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Archive for October, 2009

This story was coauthored by Robert Pear of the New York Times.  Here is a link to the story.  The Medicare Sustainable Growth model came from the Deficit reduction act.  Fixing the fee schedule is a primary objective of the AMA and central to their support of Health Care Reform. By putting the Physician’s Fee [...]

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Sorry for the delay in getting this to you, this was released a few days ago. . . Here are the 2010 Deductibles and Co-Pays for Original Medicare Part B Deductible – $155.00/calendar year Part A Coinsurance Inpatient Hospital Stay days 1-60 – $1,100 (Part A Deductible, NOT per day) Inpatient Hospital Stay days 61-90 – [...]

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Agents now have the ability to create generic advertising that does not require CMS approval if the following conditions are met: • If it does not discuss content specific to plan benefits or cost sharing • If it does not include any carrier names or logos Note: Generic materials may reference product type (e.g. Medicare [...]

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When you are completing a Scope of Appointment, it’s important to remember that in the BOXES next to the Product type, the Medicare Beneficiary is supposed to put their INITIALS in the box next to the products they are interested in discussing. Some Medicare Beneficiaries are simply putting an “X” next to the products they [...]

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Agents seeking to sell Aetna products for 1/1/10 effectives are required to complete their certification and licensing paperwork by October 24th, 2010 in order to be assured that they will be “Ready to Sell” for 1/1/2010 effective dates. Agents seeking more information on the Certification process for Aetna should visit our Aetna Certification page.

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Agents who are appointed and certified with Geisinger Health Plan for their Gold Medicare Advantage and Part D products can now download a supply order form from our Resources page.  To download the supply order form, click here to enter the Resources page (you must be logged in): Company = Geisinger Health Plan State = [...]

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To order your 2010 Cigna Supplies, you must first be appointed and certified with Cigna for 2010.  For ordering instructions, please visit our Supply Ordering page for Cigna.

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I’ll be speaking with Mike Wise of IdeaStar at the 2009 World Health Care Congress Leadership Summit on November 4th and 5th in Boston, MA.  (You can see me and Mike’s pictures at the bottom of the page.)  The Summit is on “Marketing Analytics for Health Plans” and me and Mike are presenting on “The Impact [...]

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I saw this on Forbes.  I lot of the rationale in the Health Care debate is that we spend more for Healthcare than any other nation and we’re no healthier in terms of infant mortality and life expectancy.  This is a compelling argument on the surface.  However, there are a number of factors which go [...]

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This article is from Reuters.  The study was done by PriceWaterhouseCoopers.  The Reuters story goes over some the key conclusions of the PCW study, but I couldn’t find the actual study itself.  Perhaps it will be released later in the week.  The Senate Finance bill is supposed to be voted on as early as tomorrow.  [...]

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