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Medicare Meet-Up

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Medicare Meet-Up

Meg Koepke and Melissa Cohen

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Medicare is the largest payer of Healthcare services in the United States with 20% of allfederal spending going towards the program. Join hosts Meg Koepke and Melissa Cohen from Aurrera Health Group as they engage the universe of stakeholders - patients, clinicians, policy makers, insurers, caregivers, advocates and disruptors to discuss how this program has evolved since the passage of the ACA and how it needs to keep evolving to provide better care at lower costs for its beneficiaries.
 
Moving yourself into the Medicare system for the first time can be a challenge. When we say "first time" we mean those folks that are turning 65 and need Medicare now or those that are retiring past age 65 and have to figure out how to go from their employer sponsored insurance and over to the Medicare system. That's where we come in. Our insurance agency can coach those through the process and provide you with the products that you need to pair up with Medicare. You can call us at 248-871-7 ...
 
Most of us will eventually have Medicare, and you probably have a family member or friend who is currently a Medicare beneficiary. There is a lot to learn about these vital benefits, and I will use my 10 years of experience working with Medicare beneficiaries to teach you how it works.
 
Helping you navigate, understand and properly enroll into the Best Medicare Insurance Plan. He knows how to make Medicare Supplement Plans and Medicare Advantage plans work for you. With more than thirty years of experience, Tracy McManamon answers all of your Medicare Advantage and Medicare Supplement Insurance questions. Free Expert Consultations exclusively to Podcast listeners by calling 877-549-1212. OneSourceBenefits.com
 
How much would you pay out-of-pocket for a five day hospital stay on Medicare? The majority of people have no idea! The problem with Medicare is there is too much information. An overwhelming amount of information and not enough resources. Medicare Nation solves that problem by educating you about all the things you want to know about Medicare, but are afraid to ask. This podcast will educate you about the components of Medicare, the different categories of Medicare Plans and Medicare benefi ...
 
Changes to the Medicare payment system are on the horizon, and physicians around the country are wondering how the new Medicare Access and CHIP Reauthorization Act (MACRA) will impact their practices. This series from the American Medical Association provides an inside look at what’s to come and what physicians can do now to prepare for the transition to MACRA. Hear from industry experts and physician leaders about their experiences with new payment models, quality reporting and more. Sponso ...
 
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Suppose you talk to a salesman who works for Al's Insurance and Aluminum Siding Co. Suppose he says Al's prescription drug plan is the very best available: reasonable cost, lots of drugs on its formulary, etc. One problem: some of your drugs have large copays you will be stuck with all year! You won't know this until it is too late. You just fell v…
 
Today we discuss the sorry state of mental healthcare in the United States, and the impact Medicare for All would have for people who need it. Our guests today are Dr. Beverly Smith, President of the American Mental Health Counselors Association and Guila Todd, Government Affairs Manager at the American Counselor Association. Show Notes The mental …
 
This is episode 65, "Our Healthcare Mess and Why We Need Medicare for All." In this episode, I describe some of the current problems with the United States healthcare system, what is Medicare for All, and how Medicare for All can solve those problems. This episode is a good primer on problems with the U.S. healthcare system and why we need Medicare…
 
In the days before Obamacare, reasonably priced health insurance had small deductibles and coinsurance, paying 100% of most catastrophic expenses. What the heck happened? Look to the politicians. Government bullied its way into what had been a robust and vibrant private enterprise and proceeded to ruin it for everyone else. Also, what's up with the…
 
This couple is in an enviable position! They can choose between several plans from several great insurance companies in a couple of states. What is the best way to make the right decision? I suggest the method of peeling an onion. Strip back the less desirable choices like layers of skin from your onion, one by one until only the most flavorful and…
 
When you click on Medicare.gov/physiciancompare you may search for a doctor or clinician in your vicinity plus seven other types of services including hospitals, home health services, hospice, dialysis & nursing homes. Also learn about the three types of financial relationships doctors can have with Medicare plus learn what some of you might want t…
 
