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Green House® Cooperative Homes for Seniors

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The Green House Project is a radically new and innovative approach to long-term, skilled nursing care.

Caring for our seniors, our parents, aunts, uncles and neighbors weighs heavily on our society. While medical breakthroughs extend the years of life, social breakthroughs have been sparse to make those years meaningful and fruitful...and affordable for our loved ones. The Green House Project offers a model and hope. Here are details about this new concept in skilled nursing home care that can be applied to a wide variety of cooperative living arrangements for seniors.

Green House Homes for Skilled Nursing Care

Green House® homes are residences for 6 to 10 elders who require skilled nursing care and want to live a rich life. They are a radical departure from traditional skilled nursing homes and assisted living facilities, altering size, design, and organization to create a warm community. Their innovative architecture and services offer privacy, autonomy, support, enjoyment and a place to call home. Green House® homes are developed and operated by long-term care organizations in partnership with The Green House Project and NCB Capital Impact.

Read the details about this model for senior living and nursing care.

Reduce Medicare Identity Fraud

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These new tips and information can help seniors and Medicare beneficiaries deter, detect and defend against Medical identity theft.

Medical identity theft occurs when someone steals a patient's personal information, such as his or her name and Medicare number, and uses the information to obtain medical care, to buy drugs or supplies, or to fraudulently bill Medicare using that patient's stolen identity.

New tips were produced by the HHS Office of the Inspector General (OIG)
and are available now at
www.StopMedicareFraud.gov and
www.oig.hhs.gov/fraud/idtheft.


"When criminals steal from Medicare, they are stealing from all of us," said Secretary Sebelius. "Preventing medical identify theft is an important part of our work to stop Medicare fraud, and these tools will give seniors important information about how to deter, detect and defend against ID theft and fraud."

The Department of Justice (DOJ), in collaboration with the Department of Health and Human Services (HHS), will continue to protect the integrity of the nation's public health programs and vigorously pursue those who seek to take advantage of our most vulnerable citizens.

"Medical identity theft can disrupt your life, damage your credit rating, and threaten your health if inaccurate information ends up in your medical records," added HHS Inspector General Daniel R. Levinson.

OIG's agents frequently uncover fraud schemes that involve the sale and use of stolen Medicare identification numbers. 


  • Medicare beneficiaries are reminded to beware of offers of free medical equipment, services, or goods in exchange for their Medicare numbers. 

  • Beneficiaries are also encouraged to regularly review their Medicare Summary Notices, Explanations of Benefits statements, and medical bills for suspicious charges and to report suspected problems.

The effort to help prevent medical identity theft is one part of the Obama Administration's work to crack down on Medicare fraud. In May, Attorney General Eric Holder and Secretary Sebelius announced the creation of a new interagency effort, the Health Care Fraud Prevention and Enforcement Action Team (HEAT), to combat Medicare fraud.  

Teams that have been successfully fighting fraud in South Florida, Los Angeles, Detroit and Houston.  Established in 2007, these teams have a proven record of success using data analysis techniques and community policing to identify, investigate and prosecute on-going fraud.

The Centers for Medicare & Medicaid Services (CMS) has undertaken other steps to fight fraud and protect beneficiaries who buy durable medical equipment or rely on home health services.

  • On October 1, all durable medical equipment suppliers across the nation, except for pharmacies, must be certified by Medicare, a requirement that assures beneficiaries that their suppliers are valid businesses and meet Medicare's financial and quality standards.

Senior Medicare Patrol programs

The SMP programs are funded by HHS' Administration on Aging and help Medicare and Medicaid beneficiaries prevent, detect, and report health care fraud. Because this work often requires face-to-face contact to be most effective, SMPs nationwide recruit and train nearly 5,000 volunteers every year to help in this effort. Most SMP volunteers are both retired and Medicare beneficiaries and thus well-positioned to assist their peers.

To learn more about stopping Medicare fraud, visit www.StopMedicareFraud.gov. To report suspected Medicare fraud call the Inspector General's toll-free Hotline at 800-447-8477 (800-HHS-TIPS). The toll-free TTY number is 800-377-4950.

Having just tried to find more cost effective health insurance and long term care insurance, I can tell you how frustrating it is to get good data. 

The Dartmouth Atlas Project has documented glaring variations in how medical resources are distributed and used in the United States. 

This interactive US Atlas of Health Care shows you various information by local areas... the best, the growth, by hospital referral region.

As you can see, the Los Angeles region has a bit of a difference in prices and cost increases than counties north and south of it.  Hmmmm....

The cost of providing health care to seniors is rising more than twice as fast in Dallas as in San Diego, and Medicare now spends nearly three times more to care for its enrollees in Miami than it does in Honolulu.

Nationally, Medicare spent an average of $8,304 per enrollee in 2006, and national spending grew at a rate of 3.5 percent annually from 1992 to 2006. Among states, New York was tops in spending per enrollee, at $9,564. Hawaii was lowest, at $5,311.

Where Medicare spending per enrollee grew at an annual rate of 5 percent in Miami, the rate was less than half, at 2.4 percent, in San Francisco. Medicare spent $16,351 per enrollee in Miami in 2006, almost twice the spending of $8,331 in San Francisco.

The researchers project that, at current spending rates, Medicare will be $660 billion in the red by 2023.

But by reducing the annual growth in per capita spending from 3.5 percent, the national average, to 2.4 percent, the rate in San Francisco, Medicare could save $1.42 trillion and turn the deficit into a healthy surplus.

Small Differences Make a Huge Savings

Small differences, because of compounding, can make an enormous difference.

The authors call on physicians to lead an effort to reform how the U.S. delivers and pays for health care to bring spending under control.

Systems of Quality Care

They write: "Payment systems could then shift from purely volume-based payments to systems ... that foster accountability for the overall costs and quality of care, allowing physicians to align their work more closely with the values that brought them to health care. "

Read more at:  SolutionsForYourHealthCare.com 

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