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healthcare reform

 
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Anonymous  

a new healthcare plan - finally .. so now what?

Well, if you haven't heard, the new health care plan has been approved... so now what?

Well for starters, kids transitioning from college to work will be able to stay on their parent's insurance and there'll be $250 rebate checks for seniors in the Medicare drug coverage gap...

BUT - there always is one isn't there? The majority of the changes won't start until 2014! Yep, that's 4 years from now.... 

Some of the upcoming changes include: 

  • Insurers will be barred from turning down people with medical problems,

  • the government will provide tax credits to help working families buy coverage they can't afford now.

  • Adult children would not be able to stay on a parental plan if they had access to employer coverage of their own. But they could get married and still be covered.

  • Other reforms starting this year would prevent insurers from canceling the policies of people who get sick, from denying coverage to children with medical problems, and from putting lifetime dollar limits on a policy.

  • coverage available for people in frail health who have been uninsured for at least six months. The premiums could still be a stretch, but for people who need continuing medical attention, it could make a dramatic difference.

  • cuts funding for popular private insurance plans offered through the Medicare Advantage program.As the payments are scaled back, it could trigger an exodus from Medicare Advantage.

  • closes the prescription coverage gap, improves preventive care for seniors

  • The prescription coverage gap will be totally closed in 2020. At that point, seniors will be responsible for 25 percent of the cost of their medications until Medicare's catastrophic coverage kicks in, dropping their copayments to 5 percent.

  • Insurers will be required to take all applicants. They won't be able to turn down people in poor health, or charge them more.

  • States will set up new insurance supermarkets for small businesses and people buying their own coverage, pooling together to get the kind of purchasing clout government workers have now.

  • Most Americans will be required to carry health insurance...Those who refuse will face fines from the IRS.

  • Tax credits to help pay for premiums will start flowing to middle-class working families, and Medicaid will be expanded to cover more low income people. Households making up to four times the poverty level — about $88,000 for a family of four_ will be eligible for assistance.
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reply to Anonymous
Anonymous  

My thoughts on healthcare reform....

I was just reading an article in the NY Times about the effect the economy is having on people. Many, for the first time in their lives are experiencing insomnia, depression, and anxiety.While some have health benefits from their employer, others are able to get assistance through medicaid.

Now my thought was this: Why not just put EVERYONE on Medicaid? Eliminate private insurance as a whole, and since we are already taxed to death, take say 1% of those taxes that are ALREADY taken and use it to pay for medicaid. 

Now, I know what you are thinking: What happens to all those people working for private insurance companies? Won't they be out of their jobs? NO. Since they already have the insurance experience - keep them working in the insurance field EXCEPT they would be working in the medicaid office. 

Think about it: 

  • all reimbursement would be the same
  • no copays
  • no deductibles
  • no referrals
  • no prescription costs
  • no need to worry about whether the doctor is in or out of network
  • everyone is covered even with a pre-existing condition - including autism and mental health issues
  • no forms to fill out - except once a year to re-apply
  • you could see any doctor you wanted because they would all accept medicaid
  • malpractice insurance would basically be unheard of because all health care workers would be government employees and therefore any reimbursement would be done by the government. 
  • Background checks would be done by the government - no double dipping and no convicted felons would be working in caretaker positions.  

Ok, I know you are thinking - well this is just socialized medicine. We could be waiting a long time for necessary surgery or other care. I don't think so. Not with the amount of healthcare workers we have available.

PLUS EVERYONE would be entitled to the same quality of care without additional cost or interference by insurance companies or the pharmaceutical industry.

But then again, these are just my thoughts... and I welcome yours as well... 

reply to Anonymous
Pharmak  

Health Care Reform

Friends of mine have convinced me that the imminent overhaul of Health and Health Insurance industries will open floodgates to an enormous enrollment stampede, if the new government mandates universal coverage.