Based on questions arriving at the MLM Mailbag, there is considerable confusion in some quarters about the ideal time to enroll in Medicare. There are some variables involved but the proper course will avoid any lapse in coverage while minimizing out-of-pocket costs. (Most severe critic: A+) Inspired by "MEDICARE FOR THE LAZY MAN; Simplest & Easies…
 
Congress is considering another self-destructive bill. This time the geniuses are proposing to give the Federal Government the power to negotiate prices for prescription drugs. By "negotiate" they mean dictate and by "dictate" they mean to remove the profit incentive that has given us miracle drugs at affordable cost for most of the last century. (…
 
Mike wanted the cheapest Part D plan available and I identified that plan for him. Imagine the confusion that ensued after Mike accidentally enrolled in a different plan offered by the same company. Failing to get his error undone, he hauled off and chose a completely different company's offering and started the process all over again. People, the …
 
Anything that combines "penalty" with "lifetime" is something to be avoided like the plague! Is your drug coverage considered to be "creditable"? Ask your employer or the plan administrator, they are obligated to inform you about the plan's status. If your coverage is considered creditable, you may keep it as long as you like without risk of being …
 
After being trapped in the confines of a managed care (HMO/PPO) health plan, some new enrollees don't understand the freedom that comes with Medicare supplements. Asking the wrong question will elicit an erroneous response. The fact is, if a medical office accepts patients insured by Medicare Parts A & B, it will unquestionably accept any insurance…
 
The American Dental Association (ADA) – the largest association of dental professionals in the country – are fighting against the proposal to add dental benefits to Medicare. We talk about the politics of ADA opposition to healthcare, and also hear from seniors themselves about what it’s like to go without needed dental care. Dental care is not par…
 
Thanks to legislation sponsored by the Trump administration, government roadblocks to convenient e-visits with medical practitioners are being cast aside. A wide variety of specialties are now able to meet electronically with patients in distant locations (such as their homes) and receive compensation equal to in-office visits. Patients used to be …
 
The author's neighbor, in her 70s, was sailing along through a carefree life until she had a massive stroke. With no Medicare supplement or prescription drug coverage, she hit the fiscal equivalent of a brick wall. Her costly situation could have been avoided at a very reasonable price if she had been able to seek advice from Medicare for the Lazy …
 
Dental, vision & hearing insurance continues to be a popular subject and we have an excellent plan to offer those who are interested. Also, a dentist wants to know if he can keep his current health insurance plan after turning 65 while continuing to work. Pleased with the answer, I promised to contact me at retirement time to enroll in a Medicare s…
 
It happens now and again: a potential client asks for help selecting his Medicare coverage, and suddenly decides to patronize a local hometown agent instead. Two other prospects write in with questions and then let it slip they are youngsters whose decision points are years in the future. Who would have thought the happiest part of the podcast woul…
 
Annual Election Period (AEP) is almost upon us. This is the season in which hoards of Medicare Advantage sales types prowl the streets and alleys seeking victims. During AEP you might want to think about selecting the least expensive prescription drug plan consistent with your Rx needs and pharmacy preferences. Will you be able to locate an expert …
 
In this episode, we will be talking about everything you need to know about Medicare Annual Election Period. This time can be really overwhelming as it’s a time full of constant Medicare TV commercials, phone calls, and a pile of mails. We will help you destress this time of year! We will cut through to all of the do’s and don’ts of the Medicare an…
 
Before responding to Heath's item from the MLM Mailbag, we take a look at a hefty file assembled by the Centers for Disease Control (and Prevention). Instead of controlling and preventing disease, your CDC geniuses are hard at work thinking up brand new politically correct nomenclature to replace traditional English in their attempt to restructure …
 
Are the German and Dutch health insurance systems really private? What would it actually take to transition to a social insurance model? Once and for all, we debunk the myth that we can “build on the current public-private healthcare system” to achieve universal coverage. Show Notes Ben and Stephanie discuss Healthcare-NOW’s recently-completed comp…
 
