Nursefriendly.com: Health Insurance Denials

Showing posts with label Health Insurance Denials. Show all posts

Tuesday, October 4, 2011

Report: Americans Give Online Thumbs Down To #healthinsurers – Capsules - The KHN Blog #healthcare #hcsm #mdchat #rnchat

By Christian Torres
October 3rd, 2011, 6:02 AM
Americans’ dislike for health insurers is a trending topic.
Seventy percent of social media comments about major health insurers were negative during the past year, according to a new report released by Amplicate, a social media analytics service. The company analyzed public tweets, Facebook posts and comments on its own website between September 2010 and August 2011. Social media users made 2,311 comments total about 18 insurers, and those opinions were shared more than 632,000 times. Insurers aren’t alone, and they aren’t the most talked about: In the past year, U.S airlines generated over 34,000 comments and U.S. banks had nearly 22,000 comments.

via capsules.kaiserhealthnews.org

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Nursinghumor.com:"Nursing & Medical Humor. Find hundreds of jokes and links to sites that will make you smile. Therapeutic Humor Associations, Battle of the Sexes, Bedside Nursing Humor, Brain Teasers, Clowning, Clowns, Therapeutic Humor & Comedy Links, Dental Humor, Emergency Department Humor, General Nursing Humor, Geriatrics, Senior Citizen, etc."
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Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
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Friday, April 1, 2011

Cancer patients get better care than patients in primary care

Why do my patients with cancer get better care than my patients in primary care? As the senior resident on my hospital’s inpatient leukemia service recently, this question troubled and intrigued me daily.
Despite the sheer complexity of treating leukemia (administration of chemotherapy, bone marrow biopsies, stem cell transplantation), the resources required (transplantation routinely costs $1 million), and the severity of the illness (patients with little to no functional immune system), I couldn’t help but marvel at how coordinated, integrated, and patient-centric the care was.
From the first day I saw that things in leukemia worked differently. Most inpatient ward teams consist of an attending, a senior medical resident, one or two interns, and medical students. Each member of the team is “on service” for 2-4 weeks after which they rotate to different parts of the hospital or to the outpatient or research setting. As a result a patient admitted to general medicine today is taken care of by a completely different team than took care of her 3 months earlier when she came in for the same problem. On leukemia, our medical team included an advanced practice nurse (APN) who did not rotate off and on service.

via kevinmd.com

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Cuts Leave Patients With Medicaid Cards, but No Specialist to See - NYTimes.com

Eight-year-old Draven Smith was expelled from school last year for disruptive behavior, and he is being expelled again this year. But his mother and his pediatrician cannot find a mental health specialist to treat him because he is on Medicaid, and the program, which provides health coverage for the poor, pays doctors so little that many refuse to take its patients.

Enlarge This Image

Michael Stravato for The New York Times

Dr. Rachel Chatters, right, with Ana Smith, says she begs specialists to see Medicaid patients.

Related

Arizona Asks to Set Fines for Health Risks (April 2, 2011)

Enlarge This Image

Michael Stravato for The New York Times

Ms. Smith said she has tried for more than a year to find a psychiatrist to treat her son Draven, 8, who is on Medicaid.

The problem is common here and across the country, especially as states, scrambling to balance their budgets, look for cuts in Medicaid, which is one of their biggest expenditures. And it presents the Obama administration with a major challenge, since the new federal health care law relies heavily on Medicaid to cover many people who now lack health insurance.
“Having a Medicaid card in no way assures access to care,” said Dr. James B. Aiken, an emergency physician in New Orleans.

via nytimes.com

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Tuesday, March 29, 2011

New Health Insurance Survey: 9 Million Adults Joined Ranks of Uninsured Due to Job Loss in 2010; Few Viable Health Insurance Options Exist for Unemployed - The Commonwealth Fund

An estimated nine million working-age adults—57 percent of people who had health insurance through a job that was lost—became uninsured in the last two years, according to the Commonwealth Fund 2010 Biennial Health Insurance Survey, released today. The survey paints a bleak picture for the 43 million adults under age 65 who reported that they or their spouse lost a job in the past two years, finding that job losses are often compounded by the loss of health insurance, leaving families vulnerable to catastrophic financial losses and bankruptcy in the event of a serious illness or accident.

