Book of the Month: The Energy Bus
“It’s Monday morning and George walks out the front door to his car and a flat tire. But this is the least of his problems. His home life is in shambles and his team at work is in disarray. With a big new product launch coming up in 2 weeks for the NRG-2000 he has to find a way to get it together or risk losing his marriage and job. Forced to take the bus to work, George meets a unique kind of bus driver and an interesting set of characters (passengers) that over the course of 2 weeks share the 10 rules for the ride of his life… and attempt to help him turn around his work and team and save his job and marriage from an almost inevitable destruction.” In the mode of other best selling business fables The Energy Bus, by Jon Gordon, takes readers on an enlightening and inspiring ride that reveals 10 secrets for approaching life and work with the kind of positive, forward thinking that leads to true accomplishment - at work and at home. Everyone faces challenges. And every person, organization, company and team will have to overcome negativity and adversity to define themselves and create their success. No one goes through life untested and the answer to these tests is positive energy—the kind of positive energy consisting of vision, trust, optimism, enthusiasm, purpose, and spirit that defines great leaders and their teams. Drawing upon his experience and work with thousands of leaders, sales professionals, teams, non-profit organizations, schools, and athletes, Gordon infuses this engaging story with keen insights, actionable strategies and a big dose of positive infectious energy. For managers and team leaders or anyone looking to turn negative energy into positive achievement The Energy Bus provides a powerful roadmap to overcome common life and work obstacles and bring out the best in yourself and your team. When you get on The Energy Bus you’ll enjoy the ride of your life! 10 RULES FOR THE RIDE OF YOUR LIFE 1. You’re the Driver of the Bus. "I have never enjoyed reading a book more than The Energy Bus by Jon Gordon. It should be required reading in this country. In a time and world where we deal with so many negative things and people, Jon beautifully articulates the power of positive energy and attitude. This book will change your life and teach you how to be the driver of your bus. Buckle Up and enJOY the ride!!"
- Dabo Swinney, Head Coach, Clemson University Football Team ![]() |
Medicare Blog | Medicare News | Medicare Information
Book of the Month: The Energy Bus
Posted by www.psmbrokerage.com Admin on Fri, May 29, 2020 @ 04:00 PM
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Tags: book of the month
Five Largest Payers See Nearly Three-Quarters of All OEP Membership Gains
Posted by www.psmbrokerage.com Admin on Fri, May 29, 2020 @ 03:28 PM
Five Largest Payers See Nearly Three-Quarters of All OEP Membership Gains
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Tags: Medicare Advantage
Seniors Will Pay Less For 2020 Medicare Premiums, Study Finds
Posted by www.psmbrokerage.com Admin on Fri, May 29, 2020 @ 02:56 PM
Seniors Will Pay Less For 2020 Medicare Premiums, Study Finds
Seniors will need less money to cover their health-care costs this year than they did last year. But retired couples will need a combined total of $386,000 in healthcare savings to afford them over their lifetimes, according to a report by the Employee Benefit Research Institute (EBRI). The report, “A Bit of Good News During the Pandemic: Savings Medicare Beneficiaries Need for Health Expenses Decreases in 2020,” examines the savings needed to pay for premiums for Medicare Parts B and D and Medigap Plan G, as well as out-of-pocket spending for outpatient prescription drugs. Medicare generally covers only about two-thirds of the cost of health care services for beneficiaries age 65 and older. This year, Medicare Trustees reduced projected costs for Medicare Part D premiums and out-of-pocket expenses by 10% - the lowest EBRI said it has recorded since 2013, when needed savings declined between 6% and 11%. EBRI said in a press release that the primary reason for the decrease was related to an annual adjustment associated with prescription drug use. While every little bit helps, this year’s 10% decrease will not significantly reduce the amount of healthcare savings needed to cover most seniors’ annual medical expenses, EBRI said. A male and female couple will need $386,000 this year to afford their combined annual medical expenses in full, even with a 10% reduction in cost over last year. “Americans should consider that even with this decline, the amount needed to supplement Medicare is still significant, and that they will likely need more savings than cited in this report,” Paul Fronstin, Ph.D., director of the Health Research and Education Program at EBRI and co-author of the study, said in the news release. According to Fronstin, so will retirees who incur long-term care and other health expenses not covered by Medicare. So will individuals who retire before the age of 65. While Medicare Trustees make small changes to Medicare program costs, EBRI said that policymakers are poised to make sweeping financial changes to the program as a whole through solutions that will shift still more responsibility for healthcare costs to beneficiaries, many of whom already are struggling to afford them. A copy of the issue brief, “A Bit of Good News During the Pandemic: Savings Medicare Beneficiaries Need for Health Expenses Decreases in 2020,” can be found at www.ebri.org. Founded in 1978, the Employee Benefit Research Institute is a private, nonpartisan, nonprofit research institute based in Washington, D.C., that focuses on health, savings, retirement, and financial security issues.
