The New Old Age Blog: On the Alert for Fraud

Unlike some forms of elder abuse, financial exploitation leaves no visible scars. It is under-reported and hard to prosecute. Adding to the tangled dynamics, the abuser is frequently a family member, increasing the victim’s humiliation and denial.

Better by far to try to prevent financial abuse before it wipes out an older person’s assets and hopes for a secure retirement. Though this has proved easier in theory than in practice — most authorities believe financial exploitation and abuse is actually increasing — vigilance represents a crucial first step.

The National Center on Elder Abuse and the Eldercare Locator (the federal service that helps older adults and caregivers find local programs and agencies) have just published “Protect Your Pocketbook,” a brief consumer guide for families and their older relatives. It maps out risk factors, warning signals and prevention strategies and tells where to turn for help.

You can download it from the Web  or order it online through the Eldercare Locator Web site. Or you can call the Locator at 1-800-677-1116 and ask to have a copy mailed to you.

Holidays, when so many adult children head “home,” tend to spur campaigns of this sort: attempts to integrate potentially painful conversations and questions with feasts and gifts.

I have always wondered about the timing of these discussions — first the pies, then the questions about unexplained bank withdrawals and credit card bills? But it is true that our elders can sound dandy during weekly phone calls, then surprise us with their frailty and their struggles when we are there in person to witness them.

Financial abuse, which I have written about before (see scam prevention advice here, along with a sad story), is only part of the picture, but it is a vital issue.

Apart from the advice in the brochure, we would appreciate hearing from readers who have tackled this problem and can tell us what has worked and what hasn’t.


Paula Span is the author of “When the Time Comes: Families With Aging Parents Share Their Struggles and Solutions.”

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Public-private group wins bid for delinquent mortgages













A foreclosure consultation event


A homeowner with a delinquent mortgage speaks with a mortgage specialist at a JPMorgan Chase foreclosure consultation event in New York in 2011.
(Shannon Stapleton/Reuters File Photo / December 3, 2012)





















































A public-private partnership headed by the Illinois Housing Development Authority has emerged as one of the winning bidders in a September auction of delinquent mortgages held by the Federal Housing Administration.
 
Mortgage Resolution Fund will use $25 million of federal hardest-hit funds awarded to the state to buy 324 delinquent loans on Chicago-area properties. The loans, which were part of a neighborhood stabilization pool have an unpaid principal balance of about $62 million and the properties are valued at $40 million.
 
After the note sale closes, homeowners whose delinquent mortgages are part of the loan pool will be contacted by a new servicer in early 2013 that will offer to write down the principal balance of the loans and set up more affordable repayment terms to eligible homeowners. Those homeowners pay no cost to receive the loan modifications.
 
"We want to help as many borrowers as possible achieve long-term stability so they can stay in their homes without the fear of foreclosure," said Mary Kenney, executive director of the Illinois Housing Development Authority.
 
Separately, Florida-based Bayview Acquisitions LLC submitted a winning bid of about $70 million for 1,430 other Illinois loans in a neighborhood stabilization pool that had an unpaid principal balance of about $269 million and an estimated property value of $155 million. Another 299 delinquent Illinois mortgages were sold as part of other pools.
 
Nationally, the note sale involved about 9,400 distressed loans. Bids were submitted to U.S. Department of Housing and Urban Development in September.
 
HUD said plans to sell another 10,000 to 15,000 distressed loans during the first quarter of 2013, and at least 40,000 during the next year in an effort to remove distressed loans from its portfolio.
 
mepodmolik@tribune.com | Twitter @mepodmolik




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Orange Bowl bid, new coach cap wild weekend for NIU









It was an incredible weekend for the Northern Illinois football program.

A 44-37 double-overtime victory over Kent State in the Mid-American Conference championship game kicked off the exhilaration Friday night at Ford Field in Detroit. That was followed by the announcement on Saturday that Dave Doeren had accepted the coaching position at North Carolina State.

