Navigating The Murky Waters Of Health Insurance

Health Insurance is a big investment and deciding on the options is a big decision. An insurance policy is meant to assist in the financial aspects of healthcare and cover the expenses related to treatment. A good insurance policy will cover almost anything relative to your physical and mental health and well-being from accident to illness.

When evaluating health insurance coverage, take the time to compare quotes on the type of plan you need. The costs associated with insurance will range widely between companies. Doing some homework on what is covered vs. cost of coverage can save a lot of money and time, should the need arise.

When considering a health care insurance plan from your employer, be sure to check out any possible perks that they may provide. Many times, you may get a discount for being a non-smoker, discounts off of exercise equipment, or discounts for local gyms and recreation centers. You may even qualify for a discount simply by answering a provided questionnaire regarding your health habits.

If you have multiple prescriptions, lower the cost of your health insurance by signing up for a plan that covers the largest number of your medications. Also, ask your health insurance company to check for generic brand medication, which can significantly reduce your prescription costs. Receiving your prescriptions by mail can sometimes lower costs as well.

It's a good idea to research your state's insurance regulations to make sure that you have the best health coverage possible. Different states will have different rules regarding health policies and what they have to cover. You can usually find these on the state's government web site, or you can call or write for help.

If you travel often, it is important to get medical coverage that can be used throughout the country. If you don't have this, you do not want to be visiting another state and get sick. If this were to happen, you would be stuck paying medical bills that your medical insurance would have covered, had you been in your home state.

Make sure your health insurance is not being "grandfathered" in. Some companies do not have to provide the new changes required by law, because they have been in business for a very long time, or they know someone higher up. If your policy is one of these, start looking for a new company.

Before signing documents committing yourself to a certain insurance policy, make sure to read the fine print. There may be details to the policy that the insurance provider did not tell you about. These details could cost you a significant amount of money, and prevent you from getting the proper care.

When you find out that you are having a child, you need to contact your health insurance company. It is important to have your child insured before they take their first breath. This way you can be certain that if anything happens that requires medical treatment, you're certain your child has the coverage that they need.

Many people do not take full advantage of their health care FSAs (flexible spending accounts), to supplement healthcare expenses not covered by their regular insurance. FSAs are a form of healthcare insurance that fills in the gaps and can be extremely useful in covering health care costs you may incur.

Self-employed workers can claim their health insurance premiums as a deductible expense on income tax. Medical expenses can only be taken if they exceed 7.5% of your already adjusted gross income amount, while your premiums can be taken right out of your gross income no matter how much they add up to.

Put money away from every paycheck towards paying your deductible or copay on your insurance. The one time you'll realize you should already have been doing this is when you get a bill in the mail for a medical service that wasn't covered by your insurance, or only partially covered.

Even if you have a pet that lives indoors, it is still a great idea to get them pet health insurance. There are many things that could happen indoors, such as injury or poisoning. Also, if they escape, anything could happen to them once outside. Your pet could hurt its leg, catch an illness, or suffer some other type of injury while living inside.

If you have very good health and do not know of any medical issues that run in your family, then it is relatively safe to choose a minimum health insurance coverage. The price is linked to coverage. So, why pay for something you are not going to use?

If you are looking into purchasing a new health insurance policy, add up all of the doctors appointments you have made. You should not forget to consider any cold, flu or injury outside of the usual check-ups. Find out how much you paid versus how much it would cost if you had been insured.

It is important to verify that your physician records your health events correctly. This is due to the fact that health insurance can be expensive, but misdiagnoses can lead to increased health insurance premiums or even losing your coverage. If you are misdiagnosed with a fatal illness, your insurance coverage could be cancelled based on incorrect information.

When it comes to your health insurance coverage, make sure you keep your insurance card available. Not only does this make the check-in process at the doctor's office or hospital easier, it also can simplify things if you are in an unexpected accident and are unable to provide your information. Your insurance card includes key information such as the policy number and contact information, making it easier for health care providers to reach your carrier if needed.

