Hi again from Elaine Steward! Following, is my most recent list of things which seem to be of general interest to us retirees. If you find a really interesting site, please email suggestions to me at esslady@gmail.com.
To see whether you can save money by switching your 2010 Medicare Part D plan, once open enrollment begins on 15 November, go to www.cvs.com/medicare for a helpful calculator.
On the same note, go to doughnuthole.aarp.org for AARP’s doughnut hole calculator. It’s kind of hard to enter drugs and dosages, but I recommend that one persevere in order to assess alternatives to entering the doughnut hole.
If any of you had a 2009 Minimum Required Distribution generated automatically, you may qualify to reverse it. For instructions, go to: personal.fidelity.com.
Visit AARP’s Health Care Reform update on AARP.org and learn about the latest news on reform, as well as helpful tools to keep you in the loop.
1) From California Healthline – www.californiahealthline.org
"Some in California's High-Risk Groups May Not Get Swine Flu Vaccine Until 2010" (Hennessy-Fiske, Los Angeles Times, 11/6).
Non-Native English Speakers Face Numerous Linguistic, Cultural Barriers to Medical Care Mary Masland of UC-Berkeley, Rachel Mutrux of the Missouri Telehealth Network, Margaret O'Kane of NCQA and Gayle Tang of Kaiser Permanente discussed intercultural communication challenges with California Healthline.
Report: Nursing Home Abuse Cases Might Be Going Underreported A recent report finds that California's nursing home ombudsman program has filed fewer complaints since state budget cuts took effect last year. The report's authors warn that this could indicate that some elder abuse cases are going unreported. AP/Riverside Press-Enterprise.
Insurance Premiums on the Rise in San Joaquin Valley, Across California Experts say health insurance premiums in San Joaquin Valley are 10% to 15% higher than last year, compared with an average nationwide increase of 5%. Officials note that California tends to have higher premiums and health care costs than the rest of the country. Fresno Bee.
Budget Picture Looks Grim in California as Revenue Misses Mark California's budget deficit likely will swell to $7 billion this year as state tax revenue is coming in below estimates used in the July budget package. Recent court rulings blocking state funding cuts to social services and health care programs also are coming into play. New York Times.
What Will New Timely Access Rules Mean for California? After seven years of haggling over details and crafting regulations, California is about to become the first state to mandate how quickly HMO members see a doctor.
Schwarzenegger Urges Congress To Pay for Medicaid Expansions
[On 27 October], Gov. Schwarzenegger sent Congress a letter expressing his support for a so-called "individual mandate" that would require all residents to have health coverage. Schwarzenegger also said California would need to shell out an additional $1 billion per year unless Congress fully funds the Medicaid expansions included in health care reform legislation. Sacramento Bee, Wall Street Journal.
Cost of Long-Term Care Up, Market Survey Finds. The cost of long-term care increased on average over the past year despite the current economic recession, according to a recent market survey by the MetLife Mature Market Institute. The average annual cost of private nursing homes in the U.S. rose 3.3% to $79,935, or $86,140 annually throughout much of California. The cost of assisted-living homes also increased 3.3% to an average of $37,572 annually, or $40,944 annually in Sacramento. In addition, the cost of home health aides and adult day care services in California rose 5% and 4.7%, respectively.
Recent Injunction Blocking In-Home Care Cuts Highlights Impact of Reducing Safety-Net Care On 19 Oct, a federal judge issued a temporary restraining order to prevent California from cutting services for participants in the state's In-Home Supportive Services program.
Analysis Takes Closer Look at Policy for Cancer Screenings An analysis in [the 21 Oct] Journal of the American Medical Association questions the payoff of increased screening for breast and prostate cancer, asserting that the screenings have not significantly reduced death rates from the diseases. The article comes as the American Cancer Society reportedly is preparing a statement for its Web site indicating that increased screenings could result in overtreatment of small cancers while missing more life-threatening forms of the disease.
New State Law Calls for Nursing Homes To Post CMS Five-Star Ratings California nursing homes will need to publicly post their scores from CMS' Five-Star Quality Rating System by Jan. 1, 2011, under a law Gov. Schwarzenegger signed earlier this week. Health care industry groups have been critical of CMS' rating system. HealthLeaders Media.
2) From iHealthBeat - www.ihealthbeat.org
Telemedicine: Good Innovation Hampered by Outdated Policies by Protima Advani Hospitals' investment in telemedicine technology can increase access to care, improve patient outcomes, and reduce unnecessary emergency department visits and readmissions. However, financial constraints, the lack of reimbursement and legal concerns stand in the way of hospitals embracing such technology.
Privacy, Security Laws Impede Health Data Sharing, Experts Say At a forum last week, health IT experts said the requirements of the Federal Information Security Management Act and HIPAA privacy rules make it challenging for federal agencies and private-sector health providers to share electronic health information. Government Health IT.
WebMD Founder To Launch New Web-Based Health Information Tool WebMD founder Jeff Arnold has partnered with Mehmet Oz, a cardiac surgeon and talk show host, to create a new Web site, called Sharecare. The site will offer a variety of answers to consumers' medical questions and will provide social networking opportunities. Atlanta Journal-Constitution.
California's Selection of Health Data Exchange Group Imminent The California eHealth Collaborative and the California Regional Health Information Organization both are vying to serve as the state-designated entity charged with using federal stimulus funding to create a statewide health information exchange in California. Healthcare IT News.
Work Group Gathers Input on Health Data Exchange Standards
[On 29 Oct], the Health IT Standards Committee's implementation work group heard from health care industry leaders about the challenges of establishing common standards for health data exchange. Some participants called for the federal government to create a standard communication interface for the exchange of clinical data. Federal Computer Week, Health Data Management.
Latest Reform Bill Would Revise HIPAA Standards, Track Medical Devices
The House health care reform bill released yesterday includes a provision that would establish national standards for electronic HIPAA transactions. The bill also would require FDA to create a unique identification system for medical devices. Health Data Management et al.
ONC Wants To Survey Consumers on Health Information Sharing
A notice in yesterday's Federal Register proposes surveying about 2,500 Americans about their opinions on health information exchange. The Office of the National Coordinator for Health IT plans to release a report and hold a Web seminar on the findings. Health Data Management, Government Health IT.
Programs Offering Online Consultations With Doctors Pick Up Steam
Proponents of online physician visits say the technology can increase efficiency, reduce costs and improve patients' access to health care. A recent survey by PricewaterhouseCoopers found that half of U.S. residents are interested in using the Internet to receive health care. U.S. News & World Report.
Experts: Health Care Reform Should Do More To Boost Telemedicine
Health care experts are pushing for Congress to implement policy changes that facilitate telemedicine adoption. Experts say that telemedicine can help reduce costs and increase efficiency but that reimbursement issues are hindering adoption of the technology. Scripps Howard News Service.
Blumenthal: Savings From Health IT To Exceed CBO's Estimates
National Coordinator for Health IT David Blumenthal said he expects the savings realized from health IT adoption to "far exceed" the Congressional Budget Office's projection of about $12 billion over 10 years, an estimate some analysts have thought is too high. Blumenthal reiterated President Obama's goal of providing all Americans with an electronic health record by 2014. MIT Technology Review.
3) From My Medicare Matters – www.mymedicarecommunity.org
My Medicare Matters offers Webinars (live on-line training) for those who are Medicare advocates. If you are interested in being notified of training sessions, please contact me at esslady@gmail.com.
By 15 November, the Centers for Medicare and Medicaid Services (CMS) will have launched the plan finders for 2010 Part D and Medicare Advantage plans, making plan comparisons easier.
CMS announced that the Part B premium for 2010 is increasing to $110.50. This is the first time in the history of Medicare that the Part B premium will be above $100 a month. The good news however, at least for the majority of your Medicare clients, is that they are held harmless from this increase and will continue to pay a monthly premium of $96.40 in 2010 for their Part B.
Who Is Excused From Paying the Increased Part B Premium?
So who continues to pay $96.40 for Part B in 2010? Anyone Approximately 73 percent of people with Medicare have their Part B premium automatically deducted from their monthly Social Security benefit. They will continue to pay the $76.40 (sic - $96.40) premium monthly through deduction from their Social Security benefit, for their Part B.
Who will need to pay $110.50 for their Part B in 2010 – Four Categories of People with Medicare
New to Medicare in 2010
First, people new to Medicare, because, obviously, they6 did not have their Part B premium deducted from their December 2009 Social Security benefit. CMS projects that around 3 percent of people with Medicare in 2010 will be new to the benefit and accordingly have to pay a $110.50 monthly Part B premium.
People Paying a Income-Related Part B Premium Now
Next, people already paying a higher income-adjusted Part B premium because their income tax returns show their income is higher than $85,000 for a single individual, or $170,000 for a married couple filing a joint tax return. This amounts to about 5 percent of people with Medicare.
People Who Are Billed for Their Part B Premium
The next group is larger and less well-off economically. This group consists of people whose Part B premiums are not automatically deducted from their Social Security monthly benefit. People in this category may not have worked long enough under the Social Security system to qualify for a Social Security benefit. They get a bill from Social Security and pay their Part B premium directly. Approximately 19 percent of people with Medicare fall into this category.