On Sunday came the historic news that the Huskies were bound for Miami on New Year's Day to face Florida State in the Orange Bowl, becoming the first team from the MAC to earn a berth in a BCS bowl game.

"We're 12-1," NIU quarterback Jordan Lynch told ESPN. "We faced tons of adversity this year. We won tons of games. … We definitely deserve to be in there."

Capping things off, the school announced Sunday night the head coaching vacancy had been filled by promoting offensive coordinator Rod Carey.

"It has been crazy; it has been nuts. That's the only way to explain it," said Carey, who agreed to a five-year contract. "But it has been good. All of that has been wonderful … and what a privilege for our kids to go to the Orange Bowl. They were so excited they could barely stand up."

While some college observers vehemently argued that NIU didn't belong in the game, Florida State coach Jimbo Fisher told reporters in Tallahassee that he had no such qualms.

"You don't get in this game unless you're a good football team," Fisher said. "It's easy for talking heads to say that (NIU doesn't belong). They've earned the right to be here, they've earned the right to have this opportunity.

"We know we're going to get an inspired opponent, an opponent that's going to be ready to prove something."

NIU now has its third coach in three years. Jerry Kill left after the 2010 season to take the head coaching job at Minnesota. Doeren was 23-4 in just two seasons on the DeKalb campus. NIU athletic director Jeff Compher is hoping for a smooth transition from Doeren to Carey.

"That's why they did what they did in such a short amount of time," Carey said. "Because I have been here and they want the transition to be as seamless as it can be.

"I don't have any reason today to sit here and say that I want to go somewhere else. Listen, I was born in Madison, Wisconsin, and I went to high school in Minneapolis, Minnesota. Joe Novak (former NIU head coach) was the defensive coordinator at Indiana when I played there. So my ties and my knowing about NIU have gone back a long time. And I have wanted to be at this place for a lot of different times in my career. And I finally got here and now this has happened. I don't know why I would want to go anywhere else."

It is not yet clear how many other members of the NIU coaching staff will join Doeren at N.C. State.

"It will be a challenge; I don't know how it will all play out," Carey said. "But I do know that this staff just won back-to-back MAC championships. And as far as I am concerned, it's the finest staff I've worked with. So I would love to coach with all of these guys for a long time."

This year, Carey helped mold an offensive line of five new starters that helped Lynch become one of the best dual-threat quarterbacks in the nation. Carey transitioned into the role of offensive coordinator after the first game of the season when Mike Dunbar had to step away from that role while battling a serious illness.

"Mike Dunbar is one of the most high-character people and unbelievable people I have ever been around," Carey said. I have learned more from that man … he and coach Doeren I have learned more from."

fmitchell@tribune.com

Twitter@kicker34



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Jackson’s ‘Bad’ jacket, costumes sold at auction












LOS ANGELES (AP) — Costumes worn by Michael Jackson commanded hundreds of thousands of dollars at auction, and Lady Gaga was among the collectors.


Gaga tweeted Sunday that she bought 55 pieces in the sale administered by Julien’s Auctions and said she plans to keep the items “archived and expertly cared for in the spirit and love of Michael Jackson, his bravery and fans worldwide.”












Auctioneer Darren Julien said the jacket Jackson wore during his “Bad” tour fetched $ 240,000. Two of Jackson’s crystal-encrusted gloves sold for more than $ 100,000 each, as did other jackets and performance costumes.


The auction featuring the collection of Jackson’s longtime costume designers Dennis Tompkins and Michael Bush raised more than $ 5 million. Some proceeds benefited Guide Dogs of America and Nathan Adelson Hospice of Las Vegas.


___


Online:


www.juliensauctions.com


Entertainment News Headlines – Yahoo! News


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Call That Kept Nursing Home Patients in Sandy’s Path


Chang W. Lee/The New York Times


Workers were shocked that nursing and adult homes in areas like Rockaway Park, Queens, weren’t evacuated.







