2013년 12월 1일 일요일

About 'home health care assistance'|...who needed government and pension assistance. To Gladwell and the economists...like GM and Bethlehem Steel – which provide health care and pensions to their ...







About 'home health care assistance'|...who needed government and pension assistance. To Gladwell and the economists...like GM and Bethlehem Steel – which provide health care and pensions to their ...








According               to               the               U.S.

Bureau               of               Labor               Statistics               (BLS),               health               care               will               generate               3               million               new               jobs               between               now               and               2016,               which               is               more               than               any               other               industry.

This               is               important               information               in               today's               tough               economic               times               when               people               are               not               only               losing               jobs,               but               many               are               looking               at               new               employment               avenues               and               retraining.

Here's               a               look               at               just               two               jobs               in               health               care               that               I'm               personally               familiar               with;               both               continue               to               be               in               demand               even               as               the               economy               turns               sour.

Home               Health               Aide.

There's               no               better               place               than               home               for               people               who               have               physically               challenging               needs               that               can               be               adequately               met               with               the               assistance               of               a               home               health               aide.

From               personal               experience,               I               can               attest               to               how               meaningful               this               job               can               be.

A               home               health               aide               who               cares               for               and               provides               personal               care               and               related               assistance               to               individuals               in               my               community               makes               it               possible               for               her               clients               to               live               in               their               own               homes.

Home               health               aides               typically               help               their               clients               with               everything               from               getting               out               of               bed,               bathing               and               dressing               to               cleaning               house,               doing               laundry               and               shopping.

Each               situation               is               different,               but               the               range               of               assistance               to               a               homebound               person               can               be               extensive               and               involve               a               variety               of               situations.

Many               of               those               receiving               assistance               from               a               home               health               aide               are               elderly,               but               others               are               terminally               ill,               handicapped,               disabled               or               recovering               from               illness               or               injury.
               A               home               health               aide               will               have               certification               (CNA               training)               and/or               an               associate's               degree               in               a               related               field.

Although               the               training               and               requirements               vary               from               state               to               state,               most               CNA               certification               requires               completion               of               at               least               300               hours               of               classroom               and               practical               training.

Unfortunately               -               and               despite               the               importance               of               this               work               -               home               health               aides               are               not               particularly               well-paid.

In               my               state               of               Minnesota,               a               home               health               aide               in               Minneapolis               can               expect               an               annual               salary               of               between               $26,000               and               $30,000,               depending               on               training               and               experience.

Nonetheless,               the               rewards               that               come               with               providing               this               service               to               those               in               need               are               great.
               Health               Care               Information               or               Medical               Records               Technician.

If               you               like               the               idea               of               a               job               in               health               care,               but               would               prefer               not               to               work               in               direct               patient               care,               consider               a               job               as               a               health               care               technician.

Simply               put,               these               technicians               assemble               and               keep               patient               records.

A               patient's               medical               records               contain               everything               from               doctor               notes               and               diagnoses               to               patient               health               complaints               and               observations               to               medical               and               surgical               treatment               to               intervention               outcomes               and               recommendations               for               future               care.

An               accurate               medical               history,               x-ray               and               lab               reports               and               a               variety               of               forms               and               other               health               information               are               also               contained               in               a               patient's               chart               or               medical               records               file.

The               technicians               in               our               local               hospital               are               responsible               for               assembling               and               maintaining               these               records               -               accurately               and               completely               -               as               well               as               communicating               with               physicians               and               other               medical               personnel.

The               job               requires               attention               to               detail,               in               addition               to               familiarity               with               medical               terminology               and               good               communication               skills.
               Our               health               care               technicians               both               have               associate's               degrees               in               health               care               management.

Depending               on               education,               experience               and               job               location,               health               care               technicians               in               Minnesota               can               expect               to               be               paid               in               a               range               from               $25,000               to               $35,000               per               year.
               I've               covered               just               two               health               care               jobs               that               are               worth               exploring.

There               are               many,               many               more,               which               makes               health               care               a               worthwhile               consideration               for               anyone               looking               to               either               change               jobs               or               train               for               a               new               job               direction.
               Resource:
               U.S.

