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Managed Care
September 2006
John Carroll
Managed Medicare Revitalized: Feel-Good Plan of the Decade Insurers are largely happy with what they've seen. They're creating new benefit packages and expect more business in the next one to three years. mark for My Articles similar articles
Managed Care
January 2001
David Ricks & Joe Suminski
Nowhere To Go but Out? Tracking Medicare+Choice Managed Medicare's trouble may have something to do with underfunding or rich benefits, but for health plans, market share has a lot to do with it, too... mark for My Articles similar articles
Financial Planning
April 1, 2010
Donald Jay Korn
Medicare: Change is Coming This is a great time to get together with clients over 65 who will be affected by health care changes and go over their Medicare coverage. At the same time, you can see what other areas of financial planning are on their mind. mark for My Articles similar articles
Managed Care
January 2004
John Carroll
Do the Medicare Math, Then Make Quick Decision Congress frees up billions for plans that choose to participate in a new program for enrollees. This may be opportunity knocking. mark for My Articles similar articles
Financial Planning
November 1, 2007
Donald Jay Korn
Medicare Choices What are Medicare private fee-for-service plans and why did their fortunes rise and fall so dramatically? Most important, if these plans survive in their current form, should advisors suggest them for clients enrolled in or approaching Medicare eligibility? mark for My Articles similar articles
Managed Care
March 2007
John Carroll
Democratic Agenda Places Medicare Advantage at Risk Battle lines are drawn over proposals to raid the Medicare managed care program of funds to be applied to other health care needs. Democrats themselves are split. mark for My Articles similar articles
Managed Care
April 2002
Frank Diamond
Medicare+Choice: Uncertain Future for Unstable Program While policy makers haggle over President Bush's budget request for the system, an ominous question looms: Can money solve all the problems? mark for My Articles similar articles
Managed Care
July 2000
Michael Levin-Epstein
Congress Asked To Take Action As HMOs Flee Managed Medicare Thanks mainly to the increasing cost of providing a prescription drug benefit, HMOs are exiting Medicare+Choice, the system that was supposed to manage the health of the nation's senior citizens, in droves. Only an act of Congress can save Medicare+Choice, but is seems doubtful that will happen. mark for My Articles similar articles
Managed Care
May 2007
Frank Diamond
Medicare Advantage Hits Jackpot with Private Fee-for-Service Plans The secret to the success of Medicare private fee-for-service plans is as old as gold. Will beneficiary satisfaction force Congress to keep the faucet turned on? mark for My Articles similar articles
Financial Planning
April 1, 2007
Joan Warner
What's Next for Medicare Is America's retirement healthcare plan really in trouble? Here's some good news -- and some hard decisions for your financial advisory clients. mark for My Articles similar articles
Knowledge@Wharton Prescription Drug Coverage for Seniors Faces Uncertain Future The discussion about adding a prescription drug benefit to Medicare will be put on hold... mark for My Articles similar articles
Managed Care
September 2007
John Carroll
Who Gets Covered, Junior or Grandma? America's Health Insurance Plans is mounting a very public campaign aimed at portraying a House bill as a measure that robs enrollees of essential benefits. mark for My Articles similar articles
CFO
June 1, 2005
Russ Banham
Prescription for Malaise? Health-insurance providers are rushing to participate in Medicare's new drug-benefit program. Companies are proceeding with caution. mark for My Articles similar articles
Managed Care
May 2005
Implementing Medicare Part D Could Get Ugly This expert who hopes to help everybody adjust, nevertheless expects big headaches come Jan. 1, 2006. However, e-prescribing could make the drug plan work. mark for My Articles similar articles
The Motley Fool
January 22, 2007
Dan Caplinger
Understanding Medicare: Benefits Medical coverage for seniors is a big part of a strong retirement-protection plan. mark for My Articles similar articles
The Motley Fool
January 22, 2007
Dan Caplinger
Understanding Medicare: Claims In general, Medicare provides a level of coverage that is fairly similar to what private health insurance plans offer. Here are some tips for getting the most from it. mark for My Articles similar articles
Managed Care
February 2004
John Carroll
New Medicare Risk Adjustments Bad News for Unprepared HMOs Getting less-than-hale elderly enrolled can finally be a sound business strategy for HMOs that comprehend the new rules and have sufficient IT capability. mark for My Articles similar articles
Managed Care
August 2000
