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

Sunday, September 28, 2014

Debate Grows Over Employer Plans With No Hospital Benefits

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

Lance Shnider is confident Obamacare regulators knew exactly what they were doing when they created an online calculator that gives a green light to new employer coverage without hospital benefits.
“There’s not a glitch in this system,” said Shnider, president of Voluntary Benefits Agency, an Ohio firm working with some 100 employers to implement such plans. “This is the way the calculator was designed.”
Timothy Jost is pretty sure the whole thing was a mistake.
“There’s got to be a problem with the calculator,” said Jost, a law professor at Washington and Lee University and health-benefits authority. Letting employers avoid health-law penalties by offering plans without hospital benefits “is certainly not what Congress intended,” he said.


As companies prepare to offer medical coverage for 2015, debate has grown over government software that critics say can trap workers in inadequate plans while barring them from subsidies to buy fuller coverage on their own.
At the center of contention is the calculator — an online spreadsheet to certify whether plans meet the Affordable Care Act’s toughest standard for large employers, the “minimum value” test for adequate benefits.
The software is used by large, self-insured employers that pay their own medical claims but often outsource the plan design and administration. Offering a...
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DEA: Vicodin, Some Other Pain Meds Will Be Harder to Get

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

Patients who use drugs containing hydrocodone as a pain reliever or cough suppressant are going to have to jump through more hoops to get them starting next month.


The Drug Enforcement Administration is reclassifying so-called “hydrocodone combination products” from Schedule III to Schedule II under the Controlled Substances Act, which will more tightly restrict access. Vicodin, for example, is an HCP because it has hydrocodone and acetaminophen.
The final regulation, which takes effect Oct. 6, will mean that patients generally must present a written prescription to receive the drug, and doctors will no longer be able to call in a prescription to the pharmacy in most instances. The regulation is a response to the widespread misuse of prescription pain killers.
In an emergency, doctors will still be able to call in a prescription, according to the new rule. And although prescription refills are prohibited, a doctor can, at his discretion, issue multiple prescriptions that would provide up to a 90-day supply.
These measures don’t satisfy consumer advocates or pharmacists who are opposed to the new rule.
While acknowledging that there has been an uptick in abuse and adverse events related to opioid painkillers, one patient advocate says the new rule restricts access indiscriminately.
“We certainly want steps taken to reduce...
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New lab incidents fuel fear, safety concerns in Congress


Biohazard symbol_CDC image
Biohazard symbol_CDC image

Symbol for biohazard.(Photo: CDC)
Scientists wearing space-suitlike protective gear searched for hours in May for a mouse — infected with a virus similar to Ebola — that had escaped inside Rocky Mountain Laboratories in Montana, one of the federal government's highest-security research facilities, according to newly obtained incident reports that provide a window into the secretive world of bioterror lab accidents.
During the same month at St. Jude Children's Research Hospital in Memphis, a lab worker suffered a cut while trying to round up escaped ferrets that had been infected with a deadly strain of avian influenza, records show. Four days later at Colorado State University's bioterrorism lab, a worker failed to ensure dangerous bacteria had been killed before shipping specimens — some of them still able to grow — to another lab where a worker unwittingly handled them without key protective gear.
Nobody was sickened in the incidents and the mouse was caught the next day. Yet in the wake of serious lab mishaps with anthrax and bird flu at the Centers for Disease Control and Prevention that prompted an uproar and a Congressional hearing this summer, these additional incidents are further fueling bipartisan concern about lab safety.
"As long as we keep having an ad hoc system of oversight in this country, we're going to keep seeing more and more incidents," said U.S. Rep. Diana DeGette of Colorado, the ranking...
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Widow awarded compensation for husband's asbestos related cancer death (From Bucks Free Press)


Widow awarded compensation for husband's asbestos related cancer death
Widow awarded compensation for husband's asbestos related cancer death

