Take these key steps to control health-care costs

"All I want is the lab required for my colonoscopy," I said. He replied that he thought I would "want to know" what my other tests showed.

In reality, we both knew that with my good health, the chance that something would show up would be very, very unusual. Why waste the money?

Read MoreSex, lies and overspending

Unnecessary tests also increase the chance of "false positive" results, meaning something shows up that really isn't a problem. With false positive results, doctors may have to chase down why the lab result is erroneous, adding to costs and anxiety. Basically, lab tests should be used to supplement a history and physical, not replace it.

So, as an empowered patient, how can you help control laboratory costs? Have clients ask this simple question: "How will the result of this test affect my treatment?" If the doctor can't answer that question, the test is probably not needed. The answer "Just so we know" isn't good enough.

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Take these key steps to control health-care costs

Mahoning County Health Care Coalition to meet on Ebola

Published: Tue, October 7, 2014 @ 12:00 a.m.

By William K. Alcorn

alcorn@vindy.com

YOUNGSTOWN

The Youngstown District Board of Health has made Erin Bishop the health departments commissioner.

Bishop had served as acting health commissioner since February 2011. Her annual salary $71,659 remains the same as she was receiving as acting commissioner, said the Rev. Lewis Macklin, health-board president.

He said at Mondays meeting Bishop was promoted because she has been doing the job and she embraces the priorities of the board of working toward reducing infant-mortality rates and health-care disparities in the community, especially among the minority population.

Bishop, with Patricia Sweeney, is co-chairwoman of the Mahoning-Youngstown Birth Outcome Equity Team, which has identified and prioritized areas to improve the overall infant-mortality rate. Bishop also is a member of the Ohio Institute for Equity in Birth Outcomes Leadership Team representing all the Ohio Equity Institute Teams.

Bishop reported to the board the Mahoning County Health Care Coalition will meet in special session Thursday to ensure that the areas health-care organizations are prepared to deal with the Ebola virus should it strike here.

The health coalition consists of the city and county public-health departments, emergency-management agency, emergency medical services and hospitals.

Continued here:

Mahoning County Health Care Coalition to meet on Ebola

Some steps to control health-care costs

"All I want is the lab required for my colonoscopy," I said. He replied that he thought I would "want to know" what my other tests showed.

In reality, we both knew that with my good health, the chance that something would show up would be very, very unusual. Why waste the money?

Read MoreSex, lies and overspending

Unnecessary tests also increase the chance of "false positive" results, meaning something shows up that really isn't a problem. With false positive results, doctors may have to chase down why the lab result is erroneous, adding to costs and anxiety. Basically, lab tests should be used to supplement a history and physical, not replace it.

So, as an empowered patient, how can you help control laboratory costs? Have clients ask this simple question: "How will the result of this test affect my treatment?" If the doctor can't answer that question, the test is probably not needed. The answer "Just so we know" isn't good enough.

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Some steps to control health-care costs

Coakley defends health-care work

By Andy Metzger

State House News Service

CHELSEA -- Facing criticism from her chief rival in the gubernatorial election for missing annual hearings on health-care cost trends, Martha Coakley said health care and mental health are important issues, and ones her staff can handle.

Monday kicked off the first of two days of testimony before the state Health Policy Commission on health care costs, an issue where Coakley has played a role, seeking to forgo anti-trust litigation with Partners HealthCare System by letting the health giant grow larger in exchange for cost-controls going forward.

Coakley participated in the hearings last year, but does not plan to this year amid a campaign for governor where she is neck and neck with Republican Charlie Baker. A Democrat, Coakley is the attorney general and the state's designated consumer advocate.

"I have done them in the past, but the issues that I care very strongly about that are on today, that my folks have worked on -- they are representing and will put forward the proposals," Coakley told the News Service at a campaign stop in Chelsea on Monday morning when asked why she wasn't attending the hearing.

A Coakley spokesman on Friday said she could not attend the hearing due to a scheduling conflict, which he declined to specify. The Attorney General's Office was scheduled to make a presentation this morning.

In a statement Monday morning, Baker criticized Coakley for missing the discussion of health costs.

