Quick Facts on HIPPA Violations

HIPPA is an abbreviation of Health Insurance Portability and Accountability Act and was introduced by the congress in 1996. This rule assures that a person is given good and quality health coverage even amid jobs. As soon as a person quits a job, he looses the insurance cover completely and the new assurance company considers illness if any as pre-existing and gives a very low coverage or nothing, prior this law. For instance, consider a person who suffers from diabetes and is under medication, the new company will consider this as pre-existing and will not pay for medicines.

The main goal of HIPPA law is to make health care simpler and maintain the security of patient’s medical information. If you feel that your health care provider has breached privacy, you can certainly take it legal provided all are in records and it can be reported to the state insurance commissioner.

There are different circumstances under which the law is infringed. The health care provider or the insurance company might violate HIPPA without even knowing what it is. At times there could be a valid reason for going against the same and not due to negligence. HIPPA violation due to unruly slackness, but corrected within a period of time receives a high penalty and willful negligence not at all corrected and repeated often is given the maximum sentence. Whatever it is when there is a breach of any kind that comes under this act; record all conversation.

A case can also be filed under criminal penalty if the health care provider or the insurance company discloses your personal health information knowingly for money. Selling it to a third party for any reason or for personal gains which can cause harm is offensive. They face a fine of up to $50,000 and detention for a year, but however no private cause of action is taken against the person who disobeyed.

The Oregon Plan: Health Care Rationing in a Medicaid Population

The Oregon Medicaid program in the 1980’s instituted a type of rationing of health care that determined a finite list of services that were provided to an expanded number of recipients. This was novel in that it openly and overtly admitted that the resources available to pay for services in their state’s Medicaid program were limited, and that they were going to spend those dollars on the services that were determined to be the most cost-effective.

By doing this they attempted to provide a level of health care services to all residents who were below 100% of the federal poverty level, while reducing services for which the individuals currently receiving health care insurance through the state’s Medicaid program. The reduction was accomplished by not paying for services that fell below a cutoff for cost effectiveness of the service.

Essentially all health care services were analyzed and a measurement of the benefit and cost of the services was given a grade. All of the services were put into a list from the most value for cost being #1 on down to the least value for the cost. Then an estimate of the number of persons who would require the services was used to calculate the cost of each service. The number of dollars available for Medicaid was used to determine which of the services would be covered.

The services that were not covered were at times controversial, and at times heartbreaking. Certain transplants and therapy for some cancers brought great anguish to patients in need of these services. Initially the decisions about which services to cover were made based strictly on the best evidence available. As these various emotional issues came up legislation mandating coverage of various conditions eroded the integrity of the list of covered services.

Health Travel to Mexico Growing Due to Availability of Safe, Affordable, High-Quality Options

With the skyrocketing costs of health care, the issue of health travel or “medical tourism” has been generating lots of buzz in the media. Within the last few weeks, stories about health travel have hit the pages of publications like US News & World, the New York Times, and the Wall Street Journal, detailing how health travel offers people high quality health care at a price far more affordable than the US. It’s a benefit without boundaries – meaning, the cost savings are for anyone who wants them, including the thousands of insured who are nevertheless facing higher premiums, reduced coverage, and higher out-of-pocket deductibles and co-payments.

While much of the press has focused on exotic locales like India, Mexico is actually the most common destination for Americans traveling for health care. Last year alone more than 50,000 Americans traveled to Mexico seeking everything from heart surgery, hip replacement, cosmetic dentistry, cosmetic surgery procedures, preventive screenings and even homeopathic health treatments. Mexico is widely recognized for its number of leading gastroenterology (weight loss) surgeons.

In its study Medical Tourism: Consumers In Search of Value, Deloitte estimates the number of medical travelers is expected to reach 6 million per year in 2009. The growth is not surprising – the typical medical traveler receive outstanding quality health care at significantly lower cost over U.S. pricing.

For example, in Mexico, weight loss surgery ranges from $6,000-$11,500 vs. the $25-35,000 price tag in the U.S. Hip replacement is $10,000-$12,000, compared to $60,000+ in the U.S. A $100,000 angioplasty in the U.S. is $25,000 in Mexico – featuring a surgeon who regularly spends at least three months of his operating time in the U.S.

Mexico offers the additional benefit of having direct flights from many U.S cities, and most surgeons are fluent in English as well as Spanish. The hospitals that welcome medical tourists are sleek, modern affairs featuring amenities such as patient suites, sushi restaurants and a medical traveler concierge, while even newer, more sophisticated hospitals continue to be built.

Do your research to find the medical tourism company that best suits your needs. There are companies that guide patients through the process of getting medical treatment abroad, handling every detail of your trip – from insurance to financing, arranging for air travel, accommodations, appointments, transportation to and from your procedure and even keeping you in touch with friends and family.

