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Monday, July 27, 2009

Barack Obama Says Health Insurance Overhaul Would Aid Small Businesses

July 25 (Bloom berg) President Barack Obama said creation of an insurance exchange combined with tax credits would help extend health coverage to about 13 million small-business employees who now lack it.

Obama released a study today by the White House Council of Economic Advisers that concluded that many of the nations 27 million small businesses do not have the bargaining power of corporations and as a result pay as much as 18 percent more for employee health insurance plans.

Those are costs that eat into their profits and get passed on to their employees, Obama said in his weekly radio and Internet address. As a result, small businesses are much less likely to offer health insurance.

The president used the address to keep the political momentum alive on his health care overhaul proposals. House leaders said they were trying to push for final committee action next week, meaning full votes in the House and Senate are not likely until September at the earliest.

The CEA study found that too many small businesses are forced to cut benefits, lay off workers or close because of rising health-insurance costs, Obama said.

Health Insurance :

Obama said his health insurance proposals would support small business by allowing them to buy insurance for workers through an exchange that offers a menu of policies with costs spread among a pool of small businesses to reduce risk and, thus, premiums. He did not say by how much.

He said small businesses that choose to insure their employees will also receive a tax credit.

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Wednesday, July 22, 2009

Insurance for Active State Employees, Retirees and Their Families

Most State employees who work at least 20 hours a week for more than five months during a year qualify for health insurance benefits.

State employees can enroll themselves and their eligible family members in group medical and/or dental insurance plans when first hired. The open enrollment period, which occurs in the springtime each year, is the only time that employees can change from one medical plan to another.

Family members can be added or removed from medical coverage at any time. All dependents enrolled in a medical plan are automatically covered under the dental plan unless the employee declines dependent dental. Once dependent dental insurance is declined, it cannot be added until a special dental open enrollment period.

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Thursday, July 16, 2009

New Data Say Uninsured Account for Nearly One-Fifth of Emergency Room Visits

Health & Human Services Secretary Sebelius Releases New Nationwide Emergency Department Sample Data.

HHS Secretary
Kathleen Sebelius released new data from the Nationwide Emergency Department Sample -- the largest, all-payer emergency department database in the United States. The Nationwide Emergency Department Sample is designed to help public health experts, policymakers, health care administrators, researchers, journalists and others find the data they need to answer questions about care that occurs in U.S. hospital emergency departments.

These data indicate that uninsured persons accounted for nearly one-fifth of the 120 million hospital-based emergency department visits in 2006.

"
Our health care system has forced too many uninsured Americans to depend on the emergency room for the care they need," said Secretary Sebelius. "We cannot wait for reform that gives all Americans the high-quality, affordable care they need and helps prevent illnesses from turning into emergencies."

The database is managed by HHS' Agency for Healthcare Research and Quality (AHRQ) and generates national estimates on the number of emergency department visits in all community hospitals, by region, urban/rural location, teaching status, ownership and trauma designation. It also provides in-depth information on acute management of patients for all visits, including why patients were seen in the emergency department, the treatments they received, what happened to them at the end of the visit (admitted to the hospital, discharged home, transferred to another hospital, died in the emergency room or left against medical advice), the charge for their care and who was billed.

The Nationwide Emergency Department Sample contains 26 million records from emergency department visits from approximately 1,000 community hospitals nationwide. This represents 20 percent of all U.S. hospital emergency departments. The database also provides weighted calculations for national estimates of the 120 million emergency department visits in 2006.

"AHRQ has a long history of supporting health services research related to emergency medicine, and the richness of these new data will increase our capacity for research and decision making," said AHRQ Director Carolyn M. Clancy, M.D. "The new database will give emergency planners and other policymakers the data they need to help improve the quality, safety and effectiveness of emergency medical care."

AHRQ also released its latest Nationwide Inpatient Sample-- the largest, most powerful database on hospital care in the United States, covering all patients, regardless of their type of insurance or whether they were insured. The 2007 Nationwide Inpatient Sample provides users with an in-depth look at why patients were hospitalized, the treatments and procedures they received and what happened to them at discharge. Researchers can use the Nationwide Inpatient Sample to examine trend data as far back as 1988. The 2007 Nationwide Inpatient Sample is based on discharge data from 8 million hospital stays at more than 1,000 community hospitals.

The two databases, as well as the 2006 Kid's Inpatient Database on pediatric inpatient care, are part of AHRQ's Healthcare Cost and Utilization Project (HCUP), a federal-state-industry partnership for building a standardized, multi-state health data system. In addition to databases, HCUP includes software tools and statistical reports to inform policymakers, health system leaders, researchers and the public.

HCUP databases can be accessed by using the AHRQ on-line query tool, HCUPnet. Researchers and analysts who need the most in-depth data should contact the HCUP Central Distributor about purchasing the 2006 Nationwide Emergency Department Sample and the 2007 Nationwide Inpatient Sample datasets and for further information about their composition and technical requirements.

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Monday, July 13, 2009

Health insurance may be best gift for new graduates

According to the College Board, students who have borrowed for college have a median amount of debt after graduation of around $19,000.

If your former student owes money on Stafford loans, they should consider a fixed consolidation loan that may be able to significantly reduce their interest rate and possibly qualify for flexible
repayment terms, including a loan deferment for up to three years. New graduates should be extremely attentive to their budget. By establishing a budget now, early in life, they will develop strong financial habits that they can take with them throughout their working lives.

Speaking of working lives, odds are that their first job removed from college will not be one of their high earnings years. If you have an annual salary of $35,000, your actual take home pay after taxes, benefits and retirement savings will only be about $25,000. You should plan on around 30 percent for housing, 15 percent for food, and 10 percent each for utilities, transportation, debt repayment and ideally, savings. That will leave about 15 percent for discretionary purchases such as clothing and entertainment.