I receive contacts several times a month about health care affiliate training, IT positions in Health Insurance and Pharmaceutical industries. One of my strategies is tracking Medicaid, Blue Cross Blue Shield Plans, Kaiser Permanente project IT requirements. The challenge is anticipating how the new health plan will be implemented. Whether it will be tweaking existing systems state by state, or developing a new system fully integrated with leading edge technologies. Cutting cost is a major objective.

reply to Pharmak
Pharmak  

The Next Bubble

Where is the next technological bubble? The flow of investment funding has always sought traditional opportunities to buy low and sell high. This is the pattern hinted at by NY Times technology blogger, Saul Hansell:

    ‘ In 1995, people woke up, saw the Netscape browser, said, “ This is going to change everything,” and started the world’s biggest land grab. They raised billions of dollars for grand schemes to reinvent entire industries — Webvan, VerticalNet, Homestore, and so on. Meanwhile, hoping to cash in on the revolution, investors bid up the prices of the flimsiest shells of companies to astronomical levels.

    The greed bubble collapsed like a Ponzi scheme. It turned out that these companies had spent all the money they raised on Super Bowl ads, robotic warehouses, and gleaming offices to hold hundreds of people. Yet there just wasn’t enough money to pay the bills, especially since the biggest source of revenue for many Internet companies was advertising from dot-coms that had just raised a round of venture capital or gone public. Most of these companies were so overextended they couldn’t adjust to the new reality: The Internet may change everything, but it takes a while. ’

     

From 1970 to 2000 the Financial Services provided thousands of jobs in computer technology with an IBM mainframe running the data center. I think consolidation among banks that began before the 1990s had an effect on the IT job market that is analogous to the global warming effect melting the polar ice caps and glaciers. A few hundred middle management and IT professional layoffs per merger here and a few more hundred layoffs for data center personnel with every merger for a decade or more around the country compounded the problem.

JP Morgan Chase and Citigroup are examples of this trend. These are two of the largest banks in the country. They are at the heart of the global financial services industry.

Citigroup played a major role in financing trans-Atlantic cable, Civil War, railroad construction in US, Japan , Europe in the 19th century. It expanded its financial services from merchant banking to national banking to international banking. It evolved technologies to provide these services. It began merging with other financial institutions and therein began complicated management requirements. How is it possible to manage risk across a diverse conglomerate?

What school of management could have provided guidance to financial conglomerate executives to calculate and manage risk? Financial Engineering is a relatively new discipline. It has components of artificial intelligence, advanced data models and computer simulated agents. A full scale market simulation isn’t possible. I developed what could be called computer simulated agents for Sears Roebuck Credit Division in 2001-2002. The theory and potential application is safe in academic settings, but very risky when real money is involved. It had reached a level of maturity by 2004.

Due to the sensitivity of trade secrets, the sheer volume of transactions and confidentiality no one really knows the magnitude of the meltdown, because loan defaults are still occurring as an effect of rising unemployment rates. Some estimates say the unemployment rate has reached higher than 10%, even close to 20%.

In the 1980s there was another meltdown that drew worldwide attention. No, it wasn't junk bonds. The Chernobyl disaster was a nuclear reactor accident at the Chernobyl Nuclear Power Plant in Ukraine , then part of the Soviet Union . It is considered to be the worst nuclear power plant disaster in history and the only level 7 instance on the International Nuclear Event Scale. It resulted in a severe release of radioactivity following a massive power excursion which destroyed the reactor. Two people died in the initial steam explosion, but most deaths from the accident were attributed to radiation.

The Chernobyl accident in 1986 was the result of a flawed reactor design that was operated with inadequately trained personnel and without proper regard for safety. The resulting steam explosion and fire released at least five percent of the radioactive reactor core into the atmosphere and downwind.  The current financal meltdown has had a similar effect on global finance. It is an explosion that scattered toxic assets debris and financial fallout to every financial market on the planet. The meltdown containment procedure was to use US tax payers as the firewall.

I don't believe the financial meltdown was a design problem. It may be that the SEC personnel were inadequately trained. Questions raised by the mysterious Bernie Madoff case showed that befuddled SEC investigations struck out at least 3 times. Madoff was easily able to fool the SEC, which subsequently took responsibility for its failure.