People Whose Part B Premium is Paid by a Medicare Savings Program (MSP)
And the last group consists of those people with both Medicare and a Medicare Savings Program. Your state Medicaid program pays the Part B premium for all of those in your state who have Medicare and one of the MSP programs. Your state Medicaid program will have to pay the increased Part B premium in 2010 on behalf of all MSP clients in your state.
In some states the Part B premium is paid by Medicaid for groups of people with Medicare and Medicaid, in addition to those with a Medicare Savings Program. In these states, the state Medicaid program will also pay the $110.50 Part B premium on behalf of those additional categories of people with both Medicare and Medicaid.
Around 17 percent of people with Medicare also have an MSP or for other reasons their state Medicaid program pays their Part B premium.
Medigap Changes
All Medicare Supplemental (Medigap) policies sold or renewed by or after July 1, 2010 must comply with the following rules.
Standardized Policies Changing - No More Policies E, H, I, J
As of July 1, 2010, the standardized Medigap plans that can be sold will be different. Certain Medigap plans, E, H, I and J, will no longer be sold. Those who currently own one of these plans may be allowed to keep their policy, however if they do they may find that over time their premium might rise precipitously, so they should explore their options and consider buying different plans that will continue to be sold after July 1, 2010. They have a right to switch to a new Medigap policy.
4) From The New York Times Health Update – nytdirect@nytimes.com
You may need an advocate when undergoing medical treatment. For more, see www.nytimes.com.
Dementia has a physical, as well as a mental, component. For more, see www.nytimes.com/.
Monday, November 9, 2009
Sunday, October 4, 2009
From the Web by Elaine Steward #9
Hi again from Elaine Steward! Following, is my most recent list of things which seem to be of general interest to us retirees. If you find a really interesting site, please email suggestions to me at esslady@gmail.com
For information about caring for an aging parent, read When the Time Comes: Families with Aging Parents Share Their Struggles and Solutions (Springboard Press, 2009), by Paula Span. For a Q&A with the author, see http://www.bu.edu/bostonia/summer09/parents-keeper/index.shtml#expert-answers
TIAA-CREF has established a social networking site (facebook, and My Space are examples of social networking sites) for retirees. If you are interested, go to http://myretirement.org/n/login/login.aspx?webtag=tiaacref_reg and set up an account.
To see whether you can save money by switching your 2010 Medicare Part D plan, when open enrollment begins on 15 November 2009 go to www.cvs.com/medicare for a helpful calculator
1) From AARP – http://bulletin.aarp.org
To determine whether the CDC believes you are at risk for the H1N1 flu, go to http://bulletin.aarp.org/yourhealth/diseases/articles/america_braces_for_a_double_and_early_flu_season_.1.html?cmp=NLC-WBLTR-CTRL-9409-F1
For links to some travel groups which specialize in singles travel, go to http://www.aarp.org/community/groups/singletravelers?cmp=NLC-WBLTR-CTRL-82809-COMMt
For information on home design features to help seniors stay at home longer, go to http://www.aarp.org/families/home_design/
2) From Aging in Stride – www.aginginstride.org
For 10 ways to improve driving skills and extend safe driving capability, go to http://enews.aginginstride.org/pub.48/issue.1178/article.4876/
3) From California Healthline – http://www.californiahealthline.org/
Insurers Drop Out of Medicare Advantage, Citing New U.S. Rules
CMS officials said about 667,000 Medicare beneficiaries could be affected by many insurers' decisions to end their private fee-for-service Medicare Advantage plans when new federal rules take effect in 2011. The rules require insurers to establish provider networks. Wall Street Journal, CQ HealthBeat.
White House Reported To Be Preparing Reform Plan as a Backup Option
Insiders say the Obama administration is working on a health care reform proposal that could serve as a last-minute alternative if current legislative efforts stall. Meanwhile, the administration is fending off criticism of its agreements with health care industry groups. Roll Call, NPR's "Morning Edition."
Bill To Freeze Medicare Part B Premiums Sails Through House Vote
Only 18 members of the House of Representatives voted against a bill that would freeze premiums for Medicare Part B, which covers physician services. Without the legislation, about 11 million beneficiaries will see higher premiums in 2010. CQ Today et al.
Medicare Funding a Key Issue in Second Day of Finance Panel's Markup
Members of the Senate Finance Committee faced off over proposed changes to Medicare that would reduce payments to hospitals, nursing homes and other health care providers, as well as Medicare Advantage plans. Washington Post et al.
Census Data Find Wide Gaps in Insurance Coverage in California
[On 21 Sept] the U.S. Census Bureau released a new report finding that some regions of California have some of the highest uninsured rates in the nation, while other regions have some of the lowest. Overall, about 17.8% of California residents lack insurance coverage, compared with a national average of 15%. Experts say the data align with earlier studies. San Jose Mercury News et al.
Calif. Officials Launch Upgraded Prescription Drug Tracking System
[On 15 Sept] Attorney General Jerry Brown rolled out enhancements to an online database that helps physicians and pharmacists access a patient's prescription drug history. It is believed to be the largest prescription tracking system in the U.S. Los Angeles Times, Oakland Tribune.
Judge Halts Cuts to California's Adult Day Health Care Services
[The week of 7 September], U.S. District Judge Saundra Brown Armstrong ruled that reducing services in the state's adult day health care program could cause "irreparable and imminent" harm to participants. The state was scheduled to cut the program's services from five days per week to three. The suit is one of numerous legal challenges to recent state budget cuts. San Francisco Chronicle, Santa Cruz Sentinel.
4) From Carepages – www.carepages.com
The services offered by nursing homes, assisted living facilities, or hospice are all very different. Find out more about each one and the costs associated with them at http://cms.carepages.com/CarePages/en/ArticlesTips/HelpfulTips/nursing-homes-and-hospice-facilities.html
For information on how to write a will, go to http://cms.carepages.com/CarePages/en/ArticlesTips/HelpfulTips/how-to-write-a-will.html
For help with rebuilding one’s social life after losing a partner, go to http://cms.carepages.com/CarePages/en/ArticlesTips/FeatureArticles/Contributors/rebuilding-your-social-life-after-loss.html
For guidance on financial management during a health crisis, go to http://cms.carepages.com/CarePages/en/ArticlesTips/HelpfulTips/Financial-Management-During-a-Medical-Crisis.html
5) From iHealthBeat - http://www.ihealthbeat.org/
Report: Health Care Executives See Promise in EHR Data Mining
A PricewaterhouseCoopers report released yesterday finds that the majority of health care executives believe aggregated data from electronic health records will generate significant value during the next five years. The executives said EHR data mining could help them evaluate drug efficacy, identify health patterns and reduce medical errors. Health Data Management et al.
HHS Holds Keys to Next Generation of Health Information Privacy
by Deven McGraw and Harley Geiger - Stronger laws are not enough. Effective implementation -- including education, outreach and oversight -- will be needed to embed better privacy and security practices throughout the health care system as we move into the age of digital health records.
Economists Push for Use of Medicare Database To Evaluate Physicians
Economists say that using the Medicare database to evaluate physicians could help increase efficiency and reduce costs, but doctors have raised concerns about privacy and the accuracy of such data. NPR's "All Things Considered."
Health Data Breach Notification Rules To Take Effect [The Week of 21 September]
[On 23 Sept] HHS [was] scheduled to implement a rule requiring health care providers to alert patients of health data security breaches. On [24 Sept], the Federal Trade Commission [was] scheduled to implement a companion rule that will apply to personal health record vendors and other entities not covered under HIPAA privacy and security regulations. Federal Computer Week, HealthLeaders Media.
U.S. Trails Other Countries in Health IT Progress, Study Finds
A new study by the Information Technology and Innovation Foundation finds that the U.S. is far behind international best practices in health IT adoption. Researchers say the U.S. should look to countries such as Denmark, Finland and Sweden for health IT strategies. Government Technology.
Tech Firms Eye Reform Plan's Insurance Exchange Provision
The technology industry supports the inclusion of incentives for Web-based insurance exchanges in Senate Finance Committee Chair Max Baucus' health reform proposal. The provision calls for creating state-based portals to help direct consumers and small business to all individual health coverage plans available in their area. CongressDaily.
Study: Electronic Drug Interaction Alerts Can Improve Patient Safety
Although health care providers override more than 90% of electronic medication interaction alerts, such notices help prevent adverse drug events and reduce the costs of outpatient care, according to a recent study. HealthDay News/Modern Medicine, Archives of Internal Medicine.
6) From My Medicare Matters – http://www.mymedicarevommunity.org/
My Medicare Matters offers Webinars (live on-line training) for those who are Medicare advocates. If you are interested in being notified of training sessions, please contact me at esslady@gmail.com
By [the week of 12 October], the Centers for Medicare and Medicaid Services (CMS) will have launched the plan finders for 2010 Part D and Medicare Advantage plans, making plan comparisons easier
Medicare Coverage for the Flu Vaccines
This year there are two vaccines. The regular flu vaccine is already available and Medicare coverage remains the same as always. This vaccine is covered by Part B and [people] who have Part B should not be charged any deductible amount nor any co-payment.
