AVOIDING THE LOSS OF OUTLIERS

What is an outlier? This term refers to a Medicare recipient who has remained in an acute care facility beyond the allotted days anticipated for a particular illness and who has charges in excess of the total DRG reimbursement. This is usually someone who is catastrophically ill, with many needs, such as ventilator respiratory support, dialysis, feeding issues, etc. Who pays for outlier services to an acute care hospital? These services are factored in to a cost...

“MEDI-CAL” THE WELFARE MYTH

Unfortunately families, with loved ones suffering from a Catastrophic Illness such as Dementia, Parkinson’s, Stroke, or Alzheimer’s and in need of Long Term Nursing Home Care, labor under the mistaken notion that Federal funds from Medi-Cal are only for low-income patients. In fact, many Nursing Home operators are equally suffering from the same mistaken beliefs. Nothing could be further from the truth.

The Private Pay Myth Many nursing home operators prefer...

The Immediate Impact of the Affordable Care Act on Seniors

In theory there should be more accountability over the medical care that you receive. Your interaction with your health care provider should be far simpler.

The following is a very generalized out line of some of the more important changes that will effect you:

Medicare Benefits, either through Medicare or Medicare Advantage should remain the same. Medicare Advantage will be phased out over time.

Lifetime limits will no longer...

WITH A LOOMING HEALTH CARE  CRISIS, WHAT’S A BOOMER TO DO OR NOT TO DO





“TO DO LIST”

After World War II, we along with the rest of the world entered a time of economic growth, scientific advancement, industrial revolutions and we welcomed a new and large population of our most important product. Babies!! And more babies! The war was over, and good had vanquished evil. Soldiers, heroes were returning home to a nation and a world that sorely missed them. The result was what...