Share of Cost, Seniors and Dry Mouth.

Monday, Jun. 10th 2013 11:19 AM

Advancing age can effect seniors and their teeth. For some dry mouth can be an issue.  Dry mouth is caused by reduced saliva flow. Dry mouth can be the result of cancer treatments, certain diseases, such as Sjögren’s syndrome, lupus and an infection of the salivary glands, anemia, and rheumatoid arthritis, as well as side effects of certain medications.  Aging is also another cause of dry mouth.

Posted on Monday, Jun. 10th 2013 11:19 AM | by Share of Cost | in Share of Cost | No Comments »

Seniors are at a higher risk of having a diminished sense of taste.

Monday, Jun. 10th 2013 9:44 AM

While age can impair the sense of taste diseases, medications, and dentures can also contribute to this sensory loss.  Make sure that when you see your dentist for your regular check ups you go over all your medications in order to get proper dental care treatment.

Posted on Monday, Jun. 10th 2013 9:44 AM | by Share of Cost | in Share of Cost | No Comments »

Share of Cost, Computer 3-D Design Program Opens the Doors for Grandparents of Grandkids with ASD

Sunday, Jun. 9th 2013 8:20 AM

For three years, University of Utah researchers have been deploying a computer-based design program called SketchUp in workshops to teach and develop life skills for youth on the autism spectrum. An earlier study showed that using the program helps kids develop their spatial and visual acuity, as well as to leverage those strengths to build positive social interactions.

Posted on Sunday, Jun. 9th 2013 8:20 AM | by Share of Cost | in Share of Cost | No Comments »

Genetic Cause Discovered for Distal Hereditary Motor Neuropathy a Rare Disorder of Motor Neurones

Friday, Jun. 7th 2013 7:08 AM

Scientists have identified an underlying genetic cause for a rare disorder of motor neurones, and believe this may help find causes of other related diseases. Disorders of motor neurones are a group of progressive neuromuscular disorders that damage the nervous system, causing muscle weakness and wasting. These diseases affect many thousands of people in the UK. A number are inherited but the causes of the majority remain unknown, and there are no cures.

Posted on Friday, Jun. 7th 2013 7:08 AM | by Share of Cost | in Share of Cost | No Comments »

Seniors are at a higher risk for dry mouth issues.

Thursday, Jun. 6th 2013 9:25 AM

Dry mouth is caused by the reduced saliva flow.  There are several causes of dry mouth which include:

* Medications side effects: Dry mouth is often a common side effect of many prescription and even nonprescription drugs.

* Diseases and Infections:  Dry mouth can also be a side effect of certain disease and infections such as  Sjögren’s syndrome, HIV/AIDS, Alzheimer’s disease, diabetes, anemia, cystic fibrosis, rheumatoid arthritis, hypertension, Parkinson’s disease, stroke, and mumps.

* Medical Treatments: Dry mouth can be a side effect of certain medical treatments  such as radiation to the head and neck and chemotherapy treatments for cancer.

* Lifestyle:  Your lifestyle can cause dry mouth issues as well. Smoking or chewing tobacco can affet saliva production and aggravate dry mouth. As well as  Continuously breathing with your mouth open can also contribute to dry mouth.

Posted on Thursday, Jun. 6th 2013 9:25 AM | by Share of Cost | in Share of Cost | No Comments »

Advocates Oppose Proposed Medigap Reforms that Shift Costs to Beneficiaries

Wednesday, Jun. 5th 2013 9:39 AM

Bonnie Burns, our Training and Policy Specialist as well as many advocates across the country have been strongly advocating throughout the year against proposals to reform Medigap policies by shifting costs to beneficiaries. Below is a short brief written by the Leadership Council of Aging Organizations (LCAO) that clearly outlines the reasons why they and many advocates oppose such reforms.