Medicare+Choice pullouts' deep, deep sting The health plan exodus from Medicare+Choice will affect 934,000 people in 2001 -- more than were affected in 1999 and 2000 combined, according to the Health Care Financing Administration. mark for My Articles similar articles
Managed Care
October 2000
Quick Fix May Be in Store for M+C, But Meaningful Change Likely To Wait Whatever diversion prescription drug proposals have provided, Medicare+Choice is back on Congress's radar screen. While sentiment is again running strong among legislators to address the wounded program, Congress is now racing a clock ticking ever closer to the elections... mark for My Articles similar articles
Managed Care
October 2001
Michael Levin-Epstein
Medicare+Choice Reform: Hope, but No Quick Action Expected There have been small accomplishments, and wheels have been churning for more forceful action -- that is, they were until Sept. 11... mark for My Articles similar articles
Knowledge@Wharton
July 30, 2003
Restructuring Medicare Is a Riskier Operation than First Thought Hailed as a bipartisan success when passed in late June, two Medicare reform bills are losing some of their luster as they face closer scrutiny by a conference committee made up of members of both chambers charged with reconciling the legislation this fall. mark for My Articles similar articles
Financial Planning
February 1, 2006
Janet Aschkenasy
Drug Deals Here is how to help your financial advisory clients make sense of Medicare Part D. mark for My Articles similar articles
Registered Rep.
October 13, 2011
Mark Miller
Determining Your Elderly Clients' Best-Fit in Medicare Plans You may be able to help senior clients save thousands of dollars in out-of-pocket health care costs by encouraging them to comparison shop for Medicare prescription drug and managed care options during the program's annual fall enrollment season. mark for My Articles similar articles
Searcher
October 2011
Stephanie C. Ardito
The Medical Digital: Navigating the Medicare Maze Since entitlement programs are the chief governmental programs under fire, I decided to revisit the healthcare bills passed back in March (H.R. 3590, the Patient Protection & Affordable Care Act). mark for My Articles similar articles
Managed Care
December 2007
Martin Sipkoff
Large Plans Do Well Under Part D, But Premium Hikes Cloud Future Profits should increase over the next two years for plans that stay the course, but politics and rising premiums may affect long-term results. mark for My Articles similar articles
The Motley Fool
May 16, 2011
Dan Caplinger
Don't Let This Kill Your Retirement Social Security and Medicare look sick. Here's how to handle it. mark for My Articles similar articles
On Wall Street
November 1, 2012
Todd Colbeck
Boost Your Medicare Expertise What every advisor should know about government insurance to better serve clients. mark for My Articles similar articles
Managed Care
February 2004
John A. Marcille
The Administration Delivers A Major Gift to Managed Care Which brings me to the announcement that Medicare payments to health plans participating in what was called Medicare+Choice but is now known as MedicareAdvantage will increase by a record 10.6 percent. mark for My Articles similar articles
Financial Planning
April 1, 2011
Donald Jay Korn
Front and Center With baby boomer clients entering the age of Medicare, it will become increasingly important for planners to keep up with the inevitable new wrinkles. mark for My Articles similar articles
The Motley Fool
August 1, 2005
Stephen D. Simpson
Humana Hums a Merry Tune Humana's Medicare business stays strong. While these shares have already enjoyed a great run (up more than 120% in the past year), today's guidance would suggest Humana still has room to grow and improve. mark for My Articles similar articles
Managed Care
November 2001
Medicare+Choice Problems Chasing Away 58 Health Plans Medicare+Choice, the program that was supposed to ease the elderly into managed care, is itself suffering from the uneasiness of HMOs dissatisfied with payment rates... mark for My Articles similar articles
The Motley Fool
January 22, 2007
Dan Caplinger
Understanding Medicare: Costs The deductibles and co-payments for Medicare Advantage Plans and prescription-drug plans can vary greatly between particular plans. A thorough examination of such plans is necessary for understanding the costs and to make a good decision about which plan to choose. mark for My Articles similar articles
Managed Care
October 2002
Though M+C Erosion Slows, Reimbursement Still an Issue The exodus of health plans from Medicare+Choice will moderate somewhat next year, offering hope that the struggling system can make a comeback. mark for My Articles similar articles
Managed Care
March 2002
Michael Levin-Epstein
Illinois's Medicare Drug Program Called 1st Stab at National Reform The Illinois demonstration program gives the state permission to use federal and state Medicaid dollars to provide prescription drug coverage for 365,000 low-income, elderly Medicare beneficiaries... mark for My Articles similar articles
Registered Rep.
