Out with the old, in with the new!

Since January you may have noticed a new, cheeky addition to the puzzles page – a geektastic, scientific comic strip for all to enjoy! Replacing our ‘Through the lens’ section, the comic strip provides a humorous outlet for topical issues facing scientists today, drawn by a different illustrator each month.

I am proud to present the very first comic strip below, which was drawn by the talented Nik Papageorgiou, whom some of you may recognise from The Upturned Microscope

The Upturned Microscope - January issue

The Upturned Microscope – January issue

Of course, I’m not forgetting all those loyal ‘Through the lens’ fans out there, have no fear, this has now become a nomadic, full-page spread within the magazine – enabling the beautiful, eye-catching imagery to be displayed in all its glory! You can also view the collection of ‘Through the lens’ images online

I hope you enjoy the new look and, as always, do let us know what you think by leaving any comments below.

Emma Shiells

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Source:
http://prospect.rsc.org/blogs/cw/2013/04/03/out-with-the-old-in-with-the-new/

Health care subsidies carry tax risk

1:00 AM Some Americans will be asked to estimate their 2014 earnings and could end up owing money.

The Associated Press

WASHINGTON - Millions of people who take advantage of government subsidies to help buy health insurance next year could get stung by surprise tax bills if they don't accurately project their income.

click image to enlarge

Barack Obama signs the Affordable Care Act into law March 23, 2010 in this file photo. The law requires people to pay back part of a subsidy if their income estimation is off.

The Associated Press

President Obama's new health care law will offer subsidies to help people buy private health insurance on state-based exchanges, if they don't already get coverage through their employers. The subsidies are based on income. The lower your income, the bigger the subsidy.

But the government doesn't know how much money you're going to make next year. And when you apply for the subsidy, this fall, it won't even know how much you're making this year. So, unless you tell the government otherwise, it will rely on the best information it has: your 2012 tax return, filed this spring.

What happens if you or your spouse gets a raise and your family income goes up in 2014? You could end up with a bigger subsidy than you are entitled to. If that happens, the law says you have to pay back at least part of the money when you file your tax return in the spring of 2015.

That could result in smaller tax refunds or surprise tax bills for millions of middle-income families.

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Health care subsidies carry tax risk

Surging Health Care Index Sets Another Record

The S&P 500 Health Care Sector rose to a record high again Tuesday, led by managed care companies such as Humana and UnitedHealth Group.

It was the sixth-consecutive day that the index set a record. In July, it broke its all-time high set in December 2000.

Within the managed health care group, which is mostly responsible for the overall sector's gain, shares of CIGNA, Coventry Health Care and Aetna were also trading at multi-year highs.

So far this year, the health care group is up 17 percent, outperforming not only the broader market, but rest of the nine major S&P 500 sectors. The last time the sector was up this much in a quarter was in Q2 2000, when it rose 23 percent.

Tuesday's surge followed the Centers for Medicare & Medicaid Services announcement of an increase in the payment rate by 3.3 percent in 2014 for insurers that offer coverage through the popular Medicare Advantage program. (Read More: In Reversal, US to Raise Medicare Advantage Payment Rate)

Although the health care sector is traditionally considered a "defensive play" during economic downturns, the projected increase in both revenue and profit this year, as a result of major changes under the U.S. health care law, has helped many of these stocks move higher.

Here's a look at some of the largest managed-health care companies and their performance year-to-date.

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Surging Health Care Index Sets Another Record

Access to mental health care lacking for children, teens across the U.S.

Apr. 2, 2013 Everyday, news reports detail the impact of the deficiencies in the nation's mental health care services. Even more startling, a survey from the University of Michigan reveals that many adults across the U.S. believe children and teens have extremely limited or no access to appropriate mental health care services.

The W.K. Kellogg Foundation commissioned the National Voices Project to facilitate a five year study to gauge opportunities available for children and teens at the local level in communities across the U.S. Officials at the National Voices Project based their study on the perceptions held by adults who work and volunteer on behalf of children day-to-day.

"The adults in the National Voices Project survey work or volunteer on behalf of kids. These are the adults who are perhaps best positioned to refer children and teens to the healthcare services they need," says Matthew M. Davis, M.D., M.A.P.P., director of the National Voices Project, associate professor of Pediatrics and Communicable Diseases at the University of Michigan Medical School and associate professor of Public Policy at the Gerald R. Ford School of Public Policy.

Survey participants were asked how much availability there is in their communities for children and teens to receive healthcare services. More than half of all respondents note that there is "lots of availability" for teens to have hospital care (55%) and primary care (56%) in their communities, but across all healthcare services, only 30% of respondents reported "lots of availability" for mental health care. Healthcare availability for children was very similar.

"These findings indicate low availability of mental health care for children and teens in the majority of communities across the U.S.," says Davis. "Even in communities where there are lots of opportunities for children and teens to get primary care or hospital care, access to mental health care is lacking."

In addition, in communities where respondents perceived racial/ethnic inequities, they consistently reported less access to all healthcare services, including mental health, especially for teens.

The full survey shows that where there are perceived inequities at the community level there are also perceptions of diminished opportunities for young children and teens in the domains of nutrition, health, and healthcare.

To read the full report, please visit: http://nationalvoicesproject.org/america-healing-grantees/resource-center/disparities-access-healthcare-teens

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Access to mental health care lacking for children, teens across the U.S.

Butler County health care leaders support Medicaid expansion

As the debate over Medicaid expansion in Ohio rages, a consortium of Butler County health care leaders threw their support behind the proposal Tuesday, saying the expansion would be good for health care and the economy by aiding the working poor.

A provision in Gov. John Kasichs proposed biennial budget calls for the extension of Medicaid to individuals up to age 65 and up to 138 percent of the Federal Poverty Level.

