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Thursday 24th of July 2014
RubinHealth Blog


Important healthcare benefit information for federal employees PDF Print E-mail
Friday, 09 August 2013 15:52

 

Federal Employee Health Benefits and Healthcare Reform

As it stands today only those federal employees who are members of Congress and their 'official staff' will be required to enroll in health insurance through the newly created healthcare exchanges. 

All other federal employees will not be required to utilize the healthcare exchanges and their healthcare options will remain very similar to what they have historically had. Of course the provisions that all health insurers are required to follow will be in effect for Federal employees on 1/1/14 such as out of pocket maximums. 

 
Dr Radio PDF Print E-mail
Wednesday, 10 July 2013 19:42

Reminder: Dr Radio is not going to be live again until July 18th.  There will be a rerun this week.

 
Dr Radio PDF Print E-mail
Monday, 01 July 2013 20:31

Reminder: Dr Radio is not going to be live again until July 18th.  There will be reruns for the next 2 weeks.

 
Medigap Coverage rules: in follow up the Healthcare Connect caller PDF Print E-mail
Friday, 27 January 2012 14:23

You cannot be denied enrollment in an Medicare Advantage plan due to a pre-existing condition, unless you have end-stage renal disease (ESRD). Read more here.

On the Medigap side...You are guaranteed the right to purchase a Medigap policy during the first 6 months you become eligible for Part B (unless you are younger than 65 and have end-stage renal disease). Read more here. After the six months you may be required to take a health assessment which could drive costs up and may even be denied coverage.

Last Updated on Friday, 27 January 2012 15:13
 
Medicare fee schedule PDF Print E-mail
Friday, 23 December 2011 14:50

House Republicans decided compromise was necessary and are extending the payroll tax cut for 2 months.  But more importantly, Congress is extending the Medicare physician fee schedule reductions as well. I believe most agree extending the payroll tax cut leaving extra money our pockets is good for the economy and good for us all.  I believe preventing the Medicare fee schedule has an even bigger impact.  With our massive debt and generally bad economic times, many argue reducing government spending is a good idea.  But cutting Medicare payments to physicians by 27% would have been disastrous for seniors and physicians alike.  Taking care of seniors is time consuming.  For many physicians, Medicare pays less than private commercial insurance.  Simply put, many primary care doctors would not be able to keep their practices open if these cuts went through.  This is not a scare tactic by some lobbying group.  As someone who runs a large physician network I can assure you these cuts, had they gone through, would have been a disaster for everyone.  

For whatever reason, and there are many, seniors, physicians, and hospitals go through this nightmare scenario each and every year.  Sometimes, with short term extensions like we just received from Congress for two months, we go through it more than once a year.  It needs to stop.  Congress needs to address this flawed formula.  I think most would agree there should be a way to tie the fee schedule to some form of modest growth but a reduction of the magnitude faced each and every year needs to end once and for all.

 
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