The newsletter, published by Charles, will occasionally sport the Lazy Man logo as a reminder of the "freedom of choice" plans that we promote in every state of the USA. Speaking of freedom, our favorite Dental, Vision & Hearing plan can be used to cover treatment by any dentist or other qualified provider of these services without being forced to …
 
This is episode 64, "Highlights, Volume 2." In this episode, I take clips that highlight important points about Medicare for All. I highlight: Why single-payer healthcare was a revelation for Stephanie Nakajima. How fire departments provide a good example of why we need public funding for healthcare. Dr. George Bohmfalk describes how fire departmen…
 
Several years ago a "whistleblower suit" was settled in the amount of $32 million. The allegation was that two Medicare Advantage plans exaggerated the seriousness of patient conditions. They also were accused of claiming payment for nonexistent illnesses. (Most severe critic: A+) Inspired by "MEDICARE FOR THE LAZY MAN; Simplest & Easiest Guide Eve…
 
Let's not celebrate just yet. A large "cost of living adjustment" is indicative of a large jump in economic inflation. Due to inept handling of the virus panic, the value of the dollar is dropping and the demands on government are growing. We need real economic skill at the helm rather than a bunch of vote-buying Trotskyites! (Most severe critic: A…
 
More mirth and silliness sponsored by the brainiacs in the Federal government. They even hire Secret Shoppers to enforce their heavy-handed, dictatorial regulations! (Most severe critic: B+) Inspired by "MEDICARE FOR THE LAZY MAN; Simplest & Easiest Guide Ever! (2021)" on Amazon.com. Return to leave a short customer review & help future readers. Of…
 
Take some classes, pass some tests and voila! You will be what they call "certified" and "ready to sell". Gee, let's hope the government geniuses in charge of your new career know exactly what they are doing! (Most severe critic: A-) Inspired by "MEDICARE FOR THE LAZY MAN; Simplest & Easiest Guide Ever! (2021)" on Amazon.com. Return to leave a shor…
 
…"shameful marketing of Medicare Advantage plans". Unfortunately, the article seems to have been written by an avowed Communist that hates our free enterprise system, not to mention the persuasive efforts of Broadway Joe. Still, the piece makes some critically important points with regard to the billions of dollars frittered away by the government …
 
With the Pfizer/BioNTech vaccine receiving full approval from the FDA, and Moderna shortly behind, prepare for an unprecedented wave of drug advertising! This could have a positive impact with regards to vaccination rates, but drug advertising in the U.S. has a dark, deadly history. Joined by guest co-host Gillian Mason, we cover the surprising rea…
 
Annual Election Period (AEP) is one of several opportunities Medicare participants have during the year to enroll, switch or disenroll in the various types of insurance protection one needs to consider. If one follows my suggestions, they can ignore all of the confusion and rest assured that they have the most cost-effective protection available! (…
 
This is episode 63, “Entrepreneurs and Medicare For All." My guest, Prof. Jerome Katz, is an internationally recognized expert on entrepreneurship and entrepreneurship education. He currently is the Director of Saint Louis University’s highly ranked entrepreneurship program. From a background in his family’s and his own business in Memphis, Prof. K…
 
The short version: A careless hospital employee drops Gramps on his head; the hospital manages to keep Gramps alive for three expensive weeks in the ICU; after Gramps expires his family wins a wrongful death lawsuit against the hospital; then Medicare swoops in to collect the money it paid the hospital to keep Gramps alive. Seems like Gramps is the…
 
In this episode we hear from a risk-taking woman who actually made herself a guinea pig. She called the insurance agents who hired Joe to entice us to "get what you deserve". What she got instead was misleading Medicare Advantage pitches aimed at the naïve and gullible. (Most severe critic: A+) Inspired by "MEDICARE FOR THE LAZY MAN; Simplest & Eas…
 