Buying health insurance is not that different from staying healthy. The time to act is long before trouble get more info comes up. Insurance buyers who learn all they can and prepare themselves well can get the health insurance they need for significantly less money. And once the policy is bought, smart research will help the holder get the most out of it.

 

The coronavirus pandemic could push telemedicine into the mainstream

 

San Francisco (CNN Business)Telemedicine has been around for more than two decades, but its adoption among Americans has been relatively low. The coronavirus pandemic is quickly changing that.

With millions of people around the country forced to stay home in lockdown and worried about potentially exposing themselves to the virus, many of them are turning to telemedicine companies' virtual consultation services. According to the US Centers for Disease Control and Prevention, most people that contract the coronavirus only suffer mild illness and can recover without leaving their homes. Telemedicine companies are stepping in to give patients a chance to talk through their symptoms and decide if they need to be hospitalized.

CareClix, a virtual health platform based in Alexandria, VA, has more than 20 million users across the US and says it saw a 50% increase in usage in March. Zipnosis, another telemedicine company based in Minneapolis, reported a 3,600% increase in virtual visits on its platform over an 11-day period last month.

"Unfortunately, it's taken some pretty extraordinary circumstances, but I think this will be a watershed moment for the industry," Zipnosis CEO Jon Pearce told CNN Business. "Certainly in the past few weeks with Covid, I think people's desire to have trusted advice from medical providers is just gone through the roof ... and that's what we can facilitate in a very fast fashion. And more importantly, we can facilitate that without leaving your home."

Both companies have different approaches to telemedicine.

CareClix, founded in 2012, connects patients to doctors through an on-demand video platform that attempts to recreate the in-person experience in a virtual setting — similar to chatting with your doctor on FaceTime.

 

 

https://docs.google.com/presentation/d/1ZiSk2MOF17UdugnGNqOAojsLDrM0Qu-pLwshdGqch_M/edit?usp=sharing

 

Telehealth and telemedicine for coronavirus: What it is and how to use it now

 

What is telemedicine?

According to the American Academy of Family Physicians, telemedicine is defined as “the practice of medicine using technology to deliver care at a distance. A physician in one location uses a telecommunications infrastructure to deliver care to a patient at a distant site.”

Testa says his hospital is using telemedicine both within and outside the hospital to manage the influx of patients needing care. “We're using video visits inside of our hospitals, and inside of our emergency departments, to minimize exposure to our staff, as well as exposure to other patients who are immunocompromised,” he says.

How to use telemedicine

A good place to start is to check with your health care provider, provider system or hospital’s app for a telemedicine portal, download it and follow the prompts.

“We've been doing video visits for over a year and a half — we've already done about 15,000 of them,” says Testa. “What we've learned in interviewing our patients is that more often than not, they had plans to either go to their primary care doctor and it is off-hours, or they had planned to go to a brick-and-mortar urgent care. Virtual urgent care is just more convenient than those options.”

At NYU Langone, for example, Testa says these video visits are fully integrated into patients’ online health profiles, and visible to their primary care doctors who can easily see what labs or X-rays have been ordered.

If you don’t have a primary care doctor and prefer to use urgent care when you need it, virtual urgent care apps, like PlushCare, Doctor on Demand or MDLive, can give you virtual access to a doctor, 24/7.

Ryan McQuaid, CEO and co-founder of PlushCare, says that under normal circumstances, patients who use his telemedicine platform tend to use it as a primary care provider.

He says these patients usually fall into three buckets: They use telemedicine to manage ongoing conditions, like depression, diabetes or hypertension; everyday care issues like hair loss or birth control; and urgent care issues, like cold and flu, sinus infections or UTIs. And their patients aren’t just tech-forward millennials — McQuaid says elderly patients have begun to embrace telemedicine.

 

https://docs.google.com/presentation/d/1ZiSk2MOF17UdugnGNqOAojsLDrM0Qu-pLwshdGqch_M/edit?usp=sharing



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Health Insurance: Plan To Get The Right Plan

The costs of healthcare have been rising rapidly in recent years. If you don't have health insurance, and you suffer an illness or injury, you could find yourself deep in debt. Health insurance is vital to protecting both your health and your finances. Read this article for some important advice about your health insurance.