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Tags: Medicare, Retirement Planning
Medicare enrollment complicated by the pandemic
Posted by www.psmbrokerage.com Admin on Fri, May 29, 2020 @ 02:31 PM
Medicare enrollment complicated by the pandemic
The unemployment rate among people age 65 and older quadrupled between March and April, from 3.7% to 14.7%, according to the Kaiser Family Foundation. More than 1.2 million adults age 65 and older lost their jobs in March and April and in many cases, their health insurance, too. Although this group of unemployed workers is eligible for Medicare, delayed enrollment after age 65 is normally handled by visiting one of the local Social Security field offices, which have been closed to the public since March 17 as a result of the pandemic. Medicare is managed by the Centers for Medicare and Medicaid Services, but the Social Security Administration processes the applications. “We have seen an increase in calls from people who have lost their jobs and are looking to go on Medicare,” said Frederic Riccardi, president of the nonprofit Medicare Rights Center, which fields more than 20,000 questions a year through its free consumer helpline (800-333-4114). “People are calling because they are confused about how to enroll in Medicare,” Riccardi said. “It is really important to sign up for Medicare as soon as possible to avoid any gaps in coverage and lifetime late enrollment penalties.” Most people can use the online application to apply for Medicare to enroll in Parts A and B during their initial enrollment period, which begins three months before their 65th birthday, includes their birthday month and extends three months after their 65th birthday. Medicare Part A covers in-patient hospital costs and is premium-free to anyone who has earned the minimum of 40 quarters of coverage and paid FICA taxes during at least 10 years of covered employment. Spouses are also eligible for premium-free coverage. Medicare Part B covers outpatient services and has a monthly premium, currently $144.50 per month in 2020. High-income beneficiaries pay more. Many people enroll in Part A at 65, even if they continue to work, because it is premium-free. In most cases, people who miss enrolling in Medicare Part B during their initial enrollment period face lifelong delayed enrollment penalties of 10% per year for every year they were eligible to enroll but did not. But there is one major exception to the Medicare Part B signup rule: continued group health insurance coverage through a current employer or through a spouse’s current employer. People who have “creditable” group health insurance can delay enrolling in Medicare penalty-free for up to eight months after that employer coverage ends by taking advantage of a special enrollment period. The challenge is how to sign up for coverage during a special enrollment period when the Social Security offices that take the applications are closed. The Social Security Administration offers the following guidance: “If you are already enrolled in Medicare Part A and you want to enroll in Part B, you cannot use our online application. Please mail your completed application form for enrollment in Medicare Part B Medical Insurance to your local Social Security field office. You can find the address and phone number for your local office based on your zip code at https://secure.ssa.gov/ICON/main.jsp.” Normally if you are applying for Medicare Part B as part of a special enrollment period as a result of losing group health insurance, your employer has to attest that you had creditable health insurance during the previous eight months. Given the pandemic, federal officials are allowing applicants to fill out that form on behalf of their employer and submit proof that they had health insurance, such as income tax returns that show health insurance premiums paid, W-2s reflecting pretax medical contributions or pay stubs that list health insurance premium deductions. The Medicare Rights Center recommends that you send your paperwork to your local Social security office by certified mail so you will have a receipt and confirmation that your form was delivered in case you encounter any problems with your enrollment. If you speak to anyone at your local office, record the name of the representative you speak to and the date and time of the conversation. And if you experience difficulties with your local Social Security office, such as being told your enrollment cannot be processed, ask to speak to a supervisor. If that