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Final Medicare & Medicaid EHR Meaningful Use Rules Permit Deferrals, Exclusions

On July 16, 2010, the federal Centers for Medicare and Medicaid Services (CMS) released final rules for the Medicare and Medicaid electronic health record (EHR) meaningful use initiative program. The rules for the Stage 1 criteria of meaningful use permit eligible professionals and eligible hospitals the option to defer some objectives/measures and to permit exclusions for the applicability of some objectives/measures…On July 16, 2010, the federal Centers for Medicare and Medicaid Services (CMS) released final rules for the Medicare and Medicaid electronic health record (EHR) meaningful use initiative program. The rules for the Stage 1 criteria of meaningful use permit eligible professionals and eligible hospitals the option to defer some objectives/measures and to permit exclusions for the applicability of some objectives/measures…

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Managed Medicare & Medicaid Factbook: 2011

Managed Medicare and Medicaid Factbook: 2011 provides convenient access to up-to-date enrollment data so you can easily evaluate market share, make plan-by-plan or state-by-state comparisons, identify opportunities and develop strategies. It includes current statistics on:
*MA, Medicare managed care, Medicare Part D and managed Medicaid enrollment
*Medicare eligibles by state, market penetration by state and by region
*Enrollees by type of product including Part D, Special Needs Plans, HMO, local PPO, regional PPO, PFFS and others
*Directories of MA, Medicaid plans and Part D plans with contact information
*MA and Medicaid plans financial trends

The completely updated Managed Medicare and Medicaid Factbook: 2011 also includes new coverage of these hot topics:
*Costs, premiums, rate cuts and profitability;
*Star ratings, quality bonuses and ACO alliances;
*State initiatives in Medicaid; and
*Marketing regulations and bid strategies, along with other challenges such as meaningful differences, rate cuts, RADV audits, RACs and data reporting requirements.

You can have all of this information at your fingertips no need to contact 50 different Medicaid agencies, scour through the convoluted CMS website, or cut and paste to get data into a format that lets you compare apples to apples. Our experts have compiled the most relevant and timely facts for you and presented them in a way that provides one, easy-to-access resource of the managed Medicare and Medicaid data you need to develop sound strategies for 2012 and beyond.

Table of Contents
Ch 1: MA Market Developments
*MA Market Expansions
*Mergers and Acquisitions
*Private-Fee-for-Service Plans
*Special Needs Plans
*Alliances With ACOs
Ch 2: Strategies and Challenges for Marketing MA and Part D Plans
*2011 Enrollment Season
*Regulation and Enforcement of Marketing Rules
*Product Development and Benefit Design
*Marketing Alliances
Ch 3: Bid Submissions, Evaluations and Denials
*Meaningful Differences Among Products
*Bid Strategies, Challenges and Results
*Bid Denials and Violations
Ch 4: Medicare and Medicaid Plans Financial Performance
*MA Financial Trends
*MA Financial Results
*Medicaid Plans Financial Results
*Stock Performance
*Leadership Changes at Medicare and Medicaid Plans
Ch 5: Costs and Premiums for MA and Part D
*Payment Rate Cuts
*Rising Premiums
*Cost Savings
Ch 6: MA Plan Audits
*Data Validation
*RADV
Ch 7: New MA Data Reporting Requirements
*Regulatory Burdens
*RACs
*Encounter Data Reporting
Ch 8: MA Star Ratings and Other Quality Initiatives
*Criteria and Measures for Quality Ratings
*Quality Bonuses
*Flagging Poor Performers
*NCQA Rankings
Ch 9: Medicare Managed Care Enrollment Trends and Market Share Data
Ch 10: Medicare Part D Prescription Drug Data
*Enrollment Data
*Federal Retiree Drug Subsidy
*Low-Income Subsidy
*Directory of PDPs Sorted by Parent Organization
Ch 11: Regional Managed Medicare Marketplace Data
Ch 12: MA Plan Directory
*MA, Cost, PACE and Demonstration Plans
Ch 13: Dir. of Federal and Regional Medicare Regulators
Ch 14: Managed Medicaid Business Strategies and Developments
*Medicaid Plans Expansion
*Contract Decisions
*Mergers and Acquisitions
*Payment Rate Changes
*Legal Conflicts
Ch 15: Managed Medicaid Developments in States
*State Initiatives
*States With Implemented Medicaid 1115 Waiver Programs
Ch 16: Managed Medicaid Enrollment and Market Share Data
*Managed Medicaid Enrollment Data
*Managed Medicaid Market Share Data
Ch 17: Dir. of Medicaid Plans
Ch 18: Directories of State Medicaid Regulators