Bureau               of               Labor               Statistics;               http://www.bls.gov/oco/cg/cgs035.htm






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    2013년 11월 30일 토요일

    About 'home health care medicare'|Home Health firms part of Medicare fraud







    About 'home health care medicare'|Home Health firms part of Medicare fraud








    As               long               as               we're               questioning               the               astounding               growth               in               health               care               costs,               let's               get               a               discussion               of               WHY               out               in               front.

    More               new               drugs               coming               to               market,               all               for               symptom               relief,               virtually               none               for               cures.

    Does               that               strike               you               oddly?
                   It               does               me.
                   And               considering               that               the               side               effects               of               many               of               these               drugs               are               more               threatening               than               the               underlying               disease,               why               do               we               -the               FDA,               Congress,               us               as               Citizens,               continue               to               allow               conditions,               programs               and               processes               that               are               so               obviously               at               the               expense               of               the               American               public,               the               health               care               consumers               like               the               retired               and               disabled?
                   Everybody               in               the               health               "food               chain"               blames               the               other               guy;               remember               the               old               criminal               defense,               "SODDIT"               (Some               Other               Dude               Did               IT)?

    When               nobody               takes               responsibility,               nothing               gets               done.

    The               one               "cure"               that               almost               everybody               with               a               vested               interest               seems               to               agree               on               is               some               version               of               Universal               Health               Care,               with"Uncle"               paying               the               bills.
                   That               won't               work,               just               drives               up               costs.

    And               we               can't               keep               saying               the               government               (meaning               taxpayers)               just               has               to               pay               for               it.

    It               is               only               when               we               get               individual               responsibility               for               health               care               decisions               and               personal               responsibility               that               we               will               get               the               system               under               control.
                   As               long               as               somebody               else               pays,               everybody               wants               a               piece,               and               the               bigger               the               better.

    Lots               of               people               remember               when               "insurance"               meant               just               that-you               paid               your               premiums,               the               insurer               paid               the               bills.

    What               went               wrong?

    Lots               of               people               can               add,               and               the               cost               of               a               family               of               four               health               premium               on               average               is               up               to               $8000.00               a               year,               in               some               areas               and               groups,               up               to               $12,000,               even               more.

    The               U.S.

    has               the               most               expensive               health               care               system               in               the               world,               yet               ranks               in               the               lower               end               of               modern               societies               in               Outcomes               and               Efficiency,               as               well               as               coverage.
                   Who               can               pay               these               ridiculous               premiums,               and               then               have               to               pay               deductibles               and               have               caps               on               benefits               even               after               all               that?

    How               much               individual               care               would               that               $8,000               buy               if               consumers               made               the               decisions?

    I'll               bet               if               we               gave               consumers               the               chance               it               would               surprise               us,               as               long               as               the               delivery               system               were               structured               along               modern               designs.
                   Yes,               the               "health               denial"               system               needs               reform;               yes,               there               is               a               structure               which               would               use               free               market               economics               to               control               cost,               while               INCREASING               the               quality               of               health               care               and               delivery.
                   And,               how               about               still               using               mostly               hundred-year-old               infrastructure               in               the               health               care               industry,               when               we               have               a               new               twenty-first               century               capability               to               deliver               more,               for               less.

    (If               the               Internet               and               Computer               industry               changed               at               the               same               rate               as               the               medical               industry,               we'd               still               be               using               Abacus,               sheepskins               and               quills)
                   If               the               system               were               restructured,               doctors               might               welcome               Medicaid               and               Medicare               (Universal               care)               patients,               rather               than               finding               ways               to               "beat"               the               system               to               get               paid.

    We               can               do               better;               we               must,               if               the               system               is               to               survive               for               all               of               us.
                   America               spends               more               on               health               care               than               any               other               country,               yet               ranks               12th               to               15th               in               Quality               of               Care               and               in               overall               ranking.

    How               can               that               make               sense?
                   Throwing               more               taxpayer               money               at               the               problems               is               just               not               going               to               work               without               consumer-driven               reforms.There               is               a               solution               that               would               work,               if               we               can               get               past               the               "whose               ox               is               being               gored"               phenomenon.
                   Here               it               is.
                   First,               nationalize               the               Health               Insurance               industry,               or               make               them               part               of               the               restructuring               process               by               integrating               insurance               with               the               health               care               delivery               process               through               ownership               of               health               care               facilities.