Telehealth Resource Center Grant Project

The Health Resources and Services Administration, frequently known as the HRSA, is an agency operating inside the United States Department of Health and Human Services that is largely answerable for bettering the public’s access to quality health care services.

The grants and initiatives of the HRSA are all particularly designed to contribute to the attainment of its main agency mission which is to “improve health and achieve health equity through access to quality services, a skilled health work force and cutting edge programs.”

In accordance with this mission, the Health Resources and Services Administration has recently constituted the establishment of the Telehealth Resource Center Grant Program, also known as the TRCGP.

Essentially, the aim of the program is to be able to financially support the establishment and development of Telehealth Resource Centers (TRCs).

The Telehealth Resource Centers will be engineered to provide technical assistance to health care affiliations, health care networks, and several other groups of health care providers during the process of implementing inexpensive telehealth programs that would serve medically underserved communities and populations.

With this, the program will be able to expedite and customize the provision of telehealth technical assistance services throughout the country, while simultaneously moving towards the provision of a wide range of expertise that may not be readily available in any existing community.

The program seeks to seek applications from entities who have already manifested daunting experience in providing technical assistance regarding the development of sustainable telehealth programs.

In addition, the program also hopes to expedite the successful dissemination of health-related information, the effective collusion and communication between health care providers, and finally, the marketing of the integration of new technologies used in clinical information systems with other telehealth technologies.

The Telehealth Resource Center Grant Program intends to financially support the creation of up to five Telehealth Resource Centers by administering funds in the amount of $1,625,000.

The organizations and institutions who will be eligible to submit an application under this program are the following:

a) Non-profit setups

b) Faith-based organizations

c) Community-based organizations

d) Tribal non-profit organizations

The Department of Health and Human Services, the mother agency that is financing the Telehealth Resource Center Grant Program, is the federal government’s leading agency that is responsible for defending the health of all Americans through the provision of essential human services to all, giving greatest priority to the vulnerable and to the medically uninsured.

Health Insurance Representative

The health care agent will be someone with whom a person shares a lot of important information and with whom they are basically trusting their health and their life to. It is natural, then, that a person chooses someone they feel like they can communicate with openly and whom they can trust. They should also make sure that their health care agent shares the same ideas as they do. For example, if a person is into alternative medicine then they should chose a agent who feels the same. It is very useful that a person feels relaxed enough with their agent to be able to tell them all their problems and to be open and honest with them, including being able to object to something should the need arise.

Ensuring Satisfaction with a Health Care Representative

Selecting a health care agent should be a decision that is carefully made. A health care agent should be a trusted and respected person. There are some important considerations a person should make when choosing their health care agent.

Other considerations when choosing a health care representative have nothing to do with the actual doctor. A person should feel happy with the entire service, including the office staff. They should be happy with the appointment scheduling process, too.

Choosing a health care representative is a big decision that should not be made lightly. A person needs to get to know a representative before making that final decision. Once a person takes the time to choose a health care representative they should end up happy with a good, long term relationship.

What Is Health Care?

What is Health? A good question every one have there opinion, but from my point of view health is combination of physically, mentally and socially strong. It’s means a men that is Physically strong can not be called that he is healthy similarly all the three things must be present in a men that it is called a healthy men.

For physically strong there are things that have to be done are regular exercise, proper diet and nutrition and also proper rest for physical recovery. And a men is called Mentally strong when he is individual’s emotional and psychological well-being. And socially depends upon the well culture and behavior towards other comes in this.

We can guess about a man is mentally healthy depends upon how effectively and successfully a person functions. Now we take little thing about the Nutrition. Nutrition is science that helps to get the reason that affects to men for their health and performance, such as foods or food components that cause diseases or deteriorate health. Just like the food that the men eating have enough protein and another balance diet just like if we take a food that have too much calories, which have bed effects just like obesity, diabetes, and heart disease would increase other thing that also effects the health is Hygiene.

Hygiene keeps the body clean to prevent infection and illness. There are some rules regarding these just like bathing, brushing and flossing teeth, washing hands. Stress also play there roles in Health a mentally strong people have tolerance to stress. Lot of stress also effect health another factor to keep people healthy is natural health means self-care system of natural therapies concerned with building and restoring health at end a say Health science.

Health Care: Health science is the science that is focused on health care, and science have many rules or we can call them sub disciplines. Combination of both is called as total health care. There are mainly two approaches to health science one is study and other is research of the human body.

Why Should Health Care Be Given High Priority?

Now-a-days people are facing various health problems due to the inappropriate health care taken in their hectic and busy life. This calls for a need to provide appropriate healthcare for everyone. An average American is not able to afford the skyrocketing hospital charges and the amount spent on health care is much higher than any other expenses.

