I had to figure out what I was going to do as I was hurting too bad to keep going. I was out on the road last week and I had some peanut brittle. I bit down on it and one of my wisdom teeth cracked. It was really painful as the nerve was exposed. Only thing I could do was to find a dentist in Monterey who would see me on short notice. It was a good thing I am tight with the secretary, because she was able to figure out what to do for me and found a guy who was able to see me. In fact they probably came in early to see me. I went up there at 7 AM in the morning and they let me in the place before they were really open. Read more
To improve care coordination, lower costs and upgrade patient experiences, say hospitals. To raise costs, gain pricing power and steer patient referrals, say skeptics.
Researchers at Stanford University tested those opposing arguments by comparing referral patterns between independent doctors and those working for hospitals.
Ownership by a hospital “dramatically increases” odds that a doctor will admit patients there instead of another, nearby hospital, they found. Worse, from the viewpoint of reformers, it boosts chances that patients will go to higher-cost, lower-quality hospitals.
“One of the things that was most surprising to me about the paper was the quality and cost effect,” said economist Laurence Baker, one of the authors.
While not as pronounced as doctors’ hospital referral pattern, the findings that hospital-physician ownership hurts care quality “head in the direction that might make us concerned,” he said.
The findings were published in August by the National Bureau of Economic Research.
The report is not the final word. More research is needed, the authors say. The 2009 Medicare data they used don’t reflect substantial quality improvements made in many hospitals since then,
Medicare is going in multiple directions at once. On the one hand, it is trying hard to move away from fee-for-service payments to doctors, where each tiny service has its own code and its own payment, and instead, toward more bundled payment or even payment of a fixed amount per person per month to accountable care organizations. On the other hand, the government just proposed, in response to pressure from organized physicians, a new code and a new doctor payment in traditional Medicare for end-of-life counseling. Somewhat oddly, Medicare will currently pay for such a session, as soon as you go on Medicare, but (thankfully, perhaps) few 65-year-olds are expecting an end to their life anytime soon. And so the benefit often goes begging. The new rules would allow you to claim the benefit anytime you feel you need it.
Payment for such advice revives the debate during the passage of the Affordable Care Act about so-called “death panels,” and predictably, lawyers have been weighing in with fears that counseling can turn into pressure to avoid costly care, a benefit to Medicare and the taxpayers, but not
If you’re just reaching Medicare age, you might be surprised to find out that traditional Medicare doesn’t cover prescription drugs. As drug costs rose, Congress created a Medicare drug insurance program, called Medicare Part D, which went into effect in 2006.
To take advantage of that program, offered by private insurers, Medicare beneficiaries have to choose a drug plan every year, unless they have a Medicare Advantage plan that includes drug coverage or are covered through a former employer.
Plans vary by state, but most Americans have more than 25 plans to choose from, each offering different premiums, alliances with certain pharmacies and varying coverage amounts for the same drugs. That makes choosing the best plan for a particular individual a challenge.
“There are a lot of plans offered for every individual to pick from. It is complicated,” says Jack Hoadley, a research professor at Georgetown University’s Health Policy Institute. “The differences among plans can be hard to sort out. For those who aren’t Web-savvy, it’s even harder.”
Plans for 2016 will be revealed Oct. 1 on the Medicare.gov website, and participants
Opor ayam is a special dish original to Java Island, Indonesia. The dish is similar to chicken curry. What makes opor ayam and chicken curry different is the thickness of the taste. Opor ayam has a lighter taste than chicken curry. The dish is used as a daily dish but a must-have dish in Eid ul-Fitr. Opor ayam is served with chili fried potato. The dish is usually served with “lontong”, “yellow rice” and “rice”. Here is the opor ayam recipe.
– 1 chicken, cut in 8 pieces
– 1 stalk of lemon grass
– 3 lime leaves
– 2 salam leaves
– 500 ml coconut milk
– 500 ml chicken broth
– 1 tbsp. of lemon juice
– 2 tsp. of salt or as needed
– 1 tsp. of sugar
– 1 tbsp. of cooking oil
Ingredients for Spice Paste:
– 4 cloves of crushed garlic
– 1 tsp. of coriander powder
– 7 shallots
– 1 tsp. of coriander powder
– 4 roasted candlenuts
– ½ tsp. of pepper powder
– ½ tsp. of cumin powder
– ½ tbsp. of shredded ginger
– 1 tbsp. of fresh galangal
After going through the practical medical training courses, you will be able to earn somewhat near to $32,000, in less than few months. Sounds interesting, isn’t it? For that, you need to enroll your name for medical assistant certification courses, and some other practical training sources.
From where can you get training programs?