Hurricane Sandy was swirling northward, four days before landfall, and at the Sea Crest Health Care Center, a nursing home overlooking the Coney Island Boardwalk in Brooklyn, workers were gathering medicines and other supplies as they prepared to evacuate.




Then the call came from health officials: Mayor Michael R. Bloomberg, acting on the advice of his aides and those of Gov. Andrew M. Cuomo, recommended that nursing homes and adult homes stay put. The 305 residents would ride out the storm.


The same advisory also took administrators by surprise at the Ocean Promenade nursing home, which faces the Atlantic Ocean in Queens. They canceled plans to move 105 residents to safety.


“No one gets why we weren’t evacuated,” said a worker there, Yisroel Tabi. “We wouldn’t have exposed ourselves to dealing with that situation.”


The recommendation that thousands of elderly, disabled and mentally ill residents remain in more than 40 nursing homes and adult homes in flood-prone areas of New York City had calamitous consequences.


At least 29 facilities in Queens and Brooklyn were severely flooded. Generators failed or were absent. Buildings were plunged into a cold, wet darkness, with no access to power, water, heat and food.


While no immediate deaths were reported, it took at least three days for the Fire Department, the National Guard and ambulance crews from around the country to rescue over 4,000 nursing home and 1,500 adult home residents. Without working elevators, many had to be carried down slippery stairwells.


“I was shocked,” said Greg Levow, who works for an ambulance service and helped rescue residents at Queens. “I couldn’t understand why they were there in the first place.”


Many sat for hours in ambulances and buses before being transported to safety through sand drifts and debris-filled floodwaters. They went to crowded shelters and nursing homes as far away as Albany, where for days, they often lacked medical charts and medications. Families struggled to locate relatives.


The decision not to empty the nursing homes and adult homes in the mandatory evacuation area was one of the most questionable by the authorities during Hurricane Sandy. And an investigation by The New York Times found that the impact was worsened by missteps that officials made in not ensuring that these facilities could protect residents.


They did not require that nursing homes maintain backup generators that could withstand flooding. They did not ensure that health care administrators could adequately communicate with government agencies during and after a storm. And they discounted the more severe of the early predictions about Hurricane Sandy’s surge.


The Times’s investigation was based on interviews with officials, health care administrators, doctors, nurses, ambulance medics, residents, family members and disaster experts. It included a review of internal State Health Department status reports. The findings revealed the striking vulnerability of the city’s nursing and adult homes.


On Sunday, Oct. 28, the day before Hurricane Sandy arrived, Mr. Bloomberg ordered a mandatory evacuation in Zone A, the low-lying neighborhoods of the city. But by that point, Mr. Bloomberg, relying on the advice of the city and state health commissioners, had already determined that people in nursing homes and adult homes should not leave, officials said.


The mayor’s recommendations that health care facilities not evacuate startled residents of Surf Manor adult home in Coney Island, said one of them, Norman Bloomfield. He recalled that another resident exclaimed, “What about us! Why’s he telling us to stay?”


The commissioners made the recommendation to Mr. Bloomberg and Mr. Cuomo because they said they believed that the inherent risks of transporting the residents outweighed the potential dangers from the storm.


In interviews, senior Bloomberg and Cuomo aides did not express regret for keeping the residents in place.


“I would defend all the decisions and the actions” by the health authorities involving the storm, said Linda I. Gibbs, a deputy mayor. “I feel like I’m describing something that was a remarkable, lifesaving event.”


Dr. Nirav R. Shah, the state health commissioner, who regulates nursing homes, said: “I’m not even thinking of second-guessing the decisions.”


Still, officials in New Jersey and in Nassau County adopted a different policy, evacuating nursing homes in coastal areas well before the storm.


Contradictory Forecasts


The city’s experience with Tropical Storm Irene last year weighed heavily on state and city health officials and contributed to their underestimating the impact of Hurricane Sandy, according to records and interviews.


Before Tropical Storm Irene, the officials ordered nursing homes and adult homes to evacuate. The storm caused relatively minor damage, but the evacuation led to millions of dollars in health care, transportation, housing and other costs, and took a toll on residents.