Studies reveal that the expenditure on health care in 2002 reached to a whopping $1.6 trillion. This doesn’t mean that people have a lot of money to spend on health care but this gives a picture of the percentage of amount being spent from their income towards the medical expenses. In general, one can say that ‘medical bills just keep eating people’s money away’. This condition would really hurt the people’s mind-set which might result in dire consequences.

The only solution for this situation is to make health care affordable. Many companies voluntarily are working to solve this issue in their own ways. One such company which is majorly focusing on providing affordable health care is Ameriplan. As a part of this initiative, Ameriplan has started discount plans which help every individual save up to 80% of the medical expenses. Ameriplan discount plans provide services such as dental care, vision care, and chiropractic care and prescription drugs at a lowest cost ranging from $19.95 a month that covers whole family. Many more benefits are said to be provided by Ameriplan which aim at reducing the costs incurred towards health care. One thing to be remembered is that Ameriplan discount plans are not insurance, in fact they are much more than insurance.

How to Maintain Proper Health?

Everyone feels that happiness lies in the health. So, maintaining proper health all the time is necessary. It can be done by taking all the necessary care and by opting for a proper health insurance too.

Health insurance policies are mostly offered by private insurance companies which estimate health care expenses of an individual and develop a structure that ensures good profits for the company and also provides health care benefits to an individual as specified in the insurance agreement.

Mostly people opt for a health insurance assuming that it takes care and pays for our medical expenses. Health insurance actually provides a minimal coverage than what is expected. People, sometimes, will be asked to pay all the health care costs out of their own pockets saying that the amount will be reimbursed later. This causes a lot of infuriate and distress for the people. However, most of the people are getting to understand how things work out and are not opting insurance policies.

However, not having a health insurance will also be a problem as the individuals’ have to pay the health care costs from their own pocket. This makes the situation worse than ever. This has made some companies like Ameriplan to start discount health plans that offer huge discounts of up to 80% on the health care bills. Discount plans cover various services such as vision, dental, prescription, and chiropractic services with no waiting periods, instant savings, ancillary services, nurse line and hospital advocacy which would be really helpful for every individual. These features also made discount plans user-friendly and are being opted by majority of the individuals.

Medical Organizer – Improve Quality of Care With Information-Rich Data

Take ownership of your personal health care records with a medical organizer. Begin today to use this valuable information to improve the quality of care you receive.

Collect and Share

Having up-to-date records about your medical condition allows you to share valuable information with your medical team. Accurately describing your symptoms and body changes allows your physician to provide the best possible care. Remember, according to the American Society of Internal Medicine, 70% of a correct diagnosis depends on what the patient tells the doctor.

Sharing information such as your family history may be the one crucial item that helps secure a correct diagnosis. An empowered health care consumer will continue to track, document and share information about their health status.

Partner with your Physician

A key strategy in receiving the best possible care in today’s health care system is to have an effective working relationship with your physician. Research suggests that patients who have an active working relationship with a primary care physician receive more preventative services and spend fewer days in the hospital.

The partnership with your physician will be enhanced when you are able to provide credible, up-to-date health information. Effective medical information gathering by patients and more conversation with their physician during office visits is related to better health status.

Take Control

Begin today to access and store all of your own medical records in a medical organizer. You will soon discover that your will be in a much better position to manage your condition. Use this information to be more actively involved in your own care.

The engaged health care consumer seeks an ongoing dialogue with their medical team. Having access to your life-long medical records will allow you to engage in meaningful discussions about your condition and potential treatment options. Use a medical organizer to take ownership of your health information; you will be glad you did.

Personal Health Organizer – Keep Track of Your Numbers For Better Health Outcomes

Having knowledge of your key numbers is an important way to keep track of your health. In addition, it has been observed that more effective information gathering by patients, and more conversation with their physician during office visits was related to better health status.

What are your health numbers? When were they last checked? What do they mean? Are they close to normal? The answers to these questions are very important to your overall well-being. Remember, knowledge is power. This is a perfect opportunity for you to take control of your health care.

Know Your Numbers

An actively involved health care consumer should always know their important numbers. These numbers can alert you of any trends or potential risks in your health status. Here is a list of several key numbers you should have access to and track.

1. Blood Pressure
2. Pulse
3. Total Cholesterol
4. LDL (“Bad”) Cholesterol
5. HDL (“Good”) Cholesterol
6. Triglycerides
7. Fasting Glucose
8. Waist Circumference
9. Body Mass Index

Your primary care physician may have other numbers for you to track. For most health conditions there key numbers you need to know. Ask your physician about the latest research related to your condition. Once you know your numbers, you can set and reach specific targets with your physician.

Taking an active role in your own medical care may be one of the most important decisions of your life. Your level of participation can be dramatically increased through the use of a personal health organizer. Use it to keep track of your key numbers for better health outcomes.