    Insurers               collect               hundreds               of               Billions               of               dollars               in               premiums               and               huge               profits               for               managing               the               claims               process               and               making               non-medical               coverage               decisions,               some               unfairly,               some               efficiently,               if               not               considerately.
                   Second,               change               the               delivery               of               health               Care               by               instituting               a               national               system               of               privately-owned               walk-in               clinics,               utilizing               accepted               national               standards               of               health               care,               and               staffed               mostly               by               fully               trained               and               licensed               Registered               and               Practical               nurses,               along               with               salaried               medical               professionals,               including               an               Internists               or               GP's,               a               Pediatricians,               and               an               OB/Gyn's.

    These               folks               would               be               rewarded               by               typical               private               business               incentives               like               profit               sharing,               bonuses               and               so               on,               based               on               typical               health               care               measurement               standards               like               outcomes,               including               quantitative               and               qualitative               standards               of               health               care.
                   In               areas               where               privately               owned               clinics               do               not               choose               to               operate,               and               there               should               be               few               of               these               considering               the               profit               potential,               government-sponsored               clinics               with               salaried               professionals               would               practice.

    It               is               not               hard               to               budget               this               approach               since               all               the               logistics               are               known(number               of               people               to               be               served               per               clinic,               square               footage               and               equipment               needed,               minimum               staffing               requirements).
                   These               are               NOT               hospitals,               but               clinics               who               can               take               advantage               of               the               volume               of               "customers"               to               achieve               economies               of               scale.

    Since               these               clinics               are               the               "first               line"               in               health               care,               they               would               be               the               emergency               centers               as               well,               able               to               diagnose               conditions,               and               forward               patients               to               hospitals               as               necessary.

    This               would               be               the               Intake               point-of-contact               for               indigents,               immigrants               and               others,               whose               use               of               high-cost               emergency               care               in               place               of               doctors               or               other               medical               alternatives               are               a               significant               upward               cost               driver.

    This               would               also               be               a               good               place               to               initiate               home               country               bill-back               for               care               of               illegals.

    No               refusal               of               care,               just               a               better               method               of               delivering               needed               care,               and               a               way               to               make               someone               responsible               for               the               cost.
                   What               happens               to               the               existing               Doctor/Specialty               Practice/hospital               integrated               system?

    It               gets               changed               to               accommodate               the               needs               of               twenty-first               century               health               care               business               models.

    In               the               transition,               the               existing               medical               infrastructure               must               change               to               accommodate               the               new.

    There               may               be               much               crying,               and               gnashing               to               teeth,               and               huge               lobbyist               expenditures               to               preserve               the               status               quo.
                   The               status               quo               doesn't               work.
                   Full-service               hospitals               would               handle               true               emergencies               like               heart               attacks,               accidents,               major               incidents               that               require               trained               staff               professionals               to               handle,               and               surgeries,               Intensive               Care,               and               the               other               things               that               hospitals               are               equipped               to               do.
                   Future               hospital               designs               and               remodeling               of               existing               facilities               could               incorporate               the               walk-in               model,               could               even               take               over               the               walk-in               model               if               they               were               properly               restructured.

    The               idea               here               is               to               lower               the               cost               of               Intake               and               Management               through               lower-cost               operations               and               overhead,               while               at               the               same               time               increasing               efficiency               to               handle               the               required               well-person               maintenance.
                   Three.

    Alternatively,               as               noted               above,               existing               hospitals               could               be               formally               restructured               to               become               part               of               the               Well               Person               management               and               Intake               process.

    However,               hospitals               cannot               be               allowed               to               use               their               traditional,               high-cost               model               of               Operations               and               Administration               to               set               rates;               rates               must               be               set               on               the               Clinic               Intake               model,               even               if               at               a               later               stage,               patients               are               admitted               for               tests,               procedures               and               surgeries               that               would               more               likely               have               the               higher               costs               associated               with               them.
                   Any               restructuring               of               health               care               must               include               bringing               Dentists               and               Eye               Care               into               the               process.