As a result, when Hurricane Sandy loomed, the officials were acutely aware that they could come under criticism if they ordered another evacuation that proved unnecessary.


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Heat is on Groupon's Andrew Mason









In June 2011, Groupon Inc. Chief Executive Andrew Mason took the stage at a conference hosted by influential technology blog AllThingsD.


When co-executive editor Kara Swisher asked him whether an initial public offering was coming soon, he shot her what she later dubbed his "death stare."


The audience laughed and broke into applause.





The tone was decidedly more subdued last week, when Mason found himself at another tech industry confab, fielding questions from Business Insider's Henry Blodget, this time about whether Groupon's directors were going to fire him at their meeting the next day. AllThingsD had reported a day earlier, citing anonymous sources, that Groupon's board of directors was considering replacing Mason with a more experienced CEO to lead the Chicago-based daily deal company's turnaround.


The contrast between those two appearances underscores the swift and dramatic tumble of Mason's standing in tech and business circles within a few years. The young founder and CEO graced the cover of Forbes in 2010 and was named Ernst & Young's National Entrepreneur of the Year in the "emerging" category a year later.


Those accolades are a far cry from the cloud hanging over Mason, 32, and the company he launched four years ago. The leak to AllThingsD appeared to be deliberately timed to embarrass the executive, forcing him to field questions about his own competence at a scheduled appearance. This public hint of internal strife has fueled speculation around Mason's fate even as other public tech companies, such as Facebook and social game-maker Zynga, have also seen their stock prices drop since their IPOs.


Groupon's board met Thursday and took no action on the CEO's job, with company spokesman Paul Taaffe saying the board and management were "working together with their heads down to achieve Groupon's objectives."


Markets, however, seemed unconvinced. Groupon's beleaguered stock closed slightly higher Thursday but dropped 8.7 percent to $4.14 Friday. Shares debuted at $20 in November 2011.


Investors "want experience in leadership," said Raman Chadha, a clinical professor at DePaul University and co-founder of the Junto Institute for Entrepreneurial Leadership, a training program for startup founders. "And as a result, where Andrew's background was cool and sexy — and maybe even bordering on amusing — when Groupon was a pure startup, that's in the mindset of those of us who are observers and supporters … and fellow entrepreneurs. I think in the minds of the investor community and Wall Street, (it's different) because now the company has a lot more to lose. And if it's going to fall, it's going to fall really hard and really far."


For Chadha, Mason's unconventional pedigree as a music major-turned-startup-founder was part of the appealing, media-friendly story of Groupon's origin. The company was launched as recession-weary consumers were eager for deals, and it achieved rapid growth while earning a reputation for antics like decorating a conference room in the style of a fictional, possibly deranged tenant of Groupon's headquarters who had lived there before the startup moved into the offices.


The scrutiny of Groupon was tremendous given the "high-flying" nature of the company, said David Larcker, a corporate governance expert at the Stanford Graduate School of Business.


"You have a founder as CEO," he said. "He's the public face of the company. He has set the culture. All of that stuff."


That culture, driven in large part by Mason, turned from a lovable quirk to a major liability as the company ran into controversy over its poorly received Super Bowl ads in February 2011 and a series of missteps in the run-up to its IPO. Then, within months of its public debut, it disclosed an accounting flaw that forced it to restate financial results.


The larger question surrounding Groupon is the long-term viability of its basic business model. The company has been expanding offerings beyond its core daily deals, which have seen growth rates tail off. It's also dealing with a recession in the key European market as well as continued competition in the U.S.


But the biggest challenge facing Mason now is probably his own performance, or rather the perception that he isn't up to the task of running the global, publicly traded business worth billions that he founded but that now needs a turnaround. The stock is down 80 percent from its IPO price.


"It's an oft-told, oft-expected story that the genius entrepreneur steps aside when he or she succeeds at building a company big enough to need an experienced CEO," said Erik Gordon, a business professor at the University of Michigan.