An article detailing a review of termination letters from some Medicare Advantage reveals maltreatment of their members, leading to potentially life-threatening consequences. This is a story of sick people denied treatment by avaricious Advantage plan manipulators. (Most severe critic: A-) Inspired by "MEDICARE FOR THE LAZY MAN; Simplest & Easiest …
 
Our buddy Steve prevailed over the success penalty through persistence and a skillfully completed form SSA-44. In this episode we provide some instruction as to how to complete and submit this "life changing event" form. (Most severe critic: A+) Inspired by "MEDICARE FOR THE LAZY MAN; Simplest & Easiest Guide Ever! (2021)" on Amazon.com. Return to …
 
A road trip to Eldon, IA evolves into a Medicare revelation and very good economic news for a retired psychotherapist from California. (Most severe critic: A) Inspired by "MEDICARE FOR THE LAZY MAN; Simplest & Easiest Guide Ever! (2021)" on Amazon.com. Return to leave a short customer review & help future readers. Official website: https://www.Medi…
 
Among my favorite clients, Ken & Schelly relocated and set events in motion that ultimately exposed a flaw in my message: Sometimes I don't make it clear that I want to sell you the insurance you need for Medicare! (Most severe critic: A+) Inspired by "MEDICARE FOR THE LAZY MAN; Simplest & Easiest Guide Ever! (2021)" on Amazon.com. Return to leave …
 
Insurance premiums should have been deducted from Social Security payments. Lots of people woke up months later to find their insurance companies dunning them for past-due premiums or cancelling coverage outright. Eventually all were made whole but only after a period of angst. Following that was the heartbreaking story of Mark and how, through per…
 
For those waiting for approval of a Medicare application or an IRMAA appeal, the wait can seem interminable. Recent feedback tells me that consistency is out the window. Each office seems to operate in its own vacuum. Is this any way to run a government? Just ask our buddy Steve! (Most severe critic: A+) Inspired by "MEDICARE FOR THE LAZY MAN; Simp…
 
This is episode 62, “Women’s Health and Reproductive Justice.” My guest, Dr. Ashley Duhon, is a current second year Ob/Gyn resident working in the Bronx borough of New York City. She received her medical training from the Louisiana State University School of Medicine in New Orleans. She is a current board member of the New York Metro Chapter of Phy…
 
United Healthcare, the largest insurer in the US, announced this May that they may start denying claims from the ER if it turned out the visits were not actual emergencies. Like almost everything in our healthcare system, this policy doesn’t actually make sense on a moral or even a financial level. We discuss the surprisingly long history of this “…
 
As participants get sicker, they are more likely to leave MA plans, often due to the difficulty of gaining access to specialists and top-notch treatment facilities. Don't blame me; this information is contained in an official GAO report! (Most severe critic: A+) Inspired by "MEDICARE FOR THE LAZY MAN; Simplest & Easiest Guide Ever! (2021)" on Amazo…
 
Brede Eschliman, Meg Koepke, MHA and Melissa Cohen recap what they have learned from their guests on this season finale of the Medicare Meet-up as well an in depth discussion of the past, present and future of the CMS Innovation Center with former CMMI Chief Strategy Officer, Dawn Alley.על ידי Meg Koepke and Melissa Cohen
 
Government audits have uncovered pervasive overcharging on the part of insurance plans that survive and thrive by feeding at the government trough. All of the audited plans, except for two, have been accused of submitting inaccurate data and overstating the severity of client health conditions. These tactics result in large overpayments of tax fund…
 
One sure-fire way to do it is to dip into the Federal Government's very deep pockets. I think I will start a Medicare advantage insurance company and "miscalculate" the number of really sick insured clients I have. Yeah, that's the ticket! What could possibly go wrong with that? After starting the new enterprise we dip into the MLM Mailbag for a fe…
 
An article from the relatively recent past recounts the hundreds of millions of your tax dollars funneled into the coffers of mismanaged Medicare Advantage plans. One vehicle for this theft is a benign sounding request for details of the clients' health history. The plans then turn around and bill the government for the "additional risk" they purpo…
 
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