Posted May 17, 2013 By Kevin Knauss
The Centers for Medicare and Medicaid released the cost they pay for the top 100 hospital treatments for beneficiaries of Medicare across the country and the data presentation is virtually worthless to the average human being. The Charge master data set was successful in highlighting the complex and dysfunctional system we have in the U.S. for tracking and paying for health care.
Filed in California, Health Insurance, Hospitals, Medicare | Tagged: billing, charges, fracture., heart attack, hip, hip replacement, leg, medicare, reimbursements, Sacramento, stroke
Posted May 4, 2013 By Kevin Knauss
The rash was concentrated along below my knee so I figured it had something to due with laundry detergent or heat.
Posted April 26, 2013 By Kevin Knauss
CMS cited numerous failures on the part of SmartD Rx to properly handle member’s prescription drug and enrollment transactions.
Filed in Businesss, Drugs, Medicare, Medicare Advantage, Part D Plans | Tagged: CMS, insurance company, PDP, prescription drug plan, Sanctions, smart, SmartD Rx
Posted April 5, 2013 By Kevin Knauss
Medicare special election or enrollment notice for individual enrolled in a 3 start rated Medicare Advantage plan can switch to a higher rated plan, 2013
Posted April 4, 2013 By Kevin Knauss
The contradictory nature of Washington lawmakers was on full display this past week as they lobbied the Centers for Medicare and Medicaid (CMS) not to cut reimbursements to privately run Medicare Advantage plans while allowing the budget sequester to curtail funding for Medicare cancer patients.
Filed in Drugs, Health, Health Insurance, Medicare, Medicare Advantage | Tagged: advantage, Cancer, health, insurance, medicare, money, Rates, reimburse, treatment, Washington
Posted March 26, 2013 By Kevin Knauss
It was an urgent plea by an insurance company that I had to act now to save Medicare Advantage Plans.
Filed in Anthem Blue Cross, Health Insurance, Healthcare Reform, Industry News, Medicare | Tagged: advantage, Anthem Blue Cross, benefits, bonuses, capitation, medicare, MedPAC, payments
Posted March 19, 2013 By Kevin Knauss
Will the new healthcare reform insurance application (aka Obamacare) become a bureaucratic paperwork nightmare?
Filed in Covered California, Health, Health Insurance, Healthcare Reform, Medi-Cal | Tagged: application, Federal, health, insurance, Obamacare, paperwork, reform
Posted March 14, 2013 By Kevin Knauss
The obstacle in matching your health insurance to a doctor is that health insurance companies contract with physician groups and hospitals. These contracts include negotiated prices for a variety of procedures, tests and office visits.
Posted March 11, 2013 By Kevin Knauss
It was nice to see that Kaiser of Northern California has put out an easy to read fee schedule for different office visits, procedures and lab tests.
Filed in Health, Healthcare Reform, Industry News, Kaiser | Tagged: fee, health insurance, Kaiser, lab, list, office, procedure, test, visit, x-ray