Category Archive - Health News

Post border

State Medicaid Boost In Fed Budget

Tuesday, February 2nd, 2010

Call it the Nebraska affect.

After the Cornhusker State landed a pot of previously unavailable money in exchange for its “Yes” vote on the now fumbled Senate healthcare reform bill, the Obama Administration is expected to announce on Friday a proposal that would add another $25 billion worth of funds to states to use for Medicaid, according to the AP.

The Medicaid windfall is expected to mirror the economic stimulus program that took effect last year, where non-recurring Medicare funds were divvied up among states with the highest unemployment rates. Under the new initiative, the Feds will take on a higher stake of state Medicaid funds for a period of six months (or until July, as proposed) with every state in the U.S. getting an additional 6.2 percent of its current Medicaid budget paid for by federal dollars. Again, those states with higher unemployment are slated to get more.

The proposal is the centerpiece of President Obama’s 2011 budget. It is unclear whether the measure will be wrapped up in the Administration’s $174 billion “Jobs Bill” that Obama unveiled at his State of the Union address last week, or if it would be presented to Congress as part of a special line item. Regardless, if the Medicaid measure passes both houses of Congress, the money would not be made available to states until next year. Obama already has a bit of a head start on getting the measure passed since the House already passed the Medicare extension in a previous session.

Although his budget is highly unlikely to be passed without some significant cuts by Congress, the Obama Administration is stemming the tide of requests from state and local leaders with large populations of unemployed workers who are facing the end of federally-subsidized COBRA health insurance plans. Coupled with a growing pool of retired and elderly citizens who are living on fixed incomes during the nation’s second worst economic recession, the coming Senatorial elections this November and Congress is expected to rubber stamp Obama’s proposed boost in Medicare spending. Aside from the usual partisan bickering about budgets and deficits, we can also expect some debate about the disparity of Medicare funds available to large states like California and Texas, both of which also have a large unemployed population.

Reuters is reporting today that about $645 billion total of the Obama budget is specifically earmarked as money for various state economic and emergency funding programs. One half of that money is dedicated to various reforms for health insurance companies designed to extend affordable health insurance to to the unemployed and economically disadvantaged.

Post border
Post border

Health Insurance Scams: Foreclosure “Help” Part II?

Tuesday, February 2nd, 2010

It’s a sad reality, but when a national crisis takes hold, so too do shady figures willing to create a business opportunity.

Last year, when home foreclosures and unemployment created the perfect storm for American Dream melt-down for many Americans, business licenses were also hitting record highs. Many of them were issued to “foreclosure specialists,” attorneys and legal defense funds with questionable integrity looking to cash in on desperate homeowners with seemingly nowhere to turn but the first billboard or web banner ad promising to save their homes. And cash in they did.

Usually the scam went something like this: Homeowner behind on payments calls toll-free number. Seemingly caring professional promises to help, sometimes giving false guarantees that they won’t be forced out of their homes. Homeowner sends certified check to foreclosure firm at temporary post office box as a “retainer,” held until foreclosure firm begins negotiations with mortgage company. Check received by firm. Phone number disconnected. Web site removed. Homeowner savings gone, Sheriff arrives at front door.

Until states like New York (known for their tough records consumer protection laws and of successful prosecutions for breaking them) started a very public crack-down on these foreclosure schemes late last year, coupled with the federal government’s scramble to crack down on mortgage companies sitting on mountains of paperwork, foreclosure “help” was the biggest business out there for the scheming entrepreneur. Of course, there are still many of them out there fully staffed with hungry self-starters in windowless call centers. But they’re not growing as much.

Attribute it to the recovering housing market or the fact that more mortgage companies are willing to make a deal, but foreclosure defense scams are dropping from the public radar in favor of the next big crisis: The perceived lack of affordable health insurance.

Chances are, the same guys who promised to save your home from being taken over by the bank may be calling you or netting you on the Internet with promises of guaranteed health insurance benefits from some companies that sure sound legit. Consider some of the companies who bankrolled insurance premiums from hundreds of people who were either denied coverage from major health insurance companies or couldn’t afford the plans: In Missouri, “Americans for Affordable Healthcare, Inc.,” “Key Benefits Administrators, Inc.,” and “Serve America Assurance, Ltd.” were among several other outfits who sold great sounding policies with affordable group health insurance rates. But they weren’t worth the paper they were written on — if there was any paper at all.

