No Picture
Healthy Nutrition

Online Healthcare Pricing Comparison Site Benefits Families

We are seeing more evidence of consumers like you becoming more frugal about the health care you receive – and it’s not just because of the down economy. We battle all sorts of extreme challenges in just keeping health care affordable, from the sky-high price of medical services in general, to blizzards of confusion over out-of-network charges, insurance denials for the insured, and much more like nonsensical medical bill errors.
Now, we’ve come across an additional resource that you may want to explore and use to comparison shop for more affordable health care, before you step foot in your doctor’s office. The Health in Reach web site, a free service for consumers, allows you to browse for nearly any kind of health care, from regular family practice to specialist offices, in much the same way that you do for, say, hotels or soft goods.
How It Works
This kind of ‘match-making’ site works on this principle: doctors like to anticipate costs, as well. They can do this by compiling groups of single new patients and pricing the incoming visitors in bulk: that means that uninsured patients who need to pay out of pocket can enjoy some of the same price benefits as those whose insurance companies have an existing contractual arrangement with a provider.
Health in Reach assists to fulfill the void of “service transparency,” the idea that patients should know ahead of time what they will be paying. In a world where providers typically bill insurers first and shift costs to patients later, too many patients just don’t have any real clue about the final ‘invoice total’ that they will see in a mailed medical bill. As we often point out, this kind of ‘mystery pricing’ would never be tolerated in any other industry, and it should be part of our medical industry either. By bringing the power of the Internet to medical shopping, these third party sites are helping to change the cumbersome and often unequal relationship between patient and provider.
Need Dental Work?
One of the biggest demands for the Health in Reach site, according to the company, is from dentist offices, which often uses the site as a way to gain exposure for new business. Health in Reach estimates that 100 million Americans avoid dentists, partly because of high out of pocket pricing and a growing unwillingness on the part of employers to fund dental care for their employees. The company estimates that about 40% of all providers listed on the site are dentists, and many site users take advantage of the ability to ‘lock in’ low rates for a dental visit. This is a great example of the utility of price shopping sites. Many of the thousands of individuals who would either go without care or wait for annual ‘free dental clinics’ where they are available, can now choose a third option: seeing up-front prices for a cleaning or other visit.
This is just one of many sites we’ve come across the last few months that appears to provide a valuable service for its users. We’ll continue to keep an eye out for other resources that will surface.…

No Picture
Healthy Nutrition

Emergency Care Basics

It is most likely that everyone wants to be physically fit and in the pink as always, but there are circumstances which are beyond your control and sometimes you get into some serious illnesses or be involved in some accidents which you so not want to happen at all. You will never know when an emergency will happen to you and to your love ones or your friends, it might happened on the subway, when you are at the office or in your house, wherever it maybe, you need to know what to do for you to be able to save lives and cease the day.
When you are in situation where you need or someone needs an urgent care which by the way means you or someone needs immediate medical attention with a profession. Say for example your ankle has been fractured, you do not need to book for an appointment with a physician just to be cured, you can be treated without prior notice if you will not be able to call your own doctor but if you are in conscious and you would want to be treated by a physician whom you are familiar with, then it is up to you.
If you or anybody that you know which needs immediate emergency care, you need to call your local ambulance station or your local police station, if you are new in the place it is best for you to have a copy of the emergency numbers inside your pocket at all times. When you are in a devastating event, even though it is hard to stay on focus and know what you have to do, you just have to be there would be nobody who can save you at that very instant but yourself. If you have a clear mind, you will be able to clearly think of what you have to do and who are the people whom you need to call.
In some places, asking the help of an ambulance would mean you need to pay some deductibles, so if you have insurance you need to clearly ask and know if their insurance policy has some coverage with regards to emergency care.
You only have one life, so it is a rule of the thumb that you take care of it for you and for those whom you love. There maybe times that you will be in some unlikely situations in your life and when this happen, you need to be sure that you know what to do.…

