The state of health care

Local CEO part of group lobbying for Medicaid expansion

ST. ANTHONY It wont be an easy battle. In fact, it will be hard.

But Brian Hadlock, CEO of GrandPeaks Medical in St. Anthony, thinks changing health care in Idaho is possible.

It helps everybody, said Hadlock.

Hadlock serves on the Idaho Primary Care Association board of directors, a group working closely with the Idaho Department of Health and Welfare to provide solutions for the Medicaid expansion opportunity through the Affordable Care Act.

Hadlock said the group has been involved with the Governors Redesign Workshop for two years and is working with the Idaho Healthcare Coalition to provide accurate information to the governor and state lawmakers about how to transform Idahos health care deliver system.

Members of the group recently traveled to Boise and made a presentation to lawmakers about the possible scenarios to improve health care for the 82,000 Idahoans who are currently not insured.

Hadlock said thats how many people fall into the gap where they cant get health insurance either through the state exchange or by purchasing it privately.

They have inadequate funds to pay for it, said Hadlock. Medicaid expansion fills that gap.

The next steps

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The state of health care

Bill makes health care prices clear

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Health care pricing has been likened to shopping blindfolded in a department store and then months later receiving an indecipherable statement with a framed box at the bottom that says: Pay this amount.

Indeed, here in New Mexico it is easier to find information about the price and quality of a toaster than of a common medical procedure. Because information about price and quality is essential to almost every market transaction, this lack of transparency means that health care is more expensive than it would otherwise be.

The high cost of health care has devastating consequences. Over 62 percent of personal bankruptcies in the United States are attributable to illness and health care debt, up from 8 percent in 1981. Many of these medical debtors are middle-class homeowners, and more than three-quarters of them have health insurance.

Health care costs are also a heavy burden on state taxpayers, with over 27 percent of New Mexicos annual budget going to health care. As health care spending outpaces the growth of the rest of the economy, it threatens to crowd out spending on other priorities like education.

How did we get to this point? A century ago, patients paid directly for their health care and knew exactly what it cost. Since then, the rise of private health insurance, Medicare and Medicaid disconnected patients from the cost of their care.

That situation is predicted to change with the recent trend toward higher deductibles and growing out-of-pocket costs. For example, Bronze health insurance plans under the Affordable Care Act have average deductibles of more than $5,000 for an individual and nearly $11,000 for a family.

Economists believe that these higher out-of-pocket costs will cause patients to be more sensitive to prices, which will help contain overall costs. However, this ignores a crucial detail: the lack of transparency makes it impossible for patients to comparison shop for the highest quality, most affordable care.

That is why we came together to co-sponsor Senate Bill 474, which would create a user-friendly website where New Mexicans can find the price and quality of the most common medical procedures.

This idea is based on a recent policy report by the independent, nonpartisan think tank Think New Mexico. A total of 14 states, including our neighbors of Arizona, Colorado and Utah, have already established similar websites. Another five states are actively working to create them.

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Bill makes health care prices clear

Ask Sharon 3: Health care + mental health, & vaccinations for children – Video


Ask Sharon 3: Health care + mental health, vaccinations for children
Rep. Sharon Wylie (D-Vancouver) responds to constituent emails on funding for health care, including mental health, and on her stand on vaccines for children.

By: Washington House Democrats

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Ask Sharon 3: Health care + mental health, & vaccinations for children - Video

Annual health care crisis grips B.C.

Surrey Memorial Hospital's expanded emergency was reporting crowding soon after it opened.

image credit: Black Press files

VICTORIA The annual ritual of declaring a crisis in health care is upon us, with the B.C. Liberal government boasting that we have the best system in Canada, while the NDP and the B.C. Nurses Union try to portray it as the worst.

The BCNU is the last big public sector union still to settle in the latest round of contract talks. Feeding horror stories to the media is part of its strategy, and this time it was a patient at Abbotsford Hospital assigned a bed in a small shower room for a month due to chronic overcrowding. Hospital officials said his care wasnt compromised.