If you don't have health insurance or enough coverage to take care of your medical bills, some credit card companies have special plans specifically for health care. These cards can be used to pay your providers as needed and then you make monthly payments to the credit card company. Be sure to read the fine print, as some have introductory offers that may end before you pay off your debt.

When considering a health care insurance plan from your employer, be weary of certain incentive based plans that attempt to lure you. These may seem attractive at first, but there may be hidden costs or loss of previous benefits. Always read the contract thoroughly and do not be afraid to ask questions about anything you are uncertain about.

Never pay your insurance agent your monthly premiums. Health insurance payments should always go directly to the insurance company. With no middle man involved, there is less of a chance for error. If you pay the company directly online, then you will also have current records of payment on your bank statement every month.

Even if you have health insurance, don't be afraid to negotiate with your doctor for your out of pocket costs. Some policies carry a high co-pay, especially for hospital stays and surgeries. Many doctors will reduce your total cost for these things if you ask in their office.

Never pay cash for a health insurance payment. You want to have explicit records of your payment methods, so that should the issue ever arise, you have proof that you have been keeping your payments regular. Paying with a check is the best method, since the bank can tell you who cashed the check, and when.

Before signing documents committing yourself to a certain insurance policy, make sure to read the fine print. There may be details to the policy that the insurance provider did not tell you about. These details could cost you a significant amount of money, and prevent you from getting the proper care.

Getting health insurance after the fact is not really a great way to handle sickness or injury, but in some states in the country, you can actually get an insurance policy after you've fallen ill to help take the edge off of the bills. This is one of the new mandates with America's new healthcare legislation, and it can definitely help you out.

If you work from home or work for a small company, you may still be able to make arrangements to get group insurance rates by banding together with a group of people for the purpose of applying for health insurance coverage. By forming a club or an association for your particular type of work, you may qualify for discount rates.

Many people who are self-employed face a quandary about health insurance. They know they need to be covered in case of health emergencies, and yet the cost of health insurance for individuals is so high as to be prohibitive for many. Some people get around this by buying major medical coverage only. This type of policy has a very high deductible, covers no preventive care - however, it will cover situations where the person will require admission to a hospital.

When considering health insurance policies, look carefully at which hospitals are utilized in your policy. Many people think about their doctors when choosing a policy, but few consider the hospitals. Making sure that the hospital closest to you is covered, or the hospital that your doctor practices at, can make medical emergencies easier to tend to in the future.

Is an HMO really the best way to go? It is a difficult question. With an HMO you have very little out of pocket costs however you probably do not get to pick which doctors you get to see. With a PPO you should be able to have more of a choice but will have to put out more money. In the end it depends on what your needs might be.

Before you apply for a health insurance, check with your family doctor that website your records are up to date. If you think you have anything on your record that might compromise your application, talk to your doctor about it. Most insurance companies will check your medical history over the last ten years.

Always carry your most recent health insurance card with you. Carrying an older card is one of the main reasons your claim is denied. You will usually be able to appeal it, but, the process can be a frustrating one. As soon as you receive a new card, toss the old one.

If you find a plan that you like and that works well with your budget, get a complete copy of what your plan will look like before you buy it. Make sure to read through the entire thing and look for clauses and exceptions that may deny you possible needed coverage. This can be aggravating in the search for a plan, but is is necessary for making sure you receive a good health insurance plan.

You should avoid policies that look like health insurance but are only after your money. For instance, you can find policies that will cover you only for cancer or a particular disease. In most cases, the definition of the disease is so limited that the odds of you getting the exact disease are very slim.

If choosing and purchasing insurance is too much work for you, consider using an insurance broker. A broker assists you in finding the optimum health insurance plan at a great price. They are also going to be aware of the regulations that are in place in your state. You can compare the prices of insurance brokers, so get a few quotes and go from there.

