Tuesday, February 23, 2010

 Insurance industry responds to Obama's reform proposal

Medical Insurers Slam Proposed Supervision

Obama Administration's Plan for a Federal Overseer on Premiums Doesn't Address Rising Medical Costs, They Charge.


The Obama administration's proposal to create a federal body to oversee insurance premiums drew fire Monday from insurers, which contended it would do little to contain spending and could ruin some companies.

The plan, which Mr. Obama hopes to include as part of his health-care overhaul, would create a new agency to be called the Health Insurance Rate Authority to review premium increases and block those it deemed unreasonable. That would add federal supervision to a patchwork of state insurance regulators that examine premium increases.

The issue has gained steam in recent weeks after some insurers raised rates substantially, starting with an up to 39% increase by Anthem Blue Cross, a unit of WellPoint Inc., on individual plans in California. That provoked sharp words from the administration and triggered hearings in Congress and California.

America's Health Insurance Plans, the industry's trade group, said that double-digit premium increases are a sign of higher medical costs, which it said insurers often merely pass on. Karen Ignagni, AHIP's president, said hospital and doctor bills are 40% to 50% higher than last year, owing in part to biotechnology drugs.

READ THE REST OF THE ARTICLE HERE

Friday, February 19, 2010

Medicare & Chronic Disease

A new article in Health Affairs indicates recent annual increases in Medicare spending are the result of outpatient treatment of chronic conditions such as diabetes, arthritis, hypertension and kidney disease.

A recent study analyzed data about disease prevalence and level of – and change in – spending on the 10 most expensive conditions in the Medicare population from 1987, 1997 and 2006.


Wednesday, February 17, 2010

Monday, February 15, 2010

Opinions

Good Monday morning and Happy Presidents Day! - As I reach out across America and talk to Case Managers and Managers in the Medical Management field, I find it very interesting to get various opinions on how individuals view 2010 compared to 2009 in terms of the healthcare economic climate as well as what people feel is on the horizon for healthcare reform now that things seemed to be stalled (at least for now), on the political front. What is your take? - I love getting comments and would love to hear from you that are on the front lines daily.

In the coming weeks, I have asked for some contributions to the blog by some in our field that hold leadership positions in a variety of settings within healthcare. It is something truly to look forward to as I seek to compare opinions on both sides of the health care spectrum...provider and payer alike.

Steve

Wednesday, February 10, 2010

Free Resume Review Service for Case Managers




CareNational Healthcare Services, the primary sponsor of this blog is offering a FREE Resume Critique for Case Managers seeking to top grade their career. There is absolutely no cost or obligation for this service.

All you have to do is email your resume to: freeresumereview@carenationalservices.com

Monday, February 8, 2010

Experts weigh costs, savings of disease management programs - Related Stories - AHIP Solutions SmartBrief

Experts weigh costs, savings of disease management programs - Related Stories - AHIP Solutions SmartBrief

CMSA's Case Management Model Act of 2009

CMSA is working diligently to make the value of the Nations Case Managers known to law makers. What is your take on how Case Managers should be viewed as part of healthcare reform?

For resources go to: http://www.cmsa.org/PolicyMaker/HealthCareReform/tabid/445/Default.aspx

Wednesday, February 3, 2010

Nurses should have more influence!

Interesting Survey! Read on......

PRINCETON, N.J., Jan. 20 (UPI) -- A strong majority says nurses should have more influence than they do now on health policy, planning and management, a U.S. survey indicates.

The survey of opinion leaders -- including insurance, corporate, health services, government and industry -- was conducted by Gallup on behalf of the Robert Wood Johnson Foundation.

"Nurses are highly trusted sources of healthcare information, but as we look to reform our health system, our nation is not taking advantage of all that nurses have to offer," Dr. Risa Lavizzo-Mourey, president of the Robert Wood Johnson Foundation, said in a statement.

"This survey shows that opinion leaders recognize that we are squandering opportunities to learn from nurses and implement their ideas."

Opinion leaders identified the top barriers to nurses' increased influence and leadership as not being perceived as important decision makers -- 69 percent -- or revenue generators -- 68 percent -- compared with doctors; nurses' focus on primary rather than preventive care at 62 percent and nursing not having a single voice in speaking on national issues -- 56 percent.

Ninety percent of opinion leaders say they would like to see nurses have more influence reducing medical errors and improving patient safety, 89 percent say improve quality of care and 86 percent say they should promote wellness and expanding preventive care.

The telephone survey of 1,504 national opinion leaders was conducted Aug. 18-Oct 30. The survey has a margin of error of 3 percentage points.