REFORMING MEDIGAP PLANS BY SHIFTING COSTS ONTO BENEFICIARIES: A FLAWED APPROACH TO ACHIEVE MEDICARE SAVINGS

Background:

In order to help pay for Medicare’s significant out-of-pocket costs, most Medicare beneficiaries have some form of supplemental coverage, such as retiree plans, private Medicare Advantage plans, Medicaid or Medigap policies. Medigap policies are individual, standardized insurance policies designed to fill in some of the gaps in Traditional Medicare’s coverage. Nearly one in five Medicare beneficiaries – 9.6 million – rely on Medigap policies to provide financial security and protection from high, unexpected out-of-pocket costs due to unforeseen medical care. Most beneficiaries who select Medigap policies do not have access to another form of supplemental coverage, like retiree benefits or Medicaid.(i)

Despite serving Medicare beneficiaries well for years, Medigap plans are being targeted by some public policymakers as a means to cut Medicare spending by shifting costs onto people who have these policies. Under the assumption that charging beneficiaries more in upfront out-of-pocket costs will deter them from using unnecessary medical care – and therefore save the Medicare program money – some proposals seek to increase Medigap deductibles and other cost-sharing. Other proposals would add a surcharge or tax on plans offering “first- dollar” or “near first-dollar” coverage – costs which insurance companies offering Medigap policies will pass on to policyholders.

Our Position:

The Leadership Council of Aging Organizations (LCAO) is opposed to adding further cost-sharing to Medigap plans or otherwise penalizing individuals who have “first-dollar coverage” through increased premiums or surcharges.

We strongly disagree with the argument that Medigap plans are a driver of unnecessary medical care. Instead, adding costs to Medigap policies will deter beneficiaries from seeking medically necessary care. Increased Medigap cost-sharing is not an effective tool for reducing Medicare spending and may harm the health and well-being of beneficiaries who forgo needed health care because they can no longer afford it. LCAO recognizes the need to bring down the nation’s deficit and reduce health care spending over the long term. With respect to Medicare, we support savings mechanisms that address system wide health care inflation and build on the cost savings, innovations and efficiencies of the Affordable Care Act. Proposals that shift costs onto beneficiaries, like eliminating or discouraging “first dollar coverage,” fail to meet these standards.

Our Rationale:

  • As cost-sharing goes up, utilization of services – both necessary and unnecessary – goes down. Increased cost-sharing in health insurance programs often result in either a barrier to or delay in accessing needed treatment, which could lead to adverse health outcomes and greater programmatic costs in the future. For example, multiple studies show that increased cost-sharing on specific services, such as ambulatory care or prescription medications, can lead to increased emergency room visits, hospitalizations, and outpatient care among older adults.(ii)
  • The Medicare program – not Medigap policies – determines what care is medically necessary. If Medicare determines that a given service is not medically necessary, it won’t pay for it. Since Medigap policies follow the lead of Medicare, a Medigap policy will not make a payment when Medicare has indicated that a service is not medically necessary. In short, penalizing policyholders for choosing to buy certain Medigap policies will not affect whether care sought by beneficiaries is appropriate.(iii)
  • Eliminating first dollar coverage will not lead to beneficiaries choosing better value services. Increased Medigap cost-sharing would inappropriately place the burden on beneficiaries to determine in advance whether a covered service is necessary or unnecessary. Instead of making such a determination, beneficiaries are more likely to avoid initiating a health care service or treatment as a result of cost-sharing, whereas once a person is engaged in the health care system, cost-sharing has little effect on whether or not a treatment is pursued. With added cost-sharing, people are more likely to forgo outpatient care and doctors visits outright, than to forgo treatments or services recommended by their provider.(iv) In other words, it is health care providers – not patients – who order medical services.
  • Most people with Medicare cannot afford to pay more. In 2010, half of Medicare beneficiaries lived on incomes below $22,000, just under 200% of the federal poverty level;(v) and Medicare households already spend on average 15 percent of their income on health costs, three times as much as the non-Medicare population.(vi) Two-thirds of people with Medigap (66%) have incomes below $40,000 per year and one-third (31%) have incomes below $20,000 per year. People living in rural communities are more likely to purchase a Medigap policy. Increasing cost-sharing for or adding surcharges to Medigap plans will harm those who can least afford it – those who are sick or chronically ill and those with low or moderate incomes.(vii)
  • A subgroup of the non-partisan, expert National Association of Insurance Commissioners (NAIC) tasked with reviewing potential Medigap changes concluded that various proposals to reform Medigap policies:“[…] do not consider the potentially serious and unintended impacts for beneficiaries and the Medigap program. Namely, in response to increased costs beneficiaries may avoid necessary services in the short term that may result in worsening health and a need for more intensive care and higher costs to the Medicare program in the long term. […] Further, no consideration is being given to the disproportionate impact on those with low or modest incomes, those who live in rural areas who have less access to other choices such as Medicare Advantage plans, retiree health or other supplemental coverage, or those who are the sickest or have chronic conditions and need regular care.”(viii)
  • Interfering with Medigap contracts currently in force raises serious concerns. There is a significant difference between applying new prohibitions or penalties to new Medigap policyholders, as opposed to altering private insurance contracts already in place – many for decades. The NAIC expressed serious concerns about this issue, stating: “An abrupt alteration of the Medigap cost-sharing benefits for in force policies will cause a major market disruption and cause serious confusion for seniors. Medigap policyholders will look to their state insurance regulators for assistance and to their congressional representatives for answers when they find out that the guaranteed renewability provisions of their Medigap policies have not been honored.”(ix)
  • Recent, significant changes to Medigap policies already include cost-sharing in some policies. Several of the standardized Medigap policies already give beneficiaries the choice of purchasing products with less coverage, usually in exchange for smaller premiums. For example, Plans K and L cover a percentage of Medicare cost-sharing (e.g., 50% or 75% instead of 100%), beneficiaries with Plan M pay 50% of the Medicare Part A hospital deductible, and Plan N charges $20 copay for physician office visits and a $50 copay for emergency room visits.

