Archive for the ‘General’ Category

Public Views on Health Care Reform

Tuesday, March 2nd, 2010

  A recent poll shows that 57% of Americans do not like any of the proposed health care bills, and agree that Congress should start fresh, rather than attempting to piecemeal a model from scrapped ideas. Trying to reach a bipartisan agreement as to what needs to be done is not an easy task, but it is vital to ensure that resolution is achieved.   These polls shows interesting trend among voters as to how they feel now, as compared to a year ago in regards to health care reform:  

California’s Timely Access to Medical Care

Sunday, February 14th, 2010

 Recently, the California Department of Managed Care has released some new guidelines for HMO patients, in order to create a more efficient and comprehensive level of care for these patients. Among the new rules:   

• A physician appointment within 10 business days of a request 

Children with Insurance Have Brighter Prognosis in Hospitals

Thursday, December 10th, 2009

Disturbing news shows that children without insurance are 60% more likely to die from a serious illness, such as pneumonia or asthma. This is most likely due to the fact that care is not sought out until it is much farther advanced. This is tough to swallow, but keep in mind there are always options to ensure that your children are not without the coverage they need.

Do Americans Really Pay More For Their Health Care?

Thursday, December 3rd, 2009

Recent studies show that the United States spends almost 44% more for health care than Switzerland, though Switzerland has the second higher per capita health care costs. Even with these escalated costs, Americans have fewer visits and spend less time with their doctors, as well as experience shorter hospital stays than any other industrialized nation.

H1N1 Flu Vaccine and Your Insurance Plan

Monday, October 12th, 2009
Many carriers have released information that they will be covering the H1N1 virus (swine flu) vaccine and all administrative costs associated with obtaining the vaccine. Although focus will start with clients at most risk, all members will be ultimately covered. The two anti-viral medications, Tamiflu and Relenza, both offered in a generic formula as well, will be covered under the Tier 1 benefit, which ensures the lowest copayment for members to get their medications.
 
Companies that have agreed to this thus far are Blue Shield of California, Aetna, and BCBS IL, with more carriers joining in every day. Please contact us or check your insurance companies website to see how they will help you to protect yourself and your family members.
 
Note:
It is important to understand that these benefits are subject to the vaccine’s availability.  The CDC is working with local health departments to ensure the following targeted priority populations receive the vaccine first:
1. Pregnant women
2. People who live with or care for children younger than 6 months of age
3. Healthcare and emergency medical services personnel
4. Persons between the ages of 6 months through 24 years
5. People ages 25 through 64 years who have chronic health disorders or compromised immune systems.

Healthy Families Coverage Losing Financial Support in California

Tuesday, September 8th, 2009
The State of California has been in financial crisis as of late and now is going to hit home for many families whose children are enrolled on the Healthy Families program. This is a low cost state run plan that offers affordable medical, dental, and vision coverage for California children. Unfortunately, due to a lack of financial support from the state, they are planning on disenrolling children from the program starting October 1, 2009.
 
Budget cuts that totaled over $128 million dollars caused a major financial strain, and further enrollments were halted this July. This resulted in a waiting list of over 55,000 children, and a prediction of the removal of nearly 670,000 children having to be removed from coverage.
 
It is important to keep updated on these proposals, to ensure that California’s children maintain comprehensive medical, dental, and vision care. With too many children already forgoing vital preventative care, we have to find a way to keep our future healthy. Please visit the California Major Risk Medical Board for updated information and ways to become involved.

Ways to Save on your Medicare Supplement Plan

Wednesday, August 12th, 2009

We all know how hard it is to keep up with ever increasing insurance premiums. Fortunately, there are always alternate plans or carriers to consider, in an effort to keep your insurance coverage comprehensive without breaking the bank.

Helping Seniors in the “Doughnut Hole”

Friday, July 3rd, 2009

Medicare Part D is the drug portion of Medicare coverage. It is designed to assist with the overwhelming cost of medications, but there is one major flaw in their design – the gap in coverage called the “doughnut hole”. This is when the enrollee is responsible for covering the entire cost for their medications between $2,700 and $4,350. Studies show that one in four Part D enrollees reached the doughnut hole in 2007, and numbers have only increased since then.
 
What does this mean? Considering seniors are often living on very fixed incomes, these out of pocket expenses are too high, and results in medications being halved to make them last longer, or dosages being skipped altogether. This, of course, can create a very dangerous situation to these individuals, which clearly shows that something needs to be done.
 
One of the most important changes that can help to relive some of this burden would be a break in the costs of the medications themselves. Turning to the drug manufacturers has proven helpful, as they have agreed to reduce Medicare drug costs in a number of ways. From forgoing $80 billion dollars in revenues to offering substantial discounts in the medications themselves, it seems like the drug companies and Medicare drug coverage is headed in the right direction. We can only hope things continue to improve, and coverage for seniors remains comprehensive.

SB 810 (LENO) The California Universal Healthcare Act

Wednesday, July 1st, 2009

Senate Bill 810, the Universal Health Care Act, proposes methods to provide affordable and attainable healthcare to all Californians. In a time where there are more uninsured individuals than ever before, and more stringent medical underwriting requirements (leaving those with pre-existing conditions ineligible for coverage), this bill could bring some much needed relief to our strained economy.
 
Under SB 810, eligibility would be based on residency. All residents would be covered, regardless of health status, employment status, or income level. Would this mean an increase in taxes? Well, theory states that over $200 billion dollars were spent in California on healthcare last year. By utilizing this enormous cash flow already being spent on healthcare by Federal, State, and County funds, such a plan is possible. By changing the way the funds are directed, such as purchasing prescription medication and durable medical equipment in bulk, California can save billions in the first year alone.
 
Ensuring fair reimbursements to providers, allowing consumers to choose their own doctors, and relying on a shared source of financial support, may be the answer to one of the biggest issues facing our State and Nation as whole.

Educating the Patient With a Chronic Disease

Saturday, June 20th, 2009

Once you or your loved one has been diagnosed with a chronic health condition, the most important thing is to become self-aware and gain the ability to manage the impact that this illness will have on your life. The first step is to understand your illness. In doing so you will gain the upper hand in preventing further complications.


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