"The skyrocketing cost of health care is among the greatest problems facing middle-class families in Massachusetts," Baker said in a statement. "As attorney general, Martha Coakley has done little to offer comfort to those seeking affordable health care, has sat on the sidelines while the Health Connector website has left thousands in health-care limbo at a cost of millions to the taxpayers, and now is skipping an opportunity to advocate on behalf of those struggling to pay for quality health-care services."

The commission has estimated Partners' acquisition of South Shore Hospital and merger with Hallmark Health System would cause costs to rise $49 million per year. In an agreement that is currently before Superior Court Judge Janet Sanders, Coakley would green-light the mergers, while the agreement would cap Hallmark prices for six and a half years and require Partners to fund a compliance monitor. Partners and Coakley say the agreement will help control rising costs and significantly alter Partners' negotiating power for up to 10 years.

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Coakley defends health-care work

Wal-Mart to expand health insurance role

Wal-Mart announced Monday that it will dive deeper into the health-care market, unveiling an initiative to allow customers to compare and enroll in health insurance plans in thousands of its stores.

Wal-Mart is teaming with DirectHealth.com, an online insurance comparison site and independent health insurance agency, to set up counters in its stores where consumers can talk to licensed agents about plan options.

"Our goal is to be the number one health-care provider in the industry," said Labeed Diab, president of health and wellness for Wal-Mart U.S. "And the more we broaden our assortment, the more we broaden our offering, the more we educate the customer Wal-Mart is a great place to create a one-stop shop."

Over the past several years, Wal-Mart has moved to expand its reach beyond retail into the health-care sector, where Americans are spending an increasingly larger share of their dollars. Earlier this year, the Bentonville, Arkansas-based company began opening primary-care centers at several of its locations. Hundreds of its stores include acute-care clinics that offer a basic menu of services, including flu shots and blood-pressure screenings. Wal-Mart made waves about eight years ago when it announced it would offer generic versions of some prescription drugs for just $4.

Some Wal-Mart competitors are by some measures outdoing the big-box retailer with their forays into health care: CVS, for example, has more than 800 retail clinics, according to consulting firm Merchant Medicine. Walgreens has about 400 of them, while Wal-Mart has about 100.

Wal-Mart first began hosting agents from individual insurers in its stores in 2005. The newly announced offering expands on that, with the agents able to guide customers through thousands of plans from hundreds of carriers. DirectHealth.com agents will receive a commission if they enroll an in-store customer in a health plan.

Diab said Wal-Mart hopes this one-on-one service will become a gateway for customers to come to their stores for all of their health-care needs.

"You're educating the consumer on a very, very complex part of the [health-care] space," Diab said. "And when you do that, they want you to take care of their prescription needs, their over-the-counter needs, their optical needs, the clinics."

The program, known as Healthcare Begins Here, kicks off October 10 and will run in stores through December 7, closely tracking with the Medicare open-enrollment period and partially overlapping with the open enrollment period for federal health insurance exchanges. The company said it will monitor the success of the program and potentially bring it back next year.

Wal-Mart will initially offer the program at 2,700 of its 4,311 U.S. stores. Marcus Osborne, Walmart's vice president of health and wellness payer relations, said the company selected locations based on customer interest and demand.

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Wal-Mart to expand health insurance role

Why I Hate the U.S. Health Care System-N.J. GOP Scumbag Scott Garret-Parasite Mitch McConnell – Video


Why I Hate the U.S. Health Care System-N.J. GOP Scumbag Scott Garret-Parasite Mitch McConnell
Plus Chiseler #39;s Hall of Shame-Voice Artist William H. Morrow III-Tea Time With James-Comedian Tracy Morgan Update-Republicans Voter Suppression of Mainstream Democrats and the Poor. ...

By: megalife21

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Why I Hate the U.S. Health Care System-N.J. GOP Scumbag Scott Garret-Parasite Mitch McConnell - Video

Health Care in Danger: practical steps can make access to health care more secure – Video


Health Care in Danger: practical steps can make access to health care more secure
In December 2013, the ICRC launched a new series of powerful images based on real-life stories, illustrating the idea that it is possible to give the wounded and the sick timely access to health...

