Chairman Ryan: Choice and Competition Will Increase Quality, Decrease Costs in Health Care

One of the key principles underlying the reforms in The Path to Prosperity budget is that when providers compete against each other for a patient's business -- costs go down and quality goes up.

We have seen this play out in the Medicare Part D (prescription drug) program. Part D has come in 40 percent below cost projections. While part of those savings can be attributed to lower-than-expected enrollment, Medicare's chief actuary has calculated that nearly 85 percent of the program's...

106 Videos (and 781 Articles) for this topic


Medicare Part D - the Prescription Drug Plan - is Working for Seniors

Washington got it right. Medicare Part D - Prescription Drug Plan - is working for seniors! Part D provides patients access to medicines at affordable prices. Better yet, patients' monthly premiums will average $30 in 2012...that's a 44% decrease from original projections (HHS).

And Part D is saving money on other healthcare services! Part D saves Medicare about $1,200 / year in hospital, nursing home and other costs for each senior who previously lacked comprehensive prescription drug...

69 Videos (and 567 Articles) for this topic

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Complete Solution Is In The Short TUTORIAL 22. Adverse selection is a particularly challenging problem in the health insurance market due to a. Excessive government regulation b. High drug costs c. Physician shortages d. Less healthy people tending to buy insurance more than healthy people e. Competition from Medicaid 23. \u0093Doughnut hole\u0094 benefits refers to the system of coverage under _______. a. Medicare Part A b. Medicaid c. Medicare Part C d. Medicare Part D 24. SCHIP is a program funded by...

78 Videos (and 591 Articles) for this topic


MIPS Tips for Eligible Clinicians - Tip #5

MIPS TIPS was designed to help healthcare clinicians, physicians, providers, practice managers and other support staff best prepare for the new Medicare incentive program Quality Payment Program or QPP.

For more information, please visit:

30 Videos (and 284 Articles) for this topic

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Medicare Savings Program

Once you've watched the video, please complete the quiz:

47 Videos (and 206 Articles) for this topic


Medicare’s Prescription Drug Program Competition Issues and Cost Trends

45 Videos (and 466 Articles) for this topic


Are you wondering what is the difference between Medicare Advantage plans and Medicare Supplement plans? During my short video I give you my opinion, as a financial advisor, of the one that I feel is the best plan... Like what you see, sign-up to my Medicare Education program:

33 Videos (and 362 Articles) for this topic


\r\n\r\nControlling costs of Medicare and Medicaid\xc3\x82\xc2\xa0Hea

Controlling costs of Medicare and Medicaid Health Insurance Programs

Please respond to the following:

There is significant concern about the ability of the government to be able to afford Medicare and Medicaid programs. In fact, the Medicare Trustees estimate each year when the Medicare Trust Fund will go broke; that is, Medicare would only pay out what it collects in insurance premiums paid by employees and employers, requiring significant cuts in reimbursements to health care...

30 Videos (and 422 Articles) for this topic

KelseyCare Advantage Medicare Program

KelseyCare Advantage, a Medicare Advantage Plan for Houston-Area Medicare Beneficiaries, provides our members with a Medicare Advantage plan that offers comprehensive Medicare coverage and excellent customer service at a price you can afford. In fact, for 2013, KelseyCare Advantage received an overall quality rating of 4.5-out-of-5 stars from Medicare, and a five-out-of-five star rating in Member Satisfaction in the 2012 Medicare Part C Report Card. KelseyCare Advantage also had outstanding...

24 Videos (and 390 Articles) for this topic


Linette Scott, MD, CIO, Dept. of Health Care Services, EHR Adoption in CA

Dr. Scott describes progress in 2013 under the Medicare and Medicaid EHR Incentive Program, coordinated in California through her office. Over $1 billion has been distributed to eligible providers and hospitals.

23 Videos (and 19 Articles) for this topic

Medicare Doesn't Cover Dental Work

Medicare, which is a Federal program doesn't cover dental work at all. However, medicaid, which is a state funded program covers dental work. So, in laymen's terms if one is on welfare their teeth are covered. I don't feel this is right.

15 Videos (and 224 Articles) for this topic


Senator Elizabeth Warren - The State Of The Medicare Drug Program - NEW

From May 22, 2013. Special Committee on Aging, United States Senate - 10 Years Later: A Look at the Medicare Prescription Drug Program. Clip Includes Committee Member, Senator Elizabeth Warren (D-MA) Comments and Questions. Panelists: Margaret Woerner, Medicare Beneficiary and Helpline Volunteer, Medicare Rights Center; Jack Hoadley, PhD, Research Professor, Health Policy Institute, Georgetown University; Richard Smith,Executive Vice President for Policy and Research,...

