If this goes through it will be welcomed with much jubilation by all those who will benefit as the Home Health care aides jobs is one of the toughest out there; it much demands strength, patience, empathy, compassion, skill. So much is demanded from those in this field and the wages they get in return in most cases is not a livable wage. Most of the people I know in this field work 12 hour days because of the low wages and have a second job to earn enough money to make ends meet.
Please read the article about the new proposal here.
Monday, April 29, 2013
Thursday, April 11, 2013
Monday, April 8, 2013
Getting people to enroll in the Federally funded Health Exchange
On October 1st of this year, the federally funded health exchange will start accepting applicants and concerns are already being raised regarding getting enough people to enroll to make the program successful and financially viable.. In an article in Kaiser Health news today, several points were mentioned as potential barrier to getting consumers enroll.
One of the barrier includes money as the states and federal government will need to find ways to get the word as to those eligible for the program as many are not aware of the program. Several state are forming partnerships with nonprofit community groups to help get the work out. The law does provide funds to the state to help enroll consumers but in case where a State have opted out, it will be the responsibility of the federal government to set up exchanges in the State and to get the message out.
Another barrier is getting people who are healthy to enroll as most people want insurance when they are sick not healthy. This program is counting on the premium of the healthy people to help offset the cost of ensuring the sick and also to help keep premium cost affordable..
Read the full article here
One of the barrier includes money as the states and federal government will need to find ways to get the word as to those eligible for the program as many are not aware of the program. Several state are forming partnerships with nonprofit community groups to help get the work out. The law does provide funds to the state to help enroll consumers but in case where a State have opted out, it will be the responsibility of the federal government to set up exchanges in the State and to get the message out.
Another barrier is getting people who are healthy to enroll as most people want insurance when they are sick not healthy. This program is counting on the premium of the healthy people to help offset the cost of ensuring the sick and also to help keep premium cost affordable..
Read the full article here
Friday, April 5, 2013
Interesting tidbit about the Medical Loss Ratio regulations
The Medical Loss Ratio (MLR) regulations which is part of the affordable care act, states that insurer must spend 80 to 85 percent of premium on medical claims and quality improvement initiatives, and that if they spend less the money should be returned to premium holders as rebate. What I find interesting about this is the quality improvement piece as I did not know this what part of the law. Though insurers are not required to report the type of quality measures taken, they must report the amount of money spent on the following initiatives: reducing re-admission, reducing medical errors, patient safety improvement, increase wellness and promotions.
The Common Wealth fund, has published a report that looks at the median amount insurers spent on quality improvement initiative and MLR, they found that insurers spent less than one percent of premium on MLR or quality improvement activities.The study found that the amount spent on quality initiatives and paid out as rebate depends on corporate structure. They found that provider-sponsored insurers spent more on quality improvement measures and paid out less rebate on average than non-provider-sponsored insurer, non-profit provider spent more on quality initiatives and paid out less rebate than for profit and publicly traded company also spent more on quality initiatives and paid out less rebate than non-publicly traded company
In 2011 according to the study, insurers spend 11 percent on Administrative cost, 3.9 percent on operating profits, 0.7 percent on quality improvement initiatives, 84 percent on medical expenses and 0.5 percent on rebate.
Please read the Study here: The Common Wealth Fund.
The Common Wealth fund, has published a report that looks at the median amount insurers spent on quality improvement initiative and MLR, they found that insurers spent less than one percent of premium on MLR or quality improvement activities.The study found that the amount spent on quality initiatives and paid out as rebate depends on corporate structure. They found that provider-sponsored insurers spent more on quality improvement measures and paid out less rebate on average than non-provider-sponsored insurer, non-profit provider spent more on quality initiatives and paid out less rebate than for profit and publicly traded company also spent more on quality initiatives and paid out less rebate than non-publicly traded company
In 2011 according to the study, insurers spend 11 percent on Administrative cost, 3.9 percent on operating profits, 0.7 percent on quality improvement initiatives, 84 percent on medical expenses and 0.5 percent on rebate.
Please read the Study here: The Common Wealth Fund.
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