Medicare Maneuvers, Part 2: The Solution?
July 3, 2008
Unfortunately, the first legislative attempt to block the doctor payment cuts in 2007 came at the end of the year and was part of the doomed legislation to improve public funding for children’s health care (see WhatIf’s piece on SCHIP). With the competing SCHIP bills finally all defeated this spring by Presidential vetoes and Republican opposition, there was little time left to deal with doctor payment cuts.
Medicare Maneuvers, Part 1: The Problem
July 2, 2008
Payment cuts for doctors who treat Medicare patients - which have been looming for about a year - finally went into effect yesterday. The payment cuts of 10.6% will affect the 600,000 doctors who treat Medicare patients, and thus millions of elderly and disabled Medicare enrollees who rely on them.
Maybe if you’re under 65 and/or not relying on government health care benefits you think this isn’t your problem. You’re wrong.
A little history:
Health Care 2.0
June 17, 2008
You may have heard the phrase “Web 2.0.” It refers to how we are now in the second phase of the role that the Internet plays in our lives.
Originally the Web was a source of information and entertainment, written and produced by “professionals.”
In recent years, Internet users have themselves moved onto the Web - actively creating content, blogs, and new software and tools. You could say that the Internet has exploded, and is continuing to explode.
So Health 2.0, then, involves these new ways of using the Web in order to share and make use of health care information. As with Web 2.0, oftentimes this means promoting a very individualized and personal online experience.
Country Living
June 13, 2008
Most Americans live in cities and their surrounding metropolitan areas and suburbs. Around 1 in 5 Americans live in the “country” – farms as well as small towns.
When country folks get really sick or injured, they typically have to make the long trip to a city medical center to get expert help. Though 20% of America’s population is rural, only 9% of its doctors are.
A recent study suggests that special programs in medical school to train students for country caregiving could boost the numbers of doctors available.
The DNA Dilemma: Desperate for a Diagnosis?
June 11, 2008
Yesterday, we posted on last month’s passage of the Federal Government’s Genetic Information Nondiscrimination Act.
We hope that the law will help protect Americans’ coverage and employment despite their genetic likelihood for disease. This should allow them to feel more comfortable with seeking information about their own DNA in order to better manage their health.
Prior to this legislation passing, however, patients were seeking more private ways of testing their DNA - primarily through take-home kits.
DNA, Disease, and Discrimination
June 10, 2008
Can you imagine being faced with the difficult decision of having your breasts removed - not because you have breast cancer, but because you’ve determined that you carry the genes for it? Women at risk for the disease can now find out whether they have the same DNA that killed their mothers and grandmothers.
In recent years, advances in genetic research have helped push medicine into realms once reserved for science fiction.
In the 1850s there were only 140 categories of disease, differentiated by their symptoms. By 1993, genetic mapping had allowed scientists to distinguish 12,000 categories of disease, to determine that some diseases were linked genetically despite having widely different symptoms, and to find better drugs and measures to treat or prevent these diseases.
Diabetes: Drugs, Diet and Data
May 27, 2008
Picnic season is upon us – a time for cookouts and gatherings around the grill or at the park. This means burgers and hot dogs, potato salad and chips, ice cream and lemonade. This means we’ll be tempted to pack on pounds even as we’re trying to cram ourselves into shorts and bikinis.
For those Americans with diabetes, all the starch and sugar that come with summertime meals and outings are a serious hazard not just for their waistline but also for their health.
Can You Profit from Health Care? Part 2
May 21, 2008
A couple weeks ago WhatIf explored whether the U.S.’ largest industry – health care – is recession-proof. It seems health insurance companies’ profits are starting to slip. Rising health care costs means that insurers must pay out more to cover health services, which means they raise the price of their policies to recoup these costs. As a result, the number of employers purchasing insurance is decreasing.
Even so, the nation’s largest publicly-traded health plans say they will continue to raise premium prices and reduce provider payments in order to please Wall Street. “We will not sacrifice profitability for membership,” WellPoint President and CEO Angela Braly said recently.
New WhatIf Content on CT Scans
May 19, 2008
How many times in the past year have you or a loved one had a CT scan? At the time, did the doctor ordering the scan have a conversation with you about its radiation risks compared to that of a typical x-ray? What about other kinds of x-ray based scans - like a mammogram? Or the kind that trace contrast materials through your GI tract or your heart?
Our newest piece To Scan or Not To Scan makes the case that it’s time we start having these discussions with our doctors.
And maybe our doctors need to be getting more informed as well.
When Insurers Take Their Toys and Go Home
May 10, 2008
For the past few years there has been work in cities and states across the country to improve our citizens’ access to health care. From San Francisco to Vermont, 39 states and a number of cities are in the process of creating legislation that would help address their numbers of uninsured.
Washington, D.C. is one of these. A look at the trouble our nation’s capital is facing on this issue may shed a light on why the words “health care reform” are often greeted with less than a smile.
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