11 Videos (and 284 Articles) for this topic

Medicare Open Enrollment 2018: Tip 4 Need Extra Help with Costs?

There are programs that can help people who are struggling to pay for their prescriptions and health insurance premiums, deductibles, and coinsurance.

11 Videos (and 158 Articles) for this topic


Overview of Value-Based Payments Efforts Under Medicare - Crash Course Webinar Series

Epstein Becker Green Webinar with Attorney Helaine Fingold - Value-Based Payments Crash Course Webinar Series - May 3, 2016.

Topics include:

* Highlights of the U.S. Department of Health and Human Services' goals and timeline to move fee-for-service Medicare from volume to value

* A summary of the value-based payment initiatives being implemented in the fee-for-service Medicare program, including those for hospitals, physicians, home health, and skilled nursing...

11 Videos (and 384 Articles) for this topic

Original Medicare

Original Medicare (Parts A & B) is a government-sponsored health insurance program. Learn the difference between Parts A & B, what's covered, and more.

11 Videos (and 247 Articles) for this topic


Griffith Explores Identifying, Addressing Waste & Fraud in Medicare & Medicaid

Congressman Morgan Griffith (R-VA) questions witnesses at the May 24, 2016 Subcommittee on Oversight and Investigations hearing entitled “Medicare and Medicaid Program Integrity: Combating Improper Payments and Ineligible Providers.” More information can be found here:

10 Videos (and 52 Articles) for this topic

N.Y.S. Medicaid will no longer cover certian drugs starting October 1, 2011

Effective October 1, 2011, the Medicaid program will no longer cover drugs in the following drug classes when billed for full benefit Medicare/Medicaid dual eligibles:

* Atypical antipsychotics;

* Antidepressants;

* Antiretrovirals used in the treatment of HIV/AIDS; and

* Antirejection drugs used for tissue and organ transplants.

7 Videos (and 93 Articles) for this topic


Targeted Probe and Educate (TPE) Medical Review Strategy

Watch this six-minute video to learn about the new Targeted Probe and Educate (TPE) Medical Review strategy.

CMS website link referenced during this video:

7 Videos (and 37 Articles) for this topic

Medicare Low Income Subsidy

Are you getting the most from Medicare? Learn about the Medicare money-saving programs available to help lower medical, prescription, and day-to-day living expenses for those who qualify.

Visit and request your free copy of "A Guide to Savings for Medicare Beneficiaries."

Connect with IBX Medicare!

For information for those approaching Medicare eligibility –

For Medicare Supplement enrollment and plan information –...

5 Videos (and 179 Articles) for this topic


Hearing on Medicare Part D: Waxman's Questions

The Oversight Committee holds a hearing, "The Medicare Drug Benefit: Are Private Insurers Getting Good Discounts for the Taxpayer?" The Medicare Part D program provides prescription drug coverage to almost 30 million enrollees, and will cost federal taxpayers almost $1 trillion in the next decade. The hearing will examine whether the private insurers that receive government subsidies to provide the Part D benefit are able to effectively obtain prescription drug discounts from drug...

5 Videos (and 109 Articles) for this topic

Rep. McMorris Rodgers Medicare Part D MTM

Rep. McMorris Rodgers questions a witness from Rite Aid about Medicare Part D Medication Therapy Management Program at a House Committee on Energy and Commerce hearing.

4 Videos (and 87 Articles) for this topic


"Dual-Eligible for both Medicare and Medicaid" by

One of the benefits of getting older is turning 65; when you are finally eligible for Medicare coverage. Unfortunately, understanding Medicare coverage is not as easy as turning 65. Some people are eligible for Medicare and Medicaid. Dual eligibility for Medicare and Medicaid can be a tricky thing to navigate. There are different circumstances and programs for those who qualify. Here is some basic information that you should know to get started.

Dual Eligible Beneficiaries is the general term...

3 Videos (and 195 Articles) for this topic

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"A Guide to Choosing a Medicare Advantage Plan: How to Use the Plan Finder" Free Preview

With this online video program, you'll learn:

• How to use the Medicare Plan Finder.Medicare provides a fantastic tool for comparing Medicare Advantage — if you know how to use it. This program provides you with a step-by-step guide for using the Medicare Plan Finder.

• What the drug payment stages are and how they'll effect your prescription drug coverage. Familiar with the term Medicare donut hole? In this video program, you'll learn about the four Medicare Part D drug payment stages...

