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(c) 2010-2026 Jon L Gelman, All Rights Reserved.

Tuesday, October 7, 2014

Canceled Health Plans: Round Two

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

Thousands of consumers who were granted a reprieve to keep insurance plans that don’t meet the federal health law’s standards are now learning those plans will be discontinued at year’s end, and they’ll have to choose a new policy, which may cost more.


Cancellations are in the mail to customers from Texas to Alaska in markets where insurers say the policies no longer make business sense. In some states, such as Maryland and Virginia, rules call for the plans’ discontinuations, but in many, federal rules allow the policies to continue into 2017.
Insurers sending the notices to some customers include Anthem, one of the largest insurers in the country, Baltimore-based CareFirst, Health Care Services Corporation in Chicago, Kaiser Permanente in Oakland, Calif., Humana in Louisville, Ky., and Golden Rule, an Indianapolis subsidiary of UnitedHealth Group.
One reason behind the switch is that insurers determined they can make more money selling plans that comply with the Affordable Care Act, often at higher premiums that may be subsidized by the government.
 “They’re getting a lot more revenue, often for the same person,” said consultant Robert Laszewski, a former insurance executive.
Last year, similar cancellation letters sent to more than 2 million customers created a political firestorm for President Barack Obama, who had repeatedly...
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Work Comp and Baseball

Today's post was shared by WorkCompCentral and comes from daviddepaolo.blogspot.com

I was watching the Oakland As versus the Kansas City Royals game on television the other night. Kansas City tied up the game and I went to bed so I could write this blog in the morning and good thing - the game remained tied until the 12th inning where the Royals scored the winning hit at the bottom of the inning, far past my bedtime.
The player securing the win for the Royals, Salvador Perez, had six at bats but didn't hit anything until his last when he knocked in a single. In fact, his prior at bat he whiffed so bad even I could tell the pitch was WAY outside the zone.
My buddy, a baseball aficionado, explained to me the next day, "Baseball is a game based on failure. A great hitter hits .300. He fails seven out of every ten attempts."
The odds are so great against the batter in baseball that hitting a pitch less than a third of the time is considered "great."
Sometimes it seems that workers' compensation is like a batter in baseball - the odds of a positive outcome seem so enormous that when one occurs it's "great."
Workers' compensation, like baseball, requires a big team. There's the sale, i.e. brokers. There's policy underwriting and administration - people that consider the risks and price coverage accordingly. There's the employer, which precipitates work comp in the first place. Doctors are needed to treat; attorneys bring and manage disputes. Claims administrators are necessary to keep the claim moving. There are a whole host of other...
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For most chronic pain, neurologists declare opioids a bad choice

Today's post was shared by Take Justice Back and comes from www.latimes.com

Patients taking opioid painkillers for chronic pain not associated with cancer -- conditions such as headaches, fibromyalgia and low-back pain -- are more likely to risk overdose, addiction and a range of debilitating side effects than they are to improve their ability to function, a leading physicians group declared Wednesday.

The long-term use of opioids may not, in the net, be beneficial even in patients with more severe pain conditions, including sickle-cell disease, destructive rheumatoid arthritis and severe neuropathic pain, the American Academy of Neurologists opined in a new position statement released Wednesday.

But even for patients who do appear to benefit from opioid narcotics, the neurology group warned, physicians who prescribe these drugs should be diligent in tracking a patient's dose increases, screening for a history of depression or substance abuse, looking for signs of misuse and insisting as a condition of continued use that opioids are improving a patient's function.

In disseminating a new position paper on opioid painkillers for chronic non-cancer pain, the American Academy of Neurology is hardly the first physicians group to sound the alarm on these medications and call for greater restraint in prescribing them.

But it appears to be the first to lay out a comprehensive set of research-based guidelines that...


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Foster Farms outbreak sparks legal petition to outlaw dangerous pathogens

Today's post was shared by Take Justice Back and comes from www.washingtonpost.com

Although hundreds of Americans were hospitalized over the past two years with salmonella poisoning linked to Foster Farms chickens, the U.S. Agriculture Department said it had no power to order a recall on the contaminated poultry.

The Center for Science in the Public Interest took steps Wednesday to change that. The Washington-based group filed a petition with the USDA, outlining legal arguments for a ban on four of the most dangerous strains of salmonella.

The strains are all resistant to multiple classes of the most commonly used antibiotics, according to the Centers for Disease Control.

In its petition, the consumer group included its own analysis that showed 2,358 illnesses, 424 hospitalization and eight deaths have been linked to antibiotic-resistant salmonella strains found in meat and chicken. Most of the cases are from the mid 1990s to present.

In its announcement, the group said findings of their analysis “obligates USDA to keep those strains out of the food supply.”

Salmonella Heidelberg — which the CDC linked to the Foster Farms outbreak — is one of the strains that CSPI is seeking to ban.

