10-02-2012, 11:27 PM
Once my dad retied and they started to travel full time they tried using Wal Mart for a while but their stores were not all connected by computer at the time, now it's just my mom and she uses Walgreens. Our Wal Mart is the only shopping center in our town, the line at the pharmacy (I am not kidding) can be fifty people at times, and they use the same line for dropping off and picking up....my mom simply can't deal with it, and they don't have a drive up either for drop off pick up, live Walgreens or CVS has. Our Wal Mart Rx also closes for lunch, and the line gets really long then...
Try the CVS and see how they treat you. Competition is a good thing!
My town of 27,000 residents has 5 pharmacies, all very busy due to the neighbor towns that have no pharmacy services from Death Valley, CA to Beaty, NV.
Mail order is not real popular in our area due to the remote areas and it can get pretty hot inside those mail boxes. Today we hit 111 degrees outside....not really good for pills inside a hot box next to the street.
The Walgreens Way to Well Commitment is focused on improving your everyday health through the prevention and early detection of today's leading diseases, like heart disease, cancer and diabetes. Our goal is to donate $100 million in preventive resources over the next four years.
Last edited by RobJohnson; 10-03-2012 at 12:30 AM.
10-14-2012, 12:21 AM
Since I am a non smoker my health insurnace will only be going up $6 a month for the same coverage. (my cost) My company's share is higher.
They do take pretty good care of me. That damn 1%.
10-18-2012, 10:56 AM
10-18-2012, 11:08 AM
I forgot to mention something of importance.
Sears is in trouble. They keep having to close stores down. They closed down some a year or ago. I think they've closed down most to all of their Great Indoor stores as well. I think this all started when they combined with K-Mart, who was in trouble thanks to their own scandal.
Also, Sears is popular for the older generation. The younger generation isn't as impressed because their home services are not nearly as good as they used to be. The protection plans for items have a lot of loopholes allowing the company not to fulfill their end of the bargain at times. You try to get help at their call centers, and you get passed around (not my fault, my job was sales. I couldn't do anything else).
It's wrong to just blame everything on Obama. This reminds me of when my father got laid off years ago. The company he worked for was shutting down. Some people could have blamed Bush since he was President at the time, but I knew that company had problems for over 14 yrs.
10-18-2012, 03:57 PM
President Obama made a commitment to reduce Medicare fraud 50% by 2012. One tool to meet this goal is provisions in the Affordable Care Act that provide an additional $350 million over 10 years to help fight fraud. Part of this fight against fraud includes the creation of an integrated data repository combining data from CMS with other federal programs (e.g., Medicaid, Veterans Administration, Department of Defense, Indian Health Service, etc). The Act also includes agreements that make it easier for the government to share data, identify criminals, and prevent fraud. It also contains stricter rules for providers and suppliers, requiring them to establish detailed plans about how they will follow the rules and prevent fraud. New stronger civil and monetary penalties will also be imposed on offenders.
Expect to see more audits overall, but you'll also see more groups auditing...plan sponsors, PBMs, CMS, states, and contract "bounty hunters" working on behalf of the government. These are contracted entities that have the power to audit and receive a percentage of the money they recover. You'll also see audits that extrapolate findings over your entire business and over a couple of years. For example, if auditors identify 2 or 3 claims submitted incorrectly, they'll calculate how much of your business is with a particular government program, calculate the % error rate, multiply it by 2 years, and seek that amount in repayment.Keep in mind that the government expects to allay at least part of the cost of health care reform through their fraud fighting efforts, so they'll be looking for ways to successfully collect fraud money.
It is important to understand that the person perpetrating the fraud doesn't need to have known that the information they provided was falseNew providers and suppliers will be assessed for their level of fraud risk and could be subject to fingerprinting, site visits, and criminal background checks before they are allowed to bill. Payment to individuals or organizations can be withheld if a credible allegation of fraud is made and an investigation is pending.
The False Claims Act contains a whistle-blowers or qui tam provision that allows citizens with evidence of fraud against the government to sue on behalf of the government. They are eligible to receive a portion of the money recovered, usually between 15% and 25%. The rest of the money goes to the government. Whistle-blowers can be anyone...current or ex-employees or even competitors.
These are just some of the new rules, part of which I posted above:
•Department of Health and Human Services. Centers for Medicare and Medicaid Services. Prescription Drug Benefit Manual Chapter 9 - Part D program to Control Fraud, Waste and Abuse. Updated April 25, 2006. http://www.cms.gov/PrescriptionDrugC...apter9_FWA.pdf (Accessed December 1, 2011).
•Department of Health and Human Services. Centers for Medicare and Medicaid Services. Medicare Learning Network. Medicare Fraud and Abuse. February 2010. http://www.cms.gov/MLNProducts/downl..._and_Abuse.pdf (Accessed December 1, 2011).
•Social Security Act. Exclusion of certain individuals and entities from participation in Medicare and State health care programs. Title XI, Section 1128A. www.ssa.gov/OP_Home/ssact/title11/1128.htm (Accessed December 1, 2011).
•Social Security Act. Civil monetary penalties. 42 U.S.C. §1320a-7b(a). www.ssa.gov/OP_Home/ssact/title11/1128A.htm (Accessed December 1, 2011).
•Department of Health and Human Services. Centers for Medicare and Medicaid Services. Federal Register. 42 CFR Parts 400, 403, 411, 417, and 423
•Medicare Program; Medicare Prescription Drug Benefit; Final Rule. January 28, 2005. http://edocket.access.gpo.gov/2005/pdf/05-1321.pdf (Accessed December 1, 2011).
•Department of Health and Human Services. Centers for Medicare and Medicaid Services. Federal Register. 42 CFR Parts 422 and 423 Medicare Program; Revisions to the Medicare Advantage and Part D Prescription Drug Contract Determinations, Appeals, and Intermediate Sanctions Processes; Final Rule. December 5, 2007. http://www.cms.gov/quarterlyprovider.../cms4124fc.pdf (Accessed December 1, 2011).
•Department of Health and Human Services. Centers for Medicare and Medicaid Services. CMS Manual System. Pub. 100-16 Medicare Managed Care. August 7, 2009. http://www.cms.gov/ManagedCareMarket...ads/R91MCM.pdf (Accessed December 1, 2011).
•Department of Health and Human Services. Office of Inspector General. Fraud Prevention & Detection. www.oig.hhs.gov/fraud.asp (Accessed December 1, 2011).
•Anon. Affordable Care Act Update: Implementing Medicare Cost Savings. www.mmapinc.org/pdfs/ACA-
Update-Implementing-Medicare-Costs-Savings.pdf (Accessed December 1, 2011).
•Department of Health and Human Services. Centers for Medicare and Medicaid Services. Federal Register. 42 CFR Parts 417, 422, 423 and 480 Medicare Program; Policy and Technical Changes to the Medicare Advantage and the Medicare Prescription Drug Benefit Programs; Final Rule. April 15, 2010. http://edocket.access.gpo.gov/2010/pdf/2010-7966.pdf (Accessed December 1, 2011).
•Department of Health and Human Services. Office of Inspector General. Medicare Prescription Drug Sponsors' Training to Prevent Fraud, Waste, and Abuse. July 2011. http://oig.hhs.gov/oei/reports/oei-01-
10-00060.pdf (Accessed December 1, 2011).
•United States Government Accountability Office. Report to Congressional Requesters. Medicare Part D: Instances of questionable access to prescription drugs. www.gao.gov/products/GAO-12-104T (Accessed December 1, 2011).
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