    Too               many               people               get               significant               medical               problems               through               a               lack               of               proper               dental               care               and               well-mouth               management.

    Similarly,               since               we               see               people               paying               for               their               visits               and               well-care,               eye               examinations               should               be               part               of               the               Annual               Checkup               process,               as               necessary,               even               if               eyeglasses               are               purchased               out-of-pocket.
                   The               concept               is               to               introduce               the               efficiencies               of               a               large               -scale               health               care               business               model,               and               the               modern               technologies               that               such               a               structure               would               virtually               force               into               the               marketplace,               like               computer               aided               procedures,               even               including               computer-aided               diagnostics.

    Modern               medical               technology               applied               at               the               Intake               point               of               contact               with               the               health               care               consumer               should               revolutionize               the               industry,               to               the               substantial               betterment               of               the               health               care               consumer.
                   (It               should               be               noted               here               that               one               of               the               most               talked               about               Cloud               Computing               applications               includes               medical               devices               for               home               use               that               monitor,               measure               and               manage               a               consumer's               everyday               health               care,               even               providing               alerts               when               conditions               warrant,               like               heart               attacks,               elderly               falls,               other               reasons.

    More               on               this               another               time).
                   If               we               consider               that               a               "tiered"               health               care               system               offers               real               efficiency,               while               bringing               the               level               and               capability               of               resources               when               and               as               needed,               we               could               provide               more               health               care               with               less               expense.

    At               the               very               least,               more               people               would               get               health               advice               and               annual               check-ups               at               overall               costs               that               would               allow               more               eligible               people               to               be               covered.

    Since               the               current               system               is               forced               to               deal               with               the               effects               of               demands               of               high-cost               care               from               uninsured               and               under-insured               consumers,               the               opportunity               for               better               care,               more               consistently,               at               lesser               cost,               is               overwhelming.
                   The               current               system               uses               the               highest               cost               care               model,               at               all               levels               of               intake,               which               obviously               makes               little               sense.

    Even               health               professionals               admit               that               taking               the               highest               cost               determinant               out               of               the               equation,               the               Doctor,               and               replacing               him               at               the               initial               contact               point               with               experienced               intake               practitioners               like               properly               educated               and               credentialed               Nurses,               and               technologically-enhanced               diagnostic               techniques,would               reduce               costs               dramatically.The               Doctor               isn't               sidelined,               but               reserved               for               necessary               further               evaluations               when               the               intake               and               diagnostic               process               warrants.The               current,               practice-based               medical               business               model,               along               with               the               unreasonable               cost               of               using               the               highest               cost-               determination               model               of               care-               the               hospital               complex-can               be               restructured               to               the               "best               practices"               medical               business               model,               delivering               better               care,               to               more               people,               at               lower               per-patient               and               overall               annual               and               continuing               costs.
                   Current               health               care               practices,               primarily               the               insurance               costs,               are               in               reality               a               "tax"               on               each               of               us,               a               huge               tax               and               cost               not               justified               by               the               social               and               economic               needs               for               health               care               by               American               Citizens.

    This               restructuring               of               the               system,               at               the               outset,               would               incur               some               expense,               primarily               during               the               transition               to               tiered               care,               and               the               building               of               the               infrastructure.

    But,               rapidly,               the               cost               per               patient               and               the               continuing               cost               of               care               provision               would               decline               as               better               health               care               outcomes,               reduced               and               undiagnosed               disease               and               well-person               maintenance               programs               become               part               of               the               mainstream.
                   Some               back               of               the               envelope               calculations               indicate               that               consumers               could               pay               out-of-pocket               for               all               normal               costs               like               Annual               Health               Checkups,               Over-The-Counter               medicines,               and               most               prescription               medicines,               as               well               as               pay               a               nominal               amount               for               Catastrophic               Care               Coverage,               and               have               several               thousand               dollars               left               over.

    Right               now,               healthy               people               pay               for               sick,               insured               pay               for               uninsured,               and               the               system               doesn't               work.
                   If               you               believe               that               access               to               affordable               health               care               is               a               Citizen's               right,               then               the               system               has               to               be               restructured.
                   This               is               one               way.
                   As               part               of               the               restructuring               and               provisioning               of               care,               require/suggest               that               EVERY               person               in               the               U.S.

    who               is               a               Citizen               gets               an               annual               physical               through               the               clinics.