No Picture
Healthy Nutrition

Reclaiming the Body – The Foundation of Health Touch Through Massage Therapy

In the state of trauma, the body, in order to survive, will protect itself. This survival instinct is apart of the evolution and adaptation of humans, regardless if the response is due to a physical threat or not. With nerve fibers to respond with sensations and the brain to release chemicals, to ready our bodies to the physical challenges, we have, within normal perimeters, the tactics to react to stress, trauma or any other perceived threat. If conditioned enough times repetitively without enough processing time for recovery, or in the case of an extended duration, patterns can develop which can be deeply seated into the mind and body. These patterns switch on easily and often trigger the event or events that created the original trauma. Post traumatic stress disorder is a common diagnosis relating to this condition. Developing coping mechanisms is one way in which order to adapt to trauma.
Isolation, guilt, blame, anxiety, fear and resentment can be a few of the emotional conditions of coping. Often one internalizes feelings, resulting in repression, depression and tension in the body. Often times other physical symptoms and/or disorders manifest as well. Other forms of coping can take place forming addictions, attachments, detachments boundary issues, etc.
Healthy touch reinforces healthy boundaries, especially in the case of physical and sexual abuse. Often times trauma, as yet another coping mechanism, one can remove themselves from feeling and residing in their body. Healthy touch reclaims the body, sending a positive message of self acceptance, embodiment, safety, trust, openness, healthy vulnerability and self love.…

No Picture
Healthy Nutrition

Effects of Coffee, Tea and Cold Drinks on Health of Elders

Tea, coffee and cola drinks are beverages taken in the normal social life over the world. Chocolate drinks are also popular. The remarkable popularity of these drinks is due to the fact that they are pleasant to consume and ill-effects are rare and seldom serious. However, it is worthwhile to examine their effects on the elderly and see the extent to which they can be considered safe and desirable.
What do these beverages contain?
Tea, coffee and cocoa(chocolate) and cola nuts(in cola drinks) contain xanthines, mainly caffeine. Xanthines are the active ingredients responsible for stimulating effects of these drinks.
What Effects do the Xanthines Produce?
Caffeine and xanthines stimulates mental activity, make thought process more rapid and removes improves both physical and mental performance when they have been reduced by fatigue or boredom. But a poor performance caused by anxiety or tension is made worse by caffeine. It makes the person more alert and postpone directly stimulates the heart, increasing the force and frequency of its beats, and causes transient rise of blood pressure. It acts as a diuretic, producing more urine.
In excessive amounts it causes, tension and such effects it reduces the levels of mental and physical performance, prevents sleep. Urination is much increased. Extra beats and palpitations are produced, and blood cholesterol is raised.
Effects on the Elderly
All effects of caffeine, including disturbance of sleep, are more pronounced on the elderly than the younger people. Even small amounts can produce excessive effects.
Certain health problems are aggravated. Enlargement of prostate is very common after the age of fifty and cause frequent urination. This is made worse by caffeine. In some men the enlargement may not be sufficient to cause any problem but when the diuretic effect of caffeine is added, frequent trips to lavoratory and disturbance of sleep become troublesome. Secondly, heart disease or predisposition towards it are common at this age. It is, therefore, not desirable to over stimulate the elderly heart. Further, caffeine tends to raise the blood pressure and increase the cholesterol level in the blood, both of which are adverse factors for the heart.
What Amounts of These Drinks Are Safe?
Heavy consumption of caffeine in any form-tea, coffee, chocolate or cola drinks, has to be avoided for the elderly. While the safe figures for the younger people is 250 mg per day, for the elderly its 150 mg. More of this amount can be troublesome. Each cup of coffee contains about 80 mg, a cup contains 30 mg and a cola drinks or chocolate malt contain 30 mg of caffeine. For the elderly two or three cups of tea with an occasional cup of coffee or cola drink or chocolate beverage may provide all the caffeine that would be both safe and satisfying. But they should not consumed late in the evening. Those who are in the habit of taking milk at night may be well advised to take it plain without chocolate flavouring. In this context it is worth mentioning that in some persons coffee has a delayed sleep inhibiting effects, so a cup taken in the morning may cause sleepless night. Such elderly people will do well by avoiding coffee altogether.…

