Monday, April 25, 2011

Great Article from Humana about Healthcare Reform

Washington's week


This week and next should be relatively quiet in Washington, with the members of the House and Senate back in their districts for an Easter break. They aren't due back in the Capitol until May 1. Meanwhile, President Obama is scheduled to travel to several U.S. cities to promote his framework for cutting the deficit.

Before leaving Washington, the House and Senate ended months of haggling over the 2011 budget. They agreed to legislation that cut about $39 billion. Bipartisan majorities in both chambers voted to override both the conservative complaints that the budget didn't cut enough spending, and liberal complaints that it cut too much from social programs for the needy. "Welcome to divided government," House Speaker John Boehner, R-Ohio, said. Steny Hoyer, the minority leader, quoted Henry Clay: "If you can't compromise, you can't govern."

Here are a few of the cuts that affect health care:
  • $2.2 billion eliminated for the implementation of health insurance cooperatives
  • $78 million from research on health costs, quality and outcomes
  • $600 million from community health centers
  • $35 million from rural health programs
  • $119 million from the building/facility budgets of the National Institutes of Health and the Centers for Disease Control and Prevention
A number of health-related bills also were introduced last week, including these (many bills are introduced that are never seriously considered):
  • Repeal the health insurance industry tax established by the health reform law (introduced by a House Republican)
  • Repeal the CLASS program, a voluntary insurance program established in the health law to help seniors pay for services and supports (introduced by a Senate Republican)
  • Require private insurers and federal health programs to cover medically necessary food (introduced by a House Democrat)
  • Repeal the part of the health reform law that eliminated the Medicare open enrollment period for January, February and March (introduced by two House Democrats and two House Republicans)
Meanwhile, on Monday, the Supreme Court decided to wait to decide whether to fast-track Virginia's lawsuit against the health reform law. Virginia Attorney General Ken Cuccinelli has asked that the case be allowed to skip the lengthy appeals process and go directly to the high court so the states won't spend a lot of time and money implementing a law that may be declared unconstitutional.

But the biggest topic of conversation in recent weeks has been the 2012 budget. That conversation is likely to be long and arduous, since it has many big parts – for example, competing visions of government, of what makes America great, of the social contract – and a difference of opinion over the superiority of various economic models.

Friday, April 22, 2011

SELF.COM Healthy Recipe

Since I haven't posted a healthy recipe lately as soon as I saw this one I knew it would pass the test for my next blog post.  First and foremost I LOVE self.com for all their recipes and fitness tips and I just think Gwyneth Paltrow is fabulous SOOO why shouldn't I try out this famous HEALTHY recipe of hers.  I am so excited to eat this tonight...you need to make it too.

INGREDIENTS

  • 1 1/2 tablespoons unsalted butter, at room temperature
  • 3/4 teaspoon garlic salt
  • 3/4 teaspoon sweet paprika
  • 1/4 teaspoon freshly ground black pepper
  • Large pinch coarse sea salt
  • 1 whole roasting chicken (3–4 lb; preferably organic), neck and giblets discarded
  • Twine

PREPARATION

  1. Heat oven to 400°. Mix butter, garlic salt, paprika, pepper and salt in a bowl. Rinse chicken inside and out; pat dry. Insert fingers between skin and breast to separate the two. Rub seasoned butter over chicken and under skin. Tuck wings underneath bird and tie together with a piece of twine. Tie legs together with another piece of twine. Place chicken on its side in a heavy roasting pan and roast 25 minutes. Turn onto its other side and sprinkle with several tbsp water; roast 25 minutes more. Turn chicken on its back; roast 10 minutes more. Turn on its breast; roast until skin is crispy and chicken is golden brown, 10 minutes more. Remove from pan and let rest, breast side down, 15 minutes, before carving (remove skin).

Friday, April 1, 2011

Health Care Reform: The Timeline for 2011 and 2012

Great article posted today on PrimePay's blog about Health Care Reform:

"One of the best and easiest to understand sources for outlining the health care reform changes and when they take effect comes from the HealthCare.gov website.  Their health care reform timeline is broken out by year and then also by the different types of benefits that the law provides to consumers. 

In this blog posting, we’ll focus on what will be changing in 2011 and 2012.  Tuesday’s article will focus on 2013 and 2014.  Below are some of the highlighted changes of the provisions of the Affordable Care Act, by year... along with the effective dates and links to download more information.

2011: HEALTH CARE REFORM
Improving Quality and Lowering Costs
  • Offering Prescription Drug Discounts.  Seniors who reach the coverage gap will receive a 50 percent discount when buying Medicare Part D covered brand-name prescription drugs.  Download the brochure… Closing the Prescription Drug Coverage GapEffective January 1, 2011.
  • Providing Free Preventive Care for Seniors.  The law provides certain free preventive services, such as annual wellness visits and personalized prevention plans for seniors on Medicare.  Effective January 1, 2011.
  • Improving Health Care Quality and Efficiency.  The law establishes a new Center for Medicare & Medicaid Innovation that will begin testing new ways of delivering care to patients.  Effective January 1, 2011.
  • Improving Care for Seniors After They Leave the Hospital.  The Community Care Transitions Program will help high risk Medicare beneficiaries who are hospitalized avoid unnecessary readmissions by coordinating care and connecting patients to services in their communities.  Effective January 1, 2011.
  • Introducing New Innovations to Bring Down Costs.  The Independent Payment Advisory Board will begin operations to develop and submit proposals to Congress and the President aimed at extending the life of the Medicare Trust Fund.  Administrative funding becomes available October 1, 2011.
Increasing Access to Affordable Care
  • Increasing Access to Services at Home and in the Community.  The new Community First Choice Option allows states to offer home and community based services to disabled individuals through Medicaid rather than institutional care in nursing homes.  Effective beginning October 1, 2011.
Holding Insurance Companies Accountable
2012: HEALTH CARE REFORM
Improving Quality and Lowering Costs
  • Linking Payment to Quality Outcomes.  The law establishes a hospital Value-Based Purchasing program (VBP) in Traditional Medicare. This program offers financial incentives to hospitals to improve the quality of care.  Effective for payments for discharges occurring on or after October 1, 2012.
  • Encouraging Integrated Health Systems.  The new law provides incentives for physicians to join together to form “Accountable Care Organizations.” These groups allow doctors to better coordinate patient care and improve the quality, help prevent disease and illness and reduce unnecessary hospital admissions.  Effective January 1, 2012.
  • Reducing Paperwork and Administrative Costs.  Health care remains one of the few industries that relies on paper records.  The new law will institute a series of changes to standardize billing and requires health plans to begin adopting and implementing rules for the secure, confidential, electronic exchange of health information.  First regulation effective October 1, 2012.
  • Understanding and Fighting Health Disparities. To help understand and reduce persistent health disparities, the law requires any ongoing or new Federal health program to collect and report racial, ethnic and language data.  The Secretary of Health and Human Services will use this data to help identify and reduce health disparitiesEffective March 2012.
Increasing Access to Affordable Care
  • Providing New, Voluntary Options for Long-Term Care Insurance.  The law creates a voluntary long-term care insurance program – called CLASS (Community Living Assistance Services and Supports) – to provide cash benefits to adults who become disabled.  The Secretary shall designate a benefit plan no later than October 1, 2012.
Look for our next blog article on the health care reform timline for 2013 and 2014. "

 Posted by Nancy Mullin.