As you can see from the practical advice in the tips above, there is always something new to learn that can keep you on track to finding the best health insurance, at a price that fits your budget. Don't waste a minute more wondering if your policy fits your needs. Try these tips out today.

 

How a medical university's Telehealth Service Implementation Model can help you

 

Wellpath is one of the largest correctional healthcare organizations in the country. With nearly 15,000 clinicians and professionals in 34 states across the U.S. and Australia, Wellpath delivers medical and behavioral healthcare services to nearly 300,000 patients located in inpatient and residential treatment facilities, civil commitment centers, and local, state and federal correctional facilities.

In 2021, Wellpath leveraged TSIM, the Telehealth Service Implementation Model that was developed at the Medical University of South Carolina's Center for Telehealth, an HRSA-designated National Telehealth Center of Excellence.

Wellpath used the telehealth framework to create and scale an emergency medicine telehealth service to local government county jails and state prisons across the country. Wellpath utilized TSIM to develop, implement and optimize the emergency medicine telehealth service to more than 100 facilities across the U.S.

Shawn Valenta is vice president for healthcare cloud in clinical services at Wellpath. In Valenta's previous administrator of telehealth role at the Medical University of South Carolina, he oversaw the strategic initiatives and operations of the MUSC Center for Telehealth.

Next month at HIMSS22, Valenta will deliver a presentation entitled "Scaling a National Emergency Medicine Telehealth Service." This presentation will review the Wellpath initiative and how the TSIM logic can be applied to any telehealth service.

Healthcare IT News interviewed Valenta to offer readers a sneak peek at his educational session.

 

 

https://docs.google.com/presentation/d/1QgeK7rJ6U0f66uVa86DUMnAFLjW3g40jFmTFcYD563w/edit?usp=sharing

 

Health Insurance Is Important To Have. Follow the following suggestions to get the best deal

We all know how important it is to have good health insurance coverage, but it can be harder than ever these days to know what sort of policy is best. If you aren't sure what sort of coverage you really need, this article can help answer your questions so you can find the right policy for you.

Health insurance can be expensive if you have to pay for it yourself and don't have an employer who offers a group policy. Short term medical insurance can cover you for six months to a year, while you find something else that works for you. It will protect you in the event of a major illness or injury and is often very affordable.

If your health is not very good or if you have young children, you should definitely subscribe to a health insurance. Many people do not have a health insurance or are not satisfied with the coverage that comes as a benefit of their job. You could save a lot of money on hospital bills and avoid stress in case of illness with a health insurance.

Remember that an individual policy is usually more expensive than what you would pay if you were a part of a group. You may have to settle for less coverage, a higher deductible, or both. You can get the best rates and coverage by shopping around.

A great way to save money on insurance is to buy it online. Brick-and-mortar brokerages and insurance agents cost insurance companies money to cover their rent, salaries, health benefits, etc. Online brokerages are virtual, so they can employ fewer people and pay fewer bills resulting in savings they can pass on to you.

Make a point to factor in your favorite doctors before you commit to a health insurance policy. Many people have a regular doctor that they prefer. When choosing a health insurance plan, do not forget to check and make sure that they are covered by it. A quick check could save you a lot of hassle later on.

Preemptive care is perhaps your best bet if you hope to save money on your health insurance policy in the long term. If you think you're coming down with any serious illness, it's better to go get checked out beforehand than to wait until it happens. A lot of illnesses out there can be treated in their early stages a lot more effectively.

Take advantage of a little-known fact about health insurance: you may be able to get a "free look," or test-drive, of an insurance plan. When shopping around, be sure to ask if the provider allows this test period, and make sure that you understand any restrictions or requirements for requesting a refund if you are dissatisfied.

Health insurance deductibles run out at the end of the calendar year. Therefore, if you have appointments to make for medical or dental, do everything you can to get that work done before December 31. Otherwise, the cost will be added on to the following year's deductible. Some medical/dental offices will cut you a break and allow you to pay them in advance for work you need done early in the new year; ask if they will, and thank them if they offer it.