 

Posted on Wednesday, Jun. 5th 2013 9:39 AM | by Share of Cost | in Social Security | No Comments »

High Hormone Levels May Put Young Black Males at Risk for Cardiovascular Disease

Monday, Jun. 3rd 2013 8:06 AM

Increased levels of the hormone c in young black males correlate with an unhealthy chain of events that starts with retaining too much salt and results in an enlarged heart muscle, researchers say. The findings indicate physicians may want to reach for aldosterone inhibitors early in their effort to control blood pressure and reduce cardiovascular risk in young black males.

Posted on Monday, Jun. 3rd 2013 8:06 AM | by Share of Cost | in Share of Cost | No Comments »

Seniors are at a higher risk of darkened teeth.

Sunday, Jun. 2nd 2013 8:57 AM

Due to advancing age many seniors at a higher risk of darkened teeth. Darkened teeth is caused to some extent by changes in dentin, and by a lifetime of consuming stain causing foods and drinks.  Seeing a dentist regularly for cleaning and check up will help to prevent and treat darken teeth issues.

 

Posted on Sunday, Jun. 2nd 2013 8:57 AM | by Share of Cost | in Share of Cost | No Comments »

Studies Suggest that Coffee Drinking May Halve Risk Of Mouth and Throat Cancer

Saturday, Jun. 1st 2013 9:00 AM

A new study from the US finds people who drink more than 4 cups of caffeinated coffee a day have half the risk of dying from oral/pharyngeal (mouth and throat) cancer as people who drink it either occasionally or not at all. However, the researchers say their findings need to be confirmed by more research, and for now should just be received as good news for coffee drinkers and not be used as a reason to recommend everyone should drink 4 cups of coffee a day.

Posted on Saturday, Jun. 1st 2013 9:00 AM | by Share of Cost | in Share of Cost | No Comments »

Share of Cost, Health Benefits By Taxing Unhealthy Foods

Friday, May. 31st 2013 12:00 PM

Substantial health benefits could be achieved by implementing taxes on sugary drinks and foods high in saturated fats, as well as subsidizing fruit and vegetables. According to researchers, the foods that should be taxed are those which pose serious health risks to the general public. Soft drinks are known to increase blood pressure and can cause obesity. Foods high in saturated fat increase a person’s levels of bad cholesterol which increases their risk of developing serious life threatening conditions such as atherosclerosis, stroke and even heart attack.

Posted on Friday, May. 31st 2013 12:00 PM | by Share of Cost | in Share of Cost | No Comments »

Share of Cost, Climate change is a human rights issue too

Wednesday, May. 29th 2013 12:30 PM

As an international community, our collective failures on climate change are having critical consequences. Today climate change has become one of the major challenges to the basic human rights to life, food, health, water, housing and self-determination.

What does it mean then to be deprived of your roots and home? Losing the security of the place where you sleep can be devastating. Being forced from the place we call home – the place you were born, where your family, friends, habits and culture reside by circumstances over which you have no control and had no part in creating.

And it is exactly this kind of forced migration that is now emerging on a massive global scale, with millions mainly among our planet’s poorest and most vulnerable being forced to move. These are the new refugees, “climate refugees” driven from their homes by changes in climate, the primary result of the developed world’s inability or refusal to understand the impacts of its development on the global environment and on others far less fortunate.