The example Gordon and others cite is Google, which flourished after its co-founders Larry Page and Sergey Brin made way for a more seasoned executive in Eric Schmidt.


"The Google guys did it, and the results were spectacular," Gordon said.


Chadha said many startups tend to become more corporate in outlook, and less quirky, as they grow, because they bring in experienced executives from large companies that may have difficulty adapting to an entrepreneurial culture or reject it outright as not professional enough.


"I think that's where Google is very different," Chadha said. "(The company) sought out entrepreneurial, startup types — people that became part of their management team." That free-form element of Google's culture comes out in such things as the Google doodles — the offbeat tributes to notable anniversaries or famous people that pop up on the main search page.


Mason has acknowledged areas where Groupon needs to improve and has hired senior executives with experience at more mature tech companies. That hasn't always worked either. Margo Georgiadis, who came from Google as chief operating officer, returned to that company after five months.


Whether there's still room for Mason on the top management team remains to be seen. He was direct in his interview last week with Blodget, offering a minimum of jokes as he focused on discussing the job he and others at Groupon must accomplish.


"I care far more about the success of the business than I care about my role as CEO," he said.


A year ago, when he spoke to author Frank Sennett for his book "Groupon's Biggest Deal Ever," Mason was unapologetic about his management style.


"You only live once, and all I'm doing is being myself," he told Sennett. "I think a normal CEO is trying to appear in some way that's not actually them. That's probably not what they're like."


In the same book, former President and Chief Operating Officer Rob Solomon offered this blunt assessment of his ex-boss: "Andrew at thirty-five and forty is going to hate Andrew at twenty-nine and thirty; I guarantee it."


Melissa Harris and Bloomberg News contributed.


wawong@tribune.com


Twitter @VelocityWong





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Kansas City Chiefs linebacker kills girlfriend, self

Chiefs Player Involved in Murder-Suicide (Posted Dec. 1st, 2012)









Minutes after fatally shooting his girlfriend Saturday morning in the home they shared, Kansas City Chiefs linebacker Jovan Belcher drove five miles to the team's practice facility and parked out front.

The 25-year-old player got out of his car, and, while holding a gun to his head, spoke briefly with Chiefs coach Romeo Crennel and General Manager Scott Pioli, who had come outside to meet him. He thanked them for the opportunity to play in the NFL.






When police arrived on the scene, Belcher turned, walked about 30 feet west toward an empty parking lot, pulled the trigger and took his life.

Around the same time, Belcher's girlfriend, Kasandra Perkins, 22, was being taken to the hospital. She died about 30 minutes after she was shot. The couple had a 3-month-old daughter who was in the house at the time of the shooting but was in another room. It was Belcher's mother, who had recently moved into the home from New York, who called police.

“Think about your worst nightmare and multiply it by five,” Kansas City Mayor Sly James told the Kansas City Star after meeting with Pioli at the stadium. “Put somebody you know and love into that situation, and give them a gun, and stand three feet away from them and watch them kill themselves … . It's unfathomable.”

The Chiefs, who play host today to the Carolina Panthers, had scheduled a team meeting for 9:30 a.m. — about 11/2 hours before Belcher pulled into the parking lot — so there were about 20 people at the facility when he shot himself.

“The entire Chiefs family is deeply saddened by [Saturday's] events, and our collective hearts are heavy with sympathy, thoughts and prayers for the families and friends affected by this unthinkable tragedy,” Chiefs owner Clark Hunt said in a statement released by the team.

The horrific murder-suicide reverberated through the NFL on what is typically a quiet day of preparation for games.

“He was a great kid, one of my favorites,” said former Chiefs coach Todd Haley, now offensive coordinator for the Pittsburgh Steelers. “He hugged me after the game when we played them a couple weeks ago and was bragging about his new daughter.

“ ... It's crazy. In season, nothing like has ever happened, nothing of this magnitude that I can remember.”