3 Videos (and 66 Articles) for this topic


Medicare Secondary Payer: Proper Claims for Physicians and Hospitals

Click here for more Information

Medicare Secondary Payer: Proper Claims for Physicians and Hospitals

Presented By: Duane Abbey

The session will review the process of Medicare conditional payment, and the impact of MMSEA Section 111 on MSP. At the end of the session, you will leave with an understanding of possible audits and recoupments including RAC involvement with MSP.


3 Videos (and 49 Articles) for this topic

Do you have questions about Medicare

Do you have questions or concerns about Medicare or Medicare-related health insurance plans and programs? SHIPs answer questions about Medicare and assist people in obtaining coverage through options that include the Original Medicare program, Medicare Advantage (Part C) Plans, Medicare Prescription Drug (Part D) Plans, and programs designed to help people with limited incomes pay for their health care, such as Medicaid, the Medicare Savings Program, and the Low Income Subsidy. SHIPs also help...

3 Videos (and 158 Articles) for this topic


Will Medicare pay for a stay at a nursing home?

Will Medicare pay for a stay at a nursing home? | Grady H. Williams, Jr., LL.M. | Attorneys at Law, P.A. | Contact Us | 904-264-8800 | | 1543 Kingsley Avenue, Building 5 Orange Park, FL 32073

No, Medicare will not pay for a stay at a nursing home; however, Medicare can help pay for a stay at a rehab facility. If you're admitted into the hospital for three days or more, and then you go to a rehab facility, Medicare will pay for the first twenty days of that rehab...

3 Videos (and 175 Articles) for this topic

Medicare National Competitive Bidding HME

The full presentations are available at WWW.HMEBIZ.COM

This is the introduction of a two part series on National Competitive Bidding

(NCB) Get educated now!! NCB is a complex bidding program created by Medicare to set the prices for Home Medical Equipment. Medicare has implemented this program in eleven areas of the U.S. with disasterous results. Many providers were eliminated because they did NOT understand the program.

2 Videos (and 151 Articles) for this topic


Medicare Fraud

Medicare fraud is growing at a staggering rate. Doctors, hospitals, nursing homes and other medical care providers sometimes take advantage of our tax dollars by making false claims to the Medicare Program. This is Medicare fraud. Some common Medicare fraud schemes include: billing fraud, medical necessity fraud, home health care fraud, hospice care fraud, nursing home fraud, durable medical equipment fraud, wheelchair scams, physical, occupational or speech therapy fraud, prescription drug...

2 Videos (and 78 Articles) for this topic

Community Impact: Medicare Part D

The Medicare Part D community outreach program is intended to serve Medicare beneficiaries and assist them with evaluating their prescription drug plan options under the Medicare Part D benefit.

Each outreach event will also provide many other services that beneficiaries can take advantage of and have included: vaccinations, blood pressure testing, diabetes screening, cholesterol testing, bone density testing, and much more.

Learn more about the Mobile Medicare Clinics at...

2 Videos (and 94 Articles) for this topic


Kosmas Visits Casselberry Seniors to Discuss Closing Prescription Drug Coverage Gap

Congresswoman Suzanne Kosmas (FL-24) joined the Serving Health Insurance Needs of Elders (SHINE) program at the Casselberry Senior Center to discuss recent measures she helped pass to strengthen Medicare, close the prescription drug coverage gap, and extend the life of the Medicare Trust Fund by 12 years. As of June 10th, seniors in Central Florida who fall in the Medicare Part D drug coverage gap began receiving $250 rebate checks to help them with prescription costs.

Kosmas also warned...

2 Videos (and 33 Articles) for this topic

GPS SSUSH 23c Great Society Program & Medicare [Video 118]

Tutorial on Unit 9 Standard 23 Substandard c President Lyndon Johnson's Great Society Program and Medicare in preparation for the Georgia End of Course Test (EOCT) in U.S. History.

2 Videos (and 15 Articles) for this topic


Interview with Francesco Ciccone Program Director of New York Rx Card

Free Statewide Prescription Assistance Program

Free For Everyone.

All residents are eligible to get pharmacy discounts through this program. The program can be used to supplement most health insurance plans including Health Savings Accounts (HSA) and High Deductible Plans. It can also be used as a Medicare Part D supplement by providing discounts on non-covered drugs. Find out more about this program on

1 Videos (and 40 Articles) for this topic

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ShoeDocs Audit Consultants | ShoeDocs.Info

Giving Medicare Shoe providers the tools to succeed.