    This               process               would               enable               early               intervention               when               intervention-type               care               could               be               most               needed,               providing               "well-person"               health               advice,               looking               at               a               person's               or               child's               health               and               discerning               conditions               or               changes               that               the               person               might               not               have               noticed,               or               whom               would               benefit               from               this               type               of               health               care               advice.
                   Clinics               would               be               the               perfect               place               for               health               care               counseling               regarding               diet,               family               planning,               and               all               the               things               that               medical               professionals               agree               would               mitigate,               even               help               prevent,               the               rapidly               growing               numbers               and               kinds               of               conditions               and               diseases               that               are               affecting               our               society.






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    About 'home health care medicare'|Home Health Care Nurses Rally in Washington to Protect Medicare







    About 'home health care medicare'|Home Health Care Nurses Rally in Washington to Protect Medicare








                   When               you               are               in               need               of               home               health               care               services,               one               of               the               first               thoughts               that               come               to               mind               is               how               you               will               be               able               to               pay               for               these               services               that               you               need.

    Fortunately,               many               of               us               qualify               for               the               government               funded               Medicaid               or               Medicare               programs.

    The               following               is               a               breakdown               of               how               to               qualify               for               each               program               and               how               they               are               to               be               used               when               seeking               home               health               care               services.
                   Medicare
                   Medicare               is               a               federally               funded               healthcare               plan               that               covers               the               services               of               home               health               care               services.

    Some               of               the               services               that               they               cover               include               nursing               physical               therapy,               occupational               and               speech               therapy,               home               health               aides,               a               medical               social               worker               and               some               related               supplies               and               equipment.
                   In               order               to               qualify               for               Medicare,               you               need               to               meet               some               of               the               following               criteria.

    The               criteria               options               include               being               over               65               years               of               age,               having               already               been               disabled               for               more               than               two               consecutive               years,               be               homebound               and               under               medical               supervision,               and               need               the               ongoing               care               of               skilled               nursing               or               therapy               services.

    Services               must               be               obtained               through               a               Medicaid               /               Medicare               certified               home               health               agency.
                   Medicare               Hospice
                   Medicare               Hospice               is               also               a               federally               funded               program               designed               to               provide               care               to               those               who               already               have               Medicare               that               have               been               given               a               terminal               prognosis               with               a               less               than               six               month               expected               lifespan.

    When               a               patient               is               put               into               this               program               they               give               up               their               standard               Medicare               program               in               exchange               for               the               coverage               for               Hospice               Care.
                   Hospice               care               is               a               comfort               measures               only               service               that               is               designed               to               make               the               end               stage               of               the               client's               life               as               comfortable               as               possible.

    In               most               cases,               therapies               have               stopped               and               treatments               with               a               goal               of               improvement               have               been               cancelled.

    This               program               is               available               to               Medicare               clients               of               any               age               so               long               as               they               meet               the               six               month               prognosis.
                   Medicaid
                   Medicaid               is               a               state               health               care               plan               for               low               income               individuals               and               families.

    The               rules               and               requirements               change               from               state               to               state,               as               do               the               services               provided               through               the               program.

    There               are               variations               of               this               program               including               "Healthease"               which               group               the               various               levels               of               services               provided               based               on               the               needs               and               qualifications               of               the               client.
                   The               financial               requirements               for               eligibility               will               vary               in               each               state.

    When               it               comes               to               services               covered               by               this               program,               the               care               must               be               provided               with               the               supervision               of               a               Medical               Doctor.

    This               does               include               home               health               services,               but               must               be               deemed               necessary               by               the               MD               before               the               coverage               for               care               will               be               approved.
                   As               someone               who               has               been               a               client               of               these               programs               for               the               last               several               years,               I               have               learned               that               business               controls               how               we               get               our               care               from               these               programs               more               than               what               we               as               the               patient               actually               need.

    However,               when               you               are               deemed               qualified               for               these               services               it               does               make               life               much               easier               for               your               healthcare               concerns.







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