According to the report, Help on the Horizon: How the Recession Has Left Millions of Workers Without Health Insurance, and How Health Reform Will Bring Relief, the unemployed have great difficulty finding affordable health care. Only 25 percent of people who lost employer health insurance were able to find another source of health insurance coverage, and only 14 percent continued their job-based coverage through COBRA. In addition, purchasing individual coverage was not a viable option for most people. Seventy-one percent of adults who tried to buy individual coverage in the past three years, or 19 million people, either found it difficult or impossible to find a plan that fit their needs; found it difficult or impossible to find a plan they could afford; or were turned down or charged a higher price for coverage because of a preexisting condition.

“This survey tells a story of millions of Americans who lost their jobs during the recession, lost their health benefits too, and had essentially no place to turn for affordable health care coverage—putting their health and financial security at risk,” said Commonwealth Fund President Karen Davis. “The silver lining is that the Affordable Care Act has already begun to bring relief to families. Once the new law is fully implemented, we can be confident that no future recession will have the power to strip so many Americans of their health security.”

via commonwealthfund.org

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Poll: Americans Are (Still) Confused About Health-Care Overhaul Law - Health Blog - WSJ

More than half of Americans say they don’t fully understand the health-care overhaul law, according to the latest Kaiser Family Foundation tracking poll.

The 53% who say they’re confused is only slightly less than the 55% who reported the same last April, shortly after the law was passed. The confusion rate dipped to a low of 42% in June in the past year.

Last month’s Kaiser poll found that almost half of those surveyed thought — incorrectly — that the law had been repealed.

In general, people remain divided in their feelings about the law, with 42% viewing it favorably and 46% viewing it unfavorably, Kaiser says. And not surprisingly, people identifying as Democrats generally have a positive view, while Republicans are strongly opposed. Independents are split, though they’re leaning towards a negative view (49%) rather than a positive one (37%).

via blogs.wsj.com

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Wednesday, March 23, 2011

Health Care and You

The Affordable Care Act – One Year Later

We’ve seen some changes in health care over the past...

GAO report shows success in health insurer appeals

According to a Government Accountability Office report, as many as 50 percent of insurance appeals...

New Health Insurance Survey: 9 Million Adults Joined Ranks of Uninsured Due to Job Loss in 2010; Few Viable Health Insurance Options Exist for Unemployed

A new survey from the Commonwealth Fund finds 9 million adults became uninsured in the...

HHS: Seniors using new reform law benefit

A new HHS report shows that more than 150,000 seniors have received an annual wellness...

New site explains healthcare reform law to pharmacists, patients

Modern Medicine gives an overview of the coalition and its goal to educate health care...

via healthcareandyou.org

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Thursday, March 17, 2011

Don't cut Medicaid, fund it better - CNN.com

Editor's note: Dr. Aaron E. Carroll is an associate professor of pediatrics at the Indiana University School of Medicine and the director of the university's Center for Health Policy and Professionalism Research. He blogs about health policy at The Incidental Economist.

(CNN) -- You can't turn on the news these days without hearing about our budget crisis. We've also been told, over and over, that it's a problem with spending -- we're doing too much of it.

There's truth in that. Even if taxes were to be raised, it's nearly impossible that we can begin to tackle the deficit without addressing the spending on Social Security, Medicare and Medicaid. Together, they total well over a trillion dollars in spending.

via cnn.com

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Dems To GOP: Show Us Your Health Insurance : Shots - Health Blog : NPR

With Republicans on Capitol Hill still trying every legislative manuever they can think of to undo last year's health law, it was probably only a matter of time before Democrats tried a gambit of their own.

Now a House bill being pushed by Democrats would require Republicans to publicly state whether or not they are accepting taxpayer-subsidized health benefits under the Federal Employee Health Benefits Program.

They're entitled to such coverage as members of Congress, but Democrats say it's hypocritical for Republicans who are voting to take health coverage away from millions of Americans to accept coverage subsidized by those same people.

via npr.org

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Tuesday, February 22, 2011

Obama administration asks states to cut costs without dropping Medicaid coverage

By Marilyn Werber Serafini
Kaiser Health News
Tuesday, February 22, 2011; 12:58 PM

The Obama administration is deploying squadrons of in-house experts to help budget-strapped states figure out how to save money on Medicaid, the health program for the poor that has been a source of rising tensions between state capitals and Washington.

In recent weeks, both Democratic and Republican governors have been pressing the administration to be flexible in enforcing a requirement in the new health-care law that bars states from tightening eligibility for the program between now and 2014, when an additional 16 million people will be eligible for the program. Some states want to tighten eligibility now to curb spending.

