{"id":2548,"date":"2018-05-23T14:26:30","date_gmt":"2018-05-23T14:26:30","guid":{"rendered":"http:\/\/www.ltccs.com\/?p=2548"},"modified":"2022-03-25T19:22:22","modified_gmt":"2022-03-25T19:22:22","slug":"wanted-new-medicare-slogan","status":"publish","type":"post","link":"https:\/\/ltcally.com\/articles\/wanted-new-medicare-slogan\/","title":{"rendered":"Wanted: New Medicare Slogan"},"content":{"rendered":"<h1 style=\"text-align: center;\"><strong>Wanted: New Medicare Slogan<\/strong><\/h1>\n<p>&nbsp;<\/p>\n<div class=\"container\" style=\"text-align: center;\"><iframe loading=\"lazy\" class=\"video\" src=\"https:\/\/www.youtube.com\/embed\/vFlkGCrGh4I?rel=0&amp;showinfo=0\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><span data-mce-type=\"bookmark\" style=\"display: inline-block; width: 0px; overflow: hidden; line-height: 0;\" class=\"mce_SELRES_start\">\ufeff<\/span><span data-mce-type=\"bookmark\" style=\"display: inline-block; width: 0px; overflow: hidden; line-height: 0;\" class=\"mce_SELRES_start\">\ufeff<\/span><span data-mce-type=\"bookmark\" style=\"display: inline-block; width: 0px; overflow: hidden; line-height: 0;\" class=\"mce_SELRES_start\">\ufeff<\/span><\/iframe><\/div>\n<p>&nbsp;<\/p>\n<p style=\"text-align: left;\"><strong>Steve Shain:<\/strong> Hey everybody, welcome back. So, I got a lot of shout outs today, I\u2019m just giving you a heads up right at the beginning. A lot of people to thank for this video, just because they had some good ideas and I\u2019m trying to implement them into today\u2019s video. First of all, thank you to Jerry Freedman for recommending that we put the text down at the bottom for those people who are not listening but are actually just reading along with the video. Honestly, I don\u2019t really understand why you wouldn\u2019t blast the volume on really loud so everybody could enjoy what we have to say here but I guess it\u2019s your prerogative. For you guys that are not listening, you got the text here on the bottom. Thank you, Jerry.<\/p>\n<p>Second shout out goes to Yehuda Davis, he mentioned to us a while back about this change and it\u2019s actually going into place. So thanks Yehuda for this tip-off, which I\u2019d like to share with everybody else as well if you did not already hear. New York Medicaid used to obviously be working with MLTC plans \u2013 managed long-term care plans \u2013 so the managed long-term care plans were covering the long-term care patients in the skilled nursing facilities. What\u2019s happening now is that a rule has gone into place that the MLTC plans only need to extend for three months \u2013 90 days &#8211; after that a long-term care patient can disenroll from the MLTC plan and revert back to straight Medicaid. That\u2019s right, they can go back to straight Medicaid, providers will be billing Medicaid directly, communicating with Medicaid directly and the MLTC plans will no longer be covering the resident after three months in the facility. This is actually great news for everyone. It\u2019s good for the providers because providers don\u2019t need to work through a middleman like MLTC. They can work directly with Medicaid. It\u2019s also great for the MTLC plans in a way because they have members of the insurance as a whole and the more complex ones are the ones that are constantly institutionalized, so now that those members are being disenrolled, it kind of makes their job easier for the members that they do need to care for. So it sounds like a real win-win but I\u2019m not sure how Medicaid feels about this, but you know, it\u2019s going back to how it used to be so I don\u2019t really see a problem with that either.<\/p>\n<p>Now there\u2019s one thing that I\u2019m not sure everybody does know about and that is Medicare\u2019s soul-searching that they\u2019ve been doing recently. Medicare was established in 1965. At the time, the concept for what Medicare was there for was to provide care for coverage that was \u201cprimarily health-related.\u201d That was their tag line, anything that\u2019s \u201cprimarily health-related\u201d is what Medicare covered for Medicare recipients. Now, that was a long time ago. What seems to be happening now is that the folks at Medicare got together and they\u2019re scratching their heads and they\u2019re like \u201cThis doesn\u2019t seem right. If our coverage is for \u2018primarily health-related\u2019 care, we should be covering more.\u201d And that\u2019s exactly what they\u2019re looking into. And at the same time the Medicare Advantage Plans, which is the insurance plans, that are replacing Medicare, are looking into this as well. Because if the coverage should be \u201cprimarily health-related,\u201d it should really be expanded to more services and more kinds of healthcare settings. So to give you some examples of things that are being speculated; nutritious food, transportation to health-related services, independent living, assisted living, adult daycare, other healthcare settings are now considered for Medicare reimbursement. This is an extremely exciting idea for healthcare providers, this is something that they plan on putting in place in 2019, which is not too far away. We\u2019ve actually been in talks with a lot of the national healthcare insurers that are working with us to try to figure out exactly how they can provide services to Medicare members and in what avenues they can now cover. So hold on tight for 2019, we\u2019re expecting that some of these services in some of these avenues will be covered, but hold on tight, it\u2019s not determined yet.<\/p>\n<p>So for the last shout out, I want to give a shout out to Seema Verma at CMS. Your tagline is \u201cprimarily health-related\u201d for Medicare. Come on, you can do better than that, I\u2019m going to give you two suggestions and whoever is watching this please put in the comments any other suggestions you think the Medicare tagline should be. I\u2019m sure we can do better with what they have right now. So here\u2019s my two suggestions, they\u2019re not awesome but it\u2019s a start; Medicare \u2013 You Paid Into It, Now Cash Out. You like that? How about this one; Medicare \u2013 We Keep Your Providers Happy So They Can Keep You Healthy. Right? You like that one, I see you like that one. If you have anything better, put it in the comments and I\u2019m going to take it, stuff it in an envelope, mail it to Seema Verma, and hopefully we can trademark something really quick. Of course, if you have questions, comments, or anything you think can make this video better, please let us know so we can make this better for you. Take care.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Wanted: New Medicare Slogan &nbsp; \ufeff\ufeff\ufeff &nbsp; Steve Shain: Hey everybody, welcome back. So, I got a lot of shout outs today, I\u2019m just giving you a heads up right at the beginning. A lot of people to thank for this video, just because they had some good ideas and I\u2019m trying to implement them <a href=\"https:\/\/ltcally.com\/articles\/wanted-new-medicare-slogan\/\" class=\"more-link\">&#8230;<span class=\"screen-reader-text\">  Wanted: New Medicare Slogan<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[22],"tags":[],"class_list":["post-2548","post","type-post","status-publish","format-standard","hentry","category-articles"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Wanted: New Medicare Slogan | Articles | LTC Ally<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ltcally.com\/articles\/wanted-new-medicare-slogan\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Wanted: New Medicare Slogan | Articles | LTC Ally\" \/>\n<meta property=\"og:description\" content=\"Wanted: New Medicare Slogan &nbsp; \ufeff\ufeff\ufeff &nbsp; Steve Shain: Hey everybody, welcome back. So, I got a lot of shout outs today, I\u2019m just giving you a heads up right at the beginning. A lot of people to thank for this video, just because they had some good ideas and I\u2019m trying to implement them ... 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