Colorado Exchange Releases Health Insurance Rates

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

Colorado released its Obamacare insurance rates on Friday, joining 13 states and the District of Columbia in making rates public.

The state earlier made the call to be a clearinghouse exchange, rather than an active purchaser, and so, it has approved all 242 health plans submitted for sale on its marketplace, Connect for Health Colorado.  Thirteen carriers will offer 150 plans in the individual marketplace, and 92 for small businesses. The plans go on sale Oct. 1 for coverage that starts Jan. 1. Colorado also approved 299 plans for sale outside its exchange and prices for them.

“We’re very pleased with the number of carriers and plans,” Deputy Insurance Commissioner Peg Brown told the Connect for Health board Monday. “It represents a wide variety of choice … and healthy competition in the Colorado insurance marketplace overall,” Brown said.

Members of the exchange board greeted Brown’s announcement with applause but did not comment further.

The rates came out  more than two weeks later than the state’s Division of Insurance had initially promised.

So where do the Colorado rates fall in the ongoing debate about whether prices on the exchanges are reasonable? It might be the rare “just right” state.

Prices range from $135 a month on the low end to almost $1,000 a month for the most comprehensive coverage with some variation depending on a person’s age, where they live and whether they use...

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Ronald L. Motley 1944 - 2013

With deep sadness we share the news of the passing of Ronald L. Motley.

"It is with the deepest sadness and most profound grief that I must share with you the news that our friend, colleague, mentor, partner and co-founder of Motley Rice, Ron Motley, has passed away.

"Like many of you, I started my career learning from Ron the ins and outs of fighting the asbestos industry. It was because of Ron’s passion, tenacity, intelligence and persistence that he was able to secure the first victory in favor of a plaintiff against an industry that had knowingly put people’s health in jeopardy for decades. That victory would be just one in the beginning of a respected law career that allowed him to be a pioneer for justice and warrior for social accountability.

"Ron’s passing is an incalculable loss for all those he devoted his life’s work to, whether it was people sick from asbestos poisoning, State Attorneys General taking on Big Tobacco, 9/11 family members seeking to bankrupt terrorism, or anyone else who wanted his or her day in court to redress injustice.

"As many of you experienced first-hand, Ron was many things. A true giant of the legal profession. A trail blazer and innovator. A charismatic master of the courtroom. A tenacious interrogator. But most of all, he was marked by unmatched courage in going after any wrongdoer, no matter how big and powerful, and by his bottomless well of compassion for those who have been wronged. He proudly lived his life as a trial lawyer.

"Ron left an extraordinary legacy. It is my commitment, even as we mourn, that we should all rise above our sadness and devote ourselves to carrying his legacy forward. Indeed, there is no better way we can celebrate Ron’s life and honor his memory than by redoubling our efforts to put the powerless on a level playing field with the powerful, to get them their day in court, and to win justice for all.

"Ron always valued the relationships that he had with you and your organization. Through partnerships and friendships, Ron was able to share his passion and talent with so many. He will be greatly missed and forever remembered.

"We will share arrangement details as they are made. We appreciate your thoughts and prayers for Ron's family, friends and colleagues during this time.

Joe

Joseph F. Rice | Attorney at Law | Motley Rice LLC

Tacking Health Care Costs Onto California Farm Produce

Today's post was shared by WCBlog and comes from www.nytimes.com

Farm labor contractors across California, the nation’s biggest agricultural engine, are increasingly nervous about a provision of the Affordable Care Act that will require hundreds of thousands of field workers to be covered by health insurance.

While the requirement was recently delayed until 2015, the contractors, who provide farmers with armies of field workers, say they are already preparing for the potential cost the law will add to their business, which typically operates on a slender profit margin.

“I’ve been to at least a dozen seminars on the Affordable Care Act since February,” said Chuck Herrin, owner of Sunrise Farm Labor, a contractor based here. “If you don’t take the right approach, you’re wiped out.”

CDC estimates Lyme disease hits 300,000 each year

Outdoor workers continue to suffer from disease of the environment. Lyme disease, a cmpensable condition, remains a critical problem for those who work in the great outdoors. Today's post was shared by CIDRAP and comes from www.cidrap.umn.edu

A new estimate on Lyme disease suggests that about 300,000 Americans are sickened each year, which is about 10 times higher than the number of cases reported, according to an analysis of the latest information by the US Centers for Disease Control and Prevention (CDC).