In addition, the H1N1 flu vaccine is expected to be ready by [October]. The H1N1 vaccine is given in the form of two shots. Some … Medicare clients will be in the priority groups to receive this vaccine first, including those with suppressed immune systems. This vaccine is given to providers free of charge and Medicare will pay providers an administrative fee for giving the shots. Since the H1N1 vaccine is a preventive service, just like the regular flu shot, [people with Medicare Part B coverage] should not be charged for the H1N1 vaccine. Providers are not allowed to charge for either the Medicare Part B deductible nor for any co-payment.
7) From NCOA – www.ncoa.org
Vice President Joe Biden and Health & Human Services (HHS) Secretary Kathleen Sebelius [have] released a new report… — Health Insurance Reform and Medicare: Making Medicare Stronger for America's Seniors. The report answers key questions about President Obama's health reform plan, such as:
• How will reducing subsidies to Medicare Advantage plans affect me?
• How will health insurance reform make my care more affordable?
• Will health insurance reform actually improve my care?
• Will I have a choice of doctor?
• Will Medicare be there for me in the future?
To see what they said, go to http://www.healthreform.gov/reports/medicare/index.html
[On 17 November] qualified healthcare professionals at community venues nationwide offer free, confidential memory screenings, education about memory screenings and successful aging, and follow-up resources. To find a site in your area, go to http://www.nationalmemoryscreening.org/ (Sponsored by the Alzheimer’s Foundation)
8) From The New York Times Health Update – nytdirect@nytimes.com
With Soap and Water or Sanitizer, a Cleaning That Can Stave Off the Flu
A host of recent studies finds that hand-to-face contact has a surprising impact on health.
If you are confused about whether or not to treat a diagnosis of osteopenia, go to http://well.blogs.nytimes.com/2009/09/07/the-confusing-diagnosis-of-osteopenia/?nl=health&emc=healthupdateemb1
A Basis Is Seen for Some Health Plan Fears Among the Elderly The concerns of many older Americans as they look at the health overhaul bills in Congress focus on the savings intended to come from Medicare.
Making Sense of the Health Care Debate
Prescriptions, a new blog from The New York Times, tracks the health care debate as it unfolds. Check out the continuous health care coverage as well as frequently asked questions and a comparison of proposals now in Congress.
Prevention: Diet and Exercise Lower Alzheimer’s Risk
A Mediterranean-style diet along with regular activity reduced the risk of Alzheimer’s disease.
For 11 health myths which may surprise you, go to http://well.blogs.nytimes.com/2009/06/29/11-health-myths-that-may-surprise-you/?nl=health&emc=b1
For information about caring for an aging parent, read When the Time Comes: Families with Aging Parents Share Their Struggles and Solutions (Springboard Press, 2009), by Paula Span. For a Q&A with the author, see http://www.bu.edu/bostonia/summer09/parents-keeper/index.shtml#expert-answers
TIAA-CREF has established a social networking site (facebook, and My Space are examples of social networking sites) for retirees. If you are interested, go to http://myretirement.org/n/login/login.aspx?webtag=tiaacref_reg and set up an account.
To see whether you can save money by switching your 2010 Medicare Part D plan, when open enrollment begins on 15 November 2009 go to www.cvs.com/medicare for a helpful calculator
1) From AARP – http://bulletin.aarp.org
To determine whether the CDC believes you are at risk for the H1N1 flu, go to http://bulletin.aarp.org/yourhealth/diseases/articles/america_braces_for_a_double_and_early_flu_season_.1.html?cmp=NLC-WBLTR-CTRL-9409-F1
For links to some travel groups which specialize in singles travel, go to http://www.aarp.org/community/groups/singletravelers?cmp=NLC-WBLTR-CTRL-82809-COMMt
For information on home design features to help seniors stay at home longer, go to http://www.aarp.org/families/home_design/
2) From Aging in Stride – www.aginginstride.org
For 10 ways to improve driving skills and extend safe driving capability, go to http://enews.aginginstride.org/pub.48/issue.1178/article.4876/
3) From California Healthline – http://www.californiahealthline.org/
Insurers Drop Out of Medicare Advantage, Citing New U.S. Rules
CMS officials said about 667,000 Medicare beneficiaries could be affected by many insurers' decisions to end their private fee-for-service Medicare Advantage plans when new federal rules take effect in 2011. The rules require insurers to establish provider networks. Wall Street Journal, CQ HealthBeat.
White House Reported To Be Preparing Reform Plan as a Backup Option
Insiders say the Obama administration is working on a health care reform proposal that could serve as a last-minute alternative if current legislative efforts stall. Meanwhile, the administration is fending off criticism of its agreements with health care industry groups. Roll Call, NPR's "Morning Edition."
Bill To Freeze Medicare Part B Premiums Sails Through House Vote
Only 18 members of the House of Representatives voted against a bill that would freeze premiums for Medicare Part B, which covers physician services. Without the legislation, about 11 million beneficiaries will see higher premiums in 2010. CQ Today et al.
Medicare Funding a Key Issue in Second Day of Finance Panel's Markup
Members of the Senate Finance Committee faced off over proposed changes to Medicare that would reduce payments to hospitals, nursing homes and other health care providers, as well as Medicare Advantage plans. Washington Post et al.
Census Data Find Wide Gaps in Insurance Coverage in California
[On 21 Sept] the U.S. Census Bureau released a new report finding that some regions of California have some of the highest uninsured rates in the nation, while other regions have some of the lowest. Overall, about 17.8% of California residents lack insurance coverage, compared with a national average of 15%. Experts say the data align with earlier studies. San Jose Mercury News et al.
Calif. Officials Launch Upgraded Prescription Drug Tracking System
[On 15 Sept] Attorney General Jerry Brown rolled out enhancements to an online database that helps physicians and pharmacists access a patient's prescription drug history. It is believed to be the largest prescription tracking system in the U.S. Los Angeles Times, Oakland Tribune.
Judge Halts Cuts to California's Adult Day Health Care Services
[The week of 7 September], U.S. District Judge Saundra Brown Armstrong ruled that reducing services in the state's adult day health care program could cause "irreparable and imminent" harm to participants. The state was scheduled to cut the program's services from five days per week to three. The suit is one of numerous legal challenges to recent state budget cuts. San Francisco Chronicle, Santa Cruz Sentinel.
4) From Carepages – www.carepages.com
The services offered by nursing homes, assisted living facilities, or hospice are all very different. Find out more about each one and the costs associated with them at http://cms.carepages.com/CarePages/en/ArticlesTips/HelpfulTips/nursing-homes-and-hospice-facilities.html
For information on how to write a will, go to http://cms.carepages.com/CarePages/en/ArticlesTips/HelpfulTips/how-to-write-a-will.html
For help with rebuilding one’s social life after losing a partner, go to http://cms.carepages.com/CarePages/en/ArticlesTips/FeatureArticles/Contributors/rebuilding-your-social-life-after-loss.html
For guidance on financial management during a health crisis, go to http://cms.carepages.com/CarePages/en/ArticlesTips/HelpfulTips/Financial-Management-During-a-Medical-Crisis.html
5) From iHealthBeat - http://www.ihealthbeat.org/
Report: Health Care Executives See Promise in EHR Data Mining
A PricewaterhouseCoopers report released yesterday finds that the majority of health care executives believe aggregated data from electronic health records will generate significant value during the next five years. The executives said EHR data mining could help them evaluate drug efficacy, identify health patterns and reduce medical errors. Health Data Management et al.
HHS Holds Keys to Next Generation of Health Information Privacy
by Deven McGraw and Harley Geiger - Stronger laws are not enough. Effective implementation -- including education, outreach and oversight -- will be needed to embed better privacy and security practices throughout the health care system as we move into the age of digital health records.
Economists Push for Use of Medicare Database To Evaluate Physicians
Economists say that using the Medicare database to evaluate physicians could help increase efficiency and reduce costs, but doctors have raised concerns about privacy and the accuracy of such data. NPR's "All Things Considered."
Health Data Breach Notification Rules To Take Effect [The Week of 21 September]
[On 23 Sept] HHS [was] scheduled to implement a rule requiring health care providers to alert patients of health data security breaches. On [24 Sept], the Federal Trade Commission [was] scheduled to implement a companion rule that will apply to personal health record vendors and other entities not covered under HIPAA privacy and security regulations. Federal Computer Week, HealthLeaders Media.
U.S. Trails Other Countries in Health IT Progress, Study Finds
A new study by the Information Technology and Innovation Foundation finds that the U.S. is far behind international best practices in health IT adoption. Researchers say the U.S. should look to countries such as Denmark, Finland and Sweden for health IT strategies. Government Technology.
Tech Firms Eye Reform Plan's Insurance Exchange Provision
The technology industry supports the inclusion of incentives for Web-based insurance exchanges in Senate Finance Committee Chair Max Baucus' health reform proposal. The provision calls for creating state-based portals to help direct consumers and small business to all individual health coverage plans available in their area. CongressDaily.
Study: Electronic Drug Interaction Alerts Can Improve Patient Safety
Although health care providers override more than 90% of electronic medication interaction alerts, such notices help prevent adverse drug events and reduce the costs of outpatient care, according to a recent study. HealthDay News/Modern Medicine, Archives of Internal Medicine.
