Walden Macht Haran & Williams LLP’s Post

Concerned about the cost of elder care for your loved one? At NC Planning our attorneys explore every option, including benefit programs funded by the government, to determine the best way to minimize your out-of-pocket expenses. Then, we create a plan that addresses how to pay for your elderly loved one’s expenses using Medicaid, veteran’s pension benefits, and the PACE program. Regardless of whether you’re in the process of planning ahead or you’re currently dealing with the declining health of your loved one, our elder planning attorneys can help you determine the best way to meet your family’s needs. Go to https://lnkd.in/etkrqbC9 to schedule a consultation #EstatePlanning #NorthCarolinaLawyer #EstatePlanningAttorney #LegalAdvice #LawFirmNC #EstatePlanningTips #NCAttorney

Here's the latest about the future of Medicare ➡️ #AARPvolunteer

2024 LIEN RESOLUTION SUCCESS ALERT Cattie & Gonzalez, PLLC was recently retained to resolve Medicare and Medicare Advantage liens in a fully denied WC case. We know we are doing something right, something expectacular, when both plaintiff and defense counsel jointly bring us on to work on resolution of a lien. And that is exactly what happened in this case. Both plaintiff and defense counsel jointly agreed to hire our firm to do away with any Medicare liens on their case. As we do on every case, after our verification of entitlement process, we discovered the claimant was on traditional Medicare for some time, and ultimately moved to an Advantage Plan to receive her Medicare coverage. We immediately reached out to Medicare and obtained Medicare CPL of $26,001.89 in 13 days. We then asked our clients for documentation of the denial on the file, including any official documents filed with the state division of workers compensation and the state workers compensation judiciary tribunal or commission. After receiving same, we also asked our clients and their lawyers for state statutory and case law allowing for a complete denial of this workers compensation claim. We also requested their correspondence, briefs, memos, and other explanations for the legal reasoning behind the claim's denial from the very onset of the file. Last, we also asked our clients for a complete payout on the file, showing no indemnity or medical payments were ever made on the file. We waited several months for the clients to provide such documentation, letters, and payouts. Once received, we submitted a brief with each of these as exhibits to Medicare, asking for a complete waiver of any and all liens considering the facts, law, limited settlement, and financial situation of the claimant. We received full approval from Medicare and file closure in 26 days. Using the same rationale as already indicated here, and attaching Medicare's conclusion to excuse reimbursement of its lien, we requested the same conclusion from the Medicare Advantage Plan. We received a non-assert letter from the Medicare Advantage Plan in 35 days. It happens frequently at our firm- what are otherwise fighting parties coming together and asking us to help them with their lien. Here, after our engagement and involvement, our counsel and advice, and our patient but deliberate work, we eliminated the liens in their entirety, a 100% savings, allowing our clients to settle their case. #rafaelgonzalezesq #cattiegonzalezpllc #ahigherstandardinmspcompliance

Lets take a peek behind the ERISA curtain on article that asks: Will self-funded plans get caught up in carrier and TPA legal battles? The DOL's complaint against BCBSM, Inc., as well as the series of lawsuits against other TPAs and insurers, may redefine the landscape of fiduciary responsibilities and the role of TPAs in plan administration. A deep dive into what some argue may not change anything? #erisa #healthcare #healthcareindustry #healthcarefinance #healthcareinsights #healthcarecompliance #healthcareadministration #healthcarebenefits #healthcarelitigation #BCBSM https://lnkd.in/gVVBpyf6

Understand your options when it comes to Medicare coverage for your non-working spouse.

Thinking about Medicare Advantage? Think again. It's not Medicare and it's no advantage. Here's my column for McKnight's. https://lnkd.in/ex9_P37H

DiNapoli states that Hochul's single fiscal intermediary plan makes New York vulnerable to waste of the State's already scarce Medicaid resources. But no further details, at least in this article, as to what he means precisely. FIs that are preparing to fight for survival of the FI program, as it currently operates in New York, should take note of this comment.

California is giving migrants access to Medi-Cal, the State Medicaid program. If these new recipients are counted as part of the PPACA reimbursements on enrollment, Federal taxpayers will be funding $5,300,000,000 annually for their care in California alone. I expect this will be repeated. And it will be borne by working taxpayers as this population does not pay taxes toward Medicare or Medicaid. Bottom line is that a large part of healthcare cost increases are buried in increased Federal taxes and borrowings.

📬 Postal Service retirees and Medicare 📬 Postal Service retirees were never required to enroll in Medicare to continue their federal retiree plans past age 65. If they did want to enroll later, they would incur the same 10% penalty that non-PS workers receive. A one-time SEP is being given to them that will last from 4/1-9/30 for those who didn’t enroll in Medicare to apply for a 1/1/25 effective date. The PSHB program will pay for their LEP. They do not have to enroll into their Part B, but have the option to. Learn more about this topic here: https://buff.ly/3WmnmBY.

The recent decision by the appeals court to eliminate Medicare supplemental payments for low-wage hospitals poses a significant threat to rural healthcare facilities. This ruling undermines the financial stability of these hospitals, which often rely on supplemental payments to provide essential services to their communities. Rural hospitals already face numerous challenges, including limited resources and staffing shortages. The loss of these payments could lead to reduced access to care, longer travel times for patients, and potentially even hospital closures. It’s crucial that we advocate for policies that support our rural healthcare systems and ensure that all communities have access to quality medical care. Let’s discuss how we can collectively address these challenges and support the vital role that rural hospitals play in our healthcare landscape.