Scientists from the agency base their projection on findings from three ongoing studies that are designed to better gauge the number of people diagnosed with Lyme disease each year. CDC researchers reported the preliminary findings yesterday at a tickborne disease conference in Boston.
Ongoing studies are based on medical claims information for about 22 million insured people, a survey of clinical laboratories, and self-reported Lyme disease cases from a survey of the general public, the CDC said in a press release today.

UW study finds link between lead paint, discipline problems

Lead paint continues to cause problems in the workplace and in homes throught the nation. Today's post was shared by FairWarning and comes from www.jsonline.com

A new study that analyzed medical and discipline data from Milwaukee Public Schools found young children who are exposed to lead are nearly three times more likely to be suspended from school by the fourth grade.

Lead — commonly found in paint in older homes and rental properties — may be more responsible for school discipline problems than previously realized, according to the study's author, Michael Amato, a doctoral candidate in the psychology department and the Nelson Institute for Environmental Studies at the University of Wisconsin-Madison.

Lead has been cited as a contributor to the academic achievement gap between black and white children because the powerful neurotoxin is more likely to be found in low-income housing. High levels of lead in the bloodstream may make children more likely to behave impulsively and may shorten their attention spans, according to previous research.

Fast-food workers call for nationwide walkout Aug. 29

Low wages, adverse working conditions  and minimal benefits are epidemic in the US fast food industry. As workers' compensation benefits are based on salaries, fast food workers tend to receive minimum standard benefits. Today's post was shared by Steven Greenhouse and comes from www.washingtonpost.com

Emboldened by an outpouring of support on social media, low-wage fast-food and retail workers from eight cities who have staged walkouts this year are calling for a national day of strikes Aug. 29.

The workers — who are backed by local community groups and national unions and have held one-day walkouts in cities such as New York, St. Louis and Detroit — say they have received pledges of support from workers in dozens of cities across the country.

The workers are calling for a wage of $15 an hour and the right to form a union. Organizers of the walkout say cashiers, cooks and crew members at fast-food restaurants are paid a median wage of $8.94 an hour.

Since some 200 workers walked off their jobs at fast-food restaurants in New York City in November, the strikes have moved across the country, drawing attention to a fast-growing segment of the workforce that until recently had shown no inclination to organize for purposes of collective bargaining.

NJ Court Sets the Evidentiary Proof Standard for a Pulmonary - Cardiovascular Claim

A NJ Workers' Compensation Court affirmed the dismissal of a pulmonary claim ruling that the evidence presented was lacking, and that the statutory limitations of expert medical fees do not act to the detriment of the injured worker in the proof of a workers' compensation claim.

"In her written opinion, the compensation judge found the testimony of Dr.Kritzberg more credible than that of Dr. Hermele. The judge found that petitioner's counsel “trie[d] to make it appear that petitioner presented to Dr. Hermele on his own for treatment. That is simply not true. Petitioner's counsel sent petitioner to Dr. Hermele. Dr. Hermele did not treat petitioner.” Additionally, of great significance to the compensation judge was the fact that petitioner had been treating with a cardiologist for twenty-three years, testified that he believed his breathing difficulties were related to his heart condition, and had never been treated for any pulmonary condition, despite testifying that his pulmonary complaints worsened in 1988, while continuing to work for respondent for eleven more years. The judge inferred that petitioner's cardiologist never referred him to a pulmonary specialist for treatment.

The Court also held that an "adverse inference" could be drawn when the injured worker does not offer supporting medical records into evidence to prove a claim.

"The compensation judge drew an adverse inference “from the fact the petitionernever produced a certified copy of the records from his treating cardiologist orhad Dr. Hermele review said records as part of his evaluation[,]” noting that Dr.Hermele readily admitted “there is a relationship between the heart and thelungs.”

Furthermore, the medical evidence presented at the time of trial, support the lack of causal relationship of a pulmonary medical condition caused by a pre-existing cardiovascular condition, rather than an independent pulmonary condition cause by exposure to industrial air pollution.

"Critical for the court were the chest x-rays taken of the petitioner which
showed that he did not have bi-lateral flattening of his diaphragm. If he
truly had pulmonary disease unrelated to his heart condition[,] you would expect
to find bi-lateral flattening of the diaphragm. Only the left side of petitioner's diaphragm was flattened[,] which is to be expected since both doctors
agreed petitioner has cardiomegaly (enlargement of the heart).....