6) From My Medicare Matters – http://www.mymedicarevommunity.org/
My Medicare Matters offers Webinars (live on-line training) for those who are Medicare advocates. If you are interested in being notified of training sessions, please contact me at esslady@gmail.com
By [the week of 12 October], the Centers for Medicare and Medicaid Services (CMS) will have launched the plan finders for 2010 Part D and Medicare Advantage plans, making plan comparisons easier
Medicare Coverage for the Flu Vaccines
This year there are two vaccines. The regular flu vaccine is already available and Medicare coverage remains the same as always. This vaccine is covered by Part B and [people] who have Part B should not be charged any deductible amount nor any co-payment.
In addition, the H1N1 flu vaccine is expected to be ready by [October]. The H1N1 vaccine is given in the form of two shots. Some … Medicare clients will be in the priority groups to receive this vaccine first, including those with suppressed immune systems. This vaccine is given to providers free of charge and Medicare will pay providers an administrative fee for giving the shots. Since the H1N1 vaccine is a preventive service, just like the regular flu shot, [people with Medicare Part B coverage] should not be charged for the H1N1 vaccine. Providers are not allowed to charge for either the Medicare Part B deductible nor for any co-payment.
7) From NCOA – www.ncoa.org
Vice President Joe Biden and Health & Human Services (HHS) Secretary Kathleen Sebelius [have] released a new report… — Health Insurance Reform and Medicare: Making Medicare Stronger for America's Seniors. The report answers key questions about President Obama's health reform plan, such as:
• How will reducing subsidies to Medicare Advantage plans affect me?
• How will health insurance reform make my care more affordable?
• Will health insurance reform actually improve my care?
• Will I have a choice of doctor?
• Will Medicare be there for me in the future?
To see what they said, go to http://www.healthreform.gov/reports/medicare/index.html
[On 17 November] qualified healthcare professionals at community venues nationwide offer free, confidential memory screenings, education about memory screenings and successful aging, and follow-up resources. To find a site in your area, go to http://www.nationalmemoryscreening.org/ (Sponsored by the Alzheimer’s Foundation)
8) From The New York Times Health Update – nytdirect@nytimes.com
With Soap and Water or Sanitizer, a Cleaning That Can Stave Off the Flu
A host of recent studies finds that hand-to-face contact has a surprising impact on health.
If you are confused about whether or not to treat a diagnosis of osteopenia, go to http://well.blogs.nytimes.com/2009/09/07/the-confusing-diagnosis-of-osteopenia/?nl=health&emc=healthupdateemb1
A Basis Is Seen for Some Health Plan Fears Among the Elderly The concerns of many older Americans as they look at the health overhaul bills in Congress focus on the savings intended to come from Medicare.
Making Sense of the Health Care Debate
Prescriptions, a new blog from The New York Times, tracks the health care debate as it unfolds. Check out the continuous health care coverage as well as frequently asked questions and a comparison of proposals now in Congress.
Prevention: Diet and Exercise Lower Alzheimer’s Risk
A Mediterranean-style diet along with regular activity reduced the risk of Alzheimer’s disease.
For 11 health myths which may surprise you, go to http://well.blogs.nytimes.com/2009/06/29/11-health-myths-that-may-surprise-you/?nl=health&emc=b1
Wednesday, September 2, 2009
From the Web *Special* by Elaine Steward
All members of the USC community are urged to join the Dean’s Council on Health Reform, which will provide guidance to the Dean’s Office in the selection of speakers, the content of this Web site, and recommendations for other relevant educational and research activities. Membership in the Council is open to all members of the Keck School faculty, medical and graduate students, residents and fellows in USC training programs, and staff, as well as alumni and others interested in these issues. The Council will meet approximately once a month, particularly at the beginning of the academic year. To join, go to http://www.healthreform.usc.edu/who-can-join
Monday, August 10, 2009
From the Web by Elaine Steward #8
Hi again from Elaine Steward! No, I haven't disappeared — I just took a vacation for the month of July. Following are some more things which seem to be of general interest to us retirees. Please e-mail suggestions to me at esslady@gmail.com.
AARP has developed a "doughnut hole calculator," another tool to be used when selecting your Medicare Part D Policy. Go to doughnuthole.aarp.org. AARP's Doughnut Hole Calculator is powered by DestinationRx as part of a special arrangement between AARP and The Centers for Medicare and Medicaid (CMS).
For a Web site that deals with long-term care, go to www.ltcmonth.com. The site was established:
(1) to provide up-to-date, unbiased, objective information and perspective on the many aspects of long term care planning, and;
(2) by providing on the site a directory of associations and businesses who can help at a local level.
To find discount generic drug programs in your area, go to medtipster.com.
For free specialized telephones for Californians with hearing, speech, cognitive, mobility, or vision disabilities, go to www.ddtp.org or call 800.806.1191 or (TTY) 800.806.4474.
For a free copy of the forms needed to build a notebook filled with all of the information anyone might need to know about you (in cases of emergency, other people need this information and often no one knows how to get it), e-mail me at esslady@gmail.com.
If you run a balance on your credit card, beware of a change to variable rates! See www.smartmoney.com/personal-finance for more information.
1. From AARP – bulletin.aarp.org:
For "tax smart" ways to help out your kids financially, see bulletin.aarp.org/yourmoney/personalfinance.
To get the facts about health care reform, go to aarp.convio.net/site.
If you are a poet, join AARP's poetry club at www.aarp.org/community/groups/PoetryClub.
Studies have shown that walking in a natural environment is not only good for your body, it can help improve your memory. See bulletin.aarp.org/yourhealth.
For an on-line memoir writing group, go to www.aarp.org/community/groups/WritingMemoir.
2. From California Healthline – www.californiahealthline.org:
Recession, Budget Cuts Make Long-Term Care Difficult.
The economic recession and resulting state budget cuts have made it difficult for families to continue to provide long-term care for elderly relatives or sick children at home.
California Governor's Line-Item Vetoes Illegal, Legislative Counsel Concludes
The California Legislature's legal counsel asserted [5 August] that Governor Schwarzenegger overstepped his power when he used line-item vetoes to deepen funding cuts to health care services and other programs. Although the governor's office maintains that Schwarzenegger acted legally, groups affected by the funding reductions are expected to file legal action. Los Angeles Times et al.
White House Stands Up for Deal on Cost Savings With Rx Drug Industry
The Obama administration reassured the Pharmaceutical Research and Manufacturers of America that it would stick to a June agreement and not seek greater savings from the industry. House progressives who want more from the industry criticized the move. New York Times
Insurers' Chief Lobbyist Pushes Back Against Democrats' Criticism
Karen Ignagni, president and CEO of America's Health Insurance Plans, held a conference call [4 August], highlighting a number of areas where AHIP has reached agreements with lawmakers on health care reform efforts. Ignagni pledged to continue participating in negotiations. The Hill et al.
UC Schools To Receive $200M for Telemedicine, Other Building Projects
State officials closed a $199.9 million bond deal that will provide financing for telemedicine projects and other infrastructure improvements at eight University of California campuses. UC-Davis will receive $35 million for a new telemedicine center. KGTV News et al.
Elderly Californians Likely To Feel Impact of Health Program Cuts
The budget revision package signed [the week of 27 July] reduced funding for adult day health care and Alzheimer's disease programs. Advocates say the cuts could force Californians to send family members to nursing homes, thereby increasing state Medi-Cal spending. San Bernardino County Sun, Contra Costa Times.
CMS Announces Cuts for Skilled Nursing Facilities
[On 31 July,] CMS announced Medicare would lower payments to skilled nursing facilities by 1.1%, or $360 million, in fiscal year 2010. (Masterson, HealthLeaders Media, 8/3).
Californis Health Cuts Could Signify Challenges of National Reform California's inability to maintain previous funding levels for Healthy Families and Medi-Cal suggests that federal lawmakers could encounter difficulty in achieving sustainable national health care reform. Advocates say California's health care cuts could bring the state's population of uninsured children to two million, up from 1.1 million in 2007. Wall Street Journal et al.
For a discussion on what health care reform could mean to California, go to www.californiahealthline.org/Think-Tank.
House Democrats Float Idea of Trigger for Tax Hikes To Fund Reform
In an interview [20 July], House Majority Whip James Clyburn said House Democrats are considering a plan that would require surtaxes on upper-income Americans only if other provisions of the health care reform bill do not cover the cost of the legislation. CQ Today et al.
Oral Health Advocates Call for More Emphasis on Dental Coverage in Health Care Reform
The California Dental Association's Dean Chalios, Paul Glassman of the University of the Pacific, and Daphne Von Essen of the California Dental Hygienists' Association discussed oral health care with California Healthline.
3. From Carepages – www.carepages.com
This is a free patient websites for everyone coping with illness. Share your story. Meet others. Get support.
If you are a caregiver, be prepared for medical emergencies. For guidance, go to cms.carepages.com.
For help with dealing with the loss of a loved one, go to cms.carepages.com/CarePages.
4. From the Center for Healthy Aging – www.healthyagingprograms.org
For information on preventing fall injuries, go to www.ncpad.org/disability.
For the CDC report on improving and extending life among older Americans, go to www.cdc.gov/nccdphp.