The Foster Farms outbreak lasted for more than 15 months, and CDC did not declare it to be over until late July. The agency also said the outbreak sickened at least 638 people, with nearly 40 percent requiring hospitalization. The company has made a number of changes in its plants over the past year and says that, over the past several months, the rate...

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The Economy: German Industrial Output Drops

The economy drives workers' compensation premiums and benefits. Revenue is the blood of the system. Predicting the future is problematic. Several recent news items are indicators of a ponzi scheme: the US wages remain down even though employment supposedly is pre-election and the stable of the European economy is fracturing in Germany. Lower US gas prices signal low demand internationally for petroleum. If the US economy slips yet again, event though interest rates are low and the US Government keeps printing money, the workers' compensation insurance industry maybe headed for big economic trouble. How much more can you trim from the benefit system and still say that it works as efficiently and effectively? Today's post is share from wsj.com/
German industrial output declined sharply in August, data from the country’s economy ministry showed Tuesday, raising fears that German growth in the third quarter will be minimal, if at all.
The figures, the second piece of downbeat economic data from Europe’s largest economy in as many days, showed that factory output in adjusted terms fell 4% on the month—the sharpest decline since 2009.
The fall was well below analysts’ expectations of a 1.5% decline, according to a survey conducted by The Wall Street Journal.
Germany’s economy ministry also reduced its July figure to growth of 1.6% from the 1.9% gain originally reported.
The data came a day after a surprise decline of 5.7% in manufacturing orders for August—also the sharpest since January 2009, when the world was mired in financial crisis. Though orders data don’t translate immediately into production numbers, Monday’s data release amplified concerns about Germany’s growth outlook.
The German economy is “likely to have stagnated at best,” in the third quarter, said Ralph Solveen, an economist at Commerzbank. Following a 0.6% annualized decline in the second quarter, a contraction in the third quarter would meet a common definition for a recession, namely two consecutive quarters of economic decline.
Tuesday’s data were weak across the board, with manufacturing output down 4.8% and construction output down 2.0%. Energy output eked out a...
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Who Are ‘We the People’?

Workers' Compensation dependency benefits were just modified by the US Supreme. In making the decision not to review its decision about same sex marriage, statutes conytaining the word "spouse" now have a new definition. Today's post was shared by Steven Greenhouse and comes from www.nytimes.com

Who is a person? How do you qualify for basic human rights? What is required for you to be able to speak or worship freely or to be free from torture?
Throughout American history, the Supreme Court has considered and reconsidered the criteria for membership in the club of rights, oscillating between a vision limiting rights to preferred groups and another granting rights to all who require protection. These competing visions have led to some strange results.
Corporations (as well as unions) can spend on political speech to further their group interests as though they were individual political actors. Corporations can assert religious rights to gain legal exemptions from laws that would otherwise apply to them. Muslim detainees at Guantánamo Bay, however, have none of these rights.
As a corporate litigator who has also spent more than a decade defending Guantánamo detainees, I have been trying to figure out why corporations are worthy of court protection and Muslims held in indefinite detention without trial by the United States at a naval base in Cuba are not.
The direction of the Supreme Court under Chief Justice John G. Roberts Jr. over the past decade has been anything but consistent. As the court readies itself for another term, it may not be possible to speak of a Roberts court jurisprudence at all. Even within the conservative and liberal blocs there are a range of views on the limits of executive power, the relationship between the federal government and...
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Over Medicating Workers' Compensation Patients

When is it too much? That is the big question. Easy access to medication may also be a major problem. Today' s post is shared from nytimes.com\

A huge number of patients suffer from adverse medication issues that complicate workers' compensation claims even further. New data indicates that over medication of patients even complicates the issues further.
The most common cause of fatal allergic reactions in the United States are medicines, especially antibiotics and radiocontrast agents used in imaging studies, a new analysis found.
Using data from the National Center for Health Statistics, researchers found 2,458 cases of fatal anaphylaxis from 1999 through 2010. Almost 60 percent of the deaths, or 1,446, were caused by reactions to drugs, and in cases where the specific drug was known, half were caused by antibiotics. The rate of drug-induced fatal reactions almost doubled over the period.
Insect stings caused 15.2 percent of the fatalities and food 6.7 percent. The cause was not recorded in a fifth of the cases.
The study, published in The Journal of Allergy and Clinical Immunology, also found that older age was associated with a higher risk for death and that blacks had a higher risk of dying from drugs and food reactions. For insect sting deaths, rates among whites were almost three times as high as rates among African-Americans.
The lead author, Dr. Elina Jerschow, an assistant professor of medicine at the Albert Einstein College of Medicine in the Bronx, said that part of the increase in drug-induced allergic deaths is probably due to changes in the way deaths are coded on death certificates. But, she added, “We are using more imaging studies than other countries, and they’re potentially life-threatening. After antibiotics, radiocontrast was the chief culprit.”
A version of this article appears in...
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