Medicare Advantage Plans: Reducing the cost of health benefits, while improving the quality of care

A Medicare Advantage Plan, sometimes also called Medicare private health plan, is a health insurance program, in the United States, which substitutes Parts A and B of the original Medicare benefits. It is offered by commercial insurance companies whom, in turn, are compensated by the federal government. In contrast to traditional Medicare, they provide all benefits from Parts A and B, but the payments for these are not processed through the Centers for Medicare and Medicaid Services. Most Medicare Advantage plans include prescription drug coverage, for which the federal government makes separate payments.

With the exception of physician and surgeon, Part A of Medicare benefits covers most in-patient hospital services. Part B covers physician and surgeon services, Emergency Room, laboratory, X-rays, diagnostic tests, as well as certain durable medical equipment and supplies.

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While Medicare Advantage Plans must cover all of the services that original Medicare covers, hospice care is not one of them. This particular service is covered by Medicare whether or not the patient is enrolled in a Medicare Advantage Plan. Also, emergency and urgently needed care is always covered under all types of Medicare Advantage Plans.

Read more: InnovaCare Subsidiary MMM Healthcare Acquires First+Plus Medicare Advantage Members

It is important to check whether services, that are not medically necessary under Medicare, are covered, because the plan of choice might choose not to cover them. However, just as they may choose not to cover certain services, they can choose to offer extra coverage; these include vision, hearing, dental, and/or health and wellness programs.

A patient can enroll in a Medicare Advantage Plan if he or she has Medicare Parts A and B, live within the plan’s service area and do not have End-Stage Renal Disease. If ESRD is present, and requires dialysis or a kidney transplant, a Medicare Advantage Plan can be joined after obtaining a Special Needs Plan.

As far as costs, with original Medicare, the patient pays Medicare premium deductibles and coinsurances. This is usually 20% of the cost of out-patient care approved by Medicare. With an Advantage Plan, Medicare premium must be paid, as well as the plan’s premium, if it charges one; it is usually a fixed cost for each office visit.

InnovaCare Health, Inc. is an example of a leading provider of managed healthcare services which believes patients come first. InnovaCare is redefining healthcare management to meet the complexities of the current healthcare environment. InnovaCare Health build coordinated, cost-effective, innovative, quality driven and sustainable health care models that are integrated with the latest technology.

Under Dr. Rick Shinto, current President and Chief Executive Officer. Penelope Kokkinides, Chief Administrative Officer, InnovaCare, Inc. has built strong relationships with its patients. This has lead to healthier outcomes and improved quality of life. And their experienced leadership has lead to the continual growth of the organization.

Learn more about InnovaCare Health: http://innovacarehealth.com/

Desiree Perez and Tidal Music

Recently, Tidal has gone through a bit of a renaissance, which has been nailing several huge album exclusives, such as T.I., Rihanna, Kanya West, and Beyonce. These new wins have moved to the tidal app to the highest that it has ever been in the iTunes Store, this following the TLOP drop from West. And a exclusive from West, that was currently in the process of being written at the time of the article, has added a million new trial members since February 22nd. However, after going defection caused by a group of executives, the question was raised of who exactly was orchestrating all of these five-star exclusive artist that were playing. Sources from behind the scenes have now said that the person behind it is Desiree Perez, who has been a close associate to Jay Z, for close to twenty years, and has had an extensive track record with running SC Enterprises, and her husband Juan Perez, who is also known as OG, currently runs Roc Nation Sports. Perez has known for being a rabid numbers cruncher, fiercely tough negotiator, as well as a street rep and history that not even Empire’s Cookie would not challenge. It was also pointed out that she has had a hand in Rihanna Samsung deals, as well as negotiating the Beyonce Formation stadium tour. Perez, along with her other projects has been a part of the Hova Circle of Influence, which includes Ty Ty Smith, Jana Fleischman, Chaka Pilgrim, Jay Brown and her husband. Collectively this runs the whole operation that is not only Roc Nation and the various areas of label operations, management, and publishing, but it is the force of operation behind Tidal. Tidal’s streaming service has been building it’s own lane steadily, as it continues to position itself in a way to attract the young music consumers. Because of being in debt, they have to make great strides in making a impression with limited resources in order to compete against their rivals such as Apple Music and Spotify. If you take a look inside of the updated Tidal, you will get a music experience that focuses on the next and new things going on in music. Also included in the app a list of new releases, also know as Tidal Discovery, a section that focuses on emerging artist, that is referred to as Tidal Rising, and an exclusive live performance, known as Tidal X, which is their main focus.

Read more: Who is Des Perez?