5. From iHealthBeat - ihealthbeat.org:
Governors' Alliance Issues Guide for States on Health IT Adoption
The State Alliance for e-Health's new guide encourages states to prepare for federal health IT regulations by establishing offices and procedures related to health data exchanges. The alliance, which is part of the National Governors' Association, will meet Friday at its semi-annual conference to further discuss state-level health IT initiatives. AHA News, Healthcare IT News.
War Game Forecasts Future of Electronic Records
The future of electronic health records is filled with acquisitions, labor shortages, and a lot of untethered information, according to predictions from a new war game run by health care experts and played by teams of business school students from Columbia, Kellogg, MIT, and Wharton.
Use of NHIN Cuts Wait Time for Disability Applications
According to a new report from the Social Security Administration's Inspector General, disability applicants whose medical information was submitted through the Nationwide Health Information Network received approval and benefits faster than all other disability cases. Government Health IT
Senior Citizens Begin To Embrace Online Tools To Better Manage Their Own Health Care
Mark Beach of AARP, Elizabeth Boehm of Forrester Research, and Jan Oldenburg of Kaiser Permanente spoke with iHealthBeat about seniors' use of online health tools.
White House Taps Internet To Counter Health Reform Criticism
The Obama administration is using blog posts and online videos to rally support for health reform and respond to misinformation. Later [the week of 3 August], the White House plans to unveil a Web site dedicated to promoting health reform proposals. The online strategy echoes the Internet-based approach Obama used during his presidential campaign. Washington Post, AP/San Jose Mercury News
New Consumer Portal Scores Hospitals on Patient Satisfaction
Consumer Reports [August 4] unveiled a new Web site that allows users to search and compare hospitals according to patient satisfaction rankings. The site evaluates facilities for staff attentiveness, room cleanliness, pain control, and other measures. Raleigh News and Observer et al.
Health IT Push Could Threaten Health Data Security, Experts Say
Privacy advocates are raising concerns that the federal government's push for health IT adoption could make health information less secure and lead to an increase in health data breaches. The federal government has stressed the need for increased security for EHRs, but it has not yet proposed ways to better protect patients' health data. Wall Street Journal
Report: Europe Offers Guidance for Health IT Expansion in U.S.
A new report from CSC suggests that U.S. health IT efforts are following Europe's lead by setting clear objectives, gathering stakeholder input, and providing incentives for adoption. However, the report notes that the U.S. could face unique challenges because it does not have a government-run health system and has a lower EHR adoption rate than the European countries studied. BNET Healthcare
CMS PHR Pilot Program Sees Low Participation Among Arizona Seniors
Few Arizona seniors have signed up to participate in CMS's $2.5 million personal health record pilot program, according to officials. The lack of interest among Medicare beneficiaries is raising questions about whether federal officials should continue the program next year. Arizona Republic
CDC: Most States Using Electronic Disease Monitoring Systems
According to CDC's weekly status report, 40 states now have operational electronic disease surveillance systems. Of those states, 34 are using a combination of systems to conduct disease surveillance and report public health data to the federal government. Modern Healthcare
Health IT Plays Vital Role in Health Care Reform
Accelerating the deployment of health IT strategies is an essential cornerstone of the America's Health Insurance Plans' pledge to help bend the health care cost curve to make broad reform sustainable in the long run.
Survey: Number of Health Data Exchanges Up 40% Since 2008
Today, the eHealth Initiative released a report identifying 57 operational health data exchanges, up from 42 last year. The survey noted that 40 exchanges said their participation in a network helped generate cost savings. In addition, physicians said the exchanges helped boost efficiency and improve operations at their practices. Healthcare IT News, Health Data Management
Mobile Phones Could Store Electronic Health Records, Boost Personal Health Monitoring
Monique Levy of the health care advisory firm Manhattan Research and Shankar Sastry of the University of California-Berkeley spoke with iHealthBeat about how mobile phones can help promote personal health monitoring.
New CCHIT Recommendations Target Long-Term, Acute Care
A Certification Commission for Healthcare IT task force issued new recommendations covering electronic health record certification for long-term and post-acute care facilities. CCHIT said the group will begin developing the criteria later this month and could roll out EHR certification for skilled nursing facilities and home-based care in 2010. Health Data Management, Healthcare IT News.
6) From My Medicare Matters – www.mymedicarevommunity.org
My Medicare Matters offers Webinars (live on-line training) for those who are Medicare advocates. If you are interested in being notified of training sessions, please contact me at esslady@gmail.com.
By [the week of 12 October], the Centers for Medicare and Medicaid Services (CMS) will have launched the plan finders for 2010 Part D and Medicare Advantage plans, making plan comparisons easier. Beginning January 1, 2010, changes in the law will make it easier for some people to qualify for Extra Help with their Medicare prescription drug plan costs. If you would like a copy of the modification, please e-mail me at esslady@gmail.com.
For instructions on applying for the Part D Extra Help referenced above, e-mail me at esslady@gmail.com.
7) From The New York Times Health Update – nytdirect@nytimes.com:
For more help with understanding health care reform, go to www.nytimes.com/2009/08/10/health/policy.
For information on changes in cognitive function as a result of chemotherapy, go to www.nytimes.com/2009/08/04/health/.
For information on making one's home safer for seniors, go to www.nytimes.com/2009/07/18.
For a consumer checklist on purchasing a hearing aid, go to www.hearingloss.org/HLAAHearingAidChecklist.pdf.
There's an interesting article that goes with this checklist to be found at www.nytimes.com/2009/07/25/health.
For information on rights guaranteed to people by the FTC vis-à-vis funeral homes, go to www.ftc.gov/bcp.
Remaining socially active aids motor skills. See www.nytimes.com/2009/06/30/health.
AARP has developed a "doughnut hole calculator," another tool to be used when selecting your Medicare Part D Policy. Go to doughnuthole.aarp.org. AARP's Doughnut Hole Calculator is powered by DestinationRx as part of a special arrangement between AARP and The Centers for Medicare and Medicaid (CMS).
For a Web site that deals with long-term care, go to www.ltcmonth.com. The site was established:
(1) to provide up-to-date, unbiased, objective information and perspective on the many aspects of long term care planning, and;
(2) by providing on the site a directory of associations and businesses who can help at a local level.
To find discount generic drug programs in your area, go to medtipster.com.
For free specialized telephones for Californians with hearing, speech, cognitive, mobility, or vision disabilities, go to www.ddtp.org or call 800.806.1191 or (TTY) 800.806.4474.
For a free copy of the forms needed to build a notebook filled with all of the information anyone might need to know about you (in cases of emergency, other people need this information and often no one knows how to get it), e-mail me at esslady@gmail.com.
If you run a balance on your credit card, beware of a change to variable rates! See www.smartmoney.com/personal-finance for more information.
1. From AARP – bulletin.aarp.org:
For "tax smart" ways to help out your kids financially, see bulletin.aarp.org/yourmoney/personalfinance.
To get the facts about health care reform, go to aarp.convio.net/site.
If you are a poet, join AARP's poetry club at www.aarp.org/community/groups/PoetryClub.
Studies have shown that walking in a natural environment is not only good for your body, it can help improve your memory. See bulletin.aarp.org/yourhealth.
For an on-line memoir writing group, go to www.aarp.org/community/groups/WritingMemoir.
2. From California Healthline – www.californiahealthline.org:
Recession, Budget Cuts Make Long-Term Care Difficult.
The economic recession and resulting state budget cuts have made it difficult for families to continue to provide long-term care for elderly relatives or sick children at home.
California Governor's Line-Item Vetoes Illegal, Legislative Counsel Concludes
The California Legislature's legal counsel asserted [5 August] that Governor Schwarzenegger overstepped his power when he used line-item vetoes to deepen funding cuts to health care services and other programs. Although the governor's office maintains that Schwarzenegger acted legally, groups affected by the funding reductions are expected to file legal action. Los Angeles Times et al.
White House Stands Up for Deal on Cost Savings With Rx Drug Industry
The Obama administration reassured the Pharmaceutical Research and Manufacturers of America that it would stick to a June agreement and not seek greater savings from the industry. House progressives who want more from the industry criticized the move. New York Times
Insurers' Chief Lobbyist Pushes Back Against Democrats' Criticism
Karen Ignagni, president and CEO of America's Health Insurance Plans, held a conference call [4 August], highlighting a number of areas where AHIP has reached agreements with lawmakers on health care reform efforts. Ignagni pledged to continue participating in negotiations. The Hill et al.
UC Schools To Receive $200M for Telemedicine, Other Building Projects
State officials closed a $199.9 million bond deal that will provide financing for telemedicine projects and other infrastructure improvements at eight University of California campuses. UC-Davis will receive $35 million for a new telemedicine center. KGTV News et al.
Elderly Californians Likely To Feel Impact of Health Program Cuts
The budget revision package signed [the week of 27 July] reduced funding for adult day health care and Alzheimer's disease programs. Advocates say the cuts could force Californians to send family members to nursing homes, thereby increasing state Medi-Cal spending. San Bernardino County Sun, Contra Costa Times.
CMS Announces Cuts for Skilled Nursing Facilities
[On 31 July,] CMS announced Medicare would lower payments to skilled nursing facilities by 1.1%, or $360 million, in fiscal year 2010. (Masterson, HealthLeaders Media, 8/3).
