapid number of nursing homes developing, the government decided to set regulations for all nursing homes to follow. These regulations ensure safety and quality care for nursing home residents and protect them from neglect with a set of basic requirements.

Recently released news shows that Medicare shelled out billions (all in taxpayer dollars) to fund nursing homes all over the country and it’s expected to be the same for 2014. The problem? Government investigators found that these recipient nursing home were not even meeting the basic requirements to look after the care of their residents.

The inspector general from the Department of Health and Human Services’ said this past Thursday that approximately $5.1 billion was distributed by Medicare for patients to stay in skilled nursing facilities that didn’t even meet federal quality of care rules in 2009. Some of these cases were even labeled as neglectful and with dangerous conditions.

Statistics show that out of every three patients who wound up in nursing homes that year, one of them landed in a facility which didn’t care to follow the federal agency’s basic care requirements which administer Medicare so it will be around in 2014 for seniors to use.

According to the letter of the law, nursing homes are obligated to write up care plans which are custom tailored to each resident to instruct the doctors, therapists and various caregivers on how to perform at their highest level to make sure that the physical, mental, and psychological well-being of every patient is met.

These residents here are typically suffering from neglect and absence of dire help they need to function, and the irony is that the government is supporting, through taxpayer money, facilities that endanger people’s health.

“These findings,” the report stated, “raise all concerns about what Medicare is truthfully paying for.” Investigators revealed that approximately 1/5 of patients’ health problems were overlooked in the care plans, giving them red X’s in the government’s books. Included in such neglected cases are those who received medications which can have serious side effects – and went on unmonitored. Residents were also getting unnecessary therapeutic treatment long after they recovered because the nursing home would actually make a profit through Medicare’s reimbursement.

This only comes to show that 2013 Medicare absolutely must start focusing on where our money is going to. Its cases like these, where multi-billion dollar scams are played against Medicare show the truth about the precision of dishonesty the industries have developed. Medicare has to be on the defense against the ruthlessness of the industry – not supporting thieves such as these nursing homes is a much more efficient way to cut expenses than any healthcare plan out there.

Source: http://www.cbsnews.com

Healthcare Reform: Does it Effect Medicare?

Much has changed since legislation started going on on healthcare reform and as MedHealth said:

“The $1.9 billion already loaned to 24 non-profits in different states was not touched. Also, the Community Living Assistance Services and Support program, or CLASS Act, created by the ACA as a federal long-term care program was officially repealed. For Medicare, the deal means that a 26.5 percent pay cut for doctors who see Medicare patients has been averted for the year with a short-term funding patch. However, Medicare reimbursements to hospitals will be cut, and Medicare Advantage risk adjustment payments will be reduced.”

Meaning, it will all have an impact on how Medicare works. Everything is pretty much up in the air, noone knows for certain exactly how it will all work out, predictions can be made but that is about it.

Go through the information that CCIIO has made available, it can really put things in perspective.

Let me know what you think in the comment section below.

Act now if you’re unhappy with your Advantage plan

If you picked a Medicare Advantage plan during annual enrollment and it isn’t what you expected, you can return to original Medicare this month.

You can also select a Part D Prescription Drug plan right now. And, you can even apply for a Medigap plan, subject to medical underwriting questions about your health.

Did you see Medicare’s Part A deductible is going from $1,156 to $1,184 in 2013? Since it’s not an annual deductible, you could have to meet it more than once. With Medicare, there’s no limit on how high your annual out-of-pocket costs could be. With an Advantage plan, you can set a definite annual maximum on the cost of your covered health care.

Here are three ideas to help you deal with the increase in standard Part B premiums from $99.90 now to $104.90 next year.

  1. See if your generic medicine is available for free at Publix. http://www.publix.com/pharmacy/Free-Medications.do
  2. If you’re self-employed, you can deduct your Medicare Part B and Part D premiums (but not your spouse’s) on the front of the 1040 per IRS revised Publication 535.
  3. Use the extra benefits available with Medicare Advantage plans to cut your out-of-pocket expenses for things Medicare doesn’t cover. Advantage plans are well known for helping with things you need every year, like dental care, that’s just not covered by Medicare.

The is a once-a-year health insurance opportunity, you will not have much more time to take advantage of this.

Why Saving Money on a Medicare Part D Plan Can End Up Making You Lose More

Medicare Prescription Drug Coverage, more commonly known as Medicare Part D, is an expense many seniors try to implement into their budget in a subsidizing manner. What the unfortunate and naïve fail to realize is that cutting costs of Part D could end up costing one more than they’re saving.

Studies have found that almost every individual over the age of 50 is, on average, prescribed to two to three different medications. Some inexpensive, others pricey, medicine is invaluable because it provides an opportunity for healthier living. Many beneficiaries recognize the importance of being able to afford medication, and take action to enroll in Part D. Those who attempt this who also happen to take expensive or unusual medication will find that their plan, because they opted to pursue a cheaper premium, hardly covers the hundreds of dollars per month it takes for a steady supply leaving them with debt that could have so easily been avoided had they chose a more comprehensive plan.

There are 17.4 million citizens enrolled in a Medicare Part D plan, and according to recent polls, a little over half are satisfied with their medicinal coverage. That means millions of people are still unsatisfied with their Part D plan, shelling out money they don’t have for medicine they absolutely must have. The market is highly concentrated, and there is a plethora of companies fighting elbow-to-elbow to offer the most appealing coverage plan, with the fine print ending up being not-so-fine for the victims of false promises.

It seems that out of the 46% of unsatisfied citizens, most of their displeasure could have been avoided had they taken the precision care of selecting an appropriate prescription drug coverage plan. Other highlighted areas of coverage are bolstered and shoved into people’s faces, promising financial security in the event of a tragedy. The biggest tragedy of all, however, is the everyday expenses such as prescribed medications sliding under the radar for compensation in the unlikely event of an accident.