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Planning for Long-Term Care: Texas Medicaid (Texas Elder Law Portfolio)

This elder law portfolio covers paying for long-term care in Texas. Medicaid is the main focus, but the author covers other planning alternatives including using life insurance viaticals, long-term care insurance policies and the VA aid & attendance program. Don’t make the mistake of assuming that Medicare will pay for your long-term care needs. This portfolio discusses the financial crunch associated with nursing home care, and lays out viable approaches to meet those financial needs. It also covers Texas MERP (Medicaid Estate Recovery Program) and ways that you can legally protect your home.This elder law portfolio covers paying for long-term care in Texas. Medicaid is the main focus, but the author covers other planning alternatives including using life insurance viaticals, long-term care insurance policies and the VA aid & attendance program. Don’t make the mistake of assuming that Medicare will pay for your long-term care needs. This portfolio discusses the financial crunch associated with nursing home care, and lays out viable approaches to meet those financial needs. It also covers Texas MERP (Medicaid Estate Recovery Program) and ways that you can legally protect your home.

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3×6 Vinyl Banner – Vision Care, Medicaid and Medicare

  • 100% Customizable on All our Sign Products
  • Outdoor and Indoor Use, Up to 3 years
  • 13oz Vinyl Banner, Gloss Finish
  • All 4 Sides are Heat Welded, with Grommets Installed Every 2-3 feet along the Hems, across the Top and Bottom of the Banner
  • Full Color, Digital CMYK UV Process at 1000dpi

This is a customizable Vision Care, Medicaid and Medicare vinyl banner. The size can be changed as can the sign material. Signs start at .99 for a 2’x2′ banner, with 3’x6′ being our most popular size and 10’x50′ being the largest vinyl banner we offer. Templates are easily adapted to our A-Frame Signs, Sidewalk Signs, Yard Signs, Magnets, and any of our other Banners and Signs. | Esigns.com

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TOPS 50122R – Centers for Medicare and Medicaid Services Forms, 3000 Forms

CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning. Form Size (W x H): 8 1/2 in x 11 in; Number of Columns: N/A; Forms Per Page: 1; Number of Entry Lines: N/A.

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Medicare & You – 2011 Edition

This is the official U.S. government Medicare handbook with important information about :
– What’s new
– Medicare costs
– What medicare covers
– Health and prescription drug plans
– Your Medicare rightsThis is the official U.S. government Medicare handbook with important information about :
– What’s new
– Medicare costs
– What medicare covers
– Health and prescription drug plans
– Your Medicare rights

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With Dignity: The Search for Medicare and Medicaid (Contributions in Political Science)

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60 Minutes – 60 Billion Dollar Fraud (October 25, 2009)

Airdate 10/25/09  U.S. taxpayers are being charged for an arm and a leg – prosthetics, that is, and thousands of them – as part of a huge Medicaid and Medicare billing scam that’s siphoning off an estimated billion a year. In South Florida, Medicare fraud has pushed aside cocaine as the major criminal enterprise. The problem is so serious that U.S. Attorney General Eric Holder has organized a federal strike force. Steve Kroft reports.

This product is manufactured on demand using DVD-R recordable media. Amazon.com’s standard return policy will apply.

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New-TOPS 50135R – Centers for Medicare and Medicaid Services Forms, 8-1/2 x 11, 250 Forms – TOP50135R

CMS-1500 claim forms (formerly known as HCFA-1500 claim forms) expedite Medicare, Medicaid or private insurance benefits. OCR red ink for scanning. Top sensor bar for microfiche duplication, as required in some states. OCR red ink for scanning. Form Size (W x H): 8 1/2 in x 11 in; Number of Columns: N/A; Forms Per Page: 1; Number of Entry Lines: N/A. Claim Form; Claim Forms; CMS; CMS-1500; Continuous Form; HCFA Claim Form; Health Care Claim Forms; Human Resources; Insurance Forms; Personnel; Personnel Forms; TOPS; Paperwork; Records; Documents; Pre-Printed; Record-Keeping

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