Medicare Blog, New Study Implicates Healthcare Utilization Rates, More than Biology, in Colorectal Cancer Disparities

Higher rates of colorectal cancer incidence and mortality experienced by African-Americans may be driven largely by differences in health care utilization, and less by biology, according to a new study led by researchers from the National Cancer Institute (NCI), part of the National Institutes of Health.

Medicare, Risk of Newborn Heart Defects, Increases with Maternal Obesity

The more obese a woman is when she becomes pregnant, the greater the likelihood that she will give birth to an infant with a congenital heart defect, according to a study conducted by researchers at the National Institutes of Health and the New York state Department of Health.

Medicare – Targeting the Blood-Brain Barrier, May Delay Progression of Alzheimer’s Disease

Researchers may be one step closer to slowing the onset and progression of Alzheimer’s disease. An animal study supported by the National Institute of Environmental Health Sciences (NIEHS),

Additional Genes Associated with Age-Related Macular Degeneration Identified

Additional Genes Associated with Age-Related Macular Degeneration Identified

Strategy Confirmed to Help Doctors, Determine When to Treat Retinopathy of Prematurity

Scientists have shown that through an eye exam, doctors can identify infants who are most likely to benefit from early treatment for a potentially blinding eye condition called retinopathy of prematurity (ROP), resulting in better vision for many children.

Medicare Finds Independent Panel to Present Alzheimer’s Disease and Cognitive Decline Prevention Findings on Wednesday, April 28; Telebriefing for Media to Follow

For many older adults, cognitive health and performance remain stable, with only a gradual and slight decline in short-term memory and reaction times. Others, however, progress into a more serious state of cognitive impairment or into various forms of dementia, including Alzheimer’s disease.

MedicareCard.com, Experimental Immune, Boosting Drug Worsens TB in Mice

An experimental drug that boosts production of the immune system protein interferon worsens tuberculosis (TB) in mice, according to scientists from the National Institutes of Health. The drug acts indirectly by drawing certain immune cells, in which Mycobacterium tuberculosis (M.tb) bacteria thrive, to the lungs. The findings may have potential implications for the care of people infected with TB, the authors note. The research is reported in the May 3 issue of Journal of Clinical Investigation, now available online.

Medicare Card – Traditional ‘Heel Stick’ Test Is Not an Effective Screening Tool for CMV in Newborns

A routine screening test for several metabolic and genetic disorders in newborns, the heel-stick procedure, is not effective in screening for cytomegalovirus (CMV)

Medicare: Appeals Process – How does it work?

Once an initial claim determination is made, beneficiaries, providers, and suppliers have the right to appeal Medicare coverage and payment decisions. There are five levels in the Medicare Part A and Part B appeals process. The levels are:

The following two categories of dental services are excluded from Medicare coverage

A primary service (regardless of cause or complexity) provided for the care, treatment, removal, or replacement of teeth or structures directly supporting teeth, e.g., preparation of the mouth for dentures, removal of diseased teeth in an infected jaw.

Many seniors do not receive recommended preventive and primary care

Under health insurance reform, a senior would not pay anything for a screening colonoscopy or other preventive services. Reform will eliminate any deductibles, copayments, or other cost-sharing for obtaining preventive services, making them affordable and accessible

Ending overpayments to private insurance companies that cost all Medicare beneficiaries

The federal government pays private insurance companies on average 14 percent more for providing coverage to Medicare Advantage beneficiaries than it would pay for the same beneficiary in the traditional Medicare program.