Belcher and Perkins reportedly had a tumultuous relationship and, police said, had been fighting in the hour leading up to the shooting. Perkins had been out late Friday night, attending a Trey Songz concert. Haley said Belcher and Perkins had met through another Chiefs player.

On her Facebook page, Perkins, who is from Dallas, posted several pictures of the couple and their daughter, including one of Belcher gently cradling the baby. That photo's caption reads “My loves.”

Another picture features Belcher leaping over a player to get to Arizona's quarterback and is captioned “In LOVE with SUPERMAN.”

Among the “likes” on Belcher's Facebook page was one for “Male Athletes Against Violence,” a project founded at his alma mater, the University of Maine, aimed at raising awareness about the problem of male violence against women.

Belcher grew up in Long Island, N.Y., and was an outstanding wrestler. Maine was the only school that offered him a football scholarship. From there, he made the improbable rise from undrafted free agent in 2009 to starting inside linebacker for Kansas City.

“Coming from a small high school, a small college, you're looked down upon like you can't do some of the things that other kids are doing who went to bigger schools,” Belcher told the Star in 1999. “In my position, I've always been the underdog.”

He was second on the team with 87 tackles last season, and had 38 in 11 games for the 1-10 Chiefs this season.

“I am devastated and heartbroken,” Chiefs offensive lineman Jeff Allen wrote on Twitter. “I'm sending prayers out to everyone involved. Always show love and never be afraid to talk.”



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Judge who named Starr to probe Clinton to retire












WASHINGTON (Reuters) – The conservative U.S. federal judge who helped to appoint Kenneth Starr as an independent counsel to investigate President Bill Clinton, prompting first lady Hillary Clinton to complain of a “vast right-wing conspiracy,” is planning a partial retirement in February.


The decision by Judge David Sentelle, an anchor of the conservative side of the federal judiciary, will open a fourth vacancy on a Washington, D.C., appeals court considered second in influence to the U.S. Supreme Court.












His semi-retirement, known as “senior status,” was disclosed on a judiciary website that monitors future vacancies.


President Barack Obama has faced difficulty persuading the Senate to confirm his nominees for the 11-judge U.S. Court of Appeals for the District of Columbia Circuit, which hears many cases arising from federal agencies.


Sentelle, who turns 70 next year, was a federal prosecutor and judge in North Carolina before President Ronald Reagan appointed him to the appeals court in 1987.


He was chief of a three-judge panel that in 1994 appointed Starr – a former appeals court judge – as the one to investigate President Bill Clinton over a real estate investment and other matters.


Starr’s investigation widened to include Clinton’s relationship with White House intern Monica Lewinsky, and led to Clinton’s impeachment by the House of Representatives.


Without mentioning Sentelle’s name, Hillary Clinton noted the judge’s ties to Republican senators in a 1998 national television interview in which she spoke about a conspiracy against her husband.


Starr released a statement calling her comments “nonsense.”


Known for direct, colorful questions to lawyers, Sentelle wrote a book, “Judge Dave and the Rainbow People,” based on his handling of a court case involving a gathering of hippies in the North Carolina mountains.


He did not immediately return a call to his chambers on Friday.


(Reporting by David Ingram; Editing by Howard Goller and David Storey)


Celebrity News Headlines – Yahoo! News


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Opinion: A Health Insurance Detective Story





I’VE had a long career as a business journalist, beginning at Forbes and including eight years as the editor of Money, a personal finance magazine. But I’ve never faced a more confounding reporting challenge than the one I’m engaged in now: What will I pay next year for the pill that controls my blood cancer?




After making more than 70 phone calls to 16 organizations over the past few weeks, I’m still not totally sure what I will owe for my Revlimid, a derivative of thalidomide that is keeping my multiple myeloma in check. The drug is extremely expensive — about $11,000 retail for a four-week supply, $132,000 a year, $524 a pill. Time Warner, my former employer, has covered me for years under its Supplementary Medicare Program, a plan for retirees that included a special Writers Guild benefit capping my out-of-pocket prescription costs at $1,000 a year. That out-of-pocket limit is scheduled to expire on Jan. 1. So what will my Revlimid cost me next year?