By: Ceren Altay

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Health Care in Danger: practical steps can make access to health care more secure - Video

Health Care Eyes Power, Pitfalls of Data Mining

Imagine if your doctor could compare your physical health, diet and lifestyle to a thousand Americans with similar characteristics, and realize that you need treatment to prevent heart failure next month.

What if an analysis of your genome could help a physician give you a customized cancer treatment that saves your life?

Unleashing the modern power of computers, data crunching and artificial intelligence could revolutionize health care, improving and extending lives.

Its the kind of potential Google chief executive Larry Page hinted at when he told The New York Times earlier this year that wed probably save 100,000 lives next year, if we data mined health care data.

Imagine you had the ability to search peoples medical records in the U.S., Page said in another interview this summer. I imagine that would save 10,000 lives in the first year.

Pages numbers sound impressive, but are speculative and unfounded, according to many in the medical industry.

Interviews with more than a dozen health care professionals and data scientists found no evidence backing Pages specific claims. While they universally agree that data mining the examination and analysis of huge batches of information could invigorate health care, they caution that any sort of accurate estimate would be impossible.

Usually when I see someone put a number on it and throw around saving lives it usually means one, they arent usually a clinician or someone who provides care, or No. 2 its someone who really knows better, but is trying to grab a headline, said Nicholas Marko, the department head of data science at the Geisinger Medical Center.

A Google spokeswoman declined to offer an explanation of Pages numbers, or make him available for comment.

In one other instance where Page has used an unsubstantiated health care statistic, he told Time Magazine last year that solving cancer would only add about three years to peoples average life expectancy. Thats a figure the American Cancer Society and National Cancer Institute had never heard of before. A Google spokeswoman didnt have an answer when asked for an explanation.

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Health Care Eyes Power, Pitfalls of Data Mining

McHenry County health care providers emphasize end-of-life care

McHENRY Sitting in a hospital bed at Centegra Hospital McHenry, a hospital chaplain walked 84-year-old Teresa Guardi through the different life-sustaining measures the hospital can take ventilators, dialysis, CPR and feeding tubes.

At my age, why should I care about a ventilator? the Island Lake resident asked.

Mom, you could live to be 100, her daughter, Pamela Guardi, said from her seat near the door.

I dont want to live to be 100, she responded. All my friends would be gone, and young people dont want to deal with it.

What she did want was to only be treated with these methods if the gain outweighed the harm and if she was likely to come out of the treatment with a good quality of life, hospital chaplain Dena Battaglia found out as she walked Guardi through the form granting her daughter the power of attorney over her health care if shes ever unable to communicate her own decisions

I want to be independent, Guardi told Battaglia. Theres so many things in life that I still want to discover.

As a hospital chaplain for the past 11 years, Battaglia has these conversations all the time.

Every time someone over the age of 18 is admitted to one of Centegras hospitals, theyre asked if they have an advanced medical directive and if they dont, whether theyd be interested in filling one out.

Thats how Battaglia ended up in Guardis room.

Guardi had gone to the emergency room over concerns that several days worth of diarrhea was dehydrating her, she said. When she was admitted, she was asked those questions and then offered help in filling one out.

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McHenry County health care providers emphasize end-of-life care

Medicare and home health care services

There is a publication put out by the Medicare Rights Center that is an excellent source of useful information on all aspects of Medicare. Recently, it covered a topic that is of great importance to many people. If this topic does not necessarily pertain to you at the moment, I urge you to read the article anyway. Chances are really good that it will affect the lives of your parents, your spouse or you at some point.

This article is republished with permission from the Medicare Rights Center. For more information, visit http://www.medicarerights.org and http://www.medicareinteractive.org.

Dear Marci,

I have multiple sclerosis and my doctor recommended I receive Medicare-covered physical therapy in my home as part of the home health care benefit. I will always need physical therapy to maintain my multiple sclerosis but I heard Medicare will only cover home health services if you are expected to make a full recovery. Will Medicare pay for my home health care even if my condition is chronic?

