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Parents of sick children fear trap if states have say on ‘preexisting conditions’

May 15th, 2017 | Posted in Consumer Focus, Insurance Coverage

By Bram Sable-Smith, Side Effects Public Media Ryan Lennon Fines of Missouri seems like a typical 2-year-old. He and his parents, Scott Fines and Brianna Lennon, flip through a picture book of emergency vehicles. Ryan is looking for the motorcycle, but a photo of an airplane catches his dad’s eye. “That’s an air ambulance,” Fines tellsRead More

Repeal, Replace … Revise: Your Guide To How A Trump Proposal Might Change ACA Insurance

April 17th, 2017 | Posted in Consumer Focus, Insurance Coverage

By Julie Appleby | Kaiser Health News Repeal and replace is on-again, off-again, but that doesn’t mean the rules affecting your insurance will remain unchanged. The Trump administration late Thursday issued a final rule aimed at stabilizing the health law’s insurance marketplace that could have rapid, dramatic effects on people who do not get insurance through work andRead More

New legislation seeks telehealth expansion, home care demo extension

April 17th, 2017 | Posted in Consumer Focus, Insurance Coverage, Long-Term Care, Quality Care

While there are still questions on when or if lawmakers will find a repeal-and-replace plan for the Affordable Care Act (ACA) that will pass muster with legislators and voters, there are other developments that could provide some help for patients: Senate bill aims to unlock telehealth services Providers may see expanded opportunity to connect withRead More

Resources now available on patients’ rights to informed consent, costs for observation status

March 14th, 2017 | Posted in Business Development, Consumer Focus, Insurance Coverage, Professional Skills

Take advantage of updated resources by The Joint Commission (TJC) and the Agency for Healthcare Research and Quality to educate yourself and your clients on patients’ rights concerning informed consent. Also be aware that as of March 8, hospitals must inform patients when they are in the hospital under observation status only, which could costRead More

Navigating Aging: Project creates playbook for managing problems in the last chapter of life

March 14th, 2017 | Posted in Consumer Focus, Long-Term Care, Patient Tools, Quality Care, Uncategorized

By Judith Graham | Kaiser Health News CHICAGO — At least once a day, Dr. Lee Ann Lindquist gets an urgent phone call. “Mom fell and is in the hospital,” a concerned middle-aged son might report. “Dad got lost with the car, and we need to stop him from driving,” a distraught middle-aged daughter may explain.Read More

Georgia legislative hearing highlights need to understand patient insurance network

February 14th, 2017 | Posted in Advocacy Stories, Consumer Focus, Insurance Coverage

By Andy Miller | Kaiser Health News Physician, hospital and insurer groups each expressed concerns recently about Georgia Senate legislation that aims to prevent “surprise billing’’ of patients, but perhaps the most compelling testimony came from a legislator’s wife. The Senate Health and Human Services Committee heard testimony Feb. 7 on a proposal to halt theseRead More

Expect growing provider emphasis on advance care planning to spur patient conversations

February 14th, 2017 | Posted in Uncategorized

Remind patients to have and keep updated advance directives to include with their electronic health records (EHR). Doctors will be asking about advance directives even more now that CMS committed last year to paying them for those conversations during annual wellness visits (AWV). Medicare paid providers $15.9 million for advance care planning services provided toRead More

New patients’ rights requirements, rule changes may help clients in need of services

January 17th, 2017 | Posted in Consumer Focus, Long-Term Care, Quality Care, Uncategorized

Recent announcements from the Department of Health and Human Services (HHS) could help make getting care for your clients a little easier, including the possibility that providers can offer transportation to and from appointments, benefits to financially needy patients and new requirements for clear instructions to patients who require home health services. Providers can nowRead More

Large employer health plans could also see some impacts from Obamacare overhaul

January 17th, 2017 | Posted in Consumer Focus, Insurance Coverage, Uncategorized

By Michelle Andrews | Kaiser Health News While many consumers may think that an overhaul of the Affordable Care Act is unlikely to impact them because their health insurance is through their job at a big company, that’s not exactly true. Several of the law’s provisions apply to plans offered by large employers too (with some exceptions forRead More