Even though, various schools and educational institutions claim to offer their clients with training programs, you will receive the best from accredited institutions. These institutions have their names registered with the accredited associations and BLS, and experts only provide the courses.
What are the topics mentioned in medical assistant program?
Through medical assistant practical programs, aspiring will get valid information on everything related to medical assistant. Even if you are a fresher in this field, the information will remain the same for all. There are special advanced courses, meant for the experienced workers.
Are there any program tuitions available?
Tuition for the medical assistant programsvaries upon the learning option you are planning to choose. You will receive both online program and enhanced program to provide students with best learning techniques. Enhanced programs comprise of additional supplements and major tools.
What will you receive from online training programs?
Just like in enhanced program, online
Supplement options are specifically developed to work in harmony with your original Medicare plan. However, bear in mind that this is not for everyone. For some, it might even be a waste of your hard earned money. Supplement plans beef up the original Medicare and extend its coverage. There are 12 options to choose from. Each plan acts like the original Medicare plan. These extensions focus more on the original plan’s options than others but they all cover the same basic services. All supplement plans are offered in all 50 states, but not all supplement plans are sold by every insurance provider. Be sure to check the coverage as some companies will only sell a few select Medigap plans.
The fact is,the older you are, the more you will need to have a supplement plan. At this stage in your life, you may find that you don’t need one. For example, if you need to see the doctor once in a blue moon for check-ups and other preventive care, then medicare plans might actually be working against you. This is also true if you have Medicare Part A and Part B. You are required to pay a premium on Medicare part
What Is a Medical Billing Service?
Whenever a patient, who is covered by some kind of health/medical insurance cover, goes to a doctor, hospital, nursing home or any other health care provider, his bills are forwarded to the insurance company for payment. Usually Insurers try to find ways by which they can minimize or not pay the claims. The medical billing services provider will be the responsible for processing these transactions and they have the expertise to ensure that bills which are submitted to the insurer conform to their requirements so that the health care provider gets paid quickly.
How do these services operate?
The health care provider is specialized in imparting health and medical expertise, but does not have the expertise to deal with insurance companies. The high operating costs of health care services, difficulty in getting insurance claims reimbursed, as well as recovering due payments from patients and other sources makes it imperative in the present scenario to hire professional medical billing services. Such companies use advanced billing hardware and software and comprise of accountants, and professionals with expertise in the area of billing, medical coding and other coding techniques. This ensures that bills and claims are submitted in the required
Hectic modern lifestyle is the main cause of many lifestyle disorders like anxiety and stress. Most of these health issues have temporary solutions, as pills can only give short-term relief. You cannot leave everything and shift to countryside for getting relief from stress and anxiety and those expensive counselling sessions and medications can rip apart your whole budget. This is certainly not how you should spend your hard earned money. In case, you are tired of eating those pills and attending counseling sessions then you can try some natural treatments. Natural treatments like aromatherapy can offer significant relief within few days and even scientistific studies have approved the effectiveness of aromatherapy. So, if you are suffering from lifestyle disorders like anxiety and stress then do try aromatherapy.
Aromatherapy has been used for healing many types of disorders, for a long time. In early times, this therapy was popular and people of almost every culture across the globe used aromatherapy for medicinal purpose. However, as new medicinal inventions came into existence, allopathic medicines became more popular and people forgot about these highly effectual natural treatments. These natural treatments are not just effective but are also safe, as they do not have any
Since ancient times, mankind has been using nature as a source to cure various diseases and illness. Even Ramayana , Indian ancient epic ,has a chapter where “Sanjivani herb” is mentioned as a life saving medicine to cure Laxmana, younger brother of Lord Rama.. Ayurveda is an ancient practice of health improvement and care. It is based on the concept of achieving a balance in our body by considering three aspects – diet, treatments using natural herbs and yoga practices. There are numerous practices which are being followed for the well-being of humans all across the globe, but Ayurveda is considered to be amongst the best. As only natural ingredients are used in treatment, it does not have any side effects.
Though there are numerous benefits of Ayurvedic medicines, a few are listed below:
Today’s lifestyle has led to many life threatening diseases. One of serious ailment is Diabetes. It can lead to heart attacks, brain strokes, damage to the eyes and even failure of kidneys. In a nutshell, almost all critical body organs are badly affected. A balanced diet, regular exercise and proper use of Ayurvedic medicines can help control and even prevent it to a large extent.
Remedies for Skin
In Southern California, traffic often restricts a day’s deliveries to about a dozen. Here to you easy buy doctor recommended treatment medical marijuana California is best services in California.
California has always been an active state when it came to Medical Marijuana California or any other drug related study and action. This is why California is considered as one of the best states in United States in terms of drug management. To deal with cases related to marijuana, Medical Marijuana California program was established a few years ago in California.