doesn’t resolve the problem, contact your congressman for help. There is another complicating factor when it comes to losing a job and employer-provided health insurance. In some cases, unemployed workers can continue their group health insurance for 18 months under COBRA, usually paying the entire cost of the premium, both the employer and the employee portion. But COBRA and retiree health plans aren’t considered coverage based on current employment. You must sign up for Medicare Part B within eight months of losing employer-provided health insurance — not eight months after your COBRA coverage ends — to avoid delayed enrollment penalties. Source: https://www.investmentnews.com/medicare-enrollment-complicated-pandemic-193382
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New Poll Highlights Impact of Coronavirus on Personal Health, Economic, and Food Security
Posted by www.psmbrokerage.com Admin on Thu, May 28, 2020 @ 04:02 PM
New Poll Highlights Impact of Coronavirus on Health, Economic, and Food Security
A new Kaiser Family Foundation (KFF) Health Tracking Poll offers insights into the impact of the coronavirus on American’s personal health, economic, and food security, as well as about the Medicaid program. ![]() |
Tags: COVID-19
Medicare Advantage members are taking to telehealth
Posted by www.psmbrokerage.com Admin on Thu, May 28, 2020 @ 03:06 PM
Medicare Advantage Members are Taking to Telehealth
A new poll found that roughly half of seniors are comfortable using telehealth to get healthcare, and those that do largely say they had a favorable experience. The poll, conducted by Morning Consult and sponsored by the Better Medicare Alliance, comes as providers and insurers have started to embrace telehealth amid the COVID-19 pandemic. The survey of more than 1,000 seniors found 52% are comfortable using telehealth for their healthcare, with 30% uncomfortable and another 18% unsure. But among those people who did use telehealth, there was a massive positive response. Among those surveyed, 91% said they had a favorable experience with telehealth, and 78% added they plan to do so again.
The survey also found widespread satisfaction (99%) with their Medicare coverage, and another 64% were very satisfied. The results come as providers and insurers question the role telehealth will have in healthcare after the COVID-19 pandemic. The Centers for Medicare & Medicaid Services (CMS) gave providers more flexibility to get reimbursement from Medicare for telehealth. The agency also released a proposed rule that lets MA plans offer and discount telehealth for any specialty care and gave other telehealth flexibility for plans. "This flexibility will encourage plans to enhance their benefits to give beneficiaries access to the latest telehealth technologies and increase plan choices for beneficiaries residing in rural areas," CMS said in a release. The rule also encourages MA plans to boost telehealth benefits and increase plan options for rural residents. A survey of physicians found nearly half of doctors’ offices are now using telehealth, compared with 18% two years ago.
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Tags: Medicare Advantage, Telehealth
President Trump Announces Lower Out of Pocket Insulin Costs for Medicare’s Seniors
Posted by www.psmbrokerage.com Admin on Thu, May 28, 2020 @ 01:26 PM
President Trump Announces Lower Out of Pocket Insulin Costs for Medicare’s Seniors
Currently, Part D sponsors may offer prescription drug plans that provide lower cost-sharing in the coverage gap; however, when they do, the Part D sponsor accrues costs that pharmaceutical manufacturers would normally pay. These costs are then passed on to beneficiaries in the form of higher premiums. The new insulin model directly addresses this disincentive by doing two things: 1) allowing manufacturers to continue paying their full coverage gap discount for their products, even when a plan offers lower cost-sharing; and 2) requiring participating Part D sponsors’ plans, in part through applying manufacturer rebates, to lowering cost-sharing to no more than $35 for a month’s supply for a broad set of insulins. Under President Trump’s leadership, for the first time, CMS is enabling and encouraging Part D plans to offer fixed, predictable copays for beneficiaries rather than leaving seniors paying 25 percent of the drug’s cost in the coverage gap. Both manufacturers and Part D sponsors responded to this market-based solution in force and seniors that use insulin will reap the benefits.