Californis Health Cuts Could Signify Challenges of National Reform California's inability to maintain previous funding levels for Healthy Families and Medi-Cal suggests that federal lawmakers could encounter difficulty in achieving sustainable national health care reform. Advocates say California's health care cuts could bring the state's population of uninsured children to two million, up from 1.1 million in 2007. Wall Street Journal et al.
For a discussion on what health care reform could mean to California, go to www.californiahealthline.org/Think-Tank.
House Democrats Float Idea of Trigger for Tax Hikes To Fund Reform
In an interview [20 July], House Majority Whip James Clyburn said House Democrats are considering a plan that would require surtaxes on upper-income Americans only if other provisions of the health care reform bill do not cover the cost of the legislation. CQ Today et al.
Oral Health Advocates Call for More Emphasis on Dental Coverage in Health Care Reform
The California Dental Association's Dean Chalios, Paul Glassman of the University of the Pacific, and Daphne Von Essen of the California Dental Hygienists' Association discussed oral health care with California Healthline.
3. From Carepages – www.carepages.com
This is a free patient websites for everyone coping with illness. Share your story. Meet others. Get support.
If you are a caregiver, be prepared for medical emergencies. For guidance, go to cms.carepages.com.
For help with dealing with the loss of a loved one, go to cms.carepages.com/CarePages.
4. From the Center for Healthy Aging – www.healthyagingprograms.org
For information on preventing fall injuries, go to www.ncpad.org/disability.
For the CDC report on improving and extending life among older Americans, go to www.cdc.gov/nccdphp.
5. From iHealthBeat - ihealthbeat.org:
Governors' Alliance Issues Guide for States on Health IT Adoption
The State Alliance for e-Health's new guide encourages states to prepare for federal health IT regulations by establishing offices and procedures related to health data exchanges. The alliance, which is part of the National Governors' Association, will meet Friday at its semi-annual conference to further discuss state-level health IT initiatives. AHA News, Healthcare IT News.
War Game Forecasts Future of Electronic Records
The future of electronic health records is filled with acquisitions, labor shortages, and a lot of untethered information, according to predictions from a new war game run by health care experts and played by teams of business school students from Columbia, Kellogg, MIT, and Wharton.
Use of NHIN Cuts Wait Time for Disability Applications
According to a new report from the Social Security Administration's Inspector General, disability applicants whose medical information was submitted through the Nationwide Health Information Network received approval and benefits faster than all other disability cases. Government Health IT
Senior Citizens Begin To Embrace Online Tools To Better Manage Their Own Health Care
Mark Beach of AARP, Elizabeth Boehm of Forrester Research, and Jan Oldenburg of Kaiser Permanente spoke with iHealthBeat about seniors' use of online health tools.
White House Taps Internet To Counter Health Reform Criticism
The Obama administration is using blog posts and online videos to rally support for health reform and respond to misinformation. Later [the week of 3 August], the White House plans to unveil a Web site dedicated to promoting health reform proposals. The online strategy echoes the Internet-based approach Obama used during his presidential campaign. Washington Post, AP/San Jose Mercury News
New Consumer Portal Scores Hospitals on Patient Satisfaction
Consumer Reports [August 4] unveiled a new Web site that allows users to search and compare hospitals according to patient satisfaction rankings. The site evaluates facilities for staff attentiveness, room cleanliness, pain control, and other measures. Raleigh News and Observer et al.
Health IT Push Could Threaten Health Data Security, Experts Say
Privacy advocates are raising concerns that the federal government's push for health IT adoption could make health information less secure and lead to an increase in health data breaches. The federal government has stressed the need for increased security for EHRs, but it has not yet proposed ways to better protect patients' health data. Wall Street Journal
Report: Europe Offers Guidance for Health IT Expansion in U.S.
A new report from CSC suggests that U.S. health IT efforts are following Europe's lead by setting clear objectives, gathering stakeholder input, and providing incentives for adoption. However, the report notes that the U.S. could face unique challenges because it does not have a government-run health system and has a lower EHR adoption rate than the European countries studied. BNET Healthcare
CMS PHR Pilot Program Sees Low Participation Among Arizona Seniors
Few Arizona seniors have signed up to participate in CMS's $2.5 million personal health record pilot program, according to officials. The lack of interest among Medicare beneficiaries is raising questions about whether federal officials should continue the program next year. Arizona Republic
CDC: Most States Using Electronic Disease Monitoring Systems
According to CDC's weekly status report, 40 states now have operational electronic disease surveillance systems. Of those states, 34 are using a combination of systems to conduct disease surveillance and report public health data to the federal government. Modern Healthcare
Health IT Plays Vital Role in Health Care Reform
Accelerating the deployment of health IT strategies is an essential cornerstone of the America's Health Insurance Plans' pledge to help bend the health care cost curve to make broad reform sustainable in the long run.
Survey: Number of Health Data Exchanges Up 40% Since 2008
Today, the eHealth Initiative released a report identifying 57 operational health data exchanges, up from 42 last year. The survey noted that 40 exchanges said their participation in a network helped generate cost savings. In addition, physicians said the exchanges helped boost efficiency and improve operations at their practices. Healthcare IT News, Health Data Management
Mobile Phones Could Store Electronic Health Records, Boost Personal Health Monitoring
Monique Levy of the health care advisory firm Manhattan Research and Shankar Sastry of the University of California-Berkeley spoke with iHealthBeat about how mobile phones can help promote personal health monitoring.
New CCHIT Recommendations Target Long-Term, Acute Care
A Certification Commission for Healthcare IT task force issued new recommendations covering electronic health record certification for long-term and post-acute care facilities. CCHIT said the group will begin developing the criteria later this month and could roll out EHR certification for skilled nursing facilities and home-based care in 2010. Health Data Management, Healthcare IT News.
6) From My Medicare Matters – www.mymedicarevommunity.org
My Medicare Matters offers Webinars (live on-line training) for those who are Medicare advocates. If you are interested in being notified of training sessions, please contact me at esslady@gmail.com.
By [the week of 12 October], the Centers for Medicare and Medicaid Services (CMS) will have launched the plan finders for 2010 Part D and Medicare Advantage plans, making plan comparisons easier. Beginning January 1, 2010, changes in the law will make it easier for some people to qualify for Extra Help with their Medicare prescription drug plan costs. If you would like a copy of the modification, please e-mail me at esslady@gmail.com.
For instructions on applying for the Part D Extra Help referenced above, e-mail me at esslady@gmail.com.
7) From The New York Times Health Update – nytdirect@nytimes.com:
For more help with understanding health care reform, go to www.nytimes.com/2009/08/10/health/policy.
For information on changes in cognitive function as a result of chemotherapy, go to www.nytimes.com/2009/08/04/health/.
For information on making one's home safer for seniors, go to www.nytimes.com/2009/07/18.
For a consumer checklist on purchasing a hearing aid, go to www.hearingloss.org/HLAAHearingAidChecklist.pdf.
There's an interesting article that goes with this checklist to be found at www.nytimes.com/2009/07/25/health.
For information on rights guaranteed to people by the FTC vis-à-vis funeral homes, go to www.ftc.gov/bcp.
Remaining socially active aids motor skills. See www.nytimes.com/2009/06/30/health.
Wednesday, June 24, 2009
From the Web by Elaine Steward - #7
Hi again from Elaine Steward! Here are some more things which seem to be of general interest to us retirees. Please e-mail suggestions to me at esslady@gmail.com.
You can access your Medicare Account, including monitoring CMS payments, by signing up at www.medicare.gov/coverage.
I continue to recommend the blog www.getrichslowly.org/blog. A recent edition was entitled, "Estate Planning 101." If you haven't done so, do your planning now—not only can you save money with the right estate plan, but you can ease the burden for your children by letting them know your desires.
1) From AARP – bulletin.aarp.org:
The "doughnut hole" in Medicare Part D is a gap in prescription drug coverage that leaves people responsible for thousands of dollars in drug costs while still paying their Medicare Part D premiums. It's something that should be fixed when Congress acts on health care this year. Write to your representative. To find an e-mail address, go to: writerep.house.gov/writerep/welcome.
Help yourself and loved ones to be prepared for emergencies. Forms for "Operation Emergency Prepare" can be found at assets.aarp.org/articles/pdf.
To post or look for a volunteer opportunity, see www.aarp.org/makeadifference. (And don't forget SRA, RFA, and Emeriti Center volunteer opportunities!)
Keep an eye on your bank accounts and their related charges. For insight, see bulletin.aarp.org/yourmoney.
For some easy money saving ideas, see www.aarp.org/money/consumer.
2) From California Healthline – www.californiahealthline.org:
President Obama is stepping up his involvement in the push for health care reform after cost projections from the Congressional Budget Office sparked concerns about the scope of the effort. House Republicans and three former Senate majority leaders also put forward proposals [the week of 15 June 09].
At a news conference [on 23 June], President Obama said he believes a public health plan would help control health care costs and expand coverage. Obama said there will be "some healthy debate" about how such a plan should be crafted, but the president did not say he would oppose legislation that does not create a public plan. New York Times, et al.