The Missouri Department of Insurance filed a motion to haul 12 of the individuals behind some 14 fake health insurance companies to face charges they defrauded Missouri residents out of $2,000 each for a “membership” in their insurance plan. One consumer, according to the St. Louis Post Dispatch, wound up with a $60,000 medical bill after he realized his policy was little more than a poker chip on a scammer’s table.

Post border
Post border

Virtual Fitness: Employers Creating Online Workout ‘Buddy’ Networks

Sunday, January 24th, 2010

Health insurance providers are offering their own versions of a virtual fitness system for the Web junkie set. Following a successful internal beta test with its own employees, “Aetna Health Connections Get Active!” is a group / team oriented fitness and nutrition program tailored to Aetna’s commercial employer health plan customers.

The company reports that more than 57 percent of its 35,000 employees in the United States participated in the “Get Active Aetna” program. One Aetna official from Arlington, TX reports the program helped him to lose 120 pounds. Other employees say the social networking component of the program has helped them connect with others who they otherwise wouldn’t have considered shaping up with. The program is a private-label product of Providence, RI-based Shape Up The Nation.

Even before the current Twitter and Facebook fanatics flocked to the Internet, Med School buddies Brad Weinberg and Rajiv Kumar learned from their early clinical days that patients who were the most successful at losing weight, increasing their exercise, quitting smoking and sticking to their goals all had one thing in common: they had social networking profiles and used their online friends to push them forward.

Aetna isn’t the only group health plan provider to put exercise in the cloud. Cigna, UnitedHealth and other major insurance companies offering their own brands of virtual fitness tracking and exercise regimes, to their own employees and to their plan subscribers. These companies and other FORTUNE 500s regularly report substantial cuts in healthcare costs, employee morale and retention by offering wellness programs that are fully integrated into social networking sites.

Some online fitness program providers work with companies to generate customized reports that tell CEOs which employees are using the program and how often. Other companies fully-integrate the data into Human Resources systems to cross-reference it with group health insurance claim information. While privacy advocates have concerns about the usage of such data to discriminate against employees in some way, national statistics tend to favor the employer:

  • The Kaiser Family Foundation reports: Nationwide, employer-sponsored health coverage premiums for family coverage have increased by 97% since 2000, from $6,438 to $12,680 in 2008.
  • Many have experienced 16% increases during the last 3 years much due to the rising epidemic of obesity and overweight adults.
  • A study in the Journal of Health Affairs noted that per person health care spending for obese adults is 56 percent higher than for normal-weight adults. Over 15 years, the additional costs incurred by obese adults with private health insurance versus normal-weight adults increased from $272 to $1,244 per person per year. The International Journal of Obesity reports, weight gains of 20 pounds are associated with medical care cost increases of >$500 over the last three years.
  • Obese workers lose about 13 times more days per year of work from injury or illness. (In an organization of 10,000 employees, with 32% obesity, that equates to 334,880 hours or an estimated 161 full time employees. With an average national salary of $38,500, the total cost of lost days can be as much as: $6,198,500 per year.)

Online nutritionists, exercise coaches and member message boards are also growing in popularity outside the workplace since real-live trainers are finding work in other industries and more exercise enthusiasts are cutting their gym memberships to save money.

Post border
Post border

Healthcare Reform Nor’easter and Party Politics Aside, We’re All Just Tired of it.

Sunday, January 24th, 2010

Last week’s Nor’easter in Massachusetts stunned the Democratic party and created widespread panic. One likely consequence is that healthcare reform – Barack Obama’s signature initiative – will go down to defeat. Some would say reform of some sort is decades overdue. But not all Americans are convinced the effort must be abandoned.

Democrats could press on if they chose. The loss of their super-majority in the Senate is not decisive, after all. The party still controls the House of Representatives. If the House simply passed the bill which the Senate has already approved, the measure for mandating individual health insurance could go directly to President Obama’s desk.

But many Democrats in the House do not like the Senate bill and Liberals find it too timid. Moderates in swing districts, worried about November’s midterm elections fear it will lose them votes. Democrats aren’t simply sweeping their health plans under the rug; out of lack of conviction, they are choosing to surrender.

Democrats are looking at other options now, but options are tough to come by. Knowing full well these are likely to yield little or nothing of meaningful reform, aside from a bit more regulation, the bill is killed. You cannot guarantee availability of insurance coverage, for example, without an individual mandate to buy insurance: this would cause premiums to soar. Then, in turn, such a mandate requires subsidies. Once you start to pick apart the Senate bill, it unravels completely.

The president and most Democrats are simply tired and seem ready to let it all go away like a bad dream…If only we could get some sleep.