“President Trump has forged partnerships with pharmaceutical manufacturers and plans to deliver lower priced insulin to our nation’s seniors,” said CMS Administrator Seema Verma. “This market-based solution, in which insulin manufacturers and Part D sponsors compete to provide lower costs and higher quality for patients, will allow seniors to choose a Part D plan that covers their insulin at an average 66 percent lower out-of-pocket cost throughout the year.” The Part D Senior Savings Model – which was announced on March 11, 2020 – is a voluntary model that tests the impact on insulin access and care by participating Part D enhanced alternative plans offering lower out-of-pocket costs, at a maximum $35 copay for a month’s supply, for a broad range of insulins. Part D sponsors that participate in the model will offer beneficiaries Part D prescription drug plans that provide supplemental benefits for a broad range of insulins, including both pen and vial dosage forms for rapid-acting, short-acting, intermediate-acting, and long-acting insulins. Participating pharmaceutical manufacturers will continue to pay their current 70 percent discount in the coverage gap for their insulins that are included in the model, and based on the model’s waiver of current regulations, those manufacturer discount payments will be calculated before the application of supplemental benefits under the model – which will reduce the out-of-pocket cost of insulin for Medicare beneficiaries. One in every three Medicare beneficiaries has diabetes, and over 3.3 million Medicare beneficiaries use one or more of the common forms of insulin. For some of these beneficiaries, access to insulin is a critical component of their medical management, with gaps in access increasing risk of serious complications, ranging from vision loss to kidney failure to foot ulcers to heart attacks. Unfortunately, the costs of insulin can be a major barrier to appropriate medical management of diabetes. A beneficiary’s out-of-pocket costs for insulin in Medicare’s Part D prescription drug benefit can fluctuate from one month to the next, in part due to the different rules applying for each phase of the Part D benefit. This can be challenging for beneficiaries when budgeting for their drug costs. These challenges can in turn lead to beneficiaries not being able to afford their medicine or resorting to medication rationing, resulting in worse health outcomes over time. The model aims to address this with stable, predictable costs for insulin that beneficiaries know up front by staying in or choosing a model-participating plan during open enrollment. Part D sponsors that applied must submit their calendar year 2021 plan benefits to CMS by June 1, 2020 to designate their participation in the model. CMS anticipates releasing the premiums and costs for specific Medicare health and drug plans for the 2021 calendar year in September 2020, including final information on the model. Beneficiaries will be able to find a Part D plan participating in the Part D Senior Savings Model in the 2021 plan year through the Medicare Plan Finder on Medicare.gov during the annual open enrollment period, which begins on October 15, 2020 and ends December 7, 2020. CMS will enhance the Medicare Plan Finder to include a filter to identify plans that will offer capped out-of-pocket costs for insulin in the model so beneficiaries can easily find those plans during open enrollment in the Fall. The Medicare Plan Finder, which was upgraded for the first time in a decade last year, is the most used tool on Medicare.gov and allows users to shop and compare Medicare Advantage and Part D plans. The Part D Senior Savings Model builds on steps the Trump Administration has already taken to strengthen Medicare and improve the quality of care for patients with diabetes. CMS has taken the following actions to address the needs of beneficiaries with diabetes:
To respond to the coronavirus disease 2019 (COVID-19) public health emergency, CMS has taken additional actions to ensure that beneficiaries with diabetes have access to treatment and care by:
To read a New England Journal of Medicine perspective on Medicare Part D and insulin affordability, please visit: https://www.nejm.org/doi/full/10.1056/NEJMp2001649
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Tags: Medicare Part D, CMS, Prescription Drugs
Cigna Supplemental: New Medicare Supplement release in Indiana
Posted by www.psmbrokerage.com Admin on Wed, May 27, 2020 @ 03:47 PM
Cigna Supplemental: New Medicare Supplement release in Indiana New Medicare Supplement This June, Cigna Supplemental Benefits will begin offering new Medicare supplement insurance in Indiana. Our new plans, insured by Cigna National Health Insurance Company (CNHIC), have been designed to reward your customers with more programs, more savings, and more services.
Rewards for your agents:
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Tags: Indiana
2021 Medicare Advantage Expansion Details
Posted by www.psmbrokerage.com Admin on Wed, May 27, 2020 @ 03:17 PM
2021 Medicare Advantage Expansion Details Now Available! 2021 Medicare Advantage Expansions We have received details on the 2021 expansion counties from our leading Medicare Advantage carriers. Now is a great time to review carrier expansions and incorporate them into your 2021 AEP marketing plans.
Request details or call us today at (800) 998-7715 and speak with one of our dedicated Marketing Representatives.
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Tags: Medicare Advantage, 2021 aep
Walmart Retail Program for Independent Agents
Posted by www.psmbrokerage.com Admin on Wed, May 27, 2020 @ 03:11 PM
Walmart Retail Program for Independent Agents AEP Retail Opportunity! PSM has partnered with Walmart’s Retail Program and now has the ability to secure locations for agents wanting to participate in this opportunity. This is a great program to take advantage of for AEP. Store requests open up this week on a first come, first served basis…so don’t miss out!
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Tags: Retail Program, 2021 aep
Important information about the 2021 AHIP Medicare + FWA training season
Posted by www.psmbrokerage.com Admin on Wed, May 27, 2020 @ 09:29 AM
Important information about the 2021 AHIP Medicare + FWA training season |