The answers I got ranged from $20 a month to $17,000 a year. One of the first people I phoned said that no matter what I heard, I wouldn’t know the cost until I filed a claim in January. Seventy phone calls later, that may still be the most reliable thing anyone has told me.


Like around 47 million other Medicare beneficiaries, I have until this Friday, Dec. 7, when open enrollment ends, to choose my 2013 Medicare coverage, either through traditional Medicare or a private insurer, as well as my drug coverage — or I will risk all sorts of complications and potential late penalties.


But if a seasoned personal-finance journalist can’t get a straight answer to a simple question, what chance do most people have of picking the right health insurance option?


A study published in the journal Health Affairs in October estimated that a mere 5.2 percent of Medicare Part D beneficiaries chose the cheapest coverage that met their needs. All in all, consumers appear to be wasting roughly $11 billion a year on their Part D coverage, partly, I think, because they don’t get reliable answers to straightforward questions.


Here’s a snapshot of my surreal experience:


NOV. 7 A packet from Time Warner informs me that the company’s new 2013 Retiree Health Care Plan has “no out-of-pocket limit on your expenses.” But Erin, the person who answers at the company’s Benefits Service Center, tells me that the new plan will have “no practical effect” on me. What about the $1,000-a-year cap on drug costs? Is that really being eliminated? “Yes,” she says, “there’s no limit on out-of-pocket expenses in 2013.” I tell her I think that could have a major effect on me.


Next I talk to David at CVS/Caremark, Time Warner’s new drug insurance provider. He thinks my out-of-pocket cost for Revlimid next year will be $6,900. He says, “I know I’m scaring you.”


I call back Erin at Time Warner. She mentions something about $10,000 and says she’ll get an estimate for me in two business days.


NOV. 8 I phone Medicare. Jay says that if I switch to Medicare’s Part D prescription coverage, with a new provider, Revlimid’s cost will drive me into Medicare’s “catastrophic coverage.” I’d pay $2,819 the first month, and 5 percent of the cost of the drug thereafter — $563 a month or maybe $561. Anyway, roughly $9,000 for the year. Jay says AARP’s Part D plan may be a good option.


NOV. 9 Erin at Time Warner tells me that the company’s policy bundles United Healthcare medical coverage with CVS/Caremark’s drug coverage. I can’t accept the medical plan and cherry-pick prescription coverage elsewhere. It’s take it or leave it. Then she puts CVS’s Michele on the line to get me a Revlimid quote. Michele says Time Warner hasn’t transferred my insurance information. She can’t give me a quote without it. Erin says she will not call me with an update. I’ll have to call her.


My oncologist’s assistant steers me to Celgene, Revlimid’s manufacturer. Jennifer in “patient support” says premium assistance grants can cut the cost of Revlimid to $20 or $30 a month. She says, “You’re going to be O.K.” If my income is low enough to qualify for assistance.


NOV. 12 I try CVS again. Christine says my insurance records still have not been transferred, but she thinks my Revlimid might cost $17,000 a year.


Adriana at Medicare warns me that AARP and other Part D providers will require “prior authorization” to cover my Revlimid, so it’s probably best to stick with Time Warner no matter what the cost.


But Brooke at AARP insists that I don’t need prior authorization for my Revlimid, and so does her supervisor Brian — until he spots a footnote. Then he assures me that it will be easy to get prior authorization. All I need is a doctor’s note. My out-of-pocket cost for 2013: roughly $7,000.


NOV. 13 Linda at CVS says her company still doesn’t have my file, but from what she can see about Time Warner’s insurance plans my cost will be $60 a month — $720 for the year.


CVS assigns my case to Rebecca. She says she’s “sure all will be fine.” Well, “pretty sure.” She’s excited. She’s been with the company only a few months. This will be her first quote.


NOV. 14 Giddens at Time Warner puts in an “emergency update request” to get my files transferred to CVS.


