Archive for the ‘Tools’ Category
Blue Shield Cancels Rate Increases
Wednesday, April 27th, 2011California Sees Rise in HMO Premiums
Friday, March 4th, 2011Employers are constantly searching for ways to bring down the cost for group health insurance premiums. While the answer used to be “switch to an H.M.O”, this is no longer the case. While H.M.O. plans used to offer much lower premiums because patients were limited in where they could go for care, the rates for such plans have increased at such a steady pace, many of them have surpassed the PPO options in terms of monthly rates. The average increase for an H.M.O. in 2011 was 9.8%, the highest increase in five years.
Many Children Going Without Mental Health Services
Thursday, January 27th, 2011As the number of uninsured children increases, a new study shows that many of these children have the added stress of an emotional, behavioral, or developmental disorder which is going untreated due to lack of access to medical care. Low income families tend to have children with higher rates of these conditions, such as ADD, autism, or depression, but do not have health coverage to assist with the mental health services they need – including counseling and medication. According to such reports as the one done by the Health Resources and Services Administration:
Long Term Care Costs Continue To Rise
Thursday, January 20th, 2011The good news? People are living longer. The bad? Costs for Long Term Care (LTC) are increasing steadily with each passing years, outpacing inflation. Should you need care after an accident or illness, you may find that savings can rapidly deplete when paying for the care you need. It is estimated that over two-thirds of the over 65 population will need some form of long term care, whether it is in as assisted living facility, adult day care facility, or home health services. Medicare offers some basic skilled care in a nursing home, but is limited to 100 days. When faced with a long term illness which impairs your ability to perform the basic activities of living, such as eating, bathing, or dressing, it is imperative to have access to continuous care. Long Term Care insurance helps you maintain your dignity and financial freedom and gives you the ability to contribute to the choices that affect your care — about the services you receive, where you receive them and who provides the care you need.
Medicare Prescription Drugs Plan Premiums Increase in 2011
Thursday, January 6th, 2011While numbers vary from carrier to carrier, it is expected that Medicare Part D (prescription) plans will increase by an average of 10% in 2011. Premiums have increased steadily over the years, but this one seems particularly steep. With the Patient Protection and Affordable Care Act, higher-income enrollees will pay a greater share of standard Part D costs, while low-income clients will continue to have access to plans with no monthly premium at all. Fortunately, all will benefit from health care reform when reaching the dreaded “doughnut hole”, as 2011 will bring some relief during this time. Manufacturer prices will be discounted by 50% and the plans will also cover 7% of generic drugs while in the coverage gap (between $2,840 and $4,550 in out of pocket spending), rather than requiring enrollees to cover 100% of their drug costs. Note that this applies only to original Medicare Supplement plans and Part D options, as most Medicare Advantage enrollees have drug coverage built into their plan.
Calfornia First In Line To Set Up Health Care Exchanges
Thursday, December 2nd, 2010Governor Schwarzenegger recently signed two bills (SB 900 and AB 1602) which puts California at the forefront of establishing health insurance exchanges. Although these exchanges won’t be open for business until 2014, this bill will start California on the road to implementing this vital piece of health care reform. Federal guidelines do outline how the exchanges work, but each state is allowed leeway to create the exchange to work with their individual state’s needs. Proponents of this bill believe that as California becomes the first state to being the framework, it is expected that other states will be looking to California’s model for guidance in how to create their own structures. Opponents fear that this surely means an increase in taxes and fees.
Grandfathered Plans and Your Options Now
Friday, September 24th, 2010What does it mean to lose “grandfathered status”? This may or may not be a concern to you. In a nutshell, this means is your plan will now have to comply with all regulations mandated by health care reform. One of the most important things to know is that along with guarantee issue coverage for all applicants, premium ratios cannot exceed 3:1. Currently, most carriers implement rate variations every 4 years — i.e. 30-34, 35-39, and so on and so on. With the reduction of rate brackets (from 8 to 3), one can only imagine that premiums for younger clients will be much higher than they currently are in order to meet this requirement.
Whooping Cough Overshadows H1N1 as New Epidemic
Tuesday, September 21st, 2010While promising reports from the Center for Disease control proclaim that the Swine Flu (H1N1) epidemic is “over”, another illness appears to be emerging as a major cause for concern. It seems that Whooping Cough, or Pertussis, has been declared an epidemic, and is the worst that has been seen in years. As of July 21, six infants in California died after contracting whooping cough. This bacterial disease ravages bodies, but affects infants most of all because they are so small. The cough itself is named for the sound one makes while trying to catch their breath between the coughing fits. Coughing fits can be so severe that one breaks blood vessels in their face, eyes, and even their brain. Vomiting often accompanies the coughing fits, and if you notice this symptom, seek medical attention. Treatment is more effective the earlier it is administered, starting with antibiotics. More severe symptoms may require fluids, sedatives, and even oxygen support. Note – even though the disease is dangerous to children, adults are just as likely to contract the illness, and it is just as important that they seek care for their symptoms early on.
When to Worry About a Child's Fever
Monday, August 23rd, 2010Starve a fever, feed a cold? Or is it feed a fever, starve a cold? Whatever the old myth states, we all know how frightening it can be when your child has a fever. While it is a necessary process your body uses to fight off infection, it is vital to keep track of the fever both in the number and length of its duration. However, keep in mind that the number on the thermometer has little to do with the seriousness of the situation. Keeping a watchful eye on your child and noting behavioral changes is just as important as anything else.
Doctors Face Major Cuts in Medicare Reimbursement Rates
Monday, August 16th, 2010The American Medical Association is working diligently to fight the cuts in Medicare reimbursement rates, which is about 21% less than current compensation rates. Though the House delayed the cuts via HR 3962 (Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010) until at least November of this year, many physicians see this as only a temporary fix to a flawed system. Congress states they have no other choice, as mounting deficits play a role in their decision. Medicare overall is in a difficult financial state, leaving little to no room for improvements. The only choice doctors will have, other than dropping Medicare patients altogether, will be getting more patients in the door. Either way, patient care will be compromised if the Medicare pay cuts occur.