[On 22 June,] President Obama praised an agreement that will have pharmaceutical companies reduce Medicare beneficiaries' prescription drug costs when they reach the so-called "doughnut hole" coverage gap. Media reports are questioning whether the arrangement will provide significant savings that the federal government can apply toward the cost of health care reform. New York Times, et al.
Advocates say Democrats' budget plan could hinder California's adult day health care program and prenatal services. Gov. Schwarzenegger has proposed eliminating the adult day health care program and cutting $20 million from prenatal care. Riverside Press-Enterprise, Capital Public Radio's "KXJZ News."
Advocates say the budget proposed by Democratic lawmakers could significantly weaken state health and eldercare services, although not to the same degree as the plan put forth by Gov. Schwarzenegger. The state stands to lose federal funds under both proposals. San Jose Mercury News, et al.
Pharmaceutical firms will reduce prescription drug costs by $80 billion for low- and middle-income Medicare beneficiaries who reach the coverage gap in the Medicare drug benefit. President Obama hailed the deal as an important part of health care reform efforts. Washington Post, et al.
The American Medical Association voted to support approaches to reforming the nation's health care system that bolster competition among private insurers and aim to achieve universal access to care. President Obama addressed AMA [15 June]. Chicago Tribune, et al.
[16 June] A joint legislative panel voted in favor of a budget plan that would reduce cuts to In-Home Support Services programs and raise cigarette taxes and other fees. Committee members voted along party lines for the proposals, with Democrats in the majority. The panel is expected to release a more complete budget outline [17 June]. San Francisco Chronicle, et al.
[15 June] A joint legislative panel turned down several of Gov. Schwarzenegger's budget proposals, including eliminating Healthy Families and Adult Day Health Care, cutting HIV/AIDS programs and borrowing money from local governments. Assembly Democrats also released their own plan to mend the budget gap by raising revenue through fees and tax increases. Los Angeles Times, et al.
The Medicare Payment Advisory Commission said changes to the Medicare provider payment system are needed to coordinate care more effectively and cut unneeded spending. The report advocated organizing care providers into groups that would be eligible for incentive payments. Washington Post, et al.
California patients prefer a no-frills approach to health insurance, and they're willing to trade non-essential coverage for keeping costs down, according to a new report, "What Matters Most." To see the results of the survey, go to www.chcd.org/report.pdf.
To check out ratings of California Hospitals, go to www.calhospitalcompare.org.
On [9 June], state regulators announced that Family Care would be California's first licensed discount medical plan. The plan is required to have legitimate contracts with health care providers and inform clients that it is not health insurance. Sacramento Business Journal, et al.
In a letter to key Democratic Senate leaders, President Obama said he would be open to proposals requiring Americans to maintain health insurance coverage and calling on large businesses to share the cost of employees' health insurance benefits. The president also called for more cost savings in Medicare and Medicaid to help cover the cost of health care reform. Los Angeles Times, et al.
3) From iHealthBeat - www.ihealthbeat.org:
On [19 June], House Democrats released a discussion draft of their proposed health care reform legislation, which includes fewer health IT provisions than a Senate bill under consideration. The House bill would create a Bureau of Health Information under HHS. Health Data Management.
[22 June], a group of advocates, physicians and bloggers launched HealthDataRights.org to encourage policymakers to support initiatives that improve patient access to electronic health records. The group also released a Declaration of Health Data Rights. New York Times' "Bits" et al.
In a new white paper, several U.S. medical experts argue that telemedicine should be incorporated into health reform efforts. They say that telemedicine can help boost access to care, contain rising costs and improve health care quality. United Press International.
A new study finds that one in 14 abnormal test results are never reported to patients. Researchers note that physician practices using both electronic health records and paper files have lower patient notification rates than practices using a single system. Modern Healthcare, et al.
A regional health information exchange in Memphis, Tenn., helps health care providers make more informed care decisions and reduces costs by eliminating duplicate tests. Such initiatives are set to receive $300 million under the federal economic stimulus law. Kaiser Health News.
Rural health care will get a boost from federal economic stimulus efforts aimed at expanding high-speed broadband. As health care moves into the digital age, high-speed access to the Internet becomes increasingly important for both health care providers and patients.
Beth Israel Deaconess Medical Center in Boston is launching a project to test the usefulness of giving patients access to physicians' notes as part of their online medical record. The Robert Wood Johnson Foundation provided the hospital with a $1.5 million grant for the project. Boston Globe.
During its annual meeting in Chicago [the week of 15 June], the American Medical Association adopted several new policies on health IT issues. The resolutions dealt with security breaches, government subsidies of electronic health records and open-source EHR adoption. Modern Healthcare et al.
A new study published in [17 June's] European Journal of Cardiovascular Prevention and Rehabilitation finds that telemedicine technology can help patients without access to cardiac rehabilitation services increase coronary prevention activities and reduce their risks. Healthcare IT News.
[15 June], General Electric launched a program offering no-interest loans to health care providers who purchase its Centricity electronic health record system. The company guarantees that its EHR system will meet federal certification standards. New York Times' "Bits," GE release.
Pam Dixon, executive director of World Privacy Forum, said medical identity theft likely has grown because of an increase in use of electronic health records systems without adequate safeguards. Health care providers say that they are taking measures to prevent identity theft. New York Times.
[11 June] Maine Gov. John Baldacci signed into law a bill that requires health insurers to cover telemedicine services provided through interactive audio, video or other electronic media just as they would for in-person health care services. Maine Public Broadcasting Network, Office of the Governor release.
A report released [11 June] finds that about 61 percent of Americans use the Internet to access health information. Of those, about 20 percent actively post health-related comments online. The Pew Research Center and the California HealthCare Foundation prepared the report. CNET News, Pew release.
Microsoft and the University of Miami are conducting a study to determine whether software and increased primary care can lead to health care improvements in patients with diabetes. Microsoft is donating software platforms, while other grants will go toward computers. Miami Herald.
The Buyers Health Care Action Group is preparing to launch a personal health record platform that will allow users to track their medical history, store patient records, monitor treatment and access resources. The group aims to launch the platform in July. Health Data Management.
[In July], the American College of Radiology will go live with a new database to let mammography facilities compare their performance and outcomes with those at similar facilities. The database will use information already being collected under a federal mandate. Health Data Management.
More than 40 Web sites allow patients to post reviews of their physicians online, spurring concerns from many health care providers about the accuracy of such comments. In response, some doctors are requiring patients to sign contracts agreeing not to post comments online. Boston Globe.
UnitedHealth plans to combine technology from its OptumHealth subsidiary and American Well to create a service that will allow patients to consult with physicians 24 hours a day via the Internet or phone. The service will be available to 60 million OptumHealth members. AP/Boston Globe.
Cerner is capitalizing on the billions of anonymous patient records it has access to by marketing the information to pharmaceutical firms and clinical researchers. Cerner says its data-mining capabilities could help accelerate the drug development process, identify potential new uses for existing drugs and pinpoint prescription drug side effects. Kansas City Business Journal.
In a new report on care management for patients with chronic diseases, research and consulting firm Health Industry Insights argues that IT is key to controlling costs and improving treatment. The report also touts the medical home model and remote patient monitoring. Health Data Management.
According to a notice published in [28 May's] Federal Register, the Office of the National Coordinator for Health IT plans in October to begin awarding contracts to establish regional health IT extension centers. The federal stimulus package calls for the creation of such centers. Government Health IT.
The Defense Department's "Real Warriors" Web site aims to provide a safe place for combat veterans to access mental health information. The site allows users to chat with mental health workers online and connect to additional resources through social media tools. Nextgov.com.
Health reform legislation introduced by Republicans in the House and Senate on [20 May] would authorize the creation of electronic health record banks to collect and store patients' information. Under the health record bank model, patients control who can access their health data and what information to make available. Health Data Management.
4) From My Medicare Matters – www.mymedicarevommunity.org:
My Medicare Matters offers Webinars (live on-line training) for those who are Medicare advocates. If you are interested in being notified of training sessions, please contact me at esslady@gmail.com.
5) From The New York Times Health Update – nytdirect@nytimes.com:
For six reasons to grow old, go to newoldage.blogs.nytimes.com.
For ways to prevent memory loss, go to newoldage.blogs.nytimes.com.
"Alcohol is Good for You? Some Scientists Doubt It." Maybe moderate drinkers are just healthier to begin with. For more, go to www.nytimes.com/health.
You can access your Medicare Account, including monitoring CMS payments, by signing up at www.medicare.gov/coverage.
I continue to recommend the blog www.getrichslowly.org/blog. A recent edition was entitled, "Estate Planning 101." If you haven't done so, do your planning now—not only can you save money with the right estate plan, but you can ease the burden for your children by letting them know your desires.
1) From AARP – bulletin.aarp.org:
The "doughnut hole" in Medicare Part D is a gap in prescription drug coverage that leaves people responsible for thousands of dollars in drug costs while still paying their Medicare Part D premiums. It's something that should be fixed when Congress acts on health care this year. Write to your representative. To find an e-mail address, go to: writerep.house.gov/writerep/welcome.
Help yourself and loved ones to be prepared for emergencies. Forms for "Operation Emergency Prepare" can be found at assets.aarp.org/articles/pdf.
