December 10th, 2011 by BarbaraFicarraRN in Health Policy, Opinion
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How do companies curb health care costs?
Do healthier employees lead to increased productivity? Several progressive companies believe so and have committed to providing employees with programs to help engage them in a healthier lifestyle.
As part of the incentives to lead a healthier lifestyle some employers have instituted a penalty and reward system tied to the companies’ benefits. For example, smokers may incur a significant surcharge to the cost of their health insurance plan while nonsmokers could see a reduction in cost.
According to an article in The New York Times, a growing numbers of companies including Home Depot, PepsiCo, Safeway, Lowe’s and General Mills are seeking higher premiums from some workers who smoke, similar to Wal-Mart’s addition of a $2,000-a-year surcharge for some smokers.
Escalating health care costs Read more »
*This blog post was originally published at Health in 30*
November 30th, 2011 by GruntDoc in Opinion, Research
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I really like this idea, but … well, see after the quote.
It’s easy to compare prices on cameras, vacations, and homes. But in the United States, patients fly blind when paying for health care. People typically don’t find out how much any given medical procedure costs until well after they receive treatment, be it a blood draw or major surgery.
This lack of transparency has contributed to huge disparities in the cost of procedures. According to Castlight Health, a startup based in San Francisco, a colonoscopy costs anywhere from $563 to $3,967 within a single zip code. EKGs can range from $27 to $143, while the price for a set of three spinal x-rays varies from as little as $38 to as high as $162.
When someone else is picking up the tab, mystery pricing is not much of a problem. But these days, Read more »
*This blog post was originally published at GruntDoc*
November 25th, 2011 by GruntDoc in Health Policy, Opinion
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Update: this happened 2 years ago. So, I wrote this thinking it was a new development, but it isn’t. Anyone know how this experiment has played out?
I’ve wondered for years if hospital organizations (and big organized clinics) had done the math on whether they could do without Medicare, and apparently Mayo has. More after the quote
President Obama last year praised the Mayo Clinic as a “classic example” of how a health-care provider can offer “better outcomes” at lower cost. Then what should Americans think about the famous Minnesota medical center’s decision to take fewer Medicare patients?
Specifically, Mayo said last week it will no longer accept Medicare patients at one of its primary care clinics in Arizona. Mayo said the decision is part of a two-year pilot program to determine if it should also drop Medicare patients at other facilities in Arizona, Florida and Minnesota, which serve more than 500,000 seniors.
Mayo says it lost Read more »
*This blog post was originally published at GruntDoc*
November 2nd, 2011 by MotherJonesRN in Health Policy, Opinion
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Lillian Wald was a famous nurse activist and writer. She’s my role model. Lillian stood up for the little guy by providing health care to the poor, and she advocated for social justice during the Gilded Age. For those of you who may not know, the Gilded Age was a time of great wealth for a fortunate few in America. You might call these people the original 1%. Wall Street bankers and robber barons were buying politicians and running amok while building vast fortunes off the backs of the working poor. Sound familiar? It’s funny how history has a way of repeating itself.
I believe that Lillian Wald, the founder of public health nursing, would support the Wall Street Occupation if she were alive today. Lillian didn’t wring her hands when someone needed help. She got her hands dirty. I bet she would be encamped with the protesters, caring for the sick and blogging about Occupy Wall Street events. Nurses working the frontlines at the Occupy Wall Street protest rallies report that Read more »
*This blog post was originally published at Nurse Ratched's Place*
October 29th, 2011 by PreparedPatient in Health Policy, Opinion
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The Obama administration has dealt a mighty blow to one part of the health reform law by effectively killing off the CLASS Act, which was to be a baby step in the development of a national program to pay for long-term care. The CLASS Act, short for Community Living Assistance Services and Support Act, was supposed to be a voluntary and federally backed insurance program for people to use to cover potential long-term care needs. The idea was for Americans to pay premiums into the fund during their working years. If they later became disabled and needed assistance, they would be entitled to a daily cash benefit of, say, $50 to buy services of a personal care attendant or make home improvements that would allow them to stay in their homes—the preference of most seniors. Advocates of the CLASS Act even envisioned that some of the benefit could be used for nursing home care.
The program, though, was never popular with insurance companies and politicians who listened to them, and the Act barely made it into the final bill. It ran into trouble from the beginning. The Secretary of Health and Human Services, Kathleen Sebelius, was tasked with Read more »
*This blog post was originally published at Prepared Patient Forum: What It Takes Blog*