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(c) 2010-2024 Jon L Gelman, All Rights Reserved.

Friday, July 26, 2013

The 10 Highest Medical Cost Jurisdictions for Medicare

A recent study highlights the nation's disparity on the cost of medicine. The study also recommends that Medicare continue to pay varying medical fees by jurisdiction. In many states, workers' compensation medical fees are based upon Medicare guidelines.

"For over three decades, researchers have documented large, systematic variation in Medicare fee-for-service spending and service use across geographic regions, seemingly unrelated to health outcomes. This variation has been interpreted by many to imply that high spending areas are overusing or misusing medical care. Policymakers, seeking strategies to reduce Medicare costs, naturally wonder if cutting payment rates to high cost areas would save money without adversely affecting Medicare beneficiary health care quality and outcomes.

Raising the Minimum Wage Is Good for the Economy

Most workers' compensation rates are calculated on the SAWW (State Average Weekly Wage.) Raising minimum wages will increase workers' compensation rates for temporary and permanent disability benefits. Today's post was shared by US Dept. of Labor and comes from www.whitehouse.gov



Minimum wages nationwide.
Minimum wages nationwide. (Photo credit: Wikipedia)
Today, low-wage workers and their advocates are gathering together as part of a national day of action for an increase in the minimum wage. Marking four years since the last increase, Americans across the country are making the case for why raising the minimum wage is good for workers and the economy.

Raising the minimum wage was also part of the economic
 vision that President Obama laid out in Galesburg, Illinois today, as he described what we need to do to support the middle class and those who are trying to join it. In his own words, “because no one who works full-time in America should have to live in poverty, I will keep making the case that we need to raise a minimum wage that in real terms is lower than it was when Ronald Reagan took office. “

EPA Expands List of Safer Chemical Ingredients

Today's post was shared by US EPA News and comes from yosemite.epa.gov

The U.S. Environmental Protection Agency's (EPA) today added more than 130 chemicals to its Safer Chemical Ingredients List. For the first time, 119 fragrance chemicals for commercial and consumer cleaning products have been added to the list.

“Fragrances are an important yet complex part of many consumer cleaning products. By adding fragrance and other chemicals to the Safer Chemical Ingredients List, EPA continues its commitment to help companies make safer products and provide the public with greater access to chemical information,” said James Jones, acting assistant administrator for the Office of Chemical Safety and Pollution Prevention.

The Safer Chemical Ingredients List, which now contains 602 chemicals, serves as a resource for manufacturers interested in making safer products; health and environmental advocates seeking to encourage the use of safer chemicals; and consumers seeking information on the ingredients in safer chemical products.

It also serves as a guide for Design for the Environment (DfE) labeled products, which must meet EPA’s rigorous, scientific standards for protecting human health and the environment.

More than 2,500 products are certified under the DfE Standard for Safer Products including all-purpose cleaners, laundry and...

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Three more states report Cyclospora cases; total rises to 283

Today's post was shared by CIDRAP and comes from www.cidrap.umn.edu

Three more states are reporting Cyclospora infections, pushing the national total to 283, but it's not clear which of the newly reported cases are part of the national outbreak, the US Centers for Disease Control and Prevention (CDC) and individual states reported today.
In its update today, the CDC added Georgia, Connecticut, and New Jersey to its map of cyclosporiasis cases, which means nine states are now reporting cases. Georgia has two cases, and Connecticut and New Jersey each have one.

About half of the total cases are from Iowa, which reported its first cases in early July. In an update today the Iowa Department of Public Health (IDPH) said 134 cases have been reported in the state so far, which is seven more than reflected in the CDC total.


The Nebraska Department of Health and Human Services (NDHHS) also updated its case count today, adding one more case that isn't reflected in the CDC's total to bring its total to 69. The combined new cases in Iowa and Nebraska raise the total number of US cases to 283.

Texas is third in case numbers, with 65.

The CDC said totals in those three states may include some travel-associated cases and that interviews are pending. It also noted that the single cases reported from Illinois and Kansas probably involved infections acquired in neighboring outbreak states.
Wisconsin has confirmed four Cyclospora cases.

William Gerrish, director of communications for the Connecticut Department of Public Health, said both of the state's patients are...

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Wednesday, July 24, 2013

Shifting the Blame: Doctors Look To Others To Play Biggest Role In Curbing Health Costs

Blame for increased medical costs is getting tossed around like a political football. Those deeply entrenched into the system are pointing their finger at "the other" party to shift responsibility. This reminds one of when CMS in 1980 urged the passage of the Medical Secondary Payer Act. 