Weve seen it in Abbotsford, Surrey and elsewhere: a new hospital or expansion is built and is immediately overcrowded. We are reminded every winter that influenza season brings a wave of people into emergency, expecting treatment for a viral infection that in most cases can only run its course.

The problem peaks around Christmas, when more patients than usual use ER as their walk-in clinic.

Many people still dont understand what the flu is, beyond the notion thatitsounds serious enough to tell the boss you wont be in to work. And as fewer doctors choose the endless demands of family practice, the expectation that all problems must be dealt with quickly and for free seems to grow as inexorably as the health care budget.

An emergency physician of my acquaintance provided a typical scenario for night shift at the ER. Where once nights were quiet, now there are patients waiting for hours, around the clock.

Several are drunk, and one has urinated on the floor. Surveys show as many as half of ER visits are alcohol-related, from overdoses to fights, falls, car crashes and chronic conditions.

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Annual health care crisis grips B.C.

Obesity is a health care time bomb, warn Lancet authors

Unprecedented obesity rates are a time bomb of future burdens on health care systems but global efforts to reverse the epidemic are failing, according to a major new series in the Lancet, one of the worlds top medical journals.

An estimated 2.1 billion people are now overweight and even modest targets set by the World Health Organization to maintain zero growth in obesity rates between 2010 and 2025 are at risk of being missed.

Turning this tide will require strong government policies, as well as engagement from the food industry, civic society and health practitioners, according to the Lancet series, published Wednesday.

But the world also needs to shift how it currently thinks about obesity, said Christina Roberto, who led one of the six studies in the series.

Obesity, she said, is a multi-faceted health problem caused by everything from genes and globalization to predatory food marketing aimed at children that demands an equally complex solution.

An individual is responsible for his or her food choices but its often true that the environment shapes what we eat, said Roberto, an assistant professor with the Harvard T.H. Chan School of Public Health.

The discourse has traditionally been focused on oh, its either the individual or its the food environment. What were trying to say is both are true.

The Lancet series explores a wide-ranging approach to tackling obesity, which can lead to chronic ailments like diabetes, cardiovascular diseases and cancer. As of 2010, a high body mass index (which calculates body fat based on height and weight) accounted for roughly 2.8 million deaths per year.

While everybody is vulnerable to eating too much unhealthy food, modern environments have been designed to exploit that biological vulnerability, Roberto said.

The risk is particularly high for children, who are heavily targeted by the food industry, according to Dr. Tim Lobstein with the World Obesity Federation, another study author.

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Obesity is a health care time bomb, warn Lancet authors

Obamacare 2015: 11 Million Enroll But Health Care Sign-ups Remain Uncertain

More than 11 million people signed up for private health insurance under the Affordable Care Act during the 2015 open enrollment period that ended Feb. 15, the Obama administration announced Tuesday. But the numbers are just preliminary and, depending on several factors, could fall or rise further.

The number could grow because the government has extended the deadline until Sunday, Feb. 22, for those who had technical problems signing up over the weekend or had to deal with long wait times when signing up through the ACAs call center. (More people signed up on Sunday, Feb. 15, than any day during the 2014 and 2015 enrollment periods.) The administration also is considering adding a special enrollment period around the time when taxes are due in April and when people realize they will have to pay penalties for not having health insurance. Many of the states that run their own exchanges have also extended their deadlines.

But the number could fall. In 2014, 8 million people signed up during the first open enrollment period of Obamacare, which ended in April of that year. But by the time fall came around, 1.3 million people had dropped out of plans run by the exchange, although some may have found coverage elsewhere. Forbes thencalculated that plans offered on the exchange had a retention rate of 87 percent.

The 11.4 million figure that's touted by the government also doesnt necessarily reflect the number of new enrollees. Forbes reported that of those who signed up for coverage during the 2015 open enrollment period, about 5.4 million new enrollees had been previously uninsured -- less than half of the 11.4 million enrollees -- meaning that the rate of new enrollment in health care plans had slowed significantly. Estimates from last year put the number of uninsured people gaining coverage through the Affordable Care Act exchanges at 10 million, or almost twice as many as in 2015.