October 10, 2014
Mark Miller
Healthcare Inflation is on the Mend Tame healthcare inflation is good news for your retired clients. mark for My Articles similar articles
BusinessWeek
July 14, 2003
Howard Gleckman
This Medicare Reform Is No Cure The theory: The shift will improve treatment and save taxpayers money, helping to rein in ballooning Medicare costs while offsetting the expense of the drug benefit. Those are laudable goals. Unfortunately, Congress isn't likely to achieve them. mark for My Articles similar articles
Pharmaceutical Executive
May 1, 2006
Huang, Pesile & Mozeson
Medicare Part D: D for Doomed? New drug coverage plans cost more money and serve fewer patients than the government expected. What if things get worse? Here are two scenarios for disaster. mark for My Articles similar articles
Managed Care
October 2007
John Carroll
Medicare Coverage Rules Are Not Always Last Word Yes, commercial health insurers often take a cue from the government, but that doesn't mean that they follow blindly. mark for My Articles similar articles
Registered Rep.
May 25, 2011
Mark Miller
Pros and Cons of the Healthcare Reform Law The new health reform law already is changing the health insurance market in important ways that will affect your clients' choices and expenses. mark for My Articles similar articles
The Motley Fool
September 15, 2008
Brian Orelli
Are Health Insurers Losing Their Pricing Power? Health insurers have been hit particularly hard recently, as medical costs have risen considerably faster than insurers were expecting. mark for My Articles similar articles
Financial Advisor
March 2006
Karen DeMasters
Clients Lost In Medicare Lurch Although some of the more than 40 million eligible Medicare recipients in the nation already have signed up for the new prescription drug benefits program Part D, many people still are seeking the advice of financial planners and weighing the options that are available to them. mark for My Articles similar articles
Managed Care
April 2005
Medicare Modernization Act to Increase Public Sector Spending Nearly 50 Percent While the burden on the public sector to supply health care benefits to Medicare and Medicaid enrollees will increase, on the private side, a reevaluation of current forms of health insurance coverage may take place as growth in premiums continues to outpace growth in compensation. mark for My Articles similar articles
Managed Care
December 2002
Drug-discount program's effectiveness hindered by lack of use California offers a prescription drug discount program that allows Medicare beneficiaries to get discounts just by showing their Medicare cards to pharmacists. Unfortunately, a majority of those eligible -- both those with and without drug coverage -- have never heard of the program. mark for My Articles similar articles
Managed Care
November 2005
Martin Sipkoff
Confusion Rules the Day As Medicare Part D Begins With a dizzying array of coverage possibilities, there is a strong possibility that some people who would benefit will fail to enroll in any plan. mark for My Articles similar articles
Managed Care
February 2005
Medicare's Drug Coverage Seeks To Strike Compromise Health plan officials are still trying to determine just how the final rules for the new Medicare prescription drug benefit will affect them, because it appears that government officials tried their best to address the competing concerns of all players. mark for My Articles similar articles
Managed Care
April 2002
John A. Marcille
Nobody Wants M+C To Die, So Why Can't We Make It Work? Money alone can't solve all of Medicare+Choice's woes, and structural problems will need to be addressed... mark for My Articles similar articles
The Motley Fool
October 5, 2010
Andrew Bond
Wal-Mart Enters the Health-Care Fray Wal-Mart and Humana's partnership will have competitors scrambling. mark for My Articles similar articles
Financial Planning
February 1, 2007
Donald Jay Korn
'B' Prepared Medicare has an unpleasant surprise for upper-income retirees, but worse is yet to come. Here are some of the issues financial planners need to know about. mark for My Articles similar articles
BusinessWeek
January 31, 2005
Howard Gleckman
The Real Retirement Time Bomb Without reform, Medicare premiums will eat away at Social Security benefits. mark for My Articles similar articles
Managed Care
July 2002
Memo Clarifies CMS Guidelines on Injectables Injectable drugs should be covered by Medicare if beneficiaries administer them less than 50 percent of the time, according to a clarification on this issue by the Centers for Medicare and Medicaid services that's set to take effect Aug. 1. mark for My Articles similar articles