tazzygirl -> RE: Another Blunder From the Failure-In-Chief (6/14/2013 2:53:04 AM)
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ORIGINAL: dcnovice quote:
The best way to reform healthcare in this country is to remove the words "over 65" from Medicare. Job done. I've long thought that too. Not sure how politically feasible it is, though. Until people realize that the insurance industry also administers Medicare, it wont work. For instance.... CMS is pleased to announce the contract award for the Jurisdiction E A/B MAC (formerly J1 A/B MAC) contract to Noridian Administrative Services. The Jurisdiction E MAC administers Medicare Part A and Part B claims for covered services in California, Hawaii, and Nevada, as well as the U.S. territories of American Samoa, Guam, and the Northern Mariana Islands. The current A/B MAC for this geographic area is Palmetto GBA. CMS is working to establish cutover dates for moving the Jurisdiction 1 workload from Palmetto GBA to Noridian that will occur in late summer. http://www.sdcms.org/article/jurisdiction-e-ab-medicare-administrative-contract-award-announcement Noridian Administrative Services – Medicare The NAS Medicare web site has details about Medicare and how NAS serves health care providers and customers who participate in the program. https://www.noridian.com/medicare/ That links you to here.... https://www.noridianmedicare.com/ But note at the bottom right of that screen.... Noridian Mutual Insurance Company Yes, that is the company that is administering the Medicare benefits for that part of the US. If you go here, you notice another contract was awarded to Novitas Solutions, Inc. Well, guess who that used to be? Effective January 1, 2012, Diversified Service Options, Inc. (DSO), a wholly-owned subsidiary of Blue Cross and Blue Shield of Florida Inc., acquired Highmark Medicare Services (HMS) from its parent company, Highmark Inc. As a result, HMS changed its name to Novitas Solutions, Inc. (Novitas). Novitas, pronounced Nō-va-tahs with an emphasis on the first syllable, is the Latin word for “newness”, and we will be designing a new logo and brand management system to support the new company identity during the next few months. http://www.mpaaonline.com/index.php/9-news/newsflash/128-highmark-medicare-services-inc-is-becoming-novitas-solutions-inc So, when I say insurance companies are even running Medicare, and not the government, believe it. And until they are out of that game, the problems with price fixing will continue.
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