Posts Tagged ‘medicaid’
Money, Politics and Health Care: A Disease-Creation Economy
By Mark Hyman, MD, practicing physician (original on Huffington Post)
“There is nothing more difficult to carry out, nor more doubtful of success, nor more dangerous to handle, than to initiate a new order of things. For the reformer has enemies in all those who profit by the old order, and only lukewarm defenders in all those who would profit by the new order.” –Niccolò Machiavelli, The Prince and The Discourses
Money in politics is making our nation sicker, threatening our national security, and ultimately destroying the very economic prosperity the “money in politics” seeks to achieve. It is undermining our capacity to care for our citizens and threatening our global economic competitiveness in invisible, insidious ways. The links, connections and patterns that promote obesity and chronic disease are clear, though. The economic and social impacts are evident. As health care consumes an increasingly large percentage of our federal budget, the negative impacts of money in politics have become too alarming too ignore, and never more obvious than in this election cycle of 2012.
Roberts Saves Obamacare: Now the Real Work of Reform Begins
By Arianna Huffington
The narrow survival of the Affordable Care Act last week was certainly cause for celebration. But as the jubilation subsides, it’s important to realize that having avoided what would have been a giant step backward doesn’t mean we’ve taken a giant step forward. Because the law as it now stands is only the first step toward health care reform.
On Sunday’s This Week, Vicki Kennedy (Ted Kennedy’s widow) spoke movingly of how “health care reform was the cause” of her husband’s life. “He believed that it was a moral issue,” she said, “that it defined the character of who we were as a society, who we were as a country, and that decent, quality, affordable health care should be a fundamental right and not a privilege.” She went on to say, “Families can go to sleep relaxed and happy knowing that their children who have asthma or diabetes or allergies are covered by insurance and aren’t barred because they have a pre-existing condition.” Read the rest of this entry »
Source: Newswise (6/26/2012) — Nursing homes do not have to be inevitable destinations for frail older adults. Many—even those with long-term health problems—can remain at home and be independent. All it takes is a little help to change “disability” to “capability”.
A handyman with a few nails to fix a wobbly bannister can make the difference between staying at home and a nursing home stay. Visits from a nurse or occupational therapist can help simplify a bewildering medication regimen or improve the ability to get around the house and neighborhood. Simple, inexpensive steps may change the equation for thousands of seniors, but in reality, services like these are rarely available for many at greatest need—the poorest and sickest older adults receiving Medicare and Medicaid.
CAPABLE, short for “Community Aging in Place, Advancing Better Living for Elders,” and a $4 million Health Care Innovation Award from the U.S. Department of Health and Human Services Center for Medicare and Medicaid Services, is about to change that reality. Read the rest of this entry »
With the Supreme Court set to decide the fate of the Affordable Care Act, you might wonder just what’s in it and why it was introduced in the first place.
That’s why I’m reposting this blog article from last year, which describes a great presentation by Dr. James Rohack on Health System Reform. Rohack is a practicing cardiologist and Director of Scott & White Center for Healthcare Policy. He is also a professor at Texas A&M Health Science Center and was the president of the American Medical Association from 2009 to 2010 during debates over Obama’s Healthcare Law.
The presentation was held in Sun City, a planned community north of Austin for retirees with active lifestyles. It didn’t include handouts, but I was able to find some of Rohack’s slides online and offer them below with my notes.
We need to talk about healthcare, the role of funding, the need for healthcare teams, and core infrastructure from workplace culture to technology. Parts of this post began as a comment in Employee Benefit News, a LinkedIn group. Let’s start with the money.
There’s a pattern here—banks collect a 5% margin on health insurance cash flow. This is not small potatoes. Healthcare insurance, mostly self-insured employer costs, was about 33.5 percent of the $2.3 trillion spent on healthcare in 2008, i.e., almost 70 percent of the half of health cost not paid by Medicare and Medicaid (see National Health Expend Data). This annual $770 billion allows the 5% margin to feed some $38 billion into the banking sector’s P&L statement. And, the annual $770 billion flow is money banks can invest in securities markets, or can lend.
In Snake Bit, I took a different look at annual health insurance evaluation and the danger of getting Snake Bit if we don’t dig into the details, compare plans, and consider our historical and anticipated medical costs.
Here is full text of an article by by by Jodi G. Daniel / JD MPH, Director of the Office of Policy and Planning at the U.S. Department of Health & Human Services. It is provided with full attribution and a link to the original article but without copyright concerns, because I believe it’s important enough to be promoted widely and don’t expect any complaints. If, however, the Office of the National Coordinator for Health Information Technology (ONC) asks me to remove it, I will surely do so.
I posed the following challenge to the Innovations in Health group on Linkedin and got some interesting responses, including a well crafted wish list from Colleen that inspired this blog post.
HOW CAN WE STIMULATE INNOVATIVE IDEAS FOR A TOTALLY NEW HEALTHCARE SYSTEM?
As a fun exercise to stimulate creative, out-of-box thinking, pretend you have all been been appointed to the new World Health Commission by the new King of the World (or whatever title you prefer). You have absolute power to determine health strategy, for the whole world. Think like a child, and forget the constraints you’re used to dealing with as adults. There are no financial hurdles, no political worries, no cultural barriers, no legacy to contend with, no managers looking over your shoulders, and no imposed time frames.
I’ve written occasionally about Medical Ethics and the misalignment of incentives that pay doctors & hospitals for treating symptoms rather than keeping us well. As we consider reforms to contain runaway deficit spending, we must come to grips with many ethical questions. Since individual choices can determine our health and well being, and therefore the cost of care, we’re less sympathetic of people still smoke, drink or eat too much of the wrong things. We know that obesity is America’s #1 health & financial risk and that it can cause heart disease, stroke, diabetes and certain cancers. Since half of our population is overweight from lifestyle choices, should they get the same level of care at taxpayer expense?
A new question arose this week about medical ethics and marriage when religious leader Pat Robertson told his 700 Club television audience that divorcing a spouse with Alzheimer’s disease is justifiable. He was taking questions from the audience when Robertson was asked how to advise a man who began seeing another woman after his wife started showing symptoms of Alzheimer’s.
“I know it sounds cruel,” he said, “but if he’s going to do something, he should divorce her and start all over again, but make sure she has custodial care and somebody looking after her.” After all, it’s “a kind of death.”
Here is full text of an article by Lygeia Ricciardi, Senior Policy Advisor for Consumer e-Health at the U.S. Department of Health & Human Services. It is provided with full attribution and a link to the original article but without copyright concerns, because I believe it’s important enough to be promoted widely and don’t expect any complaints. If, however, the ONC asks me to remove it, I will surely do so.
Helping Consumers Be Partners in Their Own Health
by Lygeia Ricciardi, Senior Policy Advisor for Consumer e-Health
We at the Office of the National Coordinator for Health Information Technology (ONC) know that patients are asking themselves, “How do I manage my health information?” We are working to bring the U.S. health care system into the 21st century through technology to address that concern. We understand that it’s not all about health care providers and hospitals—it’s also about you: the patient, the individual, the person who should be the focus of the health care system.
Republished with permission from HelpingYouCare.com.
Several reports recently have noted that across the nation, U.S. states are slashing Medicaid dollars for home health care services and adult day care services that help keep the elderly and disabled out of nursing homes. State lawmakers cite budget shortfalls, yet these cuts may end up costing Medicaid and taxpayers more in forced nursing home costs, authorities say.
According to a July 16 report by the Associated Press, “Aging and disability services in three out of four states have been reduced over the last two years or face cuts, even though demand is increasing.”