To post or look for a volunteer opportunity, see www.aarp.org/makeadifference. (And don't forget SRA, RFA, and Emeriti Center volunteer opportunities!)
Keep an eye on your bank accounts and their related charges. For insight, see bulletin.aarp.org/yourmoney.
For some easy money saving ideas, see www.aarp.org/money/consumer.
2) From California Healthline – www.californiahealthline.org:
President Obama is stepping up his involvement in the push for health care reform after cost projections from the Congressional Budget Office sparked concerns about the scope of the effort. House Republicans and three former Senate majority leaders also put forward proposals [the week of 15 June 09].
At a news conference [on 23 June], President Obama said he believes a public health plan would help control health care costs and expand coverage. Obama said there will be "some healthy debate" about how such a plan should be crafted, but the president did not say he would oppose legislation that does not create a public plan. New York Times, et al.
[On 22 June,] President Obama praised an agreement that will have pharmaceutical companies reduce Medicare beneficiaries' prescription drug costs when they reach the so-called "doughnut hole" coverage gap. Media reports are questioning whether the arrangement will provide significant savings that the federal government can apply toward the cost of health care reform. New York Times, et al.
Advocates say Democrats' budget plan could hinder California's adult day health care program and prenatal services. Gov. Schwarzenegger has proposed eliminating the adult day health care program and cutting $20 million from prenatal care. Riverside Press-Enterprise, Capital Public Radio's "KXJZ News."
Advocates say the budget proposed by Democratic lawmakers could significantly weaken state health and eldercare services, although not to the same degree as the plan put forth by Gov. Schwarzenegger. The state stands to lose federal funds under both proposals. San Jose Mercury News, et al.
Pharmaceutical firms will reduce prescription drug costs by $80 billion for low- and middle-income Medicare beneficiaries who reach the coverage gap in the Medicare drug benefit. President Obama hailed the deal as an important part of health care reform efforts. Washington Post, et al.
The American Medical Association voted to support approaches to reforming the nation's health care system that bolster competition among private insurers and aim to achieve universal access to care. President Obama addressed AMA [15 June]. Chicago Tribune, et al.
[16 June] A joint legislative panel voted in favor of a budget plan that would reduce cuts to In-Home Support Services programs and raise cigarette taxes and other fees. Committee members voted along party lines for the proposals, with Democrats in the majority. The panel is expected to release a more complete budget outline [17 June]. San Francisco Chronicle, et al.
[15 June] A joint legislative panel turned down several of Gov. Schwarzenegger's budget proposals, including eliminating Healthy Families and Adult Day Health Care, cutting HIV/AIDS programs and borrowing money from local governments. Assembly Democrats also released their own plan to mend the budget gap by raising revenue through fees and tax increases. Los Angeles Times, et al.
The Medicare Payment Advisory Commission said changes to the Medicare provider payment system are needed to coordinate care more effectively and cut unneeded spending. The report advocated organizing care providers into groups that would be eligible for incentive payments. Washington Post, et al.
California patients prefer a no-frills approach to health insurance, and they're willing to trade non-essential coverage for keeping costs down, according to a new report, "What Matters Most." To see the results of the survey, go to www.chcd.org/report.pdf.
To check out ratings of California Hospitals, go to www.calhospitalcompare.org.
On [9 June], state regulators announced that Family Care would be California's first licensed discount medical plan. The plan is required to have legitimate contracts with health care providers and inform clients that it is not health insurance. Sacramento Business Journal, et al.
In a letter to key Democratic Senate leaders, President Obama said he would be open to proposals requiring Americans to maintain health insurance coverage and calling on large businesses to share the cost of employees' health insurance benefits. The president also called for more cost savings in Medicare and Medicaid to help cover the cost of health care reform. Los Angeles Times, et al.
3) From iHealthBeat - www.ihealthbeat.org:
On [19 June], House Democrats released a discussion draft of their proposed health care reform legislation, which includes fewer health IT provisions than a Senate bill under consideration. The House bill would create a Bureau of Health Information under HHS. Health Data Management.
[22 June], a group of advocates, physicians and bloggers launched HealthDataRights.org to encourage policymakers to support initiatives that improve patient access to electronic health records. The group also released a Declaration of Health Data Rights. New York Times' "Bits" et al.
In a new white paper, several U.S. medical experts argue that telemedicine should be incorporated into health reform efforts. They say that telemedicine can help boost access to care, contain rising costs and improve health care quality. United Press International.
A new study finds that one in 14 abnormal test results are never reported to patients. Researchers note that physician practices using both electronic health records and paper files have lower patient notification rates than practices using a single system. Modern Healthcare, et al.
A regional health information exchange in Memphis, Tenn., helps health care providers make more informed care decisions and reduces costs by eliminating duplicate tests. Such initiatives are set to receive $300 million under the federal economic stimulus law. Kaiser Health News.
Rural health care will get a boost from federal economic stimulus efforts aimed at expanding high-speed broadband. As health care moves into the digital age, high-speed access to the Internet becomes increasingly important for both health care providers and patients.
Beth Israel Deaconess Medical Center in Boston is launching a project to test the usefulness of giving patients access to physicians' notes as part of their online medical record. The Robert Wood Johnson Foundation provided the hospital with a $1.5 million grant for the project. Boston Globe.
During its annual meeting in Chicago [the week of 15 June], the American Medical Association adopted several new policies on health IT issues. The resolutions dealt with security breaches, government subsidies of electronic health records and open-source EHR adoption. Modern Healthcare et al.
A new study published in [17 June's] European Journal of Cardiovascular Prevention and Rehabilitation finds that telemedicine technology can help patients without access to cardiac rehabilitation services increase coronary prevention activities and reduce their risks. Healthcare IT News.
[15 June], General Electric launched a program offering no-interest loans to health care providers who purchase its Centricity electronic health record system. The company guarantees that its EHR system will meet federal certification standards. New York Times' "Bits," GE release.
Pam Dixon, executive director of World Privacy Forum, said medical identity theft likely has grown because of an increase in use of electronic health records systems without adequate safeguards. Health care providers say that they are taking measures to prevent identity theft. New York Times.
[11 June] Maine Gov. John Baldacci signed into law a bill that requires health insurers to cover telemedicine services provided through interactive audio, video or other electronic media just as they would for in-person health care services. Maine Public Broadcasting Network, Office of the Governor release.
A report released [11 June] finds that about 61 percent of Americans use the Internet to access health information. Of those, about 20 percent actively post health-related comments online. The Pew Research Center and the California HealthCare Foundation prepared the report. CNET News, Pew release.
Microsoft and the University of Miami are conducting a study to determine whether software and increased primary care can lead to health care improvements in patients with diabetes. Microsoft is donating software platforms, while other grants will go toward computers. Miami Herald.
The Buyers Health Care Action Group is preparing to launch a personal health record platform that will allow users to track their medical history, store patient records, monitor treatment and access resources. The group aims to launch the platform in July. Health Data Management.
[In July], the American College of Radiology will go live with a new database to let mammography facilities compare their performance and outcomes with those at similar facilities. The database will use information already being collected under a federal mandate. Health Data Management.
More than 40 Web sites allow patients to post reviews of their physicians online, spurring concerns from many health care providers about the accuracy of such comments. In response, some doctors are requiring patients to sign contracts agreeing not to post comments online. Boston Globe.
UnitedHealth plans to combine technology from its OptumHealth subsidiary and American Well to create a service that will allow patients to consult with physicians 24 hours a day via the Internet or phone. The service will be available to 60 million OptumHealth members. AP/Boston Globe.
Cerner is capitalizing on the billions of anonymous patient records it has access to by marketing the information to pharmaceutical firms and clinical researchers. Cerner says its data-mining capabilities could help accelerate the drug development process, identify potential new uses for existing drugs and pinpoint prescription drug side effects. Kansas City Business Journal.
In a new report on care management for patients with chronic diseases, research and consulting firm Health Industry Insights argues that IT is key to controlling costs and improving treatment. The report also touts the medical home model and remote patient monitoring. Health Data Management.
According to a notice published in [28 May's] Federal Register, the Office of the National Coordinator for Health IT plans in October to begin awarding contracts to establish regional health IT extension centers. The federal stimulus package calls for the creation of such centers. Government Health IT.
The Defense Department's "Real Warriors" Web site aims to provide a safe place for combat veterans to access mental health information. The site allows users to chat with mental health workers online and connect to additional resources through social media tools. Nextgov.com.
Health reform legislation introduced by Republicans in the House and Senate on [20 May] would authorize the creation of electronic health record banks to collect and store patients' information. Under the health record bank model, patients control who can access their health data and what information to make available. Health Data Management.
4) From My Medicare Matters – www.mymedicarevommunity.org:
My Medicare Matters offers Webinars (live on-line training) for those who are Medicare advocates. If you are interested in being notified of training sessions, please contact me at esslady@gmail.com.
5) From The New York Times Health Update – nytdirect@nytimes.com:
For six reasons to grow old, go to newoldage.blogs.nytimes.com.
For ways to prevent memory loss, go to newoldage.blogs.nytimes.com.
"Alcohol is Good for You? Some Scientists Doubt It." Maybe moderate drinkers are just healthier to begin with. For more, go to www.nytimes.com/health.
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