If you are the sole proprietor and only employee of your business, you may be able to negotiate group health insurance rates in some states. In this case, you would be considered a "business-of-one". If you are self-employed, in need of health insurance and just cannot afford private insurance rates, be sure to ask your insurance agent if your state offers this option.

If you don't have a credit card, ask if you can pay for your pet health insurance with a debit card, by check, or by having monthly payments deducted from your checking or savings account. Just as with human health insurance, you may get a discount if you can pay for several months or a year in advance.

Look for a policy that has limitations to your out of pocket expenses, in the event of a catastrophic illness or injury. Catastrophic illnesses are the most costly and your out of pocket expenses can add up quickly. If your policy places a limit on your out of pocket expenses, it can have a positive effect on your financial situation.

When selecting a health insurance plan you should always cost out the different plans available to you. The plan with the cheapest premium payments will not always end up being the cheapest in the long run. The plan's details about what is and is not covered, what is considered in-network and out-of-network treatment, and its deductible costs will determine how much money you will end up spending long-term.

You may have a certain doctor you can't live without. In that case, you'll want to make sure your plan allows you to still use that doctor. Ask him what insurance companies he is accepts.

Check with your state to find out if you qualify for government health insurance or some type of subsidy for health insurance. Some states offer health insurance plans or subsidies for low income families or for children that come from low income families. Check out all your options to see if this applies to your situation.

See if your health insurance provider has lockable rates. Many health insurance companies offer rates you can lock into place so that your rate will remain the same, year in and out. This way you will know what to expect to pay for your insurance, and can keep your budget more under control.

When you need health care, rather than asking, "Do you take my insurance?" inquire if the provider is "in your insurance network." Many out-of-network healthcare providers will accept your insurance, but your insurer may pay for less of your claim (or even deny it entirely!) when the provider is not part of your network.

Consider getting a secondary policy for your family for telehealth technology accident coverage. If you have children, this type of insurance may be a lifesaver. The premiums are usually inexpensive since it is only covering accidents. It can be a great choice to have if your normal insurance has high deductibles before they will cover certain services.

Shopping in the health insurance market is difficult, but there may be some things that you don't yet know that could help you get the best policy offered for you. You have individual needs, so make sure they are met by using these tips to start shopping for your new health insurance policy.

 

Telemedicine leaves behind non-English speakers, study shows

 

Integrating third-party interpreters for non-English speaking patients into telehealth platforms was also difficult, Payán says. It’s a logistical challenge to add a third person to a phone or video call, particularly in platforms that aren’t set up to support external interpreting services. That can mean additional delays to care. Even something simple like a patient getting a call from a number they didn’t recognize — and didn’t want to answer — could derail the process. And having those interpretation services are key for good care: people who speak limited English are at risk of bad health outcomes without them because they can’t understand their medical providers as well.

Luckily, at the clinics Payan spoke with, many doctors and clinic staff were bilingual — they were able to talk with patients in their first language. It showed how much recruiting and retaining staff from the same communities as the patients can help build trust and improve care, particularly during challenging times, Payan says. “It is very important that [the doctor] speaks the same language because that way, we understand each other,” one Spanish-speaking patient said in a study interview.

“WITH THAT OLDER POPULATION, IT IS A LITTLE BIT MORE DIFFICULT BECAUSE THEY DON’T KNOW HOW TO USE THE TECHNOLOGY”

But even without language barriers getting in the way, many patients didn’t have the digital literacy to navigate telemedicine, didn’t have devices that could use the telehealth tools, or didn’t have good enough internet access to connect with a provider. “With that older population, it is a little bit more difficult because they don’t know how to use the technology or they need the assistance of their relatives,” one care coordinator said in a study interview. Unhoused patients were also particularly hard to reach because they didn’t have reliable phone or internet connections.

 

https://docs.google.com/presentation/d/1s0E1pGI7CeRjMyD6-dVGfFMNUq24yRBGWmMBsMGibLA/edit?usp=sharing