International Pain and Spine Intervention Society (IPSIS)’s Post

We recently learned that Humana has revised its Medicare Advantage policy for coverage of PNS for chronic pain. While not perfect, we are cautiously optimistic that Humana’s revised Medicare Advantage policy marks a step towards ensuring access to innovative pain treatments for older adults. We will continue to monitor how this policy change unfolds. Learn more: bit.ly/4aghuiB We encourage you to share your experience with PNS payments from Humana directly with NANS (info@neuromodulation.org). Your feedback will help us observe and understand the outcomes of this change.    #neuromodulation #chronicpain #painmanagement #paintreatment #MedicareAdvantageChanges #MedicareAdvantage

Head to our blog to learn about three changes coming to Medicare Part D in 2025 due to the Inflation Reduction Act. The changes could provide significant advantages for seniors who have high drug costs. However, they could also result in increased costs for other Medicare Part D enrollees.

Medicare coverage of compression garments for the treatment of lymphedema commenced on January 1 with the LTA. While it’s great that we will now have access to this coverage, we caution patients and providers that many questions remain about how it will work. At Compression Care, our team is working hard to understand all the details of this new coverage and how it will affect you as the year progresses. It is essential to us that you never pay more out of pocket than necessary, so we are approaching this implementation very strategically. Check out our most recent blog for more details on how we expect Medicare coverage to evolve and some key elements of the LTA that it’s important to understand: https://buff.ly/3vHlAlC #compressioncare #compressiongarments #lymphedema #customcompressiongarments #prescriptioncompression

Defunct & inequitable. Ireland’s current statutory PPO scheme for catastrophically injured victims. Indexation is the biggest inequity. Why should the future care and medical treatment costs of a catastrophically injured individual with 24/7 care needs be linked to the costs of a broad basket of consumer goods and services? New recommendations published in two expert reports this week approved by Minister for Justice Helen McEntee. Indexation will now be a combination of the Harmonised Index of Consumer Prices (HICP) (20%) and annual rate of change in nominal hourly health earnings (80%).   Discount rates for future care costs (1%) and future financial loss (1.5%) remain unchanged. A new trigger mechanism to review the discount rate in the future may prove controversial for all litigation stakeholders seeking certainty. Will the new proposals be enough to bring PPO’s back from the dead? #ppos #indexation #mhpsellors #highcourt #disputeresolution #lumpsum

Stating that the NHS is ‘broken’ is too broad a statement and too easy to politicise - but you can’t deny it has been chronically underfunded and is under immense pressure. It creates a postcode lottery for treatment. Long waiting times. Delayed referrals. Our 2 main reasons for taking out private medical for our family were: 💊Optical and Dental treatment and money towards prescriptions* 💊 Cancer trials and drugs/treatments not available on the NHS or in our area But yours could be: 💊 European or Worldwide cover 💊 Physio, Therapies 💊 Mental Health 💊 Access to GPs and specialists There are rules and conditions and exclusions for existing or chronic conditions but we’ll tell you as it is. *And different levels of cover and excesses on certain elements. And these are annually reviewed policies they can change in price based on claims. Bit - if you are concerned about availability of NHS services and treatments when needed get in touch with myself or George Gordon at Protection 1st and we’ll quote you, your family or your business. Or ask a question below 👇 #privatemedicalinsurance #nhs #nhsuk #cancertreatment #dentalinsurance

Passed in 2022, the Inflation Reduction Act (IRA) includes major changes to Part D intended to control prescription costs, cap maximum retiree out-of-pocket costs and simplify coverage for Medicare enrollees. This strengthening of Part D offers improved coverage for retirees as well as new risks and opportunities for thousands of public sector employers who sponsor group Medicare Part D plans for their former employees. How will these changes affect public sector plan sponsors struggling to balance cost and retiree satisfaction with their health care benefits?

Curious about maintenance therapy and what insurance covers it? Here's what you need to know: Medicare covers maintenance therapy under outpatient physical, occupational, and speech-language pathology. Since traditional Medicare covers it, Medicare Advantage plans do too. However, many private insurers like Aetna, Cigna, Blue Cross, Blue Cross Blue Shield, UnitedHealthcare, and Humana only cover rehabilitative therapy, not maintenance therapy. Want to learn more about maintenance therapy? Click here: https://lnkd.in/gBtnnWeJ

The #InflationReductionAct includes major changes to Part D intended to control prescription costs, cap maximum retiree out-of-pocket costs and simplify coverage for Medicare enrollees. #ViaBenefits https://ow.ly/k6rw50SihtU

IMPORTANT - Medicare coverage is still often denied INCORRECTLY by applying the Improvement Standard--that is skilled-nursing coverage depends on improving functionality. The legal standard, confirmed in settlement of Jimmo v. Sebelius, is to MAINTAIN AN INDIVIDUAL'S CONDITION OR SLOW DECLINE. This distinction makes a HUGE difference for families. Settlement of the litigation required CMS to create a dedicated Jimmo section on its website: https://lnkd.in/gGNqcX6j https://lnkd.in/gxHeAipq

What to expect at your STI test 🏥 Before conducting the test, the doctor or nurse may ask you some questions. These might include: ▪ The type of sexual activity you engage in ▪ When you last had sex ▪ Details about the genitals of your partners ▪ Information about the type of protection you use, such as condoms and dams To test for STIs and BBVs, you may be required to provide: ▪ A urine (pee) sample ▪ A blood test ▪ A genital swab ▪ A physical examination if you are experiencing symptoms The cost of the clinic appointment will vary depending on the location: ▪ Some clinics will bulk bill your appointment if you possess a Medicare card and/or Health Care Card ▪ Some clinics may charge a Gap Fee, requiring you to cover a portion of the appointment's cost ▪ If you do not have a Medicare card, you will likely need to pay the entire appointment fee For more information  Please visit shvic.org.au Or call us for free to discuss your options on 1800 013 952