Request a free 30 minute consultation

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Documentation Improvement;

Higher Shoe Claims Paid.

Shoedocs will Simplifying your Shoe Provider Practice while Eliminating Reviews & Audits.

Our Program was created for the advanced shoe provider that routinely receives reviews or audits.

Shoedocs will improve the way you document when providing...

1 Videos (and 11 Articles) for this topic

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Medical and Dental:TaxSlayer Tax Tips|

You may deduct amounts paid for prescription drugs, doctors, hospitals, dental, labs, and therapy visits. In addition you might be able to deduct prescription eye glasses, contact lenses, long term care premiums, birth control pills, fertility enhancements, hearing aids, braces, medical care received at a nursing home, stop smoking programs, weight loss programs, bandages, and health insurance premiums. You might also be able to deduct out of town meals and lodging expenses associated with...

2 Videos (and 5 Articles) for this topic

Retiree Drug Subsidy (RDS) Conference (Part 1 of 6)

Department of Health and Human Services

Centers for Medicare and Medicaid Services

Retiree Drug Subsidy (RDS) Conference (Part 1 of 6)

AVA21357DVD1, July 2005

The live Retiree Drug Subsidy (RDS) conference, held in Dallas, Texas on July 12-13, provides a general overview of the Retiree Drug Subsidy Program. The two-day conference will be structured to give plan sponsors specific operational information and assistance.

2 Videos (and 39 Articles) for this topic


Reality Check: Eliminating Waste in Medicare Advantage Will Not Affect Benefits

Mike Hash of the White House Office of Health Reform gets into deeper detail on how reform would eliminate wasteful subsidies to insurance companies in the Medicare Advantage program, without hurting benefits or care and leaving the trust fund intact. To the contrary, it will strengthen Medicare's long-term stability and save seniors money. September 22, 2009. (Public Domain)

1 Videos (and 20 Articles) for this topic

New Data Reveals Home-Based Primary Care Reduces Medicare Costs

K. Eric De Jonge, MD, co-founder of the Medical House Call program at MedStar Washington Hospital Center and his colleagues, conducted a study published in the Journal of American Geriatrics Society (JAGS) that underscores the value of home healthcare for the nation's most vulnerable and frail elders.

The study compared Medicare costs and survival of patients enrolled in the Hospital Center's Medical House Call practice to a control group of external patients selected from Medicare claims...

1 Videos (and 147 Articles) for this topic


Company Profile: Humana Inc. (NYSE:HUM)

Humana is one of the country's largest Medicare providers and a top health insurer, Humana provides Medicare Advantage plans and prescription drug coverage to more than 4.5 million members in all 50 states and Puerto Rico. It also administers managed care plans for other government programs, including Medicaid plans in Florida and Puerto Rico and TRICARE (a program for military personnel) in 10 southern states. Additionally, Humana offers health plans and some specialty products (group life and...

1 Videos (and 46 Articles) for this topic

Notable Differences between Medicare Medicaid EHR Incentive Programs

Uploaded by ehrsolutions on Mar 9, 2011

This video shows the notable differences between Medicare & Medicaid EHR Incentive Programs.

Dallas L Alford IV, CPA is a licensed Certified Public Accountant in the state of North Carolina and owner of Atlantic Financial Consulting, a consulting firm that provides comprehensive medical billing services, practice management consulting, coding audits, Medicare compliance, Medicare RAC support and other general medical practice consulting...

1 Videos (and 8 Articles) for this topic


Reforms Chairman Ryan is Calling for are Devastating -- Throwing His Own Generation Under the Bus.

U.S. Rep. Karen Bass spoke with Chuck Todd of MSNBC's The Daily Rundown about the budget battle in congress.

"We have to look at the solvency of entitlement programs but I don't think under any circumstances should we do what Chairman Ryan is looking to do which is turn Medicare into a block grant program, which would devastate the programs" ..."Using debt and the deficit as an excuse to essentially eliminate entitlements I don't think is appropriate."

1 Videos (and 2 Articles) for this topic

Medicare Basics 1

Medicare is a federal Medicare insurance program established in 1965.

It is managed by the Centers for Medicare and Medicaid Services under the U. S. Department of Health and Human Services.

It provides health insurance for citizens who are 65 years of age or older.

Participants in Medicare are called beneficiaries.