No Picture
Healthy Nutrition

Mental Healthcare Reform – Present Successes and Future Challenges

As healthcare reform is becoming a reality, there is much to celebrate within the mental health community. This includes passage of a healthcare reform package that includes parity for mental health and addiction services, expansion of Medicaid to 133% of Federal Poverty Level, inclusion of behavioral health organizations and individuals with mental illnesses in the new Medicaid medical home state option, and authorization and increased funding for grants co-locating mental health treatment and primary care. These and a host of other provisions expand the opportunities for individuals with mental illnesses and addictions to obtain and maintain insurance coverage and access needed services.
But this is not the end of the mental healthcare battle. Simply put, mental health advocates must be ready to play in a new game, in a world where increasing numbers of individuals – by virtue of Medicaid expansion, the emerging Health Insurance Exchanges, and parity regulations – will have access to behavioral health services. We expect to see an additional 15 million individuals – an increase of 43% – eligible for Medicaid alone, with more than 30 million individuals overall who will, in the not too distant future, have insurance coverage.
But this is far more than a matter of numbers – it’s about working smarter. Advocates of mental healthcare anticipate that healthcare reform-driven service delivery redesign and payment reform will unfold at a rapid pace. In order to bend the cost curve, payment reform and service delivery redesign will change how health, mental health, and substance use services are integrated, funded, and managed. Providers must learn to practice healthcare the way healthcare will be done.
As mental healthcare providers and advocates, we must become savvy about positioning ourselves to take advantage of new markets and new opportunities to help control the design and delivery of healthcare services. We must begin to build relationships within and across the entire healthcare sector. As we revisit the concept of “managing care” for individuals and whole populations, we have to be certain that our focus on person-centered, recovery-focused treatment and services is not subsumed by the drive to “bend the curve” in healthcare costs. We must be able to demonstrate our value not only to our customers, but also as key players in these new healthcare consortia.
We must become accountable for efficient and effective services that show results across all health domains. We believe fee-for-service reimbursement will slowly become a thing of the past. So, too, will be the ability to claim that caseloads are full with no-show rates of 50% and more. We risk being left on the sidelines if we don’t move with deliberate speed to ensure continuity and timely access to care; comply with third-party payer requirements; coordinate care with a full range of health providers; and if necessary take on payers that refuse to honor the spirit and letter of the parity regulations.
We must become increasingly customer-focused, from the way we greet individuals who come through our door to the way we market our services. We should expect that with more money available in healthcare – particularly for mental health and addiction treatment – that new and well capitalized players will find behavioral health, traditionally a financially unattractive healthcare sector, far more appealing.
People will be insured and will have an increasing range of options available to them. What differentiates our mental healthcare services? Why should an individual choose to receive treatment and support from us? Are we offering services that will help them meet a full range of healthcare needs? Are our services culturally appropriate for the communities we serve? Can we help them understand and make appropriate use of their insurance coverage? We must retool our organizations with the knowledge that all individuals will now become true “consumers” of healthcare services.
At the same time, we must also be aware that our work is far from over at the state and federal level. Forty eight of 50 states are experiencing severe budget shortfalls. The threat is very real and the mental healthcare advocates are fighting hard to hold on to current funding as legislatures see an opportunity to continue to withdraw needed funds. This is surely a bad idea – even the most generous healthcare benefits will likely not cover the full range of wraparound supports that people with mental illnesses and addictions need to fully recover.
Eleanor Roosevelt once said, “It takes as much energy to wish as it does to plan.” All of our planning, advocacy, and leadership to date have borne fruit, but we must not be content to wish it all works out well. We must fight for our future – and the future of the individuals we are privileged to serve – by acting as key players in the brave new world of healthcare.…

