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Medical Care

For-Profit Home Care: Higher Costs, Lower Quality

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For-profit home health agencies are far costlier for Medicare than nonprofit agencies, according to a nationwide study done at the City University of New York School of Public Health and published Monday, August 4th 2014 in the August issue of the journal Health Affairs. Overall cost per patient was $1,215 higher at for-profits, with operating costs accounting for $752 of the difference and excess profits for $463. Yet the quality of care was actually worse at for-profit agencies than at non-profits, and more of the patients required repeat hospitalizations.

Medical Care

Survey: Quality of Health Care Providers

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The Associated Press-NORC Center for Public Affairs Research has released the results of a major survey examining the public's opinions about what it means to be a quality health care provider in the United States. The survey, funded by the Robert Wood Johnson Foundation, sheds new light on how American adults perceive the quality of their health care and doctors, as well as the information they use and trust when making health care decisions. The survey produces new and actionable data during a crucial period of Affordable Care Act (ACA) implementation.

Medical Care

Update on Telehealth

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By Miles E. Drake, Jr., MD ΓÇ£TelehealthΓÇ¥ or ΓÇ£telemedicineΓÇ¥ have been used more or less interchangeably over the past 50 years to describe the provision of health care services and exchange of health information by electronic means. The initial concept of telephonic and later computer-based medical interaction and education was defined by the Institute of Medicine as ΓÇ£the use of electronic information and communications technologies to provide and support health care when distance separates participantsΓÇ¥.

Companion and Caregiver

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The words companion/caregiver are positive words for us who have parents. They are also sad words. They are not positive words for our parents. I know. My mother has a ΓÇ£companion,ΓÇ¥ she says! Not a caregiver. We dare not call Mimi a caregiver. My father had a caregiver. Below are tips I have learned that I want to share with you when you may have to look for a companion or caregiver for your own parents.

Aging Well
Caregiving
Medical Care

Long-Term Care Must Be Improved

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As millions of Americans struggle to help loved ones with dementia, policymakers should consider more ways to improve long-term services and supports for the soaring numbers of people with the debilitating condition and their caregivers, according to a new RAND Corporation study done in June 2014. Thereport also offers possible ways to achieve those goals.

Mental & Emotional Health

A Healthcare Team Helps Women Beat Depression

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A collaborative approach to depression counseling for women at obstetrics and gynecology clinics involving psychiatrists, clinicians, specialists, and depression care managers is an improvement over typical of mental health care at specialty clinics. That is the finding of a study done at the University of Washington and published May 7th 2014 in the journal Obstetrics & Gynecology.  A release from the university notes that approximately one-third of American women list an obstetrician/gynecologist as their primary physician.

Medicare Reforms Save Money

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Reforms to Medicare regulations identified as unnecessary, obsolete, or excessively burdensome on hospitals and other health care providers will save nearly $660 million annually, and $3.2 billion over five years, through a rule issued on May 8th 2015 by the Centers for Medicare & Medicaid services (CMS).

A Plan for Better Heart-Patient Care

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Mayo Clinic researchers have found that a uniform method to treat lower-risk cardiac surgery patients can improve outcomes, reduce time in the hospital and lower patient cost by 15 percent. The study was published in the journal Health Affairs. Despite their findings, researchers didn’t discount a remaining need for care that doesn’t necessarily adhere to their model.

Caregivers for Wounded Veterans

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More than 1.1 million spouses, parents, and friends are caring for the injured and disabled who have served in the U.S. military since Sept. 11, 2001, often doing so without a formal support network and putting their own well-being at risk, according to a new RAND Corporation study.

Continuity of Care for Elderly Patients Needed

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Older patients with chronic illnesses often have care that is poorly coordinated. They may see many different health care providers working in multiple clinical locations, and poor communication between provider and patient is common. These factors can lead to higher use of health services and poorer outcomes. Improving the coordination of care for elderly patients with chronic diseases trims costs, reduces use of health services, and cuts complications. Those are the finding of a study done by the RAND Corporation and published online in March 2014 by JAMA Internal Medicine.

Proposed 2015 Medicare Part C Updates

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Medicare beneficiaries can get greater protections, value, and care in the Medicare services they receive through the proposed policies in March of 2014 by the Centers for Medicare & Medicaid Services. The 2015 Advance Notice and draft Call Letter takes important steps to improve payment accuracy for Medicare Advantage (Part C) for 2015.  

Mental & Emotional Health

Health-Care Coverage: A Tragic Exception

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By Michelle Andrews, Kaiser Health News Dealing with the aftermath of a suicide or attempted suicide is stressful enough. But some health plans make a harrowing experience worse by refusing to cover medical costs for injuries that are related to suicide—even though experts say that in many cases such exclusions aren't permitted under federal law. Yet patients or their loved ones often don't realize that.

Healthier Broccoli That WonΓÇÖt Spoil Quickly

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While researching methods to increase the already well-recognized anti-cancer properties of broccoli, researchers at the University of Illinois also found a way to prolong the vegetable's shelf life. An article about the study, published in the journal PLoS ONE, reports that the method is natural and inexpensive.

Shopping for Health Insurance in the Digital Age

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By Edward Oberg With the introduction of legislation such as Obama Care, The Affordable Care Act, and even DOMA, the world of insurance is in flux and shopping for a new policy is more confusing than ever. This leaves those who remain uninsured and those who have found themselves underinsured with the newly imposed restrictions in quite a quandary. Despite the plethora of new questions these changes pose, luckily there are answers to be had.

Financial Issues for Caregivers

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By Hilary Young While caring for a loved one may seem like the better, cheaper alternative to assisted living, there are actually many financial issues to consider. Understanding these issues and knowing how to cope with them is vital because people are now living longer than ever before and many family members will eventually take on the role of caregiver.

The Benefits of ΓÇ£TelehealthΓÇ¥

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“Telehealth”, an approach to saving costs and improving patient care in hospitals, goes far beyond videoconferenced doctor visits, according to researchers at the University of Michigan who conducted the first survery of how broadly web-based technologies are being used nationwide. The team found that 42 percent of U.S. hospitals use some type of "telehealth" approach. The study, published in the February 2014  issue of the journal Health Affairs, breaks down adoption rates by state.

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