A WIDOW has been awarded a six figure compensation sum after her husband's former employers admitted liability for causing his death.
Pamela Page was awarded £177,500 following the death of her husband Geoffrey of an asbestos related cancer.
Lawyers acting on behalf of Mrs Page said her husband worked in a room at property owned by the music company EMI for three months cutting and drilling insulation material containing white asbestos - without being given protective clothing.
Mr Page, of Chalfont St Peter, only stopped the work in a tool room at an EMI property in Spinfield Road, Hayes, when he was visited by a union representative and told to cease.
He died in September 2011 aged 80 after being diagnosed with an asbestos related cancer. EMI accepted liability in recognition of the suffering Mr Page went through and the nursing care provided by his wife.
The action was brought against EMI on Mrs Page's behalf by the law firm Charles Lucas and Marshall.
Brigitte Chandler from the firm said: "By 1980 when Mr Page was working for EMI, knowledge of the dangers of asbestos was well known and Mr Page should not have been asked to work with the product without any protection.
"He obviously breathed in asbestos dust. This is why EMI’s insurers have accepted liability."
She added: "Sadly, the number of people dying from mesothelioma and lung cancer continues to increase due to the...
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Violence in the Workplace: Chicago Air Traffic Control

Today's post is shared from nytimes.com

Travelers lined up Friday to reschedule flights at Chicago's O'Hare International Airport after the region's air traffic control was sabotaged. More flights are resuming Saturday, but hundreds were also canceled.

The number of canceled flights in and out of Chicago crept toward 800 Saturday afternoon, as workers tried to restore one of the nation's busiest air traffic control systems. The system was crippled Friday, officials say, after a disgruntled employee set a fire in a federal radar center. (We updated the number of cancellations at 5 p.m. ET).

As we reported Friday, nearly 2,000 flights were canceled or delayed at Chicago's O'Hare and Midway airports, throwing travelers' plans into chaos and disrupting flights that use the area as a hub. Today, flight-tracking websites show a few steady streams of air traffic in and out of Chicago — but the volume doesn't approach the area's normal swarm of activity.

Officials say the disruption was caused by a fire that forced the evacuation of a nearby federal air traffic control center and the declaration of a rare "ATC Zero" status — "shorthand for the inability to safely provide air traffic control," reports Air Transport World.

New details emerged late Friday about the suspect in the case, Brian Howard, 36, after the FBI filed a preliminary criminal complaint in federal court. It accuses Howard of sending a note to a relative Friday morning in which he bid them farewell and said he was taking down...


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Saturday, September 27, 2014

A Comparison Of Hospital Administrative Costs In Eight Nations: US Costs Exceed All Others By Far

A few studies have noted the outsize administrative costs of US hospitals, but no research has compared these costs across multiple nations with various types of health care systems. We assembled a team of international health policy experts to conduct just such a challenging analysis of hospital administrative costs across eight nations: Canada, England, Scotland, Wales, France, Germany, the Netherlands, and the United States. We found that administrative costs accounted for 25.3 percent of total US hospital expenditures—a percentage that is increasing. Next highest were the Netherlands (19.8 percent) and England (15.5 percent), both of which are transitioning to market-oriented payment systems. Scotland and Canada, whose single-payer systems pay hospitals global operating budgets, with separate grants for capital, had the lowest administrative costs. Costs were intermediate in France and Germany (which bill per patient but pay separately for capital projects) and in Wales. Reducing US per capita spending for hospital administration to Scottish or Canadian levels would have saved more than $150 billion in 2011. This study suggests that the reduction of US administrative costs would best be accomplished through the use of a simpler and less market-oriented payment scheme.

doi: 10.1377/hlthaff.2013.1327Health Aff September 2014 vol. 33no. 9 1586-1594

Shift work: Marketing medication for symptoms instead of addressing the hazard

“Shift work refers to work that takes place outside of traditional 9-to-5 daytime hours. If you work nights or rotating shifts, you are a shift worker. Many people who work shifts are at risk for developing shift work disorder (SWD) and may experience excessive sleepiness (ES) on the job.” So says the website designed to market the drug known as Nuvigil, sold by Cephalon, a subsidiary of Teva Pharmaceutical Industries, Ltd. Approved by the US Food and Drug Administration (FDA) in 2007 to treat narcolepsy and obstructive sleep apnea and the excessive sleepiness that may come with working a night shift, sales of Nuvigil grew by about 20 percent between 2013 and 2014, bringing in $189 million in the first six months of this year. The company’s online advertising suggests that that “1 in 4” of the approximately 15 million Americans who work outside 9 to 5 hours “may have SWD” and that shift workers may include factory workers, security guards, retail workers, fire fighters, doctors, nurses and other hospital workers, hotel and restaurant employees along with accountants, stockbrokers and “other people with corporate jobs.”

“The main symptoms of SWD are excessive sleepiness (ES) during a work shift and trouble sleeping (insomnia) during sleeping hours,” says the Nuvigil marketing copy. Curious about both the drug and the number of US workers the company might have in its sights as a potential market, I went to see...

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