Need Help With Medicare?

25/05/2025

How will funding to Medicare and Medicaid affect us? Time will tell.
Below is an article about legislation that will help improve the prior authorization process.

On Wednesday, a slew of bipartisan lawmakers reintroduced a bill that would overhaul the prior authorization process for seniors enrolled in Medicare

30/04/2025

So let me get this straight……
Humana lost most of its contracted network in the Capital district this year, saying that they were unable to pay their providers that big increase they wanted. But Humana was able to profit by over a Billion Dollars!
Whose Health are they really concerned about?



Humana reported $1.2 billion in first quarter net income as the company gets better control of medical cost trends in its Medicare Advantage plans.

02/03/2025

Hello, I need your help……….
Please click the “Follow” and “Like” buttons. Thank you. Bill

The Senior Citizens League (TSCL), a nonpartisan advocacy group for seniors, forecasts a 2.3% cost-of-living adjustment (COLA) for 2026. The official 2026 COLA rate will be announced in October, providing a definitive outlook for Social Security recipients. Until then, debates over whether these adj...

28/01/2025

Some proposed relief for Medicare members. $21 Billion works out to around $3k for each current member.

The Centers for Medicare & Medicaid Services Jan. 10 proposed a 4.3% payment increase to Medicare Advantage plans for calendar year 2026, amounting to approximately $21 billion.

20/07/2024

The next unintended consequence with the Inflation Reduction Act!
Our premiums copays and deductibles are going up, while the benefits are going down. Thanks for nothing!!

MarketWatch Medicare Part D: How the latest changes in drug pricing will affect you Provided by Dow Jones Jul 19, 2024 4:15pm By Brett Arends These moves are part of the Inflation Reduction Act There are big changes coming for anyone who has a Medicare Part D drug plan. Some drug prices will come do...

19/05/2024

Need office decorations?

03/02/2024

Does the US have a Drug problem?
Do you think a $120 copay is too expensive?

In the coming weeks, we will be hearing more about how the Federal Government will reduce the price of the top Ten medications, paid for by Medicare. But the cost savings will be for the Federal Government, not us the patient.!
My prediction? Instead, We the people on Medicare will see our premiums and copays increase. (Read below)

Administration, HHS tout milestone day on road to lowering drug prices for beneficiaries.

14/01/2024

Have you noticed your prescription med plan premium has increased?
Congress passed a law to reduce our out of pocket costs for copays. Resulting in higher premiums. But the law isn’t done ! Wait until next year when the second part takes hold.
Questions? Thoughts? Give me a call

Rep. Brett Guthrie said that Medicare Part D premiums, along with nearly everything else in America, have skyrocketed thanks to "Bidenomics."

01/01/2024

Have you tried to change your car’s oil lately? Sometimes doing it by yourself is satisfying but it doesn’t necessarily mean you’ll save money or time.
When it comes to Medicare find a broker like me, I’ll save you time, money without costly mistakes.

Toni:

29/12/2023

This might explain the “why” behind the current negotiations with Health Care Plans and area providers.
(Follow the Money)

The health of American healthcare may depend on physicians taking it to the streets

29/12/2023

This might explain the “why” behind the current contract negotiations with Health Care Plans and area providers.

The health of American healthcare may depend on physicians taking it to the streets