Detractors claim that the provision would trade dubious short-term gains for long-term losses. But those in attendance at a rally for Medicaid expansion held at Primary Health Solutions in Middletown maintained raising the level to 138 would bring a lot of additional people into the system.

Many of them work and fall just above the current line, said Marc Bellisario, CEO of Primary Health Solutions. In the current system, if you work, you cant get assistance for health care.

According to a fast facts summary issued by the Ohio Council of Behavioral Health and Family Services providers, the expansion would allow more than 275,000 low-income parents and single adults statewide to have coverage for the treatment of physical and behavioral health conditions.

The expansion, the summary said, would free up $404 million in the state budget over the next two years, will ensure that $13 billion in federal taxes paid by Ohio citizens would come back to the state.

This policy creates 30,000 jobs in the health care sector (and) in the private marketplace as people gain access to treatment and can successfully return to work and participate in Ohios economy, the summary said.

An estimated 16,679 people in Butler County would sign up for Medicaid under the proposed expansion and 4,208 would do so in Warren County, according to a recently released report by a partnership of the Health Policy Institute of Ohio, Ohio State University, the Urban Institute and Regional Economic Models, Inc. The expansion is also estimated to generate $499,722 in sales tax for Butler County and $168,089 for Warren County, according to the 12-page report.

Bellisario said that many people who work in jobs without adequate health care insurance will often postpone seeking medical attention for problems until they become serious.

Then they end up in emergency rooms, and that costs us all, he said.

More here:

Butler County health care leaders support Medicaid expansion

Our SALUD Health Care Advocates Launch Website, New Video

SACRAMENTO, Calif.--(BUSINESS WIRE)--

In its ongoing efforts to advocate for safe, equal and unrestricted health care access for residents in East Los Angeles and to voice its commitment to ensure the availability of information on quality care issues, Our SALUD has launched a new website.

Were thrilled to launch our new website today, said Elba Romo, Our SALUD Community Advocate and Co-Founder. The new website is intended to be a source of empowerment for the East Los Angeles community. It is a way for patients to educate themselves and ensure they will not become victims of health care system schemes.

The website and expansion have been fueled by the courage of a young man, Juan Carlos Jandres a cancer survivor alleging he was delayed care by HealthCare Partners (HCP). Over half a million Los Angeles area residents are part of a network connected to the alleged illegally operating medical group. Jandres is now stepping out to tell his story in hopes that this never happens to anyone else again. Jandres explains his heart wrenching story of how he had to fight to save his life on Our SALUDs first You Tube channel.

You Tube will allow Our SALUD to spread important testimony and information via a medium that is much more personal and widespread, said Ms. Romo, In a couple of weeks time Juans videos have reached many in our community and garnered significant media attention.

The site will also serve as a resource to boost recent expansion efforts. Our SALUD is increasing its advocacy work to encompass other critical issues affecting this Southern California region. This includes an effort to fight childhood obesity, a trend that has more than doubled in the past 30 years, according to the Centers for Disease Control and Prevention.

We are excited to assist community members most in need of help. Our hopes are to form long-term mutually beneficial relationships for our community, said Nestor Valencia, Our SALUD Community Advocate and Co-Founder.

About Our SALUD

Our SALUD (Somos Aliados Latinos Unidos por la Dignidad - Latino Allies United for Dignity), is a grassroots coalition and healthcare watchdog representing civic, community and business leaders from the Southern California Latino communities. We believe that our low-income, minority communities deserve quality healthcare access equal to other communities. We believe our communities are not unlike other communities in California that are yearning for best practices and quality health care. With the new Affordable Care Act, we believe legislators should practice transparency and good government in implementing new health care delivery models, which should include exceptional, free of conflict-of-interest, community-patient focused decision makers at every level.

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Our SALUD Health Care Advocates Launch Website, New Video

Obama health care credits could trigger surprise tax bills

Millions of people who take advantage of government subsidies to help buy health insurance next year could get stung by surprise tax bills if they don't accurately project their income.

President Barack Obama's new health care law will offer subsidies to help people buy private health insurance on state-based exchanges, if they don't already get coverage through their employers. The subsidies are based on income. The lower your income, the bigger the subsidy.

But the government doesn't know how much money you're going to make next year. And when you apply for the subsidy, this fall, it won't even know how much you're making this year. So, unless you tell the government otherwise, it will rely on the best information it has: your 2012 tax return, filed this spring.

What happens if you or your spouse gets a raise and your family income goes up in 2014? You could end up with a bigger subsidy than you are entitled to. If that happens, the law says you have to pay back at least part of the money when you file your tax return in the spring of 2015.

That could result in smaller tax refunds or surprise tax bills for millions of middle-income families.

"That's scary," says Joan Baird of Springfield, Va. "I had no idea, and I work in health care."

Baird, a health care information management worker, is far from alone. Health care providers, advocates and tax experts say the vast majority of Americans know very little about the new health care law, let alone the kind of detailed information many will need to navigate its system of subsidies and penalties.

"They know it's out there," said Mark Cummings, who manages the H&R Block office where Baird was getting her own taxes done. "But in general, they don't know anything about it."

A draft of the application for insurance asks people to project their 2014 income if their current income is not steady or if they expect it to change. The application runs 15 pages for a three-person family, but nowhere does it warn people that they may have to repay part of the subsidy if their income increases.

"I think this will be the hardest thing for members of the public to understand because it is a novel aspect of this tax credit," said Catherine Livingston, who recently served as health care counsel for the Internal Revenue Service. "I can't think of what else they do in the tax system currently that works that way." Livingston is now a partner in the Washington office of the law firm Jones Day.

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Obama health care credits could trigger surprise tax bills