Good article on the dangers of not financially being responsible and prepared when purchasing a higher deductible healthcare plan
The article, Most High-Deductible Health Plan Consumers Lack Financial Management, by Thomas Beaton states,
“Less than half of high-deductible health plan (HDHP) consumers engage in positive financial management tasks such as negotiating costs for healthcare services or saving for future healthcare expenses, says a research letter published in JAMA this month.”
The article, Care Management for Children With Medical Complexity: Integration Is Essential, by Richard C. Antonelli, Renee M. Turchi state,
“In the report “Effectiveness of a Comprehensive Case Management Service for Children with Medical Complexity,” Simon et al1 examine the impact of a care management intervention that is based in a pediatric academic medical center on quality and cost outcomes for children with medical complexity (CMC) and their families. Rigorously designed studies like this are important and timely because increased attention is being given to achieving the national strategic priority to improve outcomes for high-resource–using children and youth.”
Good article for those interested in Healthcare Case Management.
The article, Single-payer would drastically change health care in America. Here’s how it works, by Kim Soffen states,
“As Republican efforts to repeal and replace the Affordable Care Act continue in the background, some Democrats are starting to eye a new health policy goal: implementing a single-payer system. Sen. Bernie Sanders (I-Vt.) introduced a single-payer bill in mid-September with 16 Democratic co-sponsors — 16 more than he got when he introduced the bill two years earlier. But how is the health-care system funded now, and how would “single-payer” change that?”
If you would like to learn more about Healthcare Case Management or would like to become certified in Healthcare Case Management then please review our program and see if it matches your academic and professional needs.
Good article on the looming healthcare crisis as more and more baby boomers are retiring. With more and more retiring, the strain on the healthcare system, especially Medicare will only become more and more heavy.
The article, Health-care dilemma: 10,000 boomers retiring each day, by Joel Landau states,
“What do you get when an abundant demographic cohort hits the 65-year mark? A wave of baby boomers retiring in excess, to the tune of 10,000 men and women a day.”
The article, Employees Need to Get a Grasp on Managing Health Care Costs, by Rebecca Moore states,
“In Bank of America Merrill Lynch’s 2017 Workplace Benefits Report, employees indicated that managing their finances—including health care costs such as premiums and out-of-pocket expenses—is a source of stress.”
Good article for those in the industry of healthcare.
The article, “Health care costs drive employee clinics Government agencies, large companies providing on-site care” by Brie Handgraaf states
“While Congress is preparing for open-heart surgery on the Affordable Care Act, local companies are applying a tourniquet to manage health care expenses and provide for employee wellness.
“From an operational perspective, health insurance is always going to be there, and when it comes to managing costs, it is one of the first pieces looked at,” said Wilson Deputy City Manager Harry Tyson. “It does have an impact on the number of police cars on the street or firefighters on payroll because that money has to come from somewhere.”
Injured on the Job? How Being Injured at Work can Impact Your Healthcare
Being injured on the job has the potential to seriously impact not only your physical health, but also your financial health and well-being. The good news is that state and federal workers’ compensation laws mean that there is a good chance your medical expenses will be covered. In addition, although approximately 75% of workers’ compensation cases only cover medical expenses, you may also be entitled to compensation for lost wages.
Unfortunately, while the workers’ compensation program provides many benefits to those injured on the job, it also has the potential to seriously affect the type and quality of the health care you receive. For this reason, it is essential that you know about the potential impacts to your health care in order to be fully prepared should you be unfortunate enough to experience a work-related injury.
Your Normal Health Insurance Won’t Cover Your Injury Almost every health insurance policy contains an exclusion for work-related injuries, which means that your normal health insurance won’t cover any medical expenses related to treating injuries you suffered on the job. The reason behind this is that these expenses should instead be covered by your employer’s workers’ compensation insurance. However, your health insurance provider may still be required to pay for your medical expenses should the workers’ compensation insurance deny payment for whatever reason. Of course, it’s always a good idea to seek out workers’ comp lawyers in your area to ensure that your rights are respected.
You May Be Limited in Your Choice of Doctor
Not all doctors and hospitals accept workers’ compensation insurance, which means that you may be limited in your choice of doctors. If your current doctor does accept workers’ compensation insurance, you will still be able to use this doctor in most cases. However, should your doctor not accept workers’ comp, you will usually be forced to begin searching for medical professionals in your area that do take workers’ compensation cases.
You Could Be Forced to Wait for Treatment
Unfortunately, filing a workers’ compensation claim also means that you may be forced to wait longer before you can begin receiving any necessary treatments for your injury. The reason is that all medical expenses generally need to be approved by the workers’ compensation insurer before they can be performed. How this works is that first the doctor must determine whatever medical treatments are necessary to treat your injury. After this, the doctor then sends a request for authorization to the insurer, which then must determine that the treatment is necessary and reasonable before sending final approval back to the doctor. Although the process typically doesn’t take more than a few days, you will still have to wait to begin treatment until this final approval has been received.
American workers’ compensation laws were put in place in order to protect workers and ensure that their medical expenses are covered in case of a work-related injury. While this is definitely a huge benefit to anyone who would otherwise be unable to cover the costs of these medical expenses, it is still important that everyone is also aware of the ways in which a workers’ compensation claim can affect the health care you receive.
About the Author: Lizzie Weakley is a freelance writer from Columbus, Ohio. She went to college at The Ohio State University where she studied communications. In her free time, she enjoys the outdoors and long walks in the park with her 3-year-old husky Snowball.
Good article regarding traditional ER’s and clinics.
The article, “The Lines Are Blurred Between Freestanding ERs and Urgent Care Centers” by Olivia Nguyen states
“Last November in Frisco, Candie and Dustin Sandlin entered a Legacy ER & Urgent Care center—a walk-in clinic that also operates as a freestanding emergency center—because the couple’s primary-care physician was unavailable. Candie, experiencing symptoms of a migraine headache, was told by the on-site doctor that a CAT scan was needed to rule out any serious diagnoses.”
Good article about the issues of healthcare coverage and small businesses.
The article, “No Good Options: Healthcare is a painful topic for small business owners” by Heather Stewart states
“Owners of very small businesses—those with fewer than 50 employees—are not required by the Affordable Care Act to provide health coverage to their employees. But that doesn’t mean those employers don’t feel a sense of obligation to their employees or struggle with the decision to forgo a company plan.”
Good article for certified case managers about saving money in healthcare and resolving a variety of issues
The article, This Cute Robot Is Trying to Solve a $300 Billion Health Care Problem, by Sy Mukherjee states
“Taking your medicine can be a hassle. Actually, it can be so much of a hassle that some analyses suggest the U.S. wastes nearly $300 billion per year in health care spending because people don’t take their drugs as prescribed.”