Health Net locks Sale of Medicare PDP Business

Health Net, Inc. declared that its subsidiary, Health Net Life Insurance Company, completed the sale of its Medicare stand-alone Prescription Drug Plan (Medicare PDP) business to a subsidiary of CVS Caremark. According to Health Net it announced the sale on … Continue reading

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Patients often discontinue Taking Heart Drugs during Medicare Coverage Gaps

Patients who paid for heart medications exclusively through Medicare Plan were 57 percent more likely to not take them during coverage gaps in contrast to those who had a Part D low-income subsidy or additional insurance, as per a research … Continue reading

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Medicare educational event in Stark County

The Ohio Senior Health Insurance Information Program (OSHIIP), the state’s official source for free and unprejudiced Medicare Plan information and counseling plans to organize a “Welcome to Medicare” event in Stark County at the Mercy Medical Center in Canton on … Continue reading

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Health Care Fraud Prevention and Enforcement Action Team (HEAT)

In May 2009, DOJ and HHS announced the creation of the Health Care Fraud Prevention and Enforcement Action Team (HEAT). With the conception of the new HEAT team the fight against Medicare Plan scam has become the main concern at … Continue reading

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Oregon’s insurance program cuts costs on kidney patients with new dialysis contracts

The bills charged by providers of dialysis for kidney patients in the state’s insurance program of last resort are about to plunge after years of steep hike. Board members of the Oregon Medical Insurance Pool on Wednesday accepted deals with … Continue reading

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No Improvement in Patient Outcomes Seen In Hospitals With Pay-For-Performance Programs

Paying hospitals to better their quality of care, known as pay-for-performance, has been widely accepted in the U.S. and Medicare Plan has spent a large amount of dollars on bonuses and rewards for hospitals to improve. A recent study from … Continue reading

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Medicare/Medicaid Rule Raises Costs Without Improving Patient Outcomes for Defibrillator Implants

The cost to place an implantable cardioverter-defibrillator (ICD) was raised by $844 per case after a new condition from the Centers for Medicare and Medicaid Services (CMS) went into effect in February 2010, as per research presented at the American … Continue reading

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Initiative to enhance Primary Care Initiative by Centers for Medicare and Medicaid Innovation

An initiative has been taken to strengthen coordination and partnership between private and public health care payers to help improve primary care. According to Medicare Insurance Plan, it will coordinate with both commercial and State health insurance plans and offer … Continue reading

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Evaluating Pre-Nursing Home Hospitalization of Alzheimer’s disease Patients and Medicare Costs

One of the key findings of a novel analysis of Alzheimer’s disease-related Medicare Plan expenditures is that the federal insurer faces predominantly high payments for hospitalization during the period between when patients are first diagnosed and when they enter long-term … Continue reading

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WellPoint CEO Earnings slipped in 2011

WellPoint Inc.’s earnings dipped last year, as the health insurer dealt with losses in its Medicare Advantage business, and the total reimbursement given to Chairwoman and CEO Angela Braly slipped as well. Braly, who has worked as CEO for nearly … Continue reading

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