Health insurance may not be high on a new graduate's list of priorities but it is a requirement in Massachusetts that they have a minimum amount of health insurance. A dependent child could be dropped from your policy upon graduating. You should contact your benefits office and ask about COBRA coverage. This can be an expensive option, often between $200 and $500 month.

Your grad could save a substantial amount by purchasing their own policy. A
student policy or short-term coverage to bridge the gap between graduation and a job with benefits with a higher deductible could cost as little as $50 to $150 per month.

If you are willing to help out your grad financially,
health insurance may be a nice way to do it.

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Friday, July 10, 2009

Life Changes Require Health Choices Know Your Benefit Options

Marriage

What You Need to Know - Get all the details on your spouse's plan, and be sure you understand how it works. You'll want to know the amounts of any deductibles or copays you will be required to pay, and what you will pay for premiums.

Under the Health Insurance Portability and Accountability Act (HIPAA), you may be entitled to add yourself, a new spouse and children to your employer's plan or to your spouse's employer's plan under a special enrollment period.

What You Need to Do - To qualify for the special enrollment period, you must notify the plan and request special enrollment for everyone enrolling within 30 days of your marriage. Your plan may require that the notice be in writing and that is usually the safest course of action anyway.

If your spouse has health coverage available, compare the health benefits, cost and options under both plans, and decide which one works best for you.

Pregnancy, Childbirth and Adoption

What You Need to Know - HIPAA places limits on the amount of time a pre-existing condition exclusion period may apply. In addition, health care plans cannot consider pregnancy a pre-existing condition, even if the woman did not have previous coverage.

Birth and adoption (including placement for adoption) may trigger a special enrollment period during which you, your spouse and new dependents can enroll in your employer's plan. Additionally, newborns and adopted children are not subject to pre-existing condition exclusions if they enroll within 30 days of the birth or adoption.

Under the Newborns' and Mothers' Health Protection Act, plans that provide maternity or newborn benefits generally must provide coverage for mothers and newborns to stay in the hospital at least 48 hours following a vaginal delivery or 96 hours following a cesarean section, unless the doctor or other attending provider in consultation with the mother discharges earlier.

What You Need to Do - You must notify your plan and request special enrollment within 30 days of your child's birth, adoption, or placement for adoption. The child's enrollment will be treated as occurring on the date of the birth, adoption, or placement for adoption. Your plan may require that the notice be in writing.

Find out if your plan covers well-baby care. If not, you may need to figure extra money into your budget to cover vaccinations and appointments the baby will need during the first few months of life.

When Your Child is No Longer a Dependent

What You Need to Know - Most health care plans will provide coverage to dependent children until they reach the age of 19 or the age of 25 if they are full-time students. Once your child loses dependent child status under your health care plan's rules, the child may be eligible to purchase temporary extended health care coverage for up to 36 months under the Consolidated Omnibus Budget Reconciliation Act (COBRA). Generally, COBRA covers group health plans maintained by employers with 20 or more employees.

What You Need to Do - Once your covered child is no longer a dependent, notify your employer in writing within 60 days. In turn, your plan should notify your child of his or her right to extend health care benefits under COBRA. Your child will have 60 days from the date the notice was sent to elect COBRA coverage. The cost will be higher, since the employer will no longer pay a portion, but it is usually less than the cost of individual coverage.

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Thursday, July 9, 2009

With weight-loss surgery, type of insurance counts

People with private health insurance lose more weight after having weight-loss surgery than those covered by the Medicare health insurance program for the elderly and disabled, U.S. researchers said Monday.

Medicare patients tend to weigh more before having gastric bypass surgery, they said, and are more likely to be depressed, have high blood pressure, heart disease, diabetes, cholesterol and sleep apnea.

For them to succeed, they may need extra exercise and nutrition support, they said.

"Gastric bypass surgery is very successful so we should work to ensure that everyone has the same chance at success," said Dr. John Morton of Stanford University School of Medicine in California, who presented his findings at the Digestive Disease Week meeting in Chicago.

Gastric bypass surgery is becoming an increasingly popular treatment for obesity. It works by altering the digestive tract to reduce the volume of food that can be eaten and digested.

Large insurance companies and Medicare, the federal health plan for 44 million elderly and disabled Americans, help pay for the surgery -- which costs from $15,000 to $35,000 -- in severely obese people.

For the study, Morton and colleagues collected data on 750 gastric bypass patients with private insurance, Medicare or Medicaid, a state-federal insurance program for the poor.

A year after surgery, all patients had significant weight loss, but the private insurance patients lost more, Morton said in a telephone briefing.

"The Medicare group lost 57 percent of its excess weight, but in comparison with the private insurance group, this was much less, with the private insurance group losing about 82 percent of their extra weight," he said.

The Medicare group had slightly higher complication rates, but there were no deaths from any of the operations.

Morton said patients in the Medicare group had the biggest reductions in levels of low-density lipoprotein, or LDL, the so-called bad cholesterol that causes heart disease.

They also had bigger improvements in fasting insulin, a measure of diabetes severity.

Morton said patients in the Medicare group started out much heavier than other patients, with average body mass index scores of nearly 50, putting them in the so-called super-obese category.

Body mass index, or BMI, is a formula that takes into account a person's height and weight. A BMI of 30 is considered obese. People with a BMI of 40 to 49 are considered morbidly obese, while those with a BMI of 50 or higher are considered super obese.

Morton said the study shows that some Medicare patients are starting with more profound disadvantages, and may need more support.

He said morbid obesity is the leading public health crisis in the United States, and bariatric surgery is the only effective treatment for many patients.

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