The other issue is that despite people signing up for health care, there's no guarantee they will actually gain that coverage, because they have to pay their premiums in order to actually be covered. About 80 percent of those who buy coverage through exchanges received government subsidies that covered about three-quarters of the price of monthly premiums.

The Congressional Budget Office has estimated that this year the Affordable Care Act reduced the number of uninsured Americans by 19 million. It also estimated that in 2015, 12 million people will get coverage through the exchange, a slightly higher estimate than the 11.4 million signed up so far, and nearly 3 million more than the White Houses initial projection of 9.1 million sign-ups for the 2015 open enrollment period.

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Obamacare 2015: 11 Million Enroll But Health Care Sign-ups Remain Uncertain

Health Care Sector Update for 02/18/2015: EGRX, CAPN, MDAS, TEVA

Top Health Care Stocks

JNJ -0.71%

PZE -0.94%

MRK -0.16%

ABT -0.78%

AMGN +0.19%

Health care stocks were mostly lower, with the NYSE Health Care Sector Index dropping 0.6% and shares of health care companies in the S&P 500 declining 0.5% as a group.

In company news, Eagle Pharmaceuticals ( EGRX ) rose to a new all-time high Wednesday, extending its rally to a second day after last night reporting financial results for its transitional quarter ended Dec. 31 above Wall Street expectations.

Net loss attributable to common stockholders was $5.5 million, or $0.39 per share, expanding on a $4.4 million net loss during the year-ago period but still beating the Capital IQ consensus by $0.10 per share.

Revenue rose 1.8% year over year to $5.6 million, trumping analyst projections by $2.45 million. Royalty income rose 24.2% over the same quarter last year to $4.1 million, offsetting a 31.8% decline in product sales compared with last year.

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Health Care Sector Update for 02/18/2015: EGRX, CAPN, MDAS, TEVA

Targeted mobile ad drive raises issue of abuse against health care workers

People turning to their phones to kill time in waiting rooms at health care facilities may soon see an unexpected image: a person in blue scrubs, with dark purple bruises on her arm.

It is one of the ads in a targeted mobile campaign launching Wednesday, designed to raise awareness about the pervasive problem of abuse against health care workers. It is using new advertising technology targeting people with mobile ads based on the GPS location of their phones to get the message out.

The campaign, launched by Ontarios Public Services Health & Safety Association (PSHSA), will show ads to people in more than 100,000 health care facilities in the province, including hospitals and rehabilitation centres. Ads will appear in mobile apps people use to play games, read the news, or map their routes home, for example, as long as those people have agreed to allow those apps to gather information about their whereabouts.

The issue of violence against health care workers is growing, said Henrietta Van hulle, executive director of the PSHSA, a non-profit funded by the Ministry of Labour. The association is charged with taking a preventative approach to workplace health and safety (as opposed to enforcement, which is the purview of the Occupational Safety and Health Administration, or OSHA.)

The campaign is the beginning of a multiyear process to push for better tools to protect these workers. That will include more awareness among families of patients, who need to inform doctors and nurses if the patient has certain triggers or warning signs of a violent outburst. It could also involve tools such as personal alarms workers can wear to call for help when a situation arises. More generally, it also means informing workers of their rights, and encouraging workplaces to do better risk assessments and even flag patients who may become violent. For people working in home care, who do not have security nearby, risk assessment is even more important.

Last year, 639 health care workers in Ontario were injured in a violent incident, badly enough that they were unable to work their next shift. That statistic does not account for incidents where workers are pushed, hit, or scratched, for example, and do not report them or take time away from work.

Theyre seeing [these incidents] as part of the job, Ms. Van hulle said.

In October, a nurse was stabbed in the head and neck at the Brockville Hospital Mental Health Centre in Ontario.

