Health Archive

Are Sacramento Medicare provider charges worthless?

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.

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The rash was concentrated along below my knee so I figured it had something to due with laundry detergent or heat.

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CMS sanctions SmartD Rx PDP

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.

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Mo Mohanna speaks of Faith in Action in Sacramento

Posted April 21, 2013 By Kevin Knauss

Mo has a dream that Sacramento will develop a model of tackling chronic homelessness that will sweep across the nation.

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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

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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.

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Are Medicare Advantage Plans Threatened by Reform?

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.

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Will Obamacare become a paperwork nightmare?

Posted March 19, 2013 By Kevin Knauss

Will the new healthcare reform insurance application (aka Obamacare) become a bureaucratic paperwork nightmare?

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Finding a doctor to match your health insurance

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.

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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.

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