As this process continues, ultimately the US Government will be the final authority as Medicare ultimately rules the medical billing field and outcome based medicine seems to be the new goal.

Workers' Compensation system will ultimate adapt or be subsumed by the Medicare protocols in one fashion or another.  Special interests  will have little opportunity to cut out their specialized markets.

Today's post was shared by Kaiser Health News and comes from capsules.kaiserhealthnews.org

In a study, published Tuesday in the Journal of the American Medical Association, Mayo Clinic researchers surveyed more than 2,500 doctors to assess their views of different approaches to rein in the nation’s health care costs. The doctors were randomly selected from an American Medical Association database.
When it comes to controlling the country’s health care costs, doctors point their fingers at lawyers, insurance companies, drug makers and hospitals. But well over half acknowledge they have at least some responsibility as stewards of health care resources.

Based on their findings, 59 percent of doctors believed they have some responsibility in holding down  health care costs. Only 36 percent thought they have a major role.

Why are there revisions to the jobs numbers?

Workers' Compensation premiums are usually estimated based on anticipated payroll numbers. As those change so does the cost of workers' compensation premiun costs. Basically they are both subject to retroactive audits to verify accuracy. Today's post was shared by BLS-Labor Statistics and comes from www.bls.gov


Why are there revisions to the jobs numbers?

By Thomas Nardone, Kenneth Robertson, and Julie Hatch Maxfield

At the beginning of each month, the Bureau of Labor Statistics (BLS) reports the change in payroll employment for the previous month. This estimate of jobs gained or lost over the month is closely watched by policymakers and those who work in financial markets and the media.

When the estimate is revised in subsequent months, however, data users sometimes perceive a very different picture of the job market than what was initially reported. Data users frequently ask why the number was revised. The short answer is, the revised estimate includes additional information that was not available at the time of the initial release information that makes the revised estimate more accurate.

This Beyond the Numbers article explains the data collection process that BLS conducts every month to produce the estimate of U.S. employment change. The article will also clarify why BLS releases revisions to the initial release, so that users will better understand the change, if any, in the data.

Tuesday, July 23, 2013

Hospitals May Soon Be Reaching For The Stars

Should injured workers have the opportunity to select the "best rated" medical provider? The Federal government is looking forward to providing outcome base rating information. The workers' compensation system should utilize that information and allow injured workers to be able make an educated choice in seeking medical care. Today's post was shared by Kaiser Health News and comes from www.kaiserhealthnews.org

Star wars may be coming to a hospital near you.

Medicare is considering assigning stars or some other easily understood symbol to hospitals so patients can more easily compare the quality of care at various institutions. The ratings would appear on Medicare’s Hospital Compare website and be based on many of the 100 quality measures the agency already publishes.

The proposal comes as Medicare confronts a paradox: Although the number of ways to measure hospital performance is increasing, those factors are becoming harder for patients to digest. Hospital Compare publishes a wide variety of details about medical centers, including death rates, patient views about how well doctors communicated, infection rates for colon surgery and hysterectomies, emergency room efficiency and overuse of CT scans.

In its proposed rules for hospitals in the fiscal year starting Oct. 1, the Centers for Medicare & Medicaid Services asked for ideas about "how we may better display this information on the Hospital Compare Web site. One option we have considered is aggregating measures in a graphical display, such as star ratings."

Private groups such as Consumer Reports, the Leapfrog Group and US News and World Report already issue hospital guides that boil down the disparate Medicare scores -- along with their own proprietary formulas -- to come up with numeric scores, letter grades or rankings.

But even before it's formally proposed, the possibility of the government rating...

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For over 3 decades the Law Offices of Jon L. Gelman  1.973.696.7900  jon@gelmans.com have been representing injured workers and their families who have suffered occupational accidents and illnesses.

Read more about "medical treatment" and workers' compensation:
Apr 15, 2013
The main difference is in Nebraska, as long as the worker elects a prior treating doctor to treat their injury (for example, the worker's family doctor), that doctor can dictate the medical care and refer them to others for treatment.
May 18, 2013
While workers' compensation insurance carriers may set approved fees or contract with providers, hospitals have huge disparities in the cost for medical care provided. Additionally, there appears to be no difference in the ...
Nov 16, 2012
New York Worker's Compensation Board's proposed new medical treatment guidelines that will modify 2010 previously implemented. Adopt the new carpal tunnel syndrome (CTS) medical treatment guidelines (MTG) as the ...
Jul 03, 2013
Read more about The Affordable Health Care Act: Workers' Compensation: Protecting Healthcare Workers. May 06, 2013. Kerri A. Thom, MD, MS, Assistant Professor of Medicine at the University of Maryland School of ...