- Howard (Decatur, GA)

Dear Howard,

Medicare should cover your home health care services from a Medicare-certified home health agency (HHA) even if you have a chronic health condition. Although you may hear otherwise, Medicare covers skilled nursing and therapy services intended to help you maintain your current ability to function or to prevent or slow your functioning from getting worse.

Remember, there are four requirements that must be met for you to be eligible for the Medicare home health care benefit. You must be homebound, you must need skilled nursing care or skilled therapy services, your doctor (or other primary care provider) must have a face-to-face meeting with you to develop a plan of care, and you must receive your home health care services from a Medicare-certified home health agency.

Medicare should not deny you coverage of home health care services if you meet these four requirements even if your health condition is chronic. You also cannot be denied care because the care will only maintain and not improve your ability to function. Restoration potential, the idea that you can improve or increase your ability to function, is not necessary for Medicare to cover home health care.

You can continue to receive home health care for as long as you qualify for the benefit. Your doctor will need to approve a new plan of care every 60 days for the benefit to continue, verifying the care is medically necessary.

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Medicare and home health care services

HR apps aid compliance with health-care law

(Editors note: Part 2 of 2)

While employees in Arizona now have universal access to health care, theres paperwork to fill out and regulations to follow for business owners, including the requirement to report the value of that coverage as part of employee W-2 forms (tinyurl.com/9pe8b5d).

Small-business owners are in charge of all human resource activities. HR software can automate tasks, saving time and money, especially as your business grows to 50 or more employees and you are required to offer employee health insurance.

Jennifer Riggins, a writer for SCORE and marketing director at getapp.com, offers insights on why complying with the Affordable Care Act now with the right software or app might be a good option for your small business.

Diane Diamond is vice president of media relations for SCORE Southern Arizona, a nonprofit group that offers free small-business counseling and mentoring by appointment at several locations. For more information, go to southernarizona.score.org, send email to mentoring@scoresouthernaz.org or call 505-3636.

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HR apps aid compliance with health-care law

Wal-Mart Plans 1-Stop Health Coverage Shopping

Wal-Mart is taking one-stop shopping to another area: health insurance.

The world's largest retailer plans to work with DirectHealth.com, an online health insurance comparison site and agency, to allow shoppers to compare coverage options and enroll in Medicare plans or the public exchange plans created under the Affordable Care Act.

The strategy is another step into insurance marketing as the retailer tries to use its mammoth size to expand beyond food and other basics at a time of sluggish traffic and sales. It also could help Wal-Mart compete with drugstore chains such as Walgreen and CVS, which are rapidly adding health care services.

Customers can enroll online, by phone or at 2,700 of Wal-Mart's more than 4,000 stores, starting Oct. 10. The stores will be staffed with independent insurance agents from DirectHealth.com.

In April, Wal-Mart teamed up with Autoinsurance.com to let shoppers quickly find and buy insurance policies online. DirectHealth.com and Autoinsurance.com are owned and operated by Tranzutary Insurance Solutions LLC, a subsidiary of Tranzact of Fort Lee, New Jersey, which set up Tranzutary specifically to work with Wal-Mart.

Wal-Mart won't receive commissions on health coverage sales and hopes to benefit partly by luring customers into stores. DirectHealth is absorbing most of the costs to operate the program, Labeed Diab, senior vice president and president of Wal-Mart's health and wellness division, told The Associated Press.

Wal-Mart plans to launch a TV, radio and in-store promotions campaign this month.

Since 2005, Wal-Mart has hosted health insurance agents from individual insurers in stores to field questions and enroll customers. But Diab said that with the Affordable Care Act, shoppers found the search for coverage more complicated.

He cited outside research that shows that more than 60 percent of people have difficulty understanding their health insurance options and nearly 40 percent feel they picked the wrong plan after enrollment.

"We saw a greater need to bring more transparency and simplicity," Diab said. He noted the strategy is also part of Wal-Mart's strategy to build business in wellness and health care. But he also is counting on the program to bring more customers to the store.

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Wal-Mart Plans 1-Stop Health Coverage Shopping