Medicare Maneuvers, Part 3: The Insurer Showdown
July 16, 2008
It seems that Harry Reid gambled and won. In our previous two posts we described the battle being waged in Congress over the proposed 11% paycuts to Medicare physicians. After the Independence Day recess, the Senate Majority Leader and advocacy groups working on behalf of doctors and seniors - as well as informed and angry constituents - were able to put enough pressure on Senate Republicans to finally cross the aisle.
But party lines weren’t the real issue. The two sides squaring off in this debate were private insurers versus the average American. Why? Two words: Medicare Advantage.
As discussed in our July 2 post, Medicare Advantage came about when insurers convinced government that they were getting good at cutting spending on health care, and that maybe the government should learn from some of their tactics. Heck, they said, let’s just let insurers do the job themselves!
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.
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.
Thank You for Smoking
April 14, 2008
People have been smoking tobacco for over a thousand years. Even a generation ago smoking was considered the norm. Now we know of its link to a variety of cancers and diseases, and many laws have been introduced at all levels of government to try to protect nonsmokers and smokers alike. The numbers of U.S. smokers are declining, but cigarette smoking is the still the single most preventable cause of untimely death in this country – claiming 400,000 Americans each year – 1 in every 5 deaths. Treating cancer cost $219 billion in 2007.
Costs of Cancer Care?
March 31, 2008
Part of the heartache of cancer is that surviving it is ultimately a game of statistics. There are no assurances - except in the worst case scenarios where they are grim.
Even determining the best treatment is a matter of weighing likelihoods rather than having clear-cut solutions. On top of all that, patients must deal with the cost of various treatments.
Fortunately, cancer death rates have been falling in recent years - for several reasons:
- There is more and more information available on how to prevent cancer.
- Regular screening can catch the disease in early stages when it’s more treatable.
The Benefits of Telehealth
March 11, 2008
If necessity is the mother of invention, then it should be no surprise the innovative world of computer science and technology is being harnessed to help bring down health care costs.
Telehealth - or remote patient monitoring - refers to when medical experts use a digital network (like the internet or telephone lines) to provide automated monitoring and treatment delivery to a patient who is in a different physical location. This can range from email messages of basic care instructions to remote robotic surgery.
Congress Ready to Promote Mental Health
March 5, 2008
Originally posted November 17, 2007: Metal Health Discrimination? The AP reports that the Senate has passed a bill that would require group health insurance to cover mental health services and substance abuse treatment at the same levels as typical medical coverage. From this little article one gets a glimpse at the way the US has treated mental health. There is a more expansive House version of the mental health parity bill that would also require insurance changes to begin in January 2008 - almost a year earlier than the Senate bill, which has the support of insurance companies. The House bill has made it through three committees.
Cancer Care Beyond the Cancer
February 29, 2008
A diagnosis of cancer is terrifying and something that around 1.4 million of us can expect to hear this year. More frightening is that in recent years cancer beat heart disease as the number one killer in this country. There is good news on the horizon. Increased education about cancer prevention has caused the number of U.S. lives lost to cancer to fall by 2.1 % each year between 2002 and 2004 — almost twice the 1.1% annual rate of decline noted between 1993 and 2002.
Professional Health Care Helpers
February 27, 2008
If you or a loved one have ever been diagnosed with a serious disease or admitted to a hospital, you know the stress that comes not just from the illness itself but from making sure you’re getting the best care. Overworked nurses and doctors with poor bed-side manners can be aggravating. Sometimes, if mistakes are made or directions are misunderstood, they can even be fatal.
But the average person lacks the medical expertise needed to measure the work of a provider or insurer. What’s the best course of treatment? Why is my condition not getting better? Why are the nurse and the residents giving me totally different information? How can I make sure my insurance will cover this necessary procedure?
-
Connect to WhatIfPost.com