1 Videos (and 25 Articles) for this topic


How Long Does A Theft Case Usually Last In West Palm Beach, Florida? | (561) 537-3877

Law Offices of Randy Berman

105 E. Palmetto Park Road

Boca Raton, FL 33432

(561) 537-3877

Watch as West Palm Beach, FL criminal defense attorney, Randy Berman, asserts that a theft case would last for a long time if a preparation for the trial is taken into consideration and consists of a lot of paper work. Examples of long theft cases are mortgage fraud and Medicare fraud. A plea bargain agreement and a pretrial diversion program for theft cases lasts for a...

1 Videos (and 9 Articles) for this topic


Medicare Programs — Affordable Medicare Advantage plans for you.

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From: Health Net

Related topics : medicare advantage program / medicare advantage plan / medicare plan

Senator LeMieux on Health Care Effort: Dont Cut Medicare (excerpts)

U.S. Senator George LeMieux (R-FL) spoke out against proposed cuts to Medicare contained in the House and Senate health care reform proposals. Both the House bill and the Senate Finance Committee proposal include half a trillion dollars in cuts to Medicare programs, including Medicare Advantage the program that currently has more than 900,000 Florida seniors enrolled.

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From: SenLeMieuxdotgov

Related topics : health care reform medicare advantage cuts / medicare advantage program / medicare billing programs

How to prepare for the Medicare Competitive Bidding Program

BidPrep is a step-by-step program that walks home medical equipment companies (DME) through the Medicare Competitive Bidding program.

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From: BidPrep

Related topics : medicare medical equipment / medicare program

Senator LeMieux on Health Care Effort: Dont Cut Medicare (full)

U.S. Senator George LeMieux (R-FL) today spoke out against proposed cuts to Medicare contained in the House and Senate health care reform proposals. Both the House bill and the Senate Finance Committee proposal include half a trillion dollars in cuts to Medicare programs, including Medicare Advantage the program that currently has more than 900,000 Florida seniors enrolled.

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From: SenLeMieuxdotgov

Related topics : health care reform medicare advantage cuts / medicare advantage program / medicare billing programs

medicare savings program for NAPCA

PSA for The Medicare Savings Programs produced in Seattle for NAPCA

PSA for the Medicare Savings Programs. We produced this for NAPCA to be aired on Television to provide information on receiving medicare. Part of a series directed to minority groups.

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From: Mirage Productions

Related topics : medicare savings program / medicare information for providers part b

Medicare Part D- Extra Help Program

Extra Help is a program in Medicare Part D that helps beneficiaries with limited incomes afford their medicines.

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From: PhRMAPress

Related topics : medicare extra help program

BCBSAZ | What is Medicare -- Part D?

Learn about the Medicare programs including Part D, the program offering prescription drug coverage.

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From: Blue Cross Blue Shield of Arizona

Related topics : medicare part d prescription drug program / medicare part d drug program / medicare prescription drug coverage part / medicare part a and part b coverage / medicare part a & b

Medicare: A Primer

This March 11, 2011 briefing, cosponsored by the Kaiser Family Foundation and the Alliance for Health Reform, provided an overview of the Medicare program and its role in the health care system. Panelists discussed who is eligible for Medicare, what benefits are covered and how the program is administered. Medicare financing and the program's role in health reform was also explained.

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From: Kaiser Family Foundation

Related topics : health reform medicare / medicare health cover / medicare benefit eligibility

Medicare Drug Coverage

Medicare Coverage with Sylvia Gordon

Gordon Marketing

20224 Hague Rd.

Noblesville IN 46062

(317) 776-6770

Sylvia Gordon, General Manager at Gordon Marketing explains the benefits and pains of Medicare Part D program.

Understanding Medicare supplements, medicare supplement insurance, medicare advantage, medicare advantage plans, medicare part D, medicare part D donut hole, medicare AARP.

Gordon Marketing has fantastic management opportunities. If you've always...

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From: Gordon Marketing

Related topics : medicare part b supplemental insurance plans / medicare advantage plans supplemental insurance / medicare part b supplement plans / advantages of medicare supplement plan f / medicare advantage plan insurance

\r\n\r\nControlling costs of Medicare and Medicaid\xc3\x82\xc2\xa0Hea

Controlling costs of Medicare and Medicaid Health Insurance Programs

Please respond to the following:

There is significant concern about the ability of the government to be able to afford Medicare and Medicaid programs. In fact, the Medicare Trustees estimate each year when the Medicare Trust Fund will go broke; that is, Medicare would only pay out what it collects in insurance premiums paid by employees and employers, requiring significant cuts in reimbursements to health care...

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From: jessica tran

Related topics : medicare and medicaid increasing costs / medicare is a federal health insurance program / medicare is a federal program funded through / medicare is a health insurance program / health insurance medicare and medicaid


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