Health and Human Services Secretary Kathleen Sebelius has a difficult balancing act. The former governor of Kansas wants to improve relations with the governors, who are due Saturday in Washington for a big meeting. But she also wants to expand Medicaid, not shrink it.

via washingtonpost.com

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Women and the Affordable Care Act - Health Care for You | HealthCare.gov

Health Care for You

Women have unique health care needs, and often make health care decisions for their families. The law offers important benefits for women and their families.

The Affordable Care Act ensures that:

Insurance Companies Can’t Deny Coverage to Women. Before the Affordable Care Act became law, insurance companies selling individual policies could deny coverage to women due to pre-existing conditions, such as cancer and having been pregnant. Under the law, insurance companies are already banned from denying coverage to children because of a pre-existing condition. In 2014, it will be illegal for insurance companies to discriminate against anyone with a pre-existing condition.

Women Have a Choice of Doctor. Thanks to the Affordable Care Act, all Americans joining new insurance plans have the freedom to choose from any primary care provider, OB-GYN, or pediatrician in their health plan’s network, or emergency care outside of the plan’s network, without a referral.

Women Can Receive Preventive Care Without Copays. Thanks to the Affordable Care Act, all Americans joining a new health care plan can receive recommended preventive services, like mammograms, new baby care and well-child visits, with no out-of-pocket costs. See a list of preventive services for women. (Preventive services benefits apply if you’re in a new health plan that you joined after March 23, 2010.)

Women Pay Lower Health Care Costs. Before the law, women could be charged more for individual insurance policies simply because of their gender. A 22-year-old woman could be charged 150% the premium that a 22-year-old man paid. In 2014, insurers will not be able to charge women higher premiums than they charge men. The law takes strong action to control health care costs, including helping states crack down on excessive premium increases and making sure most of your premium dollars go for your health care.

next page >>

via healthcare.gov

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Tuesday, January 18, 2011

In Defense Of Overhaul, Administration Says Preexisting Conditions Are Common : Shots - Health News Blog : NPR

Look at your friends and family. Look at yourself in the mirror.

Chances are good that quite a few people in your social circle have health trouble that would make it a lot more expensive or impossible to get health insurance, according to an analysis the Department of Health and Human Services released Tuesday morning.

Enlarge AP
Starting in 2014, insurers can no longer carve out needed benefits, charge higher premiums, set lifetime limits on benefits, or deny coverage due to a person’s preexisting condition.

AP
Starting in 2014, insurers can no longer carve out needed benefits, charge higher premiums, set lifetime limits on benefits, or deny coverage due to a person’s preexisting condition.

The report, timed to come out just as the Republican-controlled House moves ahead with a bill to repeal the federal health overhaul, estimates that as many as 129 million Americans younger than 65 have some sort of preexisting condition.

All told, 19 to 50 percent of those people have a health issue that would complicate the purchase of private health insurance. Asthma and high blood pressure could drive the costs up. More serious health problems could scotch private insurance altogether.

via npr.org

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Tuesday, October 4, 2011

Report: Americans Give Online Thumbs Down To #healthinsurers – Capsules - The KHN Blog #healthcare #hcsm #mdchat #rnchat

Friday, April 1, 2011

Cancer patients get better care than patients in primary care

Cuts Leave Patients With Medicaid Cards, but No Specialist to See - NYTimes.com

Michael Stravato for The New York Times

Related

Arizona Asks to Set Fines for Health Risks (April 2, 2011)

Michael Stravato for The New York Times

Tuesday, March 29, 2011

New Health Insurance Survey: 9 Million Adults Joined Ranks of Uninsured Due to Job Loss in 2010; Few Viable Health Insurance Options Exist for Unemployed - The Commonwealth Fund

Poll: Americans Are (Still) Confused About Health-Care Overhaul Law - Health Blog - WSJ

Wednesday, March 23, 2011

Health Care and You

The Affordable Care Act – One Year Later

GAO report shows success in health insurer appeals

New Health Insurance Survey: 9 Million Adults Joined Ranks of Uninsured Due to Job Loss in 2010; Few Viable Health Insurance Options Exist for Unemployed

HHS: Seniors using new reform law benefit

New site explains healthcare reform law to pharmacists, patients

Thursday, March 17, 2011

Don't cut Medicaid, fund it better - CNN.com

Dems To GOP: Show Us Your Health Insurance : Shots - Health Blog : NPR

Tuesday, February 22, 2011

Obama administration asks states to cut costs without dropping Medicaid coverage

Women and the Affordable Care Act - Health Care for You | HealthCare.gov

Health Care for You

Tuesday, January 18, 2011

In Defense Of Overhaul, Administration Says Preexisting Conditions Are Common : Shots - Health News Blog : NPR

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