Tag Archives: Health Reform

Solving the States’ Medicaid Crisis – Prevention, A Novel Concept Worth Exploring

For the past few years the impact of Medicaid costs on State budgets has become a central focus of Legislators and Governors. Here is some background information from the Kaiser Family Foundation Report: Hoping for Economic Recovery, Preparing for Health … Continue reading

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Medicare Coverage of an Annual Wellness Visit – Update on Final Regulations

Last week HHS released their final rules on the Medicare Annual Wellness Visit for the establishment of a Personalized Prevention Plan. You can access the PDF here Payment Policies Under the Physician Fee Schedule and Other Revisions to Part B … Continue reading

Posted in Health Reform, Health Risk Assessment, HHS, HRA, Medicare, Medicare Wellness Visit, Physicians, Preventive Medicine, The Industry, Wellness | Tagged , , , , , , , , , | Leave a comment

Just what is a Medical Cost?

Last month, the National Association of Insurance Regulators (NAIC) approved a model regulation on Medical Loss Ratio (MLR) that includes definitions of what services provided by insurance companies should be counted towards their Medical Loss Ratio (MLR).  This has become … Continue reading

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The Importance of a Care Coordinator/Health Advocate

Understanding whether you should see a physician and which one you should see based upon your condition and health insurance plan, while having a limited knowledge of health care and the system is a complicated task.  Health care has become … Continue reading

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Health Reform, Preventive Screenings, Insurance and my Colonoscopy

Well this year I hit that milestone, 50, and with it came a full list of screenings and preventive services I needed to complete.  The Prevention Plan provided me with a comprehensive list of  preventive services and screenings as recommended … Continue reading

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