The issue is not limited to Ontario. In December, a nurse was punched and thrown against a wall at a hospital in Kamloops, B.C., and a doctor was beaten severely at a hospital in Penticton, B.C. Last month, a home care worker was stabbed in Parksville, B.C.

According to a decade-old Statistics Canada study, 33.8 per cent of more than 73,000 nurses surveyed in hospitals and long-term care facilities reported being physically assaulted by a patient in the past 12 months. Nearly half of more than 100,000 surveyed reported emotional abuse on the job. More recent national statistics are hard to come by, but industry associations and unions say the problem is growing.

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Targeted mobile ad drive raises issue of abuse against health care workers

Discover Gilbert: Health care services

Banner MD Anderson Cancer Center

2946 E. Banner Gateway Drive

(480) 256-6444

Opened in 2011 and located on the campus of Banner Gateway Medical Center, Banner MD Anderson Cancer Centers staff includes medical oncologists, surgeons, radiation oncologists, physician specialists, nurses and clinical support staff. The center employs 275 staff members, 70 physicians and 150 volunteers to treat its patients.

Mercy Gilbert Medical Center

3555 S. Val Vista Drive

(480) 728-8000

Run by Dignity Health, Mercy Gilbert Medical Center opened in 2006 and currently has 198 beds to house patients. Services offered at the center include womens services, imaging services, cardiac services, a sleep center, and cancer and oncology services. Mercy Gilbert earned the Distinguished Hospital Award for Clinical Excellence from Healthgrades in 2013.

Health First Urgent Care

888 S. Greenfield Road, Suite 101

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Discover Gilbert: Health care services

Health Experts Tell Polk County Commission Voters Should Be Asked to Renew Indigent Health Care Tax

Published: Tuesday, February 17, 2015 at 12:01 p.m. Last Modified: Tuesday, February 17, 2015 at 12:01 p.m.

BARTOW | Polk voters should be asked to renew the indigent health care tax in 2016, representatives from the local health care community told the County Commission on Tuesday.

The consensus came from a work session organized by commissioners to get input from the health care community over how they wanted to deal with the coming expiration of the tax at the end of 2019.

The tax was approved in 2004.

Tuesdays meeting attracted more than 50 people from local hospitals, volunteer clinics and nonprofit organizations, as well as the Department of Health and the court system.

Renewal of the half-cent sales tax that funds the program will allow the program to continue serving nearly 40,000 residents and help county officials pay for mandated health services without having to raise property taxes to cover the cost.

County Commission Chairman George Lindsey said it will be up to the health care community to form an advocacy group to promote passage of the continuation of the tax, adding theyre the best group to lead the effort anyway.

Their clients are the beneficiaries; they recognize the consequences, he said.

Its incumbent on this group to move the message forward, Lindsey said. That message cannot come forward from the County Commission.

The County Commission is prohibited by law from doing more than providing educational materials on ballot issues. It cannot advocate for or against passage of any ballot measure.

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Health Experts Tell Polk County Commission Voters Should Be Asked to Renew Indigent Health Care Tax

Morgan County Dog Grooming – (801) 829-9122 – Morgan County Pet Grroming – Video


Morgan County Dog Grooming - (801) 829-9122 - Morgan County Pet Grroming
Morgan County Dog Grooming (801) 829-9122 - Learn more and set an appointment today http://www.morgancountypetgrooming.com At Morgan County Pet Grooming, our highest priority is the ...

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Morgan County Dog Grooming - (801) 829-9122 - Morgan County Pet Grroming - Video

Pet Grooming Morgan Utah – (801) 829-9122 – Morgan County Pet Grroming – Video


Pet Grooming Morgan Utah - (801) 829-9122 - Morgan County Pet Grroming
Pet Grroming Morgan Utah (801) 829-9122 - Learn more and set an appointment today http://www.morgancountypetgrooming.com At Morgan County Pet Grooming, our highest priority is the health...

By: Morgan County Pet Grooming

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Pet Grooming Morgan Utah - (801) 829-9122 - Morgan County Pet Grroming - Video