"We apologize to the Madoff investors and to the American public for not fulfilling our mission," SEC Enforcement Director Robert Khuzami said. The SEC inspector general found that Madoff could have – and should have – been stopped 16 years and billions of dollars ago, blaming his ability to slip through the cracks on inexperience, ineptitude and bureaucratic laziness.

It would be necessary to build into financial engineering projects insulation, isolation and containment procedures to protect the public from system failures. This is an afterthought and possibly isn’t as profitable. Banks have been failing in record numbers since 2005. Without Federal Deposit Insurance Corporation (FDIC), billions of dollars in those bank accounts would be lost. How did the nation’s largest banks become too big too fail? They are getting even bigger with Bank of America merging with Merrill Lynch, JP Morgan Chase inhaling Bear Stearns and Washington Mutual, and Wells Fargo swallowing Wachovia. The IT positions in the financial services sector are disappearing like radioactive decay.

Senator Joeseph Lieberman writes in 2004:

“Since November 2000 , close to three million Americans have lost their jobs. While higher productivity and a weakened economy have largely been responsible for this loss, a growing trend of jobs moving overseas has further exacerbated our nation’s jobless economic recovery. Once limited to manufacturing, the globalization of information technology (IT) has given rise to a new offshoring phenomenon. Forced to lower costs in the face of fierce global competition, a growing number of U.S. firms are now moving services work abroad. This trend threatens Americans working in a wide array of industries that use IT in their business functions, ranging from data entry to aeronautical design. Many of these are the high skill jobs that Americans assumed would always remain in the United States . This shift from manufacturing to high-end services and R&D jobs going overseas is critical and presents a potential threat to U.S. long-term competitiveness and to our national security.”

My career covers financial services, real estate and health care/insurance. All three of these areas are experiencing effects of the recession. Millions of jobs lost through company mergers, company failures and outsourcing. With the lost jobs also go lost medical benefits, financial stability and lower wages.

The Mortgage Crisis is far from being resolved. No one is saying how big the problem is. It’s a political volleyball for Republicans and Democrats. This has frozen financial services and real estate. The Bank Bailout and economic stimulus packages are costing over $1 trillion. Prevention of a repeat crisis in the foreseeable future would necessitate more government regulation. Republicans have been against more regulation. Does the government have the political will and the technology to manage this crisis?

Health Care reform will be on a faster track once the Congress has decided what it will be. It’s not clear how speculation could seize control of health care reform. The tide seems to be against health care for profit. That is where the battle lines will be drawn. Billions of dollars in profits are on the line. Billions of investment dollars are flooding in. This is fine with me as long as they don’t outsource the new IT requirements offshore. There are 50 million uninsured enrollees, which is comparable in size to the current Medicare enrollment. This represents a great expansion in health care services and administration.

 

reply to Pharmak
EYE ON AMERICA  

HEALTH CARE

President Obama is working hard on healthcare reform,is it really enough? So many people are without healthcare,can they ever help everyone.I currently don't have dental insurance for my family because the job I've had for 10 years decides to drop our dental.I guess still having medical is a plus,but for how long.... Let me know what you think america,will healthcare ever reach the ones that need it......or will we be put on the back burner as usual.

reply to EYE ON AMERICA
mammatries  

About HealthCare Crisis

I suffer no illusions that this will be an easy process. It will be hard. But I also know that nearly a century after Teddy Roosevelt first called for reform, the cost of our health care has weighed down our economy and the conscience of our nation long enough. So let there be no doubt: health care reform cannot wait, it must not wait, and it will not wait another year."

– President Barack Obama, February 24, 2009

 

 We've been going through this issue for a long time now. President Barack Obama is taking this serious

July 15th the Health Care Reform legislation was passed!

see the official White House press release http://www.whitehouse.gov/the_press_office/Statement-by-the-President-on-the-Health-Care-Reform-Legislation-Passed-Today-by-the-Senate-HELP-Committee/

Share your stories on healthcare,I see so many here that had to choose between food and medicine. Some of us are in need of surgery but to poor to get well. What will happen next? will we find real life changing results?will people like me be able to have adequate healthcare?

  This is public space share your views,share your news here. 

 

 

 

reply to mammatries