Frank Lalli is an editorial consultant on retirement issues and a former senior executive editor at Time Warner’s Time Inc.



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After a billion, what next for Facebook?









MENLO PARK — In just eight years, Facebook signed up more than half the world's Internet population.


Now it's going after the rest.


Facebook wants to reach every single person on the Internet whether they are logging on from a laptop in Santa Monica, an iPhone in Tokyo or a low-tech phone with a tiny screen in Nairobi.





It's parachuting into market after market to take on homegrown social networks by currying favor with the locals and venturing where many people have spotty — if any — access to the Internet.


In Japan, it lets users list their blood types, which the Japanese believe — like astrological signs in the Western world — give insight into personality and temperament. In Africa, Facebook markets a stripped-down, text-only version of its service that works on low-tech mobile phones.


International growth is crucial to maintain its dominance as the world's largest social network. The company's scorching pace of growth has cooled especially in the United States. Facebook must coax users to sign up — and make sure it remains popular with the users it already has — or risk being knocked from its lofty perch.


"We're not a company that is just trying to add more people," said Chris Cox, Facebook's vice president of product. "What we are trying to do is build a service that everyone in the world can use."


But overseas growth that once seemed to come so easily is slower now. Facebook has already saturated most major markets around the globe. Eight out of 10 Facebook users are outside of the U.S.


"I don't think that Facebook has a chance of attracting another billion users," Wedbush Securities analyst Michael Pachter said.


Inside Facebook's Menlo Park, Calif., headquarters is a small army out to prove naysayers wrong. Above their desks they have hung flags from around the world that represent their nationalities. They obsessively scan screens that track user growth around the world.


They cheered and popped open champagne in September when the number of active Facebook users crossed 1 billion. But the moment of jubilation quickly passed as they redoubled their efforts to spread Facebook around the globe.


Naomi Gleit is the soft-spoken, headstrong 29-year-old product manager in charge of growth at Facebook. She says Facebook's future is on mobile devices, the medium by which most people will experience the Web in coming years. Facebook now works on more than 2,500 different phones, helping it gain a foothold in emerging markets. And it is forging relationships with mobile phone operators around the world.


Gleit's 150-member team has boots on the ground in far-flung places armed with low-tech phones and cheap data plans. Even team members here carry Nokia phones alongside their iPhones to update their status or check their News Feed.


"We originally built a product for ourselves," Gleit said. "This is different. Now we need to understand the experience of users who are not like us."


Analysts say Facebook already has established an impressive track record of uprooting entrenched competitors. In Britain, it displaced the dominant social network Bebo, forcing AOL to sell it at a huge loss. In Germany, Facebook overtook the homegrown StudiVZ. Facebook even broke Google social network Orkut's stranglehold on Brazil and India.


In 2009, it launched a clever tool to help Facebook users find their Orkut friends on Facebook and instantly send them friend requests. Two years later it swiped Google's top executive in Latin America, Alexandre Hohagen. Facebook sprinted ahead of Orkut one year ago, and now has 61 million active users in Latin America's largest country.


Facebook is treating India as a test lab for how it can spread in other emerging markets such as Indonesia. Facebook, which has offices in Hyderabad, India, has grown from 8 million users in 2010 to 65 million users today. It is aggressively targeting India's youth. A few hundred young Indian programmers recently jammed a Facebook hackathon at a Bangalore convention center to chug chai and brainstorm new apps that would appeal to their friends.


But Facebook has its eyes on a much bigger prize beyond the country's 100 million Internet users: the 900 million-plus Indians on mobile phones. Some analysts predict India will have more Facebook users than any other country including the United States by 2015.


The company also faces significant challenges in India. It must make the service captivating on low-tech mobile phones with unreliable Internet connections and it must gingerly navigate demands from the Indian government to remove objectionable content without alienating users.


Facebook is making some of its biggest moves in Russia, South Korea and Japan, the only major markets where it operates but has penetration of less than 50%, according to research firm ComScore.





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