What people should be focusing on is putting more eggs in the baskets of the absolute expenses, as opposed to “what-if-this-happens” expenses. It is uncertain that a huge health-related accident will occur, but it is definitely certain that prescribed medication is needed to supplement the health of the majority of our population. With this information in mind, if you or a loved one is in the process of selecting a Medicare Part D coverage plan, make sure to read between the lines and find a suitable plan to take care of all your needs. Even if it is a bit pricier, you’d end up saving more money in the long stretch.

Social Security: What’s The Problem?

Social security has been a subject of controversy within our annual elections, consisting of both truth and lies. The difference is hardly distinguishable… without the correct facts. This is the unbiased, authentic strained reality regarding the status of Social Security and the security of our monetary future.

Let’s start with a little background information. Old Age, Survivors and Disability Insurance (what Social Security is called by the government) receives its funds from withheld payroll checks since the Federal Insurance Contribution Act. On average, 6.2%-12.4% of a paycheck is taxed to support this program. Social Security used to be about payment plans that covered only the bare expenses for claims, but three decades ago the government saw the expected failure of this system and raised the taxes and reduced the benefits. This way, they figured, the system could build up a pecuniary foundation expansive enough to supply the upcoming overflowing generations’ retirement. Between then and now, taxes have only been raised and benefits have only been further reduced.

Any racial aspect regarding social security is based on the grounds of data collected by the CDC (US Center for Disease Control). According to their research, white males born in 1990 have an average life expectancy of 72.7 years, equivalent to seven years of Social Security collectivity. According to that same study, African American males born in that same year have the life expectancy of 64.5 years – which results in death a year before eligibility. Statistically, Social Security proves more beneficial for whites but this is all relative to life expectancy data and nothing more.

The Democratic approach, fronted by Obama, intends to raise Social Security taxes in order to solidify the system. The government will have to cooperate by subsidizing their budget to make this plan effective. The problem with this plan is that there isn’t a legal provision the government can pull outside of a bailout to use in order to subsidize. The Obama plan would increase the amount of debt held in Social Security’s Trust Fund for the future generations to assume responsibility of funding. Congress will have a larger budget, and promises to raise taxes that we will save money, but in reality money is being spent to support a budget deficit instead.

Remove the cap on income subject to SS (FICA) tax. The system doesn’t tax any income over $107,000 per year, this does go up every year. Making SS a regressive tax which means it takes a larger percentage of the income of low-come tax payers then high-income. According to the Congressional Research Service, the system can remain solvent for a few more decades if the cap were to be removed. That will not solve the problem that Social Security is currently facing it just gives us more time to push the problem off.

We can only lend money to ourselves with interest for so long, raising taxes will not solve the problem…

The U.S. Government collects money from us that it says it is saving to use for our retirement. However, instead of actually saving it as it leads us to believe, it writes an IOU from us (an IOU from the U.S. Government is an IOU from its taxpayers) to us. In other words, it takes our retirement money, spends it on a lot of stuff we don’t even want and forces us to take out a loan to pay it back to ourselves.

Let’s say you hired an investment advisor to plan your retirement and every year you handed him thousands of dollars feeling secure it would be there when you needed it. However, rather than investing your money he uses it to finance his wild lifestyle and stuffs your retirement account with IOU’s he forges your name on that are actually debts from you to you. Would you be mad? Would he go to jail (if you didn’t catch him first)? Well, that is exactly what the U.S. Government does with your Social Security money; in the private sector we call this theft, but for our government it’s business as usual. See the rest of the article by Paul McWilliams at NextInning.com to understand why investing in Treasury Securities can’t go on forever:

Well then, what’s the solution?

The Privatization approach

Anybody who’s heard of retirement knows the process: if we want to have money later, we have to save money now. Thrift in play, it has been obvious that the United States government has no way to stock up on funds in surplus of its debt. If we are going to save for the future, we have only two options – to forward the funds into private accounts controllable by the people for growth, or pass a law enabling the government to invest in private sectors with no strings attached (obviously, it has to be illegal for the government to borrow against investments like how it’s illegal for them to negotiate with pharmaceutical companies for Part D – which is ridiculous).

Considering giving the government the power of investing trillions of dollars to make a profit brings on chills, looking at the way they’ve handling finances. It’d mean moving closer towards socialism and allowing the government to potentially steer off the highway of social security and onto the exit of debt. Privatizing social security is the alternative, which leaves but one question: how does that effect those coming close to or now retired?

Proposition of Privatization vs. Government

The way things are going today, $200 billion dollars in surplus is collected annually by Social Security, and half of that is accrued interest which is owed in Special Treasury Bonds. If the majority of the surplus is distributed evenly throughout the people of our population within the time frame in which the transition between socialistic and privatization lapses, anybody who’s been paying into the system yearning to reap their well earned retirement check will be supplemented and the already retired can continue coverage under the $600+ billion still kept by the Social Security System.

The Future of the Proposition

As time goes on, the quantity of which the money is distributed will fluctuate along with how much the annual surplus turns out to be. This way, the federal budget will be balanced and any excess surplus will be used to repay the debt towards the Special Treasury Bonds.

This seems to be the most logical approach to handling Social Security by looking at the mistakes at the past, using the resources of the present and planning ahead for a brighter future. Part traditional

Social Security/part privatized retirement accords can be cultivated over several decades and as the last check is written for the last person who contributed to Social Security, the maintenance of the private accounts (which cover survivor/disability insurance, pooled risk insurance) would be in full swing.

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