In the coming days, expect the Democrats to show they are listening to voters. It would be wrong to pretend that the Massachusetts election didn’t happen, of course. But popular opposition to healthcare reform is easily misinterpreted. It will be a very tight rope they will walk with the American public. But it may help their stance with voters to reassure their constituents that affordable health insurance is still available on the open market.

Though they ended up with a huge and expensive proposal, President Obama and his Democratic allies made a remarkable hash of getting there. The process was gruesome and the public support was non-existent. Voters have reason to be confused and fearful, and this is driving the polls. But there is no solid opposition to change. President Obama, after all, was elected largely on of comprehensive healthcare reform.

Sadly, it now looks too late for the president to exercise the leadership that was missing last year – in guiding the effort, in uniting his own party around a plan, and above all in assuring the public that it all made sense. No matter where you side on healthcare reform or the political party you affiliate with most, this whole mess gave everyone undeniable and decisive double-take on the Obama administration.

Post border
Post border

Sitting is the Silent Killer

Friday, January 22nd, 2010

Image and video hosting by TinyPicSitting behind a desk for the workday in corporate America is just part of the job. So long as we’re supported by a comfy chair that helps us get our workday tasks done with relative ease and minimal strain on the back, it’s hard to imagine many occupational hazards to concern ourselves with until we leave the office. Not so say Swedish medical researchers. Turns out, sitting is the silent killer.

Aside from putting ourselves at a higher risk for obesity and diabetes, the longer we stay in sitting mode, say the Swedes, the worse off we are in the long run. Doctors at the Karolinska Institute and Swedish School of Sport and Health recently submitted the results of their study to Swedish health officials who quickly designed a series of elaborate exercise programs to keep working Swedes in tip-top shape.

Swedish guidelines now call for individuals to “take regular 5-minute breaks during a working day that is spent behind a desk,” and engage in “a minimum of 2.5 hours of physical activity off the clock to stay fit and healthy,” reads the recommendation.

Perhaps the most mind-warping concept for Americans to embrace in the study is our notion of “sedentary.” For years, U.S. health officials have forged such a strong bond between this relatively benign word and a visual of the mid-life couch potato husband who spends the majority of his off-hours on the couch at home. The Swedish sitting study makes the typical couch potato look like a blob of Play Dough in comparison.

“In the demanding and stressful society of the present, to prescribe these low and minimally time-consuming efforts may encourage many people with problems in maintaining a sufficient level of exercise,” the doctors wrote. “Encouragingly, research has shown that simple forms of individualized physical activity in clinical practice has had a beneficial impact on exercise level as well as sedentary time.”

If that wasn’t enough to get you outta your chair, consider the fact that our American counterparts in the healthcare and medical insurance industry have warned us against deep vein thrombosis — essentially a blood clot that forms and pools most often in the leg when we sit for long periods of time. If you sit in the same position without moving around much for as little as three hours, some people are susceptible to sudden blood clots that could launch quickly into the lungs and cause a fatal heart attack.

Considering the Swedish are amongst the healthiest people in the world, following their lead is probably a safe bet.

Post border
Post border

Green Tea, New Healing Benefit

Friday, January 22nd, 2010

Many have talked about the healing miracles of green tea for thousands of years and new possible benefits of the herbal drink may have others reaching for a glass. Drinking green tea is said to heal various health problems such as asthma, heart, and the common cold. Now, researchers are finding that consuming green tea may contribute to the control of oral cancer; A cancer that health professionals say claimed the lives of an estimated 8,000 people last year. These are concerning statistics that specifically increase the cost of individual and family health insurance for providers like Humana and Aetna.

To conduct the oral cancer study U.S. researchers gave 41 volunteers with pre-malignant mouth lesions green tea extract for three months. They consumed about 8-10 cups of green tea per day. The study found that about 59 percent of people taking the highest dose of the green tea extract showed a clinical response. It took longer for the oral cancer to develop in those who consumed the green tea. The researchers also noted a trend toward improvement in certain biomarkers that could predict cancer development. Researchers say the information is still preliminary and green tea should not be used to prevent cancer.

The secret of green tea lies in the fact it is rich in catechin polyphenols, particularly epigallocatechin gallate (EGCG). EGCG is a powerful antioxidant: besides inhibiting the growth of cancer cells, it kills cancer cells without harming healthy tissue. It has also been effective in lowering LDL cholesterol levels, and inhibiting the abnormal formation of blood clots. The latter takes on added importance when you consider that thrombosis (the formation of abnormal blood clots) is the leading cause of heart attacks and stroke.