No Picture
Healthy Nutrition

If It Ain’t Broke, Don’t Fix It

January 1 of this year we had to change the electronic transmission protocols for filing electronic medical claims. As a medical billing service, we were proactive throughout 2011 getting the protocols in place. As the January 1 deadline approached it became apparent that not everyone was quite so proactive.
We are now well into over a month of transmitting claims and the process seems to becoming more fraught with disaster. The new protocols are referred to as 5010 and the old ones were 4010A. The 4010s worked great and all the bugs were out of it but again the statisticians simply want more data, most likely data that could be held over physicians heads as a tool to coerce them into doing things not necessarily in the best interest of the physician and most assuredly not in the best interest of American medicine.
Today as I was reviewing the transmission reports it struck me as to the absurdity of some of the rejections. From a claim standpoint, we still refer to a lot of the data as if we are looking at what was once called a paper form a HCFA1500 and now called CMS1500. Basically the same piece of paper with two major exceptions, each provider had a spot for two numbers, his NPI and his legacy number and one column in section 24 disappeared and the rendering physician NPI and/or legacy number no longer was in 24K but was now in 24J, but I have digressed. The absurdity is in box 32.
The bottom three boxes on a CMS1500 are 31,32, and 33. Box 31 is the physician of record taking responsibility for the claim. Box 32 is the name and location of where the service was performed and box 33 is the entity and address of where payment is to be made. Here is the absurdity. For Medicare, if the service is performed anywhere but the provider’s office, the data must be filled in. But if it is in the providers office the box must be left blank or the claim will be rejected. Now wouldn’t it be simple to just ignore that info if it is unnecessary? But apparently they are too incalcitrant into a format that they can’t! And to compound the issue, United Health Care will reject the claim if the service is performed in the office and box 32 is not populated. Besides, why have the box if you don’t want it populated.
The rules should be uniform but apparently they are not. One will reject the claim if it is populated while another rejects it if it is not populated. From the standpoint of attempting to keep them all happy it can be a nightmare.
So seriously folks, if the 4010A worked why change it just to gather more statistical information that will only serve to drive up the cost of health care.
If it ain’t broke don’t fix it.…

No Picture
Healthy Nutrition

Are Allergies Leaving You Bleary-Eyed And Sneezy? Help Is Here!

It is likely that you have some experience with allergies. You may know someone else that has allergies or be a sufferer yourself. The important thing is that you surely know what kind of irritation allergies can cause. Fortunately, you will find many great tips in this article to help people with allergies.

On sunny days, you might want to open windows to let your house naturally cool. However, those open windows can cause nasty allergy flare-ups. For the best results, make sure your air conditioning unit is equipped with a special HEPA filter, to cut down the number of allergens inside your home. This will help you breathe better, even though the air might not seem as fresh.

Before going to bed, take a bath and thoroughly wash your hair. You can get a lot of pollen on your hair and skin during the daytime, which can cause an allergic reaction at night. A quick rinse before bed can make a big difference in your life.

Except in extreme conditions, dust mites are almost impossible to avoid. As you might expect from their name, you can find them burrowed deep in your pillows or mattress as they feast on skin cells that have been shed. That’s gross! Use mattress and pillow case covers with zippers to avoid these. Every week, kill mites by washing all bedding with hot water.

Make sure your lavatory is well-ventilated if you want to keep mildew and mold at bay. Mold loves to grow in moist bathrooms, and this is especially true if your bathroom is dark. It’s a good idea to turn on a ventilation fan and hang wet towels up on bars to dry after bathing. You could also open a window a little bit or turn on an air vent.

Ensure the air quality in your home is good; keep the windows closed. Pollen can easily get inside the home through open windows, and cause your allergy symptoms to escalate. Prevent allergy symptoms by cleaning filters that are in your air conditioner and vents.

Limit your exposure to whatever triggers your allergy symptoms. If you have reactions to dust, vacuum as often as you can. Keeping your pets groomed and clean at all times may help your allergy to pet dander; another option is find a new home for them. You want to have as clean of a house as possible, so vacuum and clean as well.

Talk to a doctor before taking any allergy medicine. A doctor will have the ability to give you sound advice and verify that your medication is appropriate.

If you are on medication for your allergies, be sure to take it as directed. Most medications require days of constant use for them to work. More than likely, you will not receive immediate relief from symptoms if you take the medication at the onset of a reaction. Check with doctors for information about the correct way to use medication.

Now that you’ve read up on some great tips, you’re armed with the knowledge necessary to fight back against those worrisome allergies. Whether it is you or someone you know, dealing with allergy symptoms is no longer a problem. Once you add these methods into your allergy-care routine, you could be feeling great in no time.…