What has the SMP program achieved over the years? Since 1997 more than 25 million people have been reached during community education events, more than 3 million beneficiaries have been educated in group sessions or one-on-one and more than 24,000 volunteers have been active.
How much money does the SMP program receive?
been reached during community education events, more than 3 million beneficiaries have been . educated in group sessions or one-on-one and more than 24,000 volunteers have been active. Total savings to Medicare, Medicaid, beneficiaries and other payers attributed to the SMP projects is $106 million. (Source: May 2011 OIG Performance Report)
How many people are enrolled in the Medicare program?
Jun 28, 2021 · In 2020, the 54 SMP projects had a total of 5,720 active team members who conducted a total of 9,870 group outreach and education events, reaching an estimated 425,103 people. In addition, the projects had 249,134 individual interactions with, or on behalf of, a Medicare beneficiary.
What is an SMP volunteer?
Approximately how many Medicare beneficiaries are reached each year with the help of about 5,000 SMP volunteers nationwide? 100,000 500,000 1,000,000 2,000,000 That’s Correct! You saved Medicare money 7/12/2016 12 I’m Sorry The correct answer is: 2,000,000 As of 2013, how many people were covered by Medicare?
What is a state health insurance Assistance Program (SMP)?
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What is SMP in Medicare?
The Senior Medicare Patrol (SMP) in California protects people from Medicare-related fraud, error and abuse. It also helps build community partnerships to prevent Medicare and Medi-Cal (Medicaid) fraud, error, and abuse.
What is Senior Medicare?
Medicare Health Insurance for Senior Citizens. Medicare is a government program that provides health insurance coverage for senior citizens age 65 years and older, the disabled of any age, and to anyone suffering from end-stage renal disease.
Is Medicare free for seniors?
Medicare is a federal insurance program for people aged 65 years and over and those with certain health conditions. The program aims to help older adults fund healthcare costs, but it is not completely free. Each part of Medicare has different costs, which can include coinsurances, deductibles, and monthly premiums.
Does Medicare cover dental?
Dental services Medicare doesn't cover most dental care (including procedures and supplies like cleanings, fillings, tooth extractions, dentures, dental plates, or other dental devices). Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care.
WHY WE DID THIS STUDY
This memorandum report presents performance data for the Senior Medicare Patrol (SMP) projects, which receive grants from ACL to recruit and train retired professionals and other older adults and community members to recognize and report instances or patterns of health care fraud. OIG has collected these performance data since 1997.
HOW WE DID THIS STUDY
We based our review on data reported by 54 SMP projects for 7 performance measures pertaining to recoveries, savings, and cost avoidance and 5 performance measures relating to SMP activities. For the first group of measures, we reviewed supporting documentation for the data.
WHAT WE FOUND
The COVID-19 pandemic presented many challenges for the SMP projects that limited their activities. As a result, the performance data for 2020 do not reflect a normal year of activities for the projects.
What is SMP in retirement?
SMP activities also serve to enhance the financial, emotional, physical, and mental well-being of older adults, thereby increasing their capacity to maintain security in retirement and make better financial and healthcare choices.
What is the SMP?
The SMP mission is to empower and assist Medicare beneficiaries, their families, and caregivers, to prevent, detect, and report suspected healthcare fraud, errors, and abuse through outreach, counseling, and education.
How much is the SMP program?
SMPs are funded by the Health Care Fraud and Abuse Control (HCFAC) program for its antifraud activities. In 2019 funding for the SMP program totaled approximately $18 million. Approximately $15.6 million of the total funding available was distributed to the state SMP projects to help beneficiaries prevent, detect, and report Medicare fraud, errors, and abuse.
What is OIG SMP?
Each year, the Office of the Inspector General (OIG) completes an annual performance report on the SMP projects. The 2020 OIG SMP Performance Report#N#(link is external)#N#documents the following outcomes for 2019 activities:
What is senior Medicare patrol?
Senior Medicare Patrol of Idaho is supported by a grant from the U.S. Administration for Community Living (ACL) through the Idaho Commission on Aging (ICOA). Game created by: The Senior Medicare Patrol of Eastern Idaho, Area VI Agency on Aging
How long should I play a timed game?
The objective of a timed game is to gain the most points before the time is up. Tip: Allow for minimum of 15 minutes of play time to maximum of 60 minutes of play time.
How many people are on Medicare in 2019?
In 2019, over 61 million people were enrolled in the Medicare program. Nearly 53 million of them were beneficiaries for reasons of age, while the rest were beneficiaries due to various disabilities.
Which state has the most Medicare beneficiaries?
With over 6.1 million, California was the state with the highest number of Medicare beneficiaries . The United States spent nearly 800 billion U.S. dollars on the Medicare program in 2019. Since Medicare is divided into several parts, Medicare Part A and Part B combined were responsible for the largest share of spending.
What is Medicare in the US?
Matej Mikulic. Medicare is a federal social insurance program and was introduced in 1965. Its aim is to provide health insurance to older and disabled people. In 2018, 17.8 percent of all people in the United States were covered by Medicare.
What is SMP in Medicare?
SMP projects teach Medicare beneficiaries to protect their Medicare numbers, to detect billing discrepancies on their quarterly Medicare Summary Notice statements, and to report suspicious activity for further investigation . In addition, SMP projects actively disseminate fraud prevention and identification information through the media, ...
What is HIPAA program?
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) established a national Health Care Fraud and Abuse Control (HCFAC) Program designed to coordinate federal, state, and local law enforcement activities with respect to healthcare fraud and abuse.
When did ACL start?
Beginning in 1997, ACL established twelve local demonstration projects designed to recruit and train retired professionals, such as doctors, nurses, teachers, lawyers, accountants, and others to identify and report Medicare errors, fraud, and abuse. Implemented through the Omnibus Consolidated Appropriation Act of 1997 (Public Law 104-208), ...
Purpose
History and Structure
- SMPs were authorized in 1997 under Titles II and IV of the Older Americans Act, the Omnibus Consolidated Appropriation Act of 1997 and the Health Insurance Portability and Accountability Act of 1996. SMPs began as demonstration projects in 12 states. Currently, SMP grants are provided to all 50 states, District of Columbia, Guam, Puerto Rico, and the U.S. Virgin Islands. Na…
Funding
- SMPs are funded by the Health Care Fraud and Abuse Control (HCFAC) program for its antifraud activities. In 2019 funding for the SMP program totaled approximately $18 million. Approximately $15.6 million of the total funding available was distributed to the state SMP projects to help beneficiaries prevent, detect, and report Medicare fraud, errors, and abuse.
SMP Performance Outcomes
- Each year, the Office of the Inspector General (OIG) completes an annual performance report on the SMP projects. The 2020 OIG SMP Performance Report(link is external)documents the following outcomes for 2019 activities: 1. Community Outreach Events: In 2019, SMP projects reached 1.6 million people through 28,146 group outreach and education events....
Resources and Useful Links
- The Senior Medicare Patrol Resource Center(link is external)(SMP Resource Center) provides training and technical assistance to SMP grantees. The SMP Resource Center also provides key consumer services such as fraud alerts and maintains the SMP locator, which helps consumers find their local SMP program. Volunteer Risk and Program Management (VRPM) Policies: ACL h…