It is also said that green tea can build up impaired immune systems. A compound called Theanine is present in green tea which can boost the ability of your bodies ability to fight infections. Theanine is basically better equipping the infantry of the body to fight against hostile forces. This will in turn increase your health and fitness in the future and promote healthy living. Keep in mind that whether you have affordable health insurance from companies such as United Healthcare or Blue Cross & Blue Shield, healthier lifestyles can reduce your health insurance costs.   Many believe the recommended amounts of green tea daily can change your lifestyle. Your body and mind will be relaxed. Your energy level will increase without having the slightest change on your calorie intake. In fact, the intake of green tea will break down excess calories in the body leading to fat loss.

Green tea is often included in a healthy diet. A cup of tea or coffee will help invigorate your mind in the mornings or after a prolonged period without sleep. The power to stimulate and awaken the mind comes from caffeine. It is also said that the amount of caffeine contained in normal servings of green tea can stimulate the skeletal muscles and facilitate muscular contraction. For this reason, many say it is helpful to drink tea in the middle of work to refresh the mind and restore the body. As far as disadvantages to the miracle drink, having more than a few cups has been linked to insomnia, as a result of the caffeine. However, green tea provides less caffeine than a cup of coffee, so it is not considered a major problem.

Post border
Post border

Healthy Eating

Monday, January 18th, 2010

Healthy eating is not just about a bunch of restrictions.  It’s about being more conscious of what you and how much food you put in your body.  The food choices you make during the course of the day ultimately affect how good you feel,  your level of performance,  and in many cases how long you will live. Those who practice healthy eating habits more easily maintain a healthy weight and lower risk for such illnesses as heart disease, cancer, and diabetes.

Planning and a little preparation of meals is largely what it takes to improve nutrition habits.  It’s also about moderation and variety.  There are also some basic tips that will help you stay on the right track. Follow these steps to a better diet.

Calorie Intake
Be sure to find balance in the amount of calories you take in and how much your body actually uses. The average recommended daily allowance is 2,000 calories, but this depends on your age, sex, height, weight, and physical activity.

Physical Activity
Exercising will make a healthy diet work even better.  Hiring a trainer or joining a gym are options.  However, you can also make small changes such as a taking a brisk morning walk or simply walking up a flight of stairs and back down (even at a slow pace) and repeating that sequence for just 5-10 minutes will give you a very effective workout.

Drink More Water
Drinking more H2O can help you control weight by preventing you from confusing hunger with thirst. Water will also keep your body systems working properly, including metabolism and digestion, and give you the energy (and hydration) necessary for exercise.  Water has no calories, so drink to that.

Look for Variety
Don’t get stuck in a rut of eating the same healthy foods.  Choose different foods in each food group.  For example, don’t reach for a banana every time you choose a fruit. Eating a variety of foods each day will ensure you get all the nutrients you need.

Practice Moderation
Don’t eat too much or too little of anything. You can enjoy your favorite sweets and fried foods in moderation, as long as they are an occasional part of your overall healthy diet.

Post border
Post border

Overweight & Obesity

Monday, January 18th, 2010

A large number of  Americans are struggling with weight and obesity. Childhood obesity is also a major concern with one in five children weighing more than health professionals recommend. The prevalence of these conditions are largely blamed on an environment that encourages unhealthy foods and little to no exercise.  Being overweight or obese is also a result of other factors such as family history, genetics or metabolism. No matter what the reason, carrying  extra weight lessens the quality of life and often causes low self-esteem and a lack of confidence. More importantly, these conditions make people vulnerable to health risks such as heart disease and high blood pressure.

Body Mass Index (BMI) is a reliable indicator of total body fight.  Learning what your BMI is will help you understand how healthy you are and is also used by health professionals to determine your chances of health problems. The best way to get your BMI is to let your doctor do it. This way you make sure you have an accurate number.

Now, is the time to work on getting your weight under control. There are a number of options for getting on the road to a healthy body.  Surgery or weight loss medicines may be the best option if lifestyle changes don’t work.  Many health insurance companies such as Humana or Aetna will provide coverage for weight loss surgery if it is considered a medical necessity and the patient meets the National Institute of Health (NIH) requirements for bariatric surgery. Specific coverage will depend on the type of health insurance and what state you are in.

Even among insurance companies that provide coverage for weight loss surgery, benefits will usually not be considered unless other weight loss methods have been attempted. You’ll want to first implement exercise and healthy eating in your daily routine to experience it’s impact . Committing to a lifetime of healthy diet and adequate physical activity will pay off in many ways.

Post border