MMP or the Medical Marijuana Program was launched specifically so that the state California can manage the addicted people in a better way. They decided that they should create an identification card for medical marijuana. They decided to call this card MMIC or medical marijuana identification card. The cards used to help in updating the database so that the law agencies along with the normal public can easily identify people who are medical marijuana California certified. The verification website is still available and people in California still use the site for many reasons.
How can you apply for a medical marijuana California card? This is tricky because the MMIC will always identify the
The foods you eat can make a big difference as well. Try including foods from the following list to help fight fall allergy symptoms.
If you are suffering from fall allergies, ragweed is probably the culprit. According to WebMD, “three out of four people who are allergic to pollen are allergic to ragweed.” There are 17 different varieties of this allergen that grow in North America and cause a wide range of symptoms from coughing, sneezing and congestion to itchy eyes, postnasal drip and even asthma attacks. The problem is that one ragweed plant can produce a mind-boggling one billion grains of pollen. These pollen grains have been found as far as two miles high in the atmosphere and hundreds of miles out to sea. The good news is while ragweed is pretty much unavoidable; there is plenty you can do to help mitigate the plant’s effects. For instance when at home, keep windows shut and run the air conditioner. This will help lower humidity which will in turn lower the growth of mold, which can aggravate allergy symptoms. Using a HEPA filter is also helpful. When coming in from being outside, wash your face and hands, and change into fresh
There is an urgent need for better and more accessible snakebite treatments in Africa, which cause thousands of deaths each year, researchers argue.
Recently, the antivenom manufacturer Sanofi-Pasteur made headlines when it said it would stop producing the snakebite treatment. But even before this announcement, experts note that the product didn’t reach many of the people bitten by snakes in Africa, said David Williams, head of the Australian Venom Research Unit at the University of Melbourne, writing in the editorial. “The reality is that for the vast majority of Africa’s snakebite victims, the loss of Sanofi’s antivenom will mean little, if anything at all,” Williams wrote.
The antivenom was too expensive, and the company made only enough to meet the needs of a small number of bite victims in Africa, he said.
Between 900,000 and 1.5 million people in sub-Saharan Africa are bitten by snakes each year, according to the estimates of a study published in 2011 in the journal Toxicon. Researchers estimate that up to 25,000 people in the region die from snakebites per year.
“Most people are unaware that snakebite is a very real and serious threat both to the health and economic vitality of rural communities throughout much of the developing world,”
Medicare, together with Medicaid, has fundamentally reshaped the American landscape by expanding access to lifesaving health care services, reducing poverty and advancing health equity. So it is appropriate that the new Centers for Medicare and Medicaid Services Equity Plan for Improving Quality in Medicare celebrates Medicare’s 50th birthday by bringing these goals together in a road map for how Medicare can continue to improve its ability to provide high-quality health care for those with the greatest needs, including racial and ethnic minorities, people with disabilities, rural populations and LGBT individuals.
Before Medicare, growing older meant balancing on the knife’s edge of poverty for millions of Americans. Among people older than 65, more than a third lived in poverty, and less than half had health insurance coverage, leaving them exposed to catastrophic health care costs. Since Medicare’s inception, the number of older adults who are uninsured and who are living in poverty has plummeted: By 2014, more than 98 percent of people over age 65 had health insurance, the vast majority through Medicare, and the percentage of seniors living in poverty had dropped by more than two-thirds.
Medicare provides coverage for everyone over age 65, regardless of factors such as income, health status or
Last year, Shelly Stroud of Charlotte, North Carolina, 61, was on her way to developing Type 2 diabetes, the disease that puts her father, brother and 29 million other Americans at higher risk of heart attack, stroke, blindness, amputation and kidney failure. “I was overweight – obese – and was considering weight-loss surgery,” she says. So when Carolinas HealthCare System offered a free diabetes risk assessment at her local YMCA and other places in the community, she was one of 53,000 area residents who jumped at the chance – and one of nearly 7,700 who got a big wake-up call.
Stroud found out that she was indeed prediabetic and immediately signed up for a 16-week course offered by Carolinas that included exercise at the Y, classes on healthy eating and lifestyle change, and coaching to help break entrenched habits. “This program helped save my life and changed my life,” says Stroud, who dropped 45 pounds by this past spring and lowered her blood sugar to normal levels.
Welcome to the future of hospital care, where the point, increasingly, is to prevent people from getting sick in the first place. “We’re moving quickly to a world where most care, and the ability to
Close to 1 million Americans signed up for coverage under the Affordable Care Act, also called Obamacare, after the open enrollment period ended earlier this year, U.S. health officials reported.
The new customers signed up with the federal health insurance exchange after they became eligible due to changes in their circumstances, such as losing work-provided coverage or having a baby, according to a Thursday statement from the U.S. Centers for Medicare and Medicaid Services (CMS).