Posted on Wednesday, May. 29th 2013 12:30 PM | by Share of Cost | in Share of Cost | No Comments »

Share of Cost, Increase in Vision Impairment Linked to Higher Prevalence of Diabetes

Monday, May. 27th 2013 10:00 AM

Nonrefractive visual impairment, not due to needing glasses, has increased significantly among Americans in recent years, and the higher incidence of diabetes may be responsible. The finding came from new research, conducted by a team at the Johns Hopkins University School of Medicine, Baltimore, and was published in JAMA, December 12 issue.

Posted on Monday, May. 27th 2013 10:00 AM | by Share of Cost | in Share of Cost | No Comments »

Share of Cost, Affordable Care Act proving unaffordable for states

Saturday, May. 25th 2013 1:30 PM

In 2010, then-Speaker Nancy Pelosi famously said to find out what was in President Obama’s health care bill Congress would have to pass it. After nearly three years, it has become obvious why Congressional Democrats wanted to hide the facts from the public before the president’s health care bill became the law. You’ve probably read about the 21 new taxes the bill requires in an effort to impose an individual insurance mandate, and how the law cuts more than $700 billion out of Medicare to fund a new entitlement. But you may not know about the impact that President Obama’s health care law will have on the states.

The Affordable Care Act also required states to expand Medicaid to cover more individuals beginning in 2014, but fortunately the Supreme Court’s ruling made this expansion optional. Even though the federal government is supposed to pick up a significant percentage of states’ expansion cost, the Obama administration is already seeking to limit its support to states that don’t expand their programs as much as the law originally required. It sounds as though a bad deal has the potential to get worse – and our state can offer some clues as to what will happen for states that choose to expand their program.

Posted on Saturday, May. 25th 2013 1:30 PM | by Share of Cost | in Share of Cost | No Comments »

The Lessons of Medicare’s Prospective Payment System Show That the Bundled Payment Program Faces Challenges

Thursday, May. 23rd 2013 8:13 AM

Policy makers have been trying to replace Medicare’s fee-for-service payment system for years with approaches that pay one price for an aggregation of services. The intent is to reward providers for offering needed care in the most appropriate and cost-effective manner. Medicare’s first payment change designed to accomplish such a change was the hospital prospective payment system, introduced during 1983–84. But because it focused only on hospital care, its impact on total Medicare spending was limited. In 2011 Medicare began a new initiative to expand the “bundled payment” concept to link payments for multiple services that patients receive during an episode of care.

The goal of Medicare’s current bundled payment initiative is to provide incentives to deliver health care more efficiently while maintaining or improving quality. This article provides a detailed analysis of how Medicare implemented the hospital prospective payment system, how hospitals responded to the new incentives, and lessons learned that are applicable to the bundled payment initiative. The lessons include that any Medicare payment reform needs to continuously respond to the many different components of the health system and that payment reform should be coupled with analogous reforms in private insurance payment, so that providers receive consistent signals to alter their behavior.

Posted on Thursday, May. 23rd 2013 8:13 AM | by Share of Cost | in Share of Cost | No Comments »

Share of Cost, Medicare’s New Hospital Value Based Purchasing Program is Likely to Have Only a Small Impact on Hospital Payments

Tuesday, May. 21st 2013 8:13 AM

Medicare’s new hospital pay-for-performance program for all acute care hospitals will begin in October 2012. It will be the largest Medicare quality improvement initiative for hospitals to date. Using 2009 data on hospital performance, we calculated hospital performance scores and projected payments under the new program for all eligible hospitals. Despite differences across hospitals in terms of performance, expected changes in payments were small, even for hospitals with the best and worst performance scores. Almost two-thirds of hospitals would experience changes of just a fraction of 1 percent. Although the program will in effect redistribute resources among hospitals, our data suggest that the redistribution is not likely to cause major problems because the amount being redistributed is also small. These results raise questions about whether the new pay-for-performance program will substantially alter the quality of hospital care, and they highlight the challenges of designing effective quality improvement incentives.

Posted on Tuesday, May. 21st 2013 8:13 AM | by Share of Cost | in Share of Cost | No Comments »

Share of Cost, a Giant Of Health Policy Reflects on Past Reforms

Sunday, May. 19th 2013 8:13 AM

Since his days in the Nixon White House, Stuart Altman has searched for ways to bring America’s health care needs and aspirations in sync with America’s pocketbook.

Posted on Sunday, May. 19th 2013 8:13 AM | by Share of Cost | in Share of Cost | No Comments »