With these new sign-ups, it’s likely that the federal government will meet its target of 9 million to 10 million people who have paid for coverage through insurance exchanges by the end of the year.
“So far this year, nearly 950,000 people have gained the peace of mind that comes with access to coverage by taking advantage of a special enrollment period, providing us with further evidence that the Health Insurance Marketplace is working for America’s families,” Kevin Counihan, CEO of HealthCare.gov, the federally run health insurance exchange, said in the statement.
“We want people to know that if they lose a job, get married, have a baby, or experience other life changes, we’re here to help them find coverage they can afford,” Counihan added.
The new enrollees include people
Personalized blood sugar self-monitoring benefits people with type 2 diabetes even if they’re not taking insulin, a new small study shows.
Some experts have questioned the value of self-monitoring in this group, and many insurers — including Medicare — limit the reimbursement of blood sugar (glucose) testing strips to one a day for people with type 2 diabetes.
This study included 11 people with type 2 diabetes who worked with the researchers to create personalized, structured self-monitoring blood glucose schedules. In most cases, self-monitoring twice a day was the most helpful in providing meaningful information about blood sugar levels.
However, there was room for individualization based on a patient’s type of lifestyle and needs. For example, a patient might check their blood sugar twice a day three days a week instead of once a day seven days a week, according to the study authors.
People were taught to react to their blood sugar levels readings in a number of ways, such as eating less or going for a walk.
The 11 patients in the study lowered their A1C levels — a test that measures average blood sugar levels for the past few months — from an average of 7.3 percent to 6.2 percent. The usual
Once again, the majority of the nation’s hospitals are being penalized by Medicare for having patients frequently return within a month of discharge – this time losing a combined $420 million, government records show.
In the fourth year of federal readmission penalties, 2,592 hospitals will receive lower payments for every Medicare patient that stays in the hospital – readmitted or not – starting in October. The Hospital Readmissions Reduction Program, created by the Affordable Care Act, was designed to make hospitals pay closer attention to what happens to their patients after they get discharged.
Since the fines began, national readmission rates have dropped, but roughly one of every five Medicare patients sent to the hospital ends up returning within a month.
Some hospitals view the punishments as unfair because they can lose money even if they had fewer readmissions than they did in previous years. All but 209 of the hospitals penalized in this round were also punished last year, a Kaiser Health News analysis of the records found.
The fines are based on readmissions between July 2011 and June 2014 and include Medicare patients who were originally hospitalized for one of five conditions: heart attack, heart failure, pneumonia, chronic lung problems or elective
Earlier this year, the Department of Health and Human Services announced the goals of tying 30% of Medicare payments to alternative payment models by the end of 2016 and 50% by the end of 2018.1 That move was reinforced by the Medicare Access and CHIP Reauthorization Act of 2015, which replaced the sustainable growth rate formula for calculating physician payments with a Merit-based Incentive Payment System (MIPS) that consolidates and incorporates key components of the Physician Quality Reporting System, the Physician Value-Based Payment Modifier, and the Medicare Electronic Health Records Incentive program for eligible professionals. The MIPS will adjust payment rates on the basis of physicians’ performance on quality measures, resource use, clinical practice improvement activities, and meaningful use of electronic health records.2 Eligible professionals participating in eligible alternative payment models could receive a 5% lump-sum incentive payment each year from 2019 through 2024. If they meet program criteria, accountable care organizations (ACOs) could thus be central to Medicare’s strategy for delivery-system reform.
Over the past 5 years, the Centers for Medicare and Medicaid Services (CMS) has gained experience in designing and implementing Medicare ACO initiatives. Both the number of
Over the past 5 years, the Centers for Medicare and
I promised myself I would not write about Donald Trump, even with the full Republican scrum scheduled for this week. Others can write about how the melding of politics, news and entertainment is now complete. Instead, this is the “no Trump” column. What does that mean? Pure data. No big hair, no bombastic or offensive statements, no quibbling about anyone’s net worth.
Instead, I’ve compiled some raw numbers that demand attention. In fact, one could design a decent Republican or Democratic debate just by having candidates comment on these statistics. These are numbers I have come across in my writing and teaching that really should not be ignored. None has an obvious policy solution, but each screams out for some kind of action, or at least acknowledgement. I’m going to avoid editorial comment (to the extent I can help myself). The whole point of the “no Trump” approach is to let the facts speak for themselves.
Here we go:
The recidivism rate for state prisoners is roughly two-thirds within three years of release and three-quarters within five years. (Data for federal prisoners are broadly similar.) In other words, over three-quarters of former prisoners are rearrested within five years of getting out of prison.