Monday, 31 March 2014

Princess Health and Princess Health andKentucky hospitals list their community benefits.Princessiccia

Kentucky hospitals estimated that they contributed nearly $2.18 billion to their communities in 2012, up from $1.96 billion the previous year, says a report compiled from information provided by the hospitals to the Kentucky Hospital Association.

The report focuses on how Kentucky's 131 hospitals meet their community needs.


The largest community contribution reported by Kentucky hospitals in 2012 was the $658.8 million they absorbed for bad debt, or money that is owed by patients, but is not paid. Bad debt often occurs when uninsured patients make too much money to qualify for financial assistance or charity care, but still cannot afford the cost of their care, or when uninsured patients can't afford co-pays and deductibles. This amount has almost doubled since 2008, the first year Kentucky Hospital Association did this survey, and the year that the Great Recession began.

The second largest contribution reported for 2012 was $452 million in financial assistance and charity care, which includes caring for patients regardless of the their ability to pay. This amount has more than doubled in the last three years.

KHA cited Julie Lumberg of Louisa is an example of charity care contribution. She had a health condition that doctors were having a hard time diagnosing, and became virtually unable to see and couldn't drive. She was unable to work, lost her health insurance, couldn't afford to pay for COBRA coverage, and was still sick. Because of charity care, Julie was able to go to King's Daughters Medical Center in Ashland for an MRI. She was diagnosed with a brain tumor and was able to have surgery without paying. Julie was up and driving within 14 days.

Kentucky hospitals, which treat an average of 55 percent Medicare patients, said they absorbed a $177.2 million shortfall from the federal program in 2012. Hospitals also reported a $300 shortfall in Medicaid, the federal-state program that covered approximately 830,000 Kentuckians in 2012. A shortfall is the difference in what the treatment cost and what the program paid. The report suggests that under federal health care reform, the Medicare shortfall will rise to $852 million in 2019.

Some hospital contributions to the community fall in the area of community health improvement services such as health education, treatment and/or prevention like health fairs, screening programs and immunization clinics. Kentucky hospitals said they contributed $58.5 million to these types of programs in 2012, up from $43.7 million in 2011.

Molly Rusk is someone who benefited from one such educational program, KHA said in its report. Molly is a 27-year-old woman who weighed too much to ride a mule through the Grand Canyon while on vacation. Upon returning to Kentucky, she attended a free seminar on medical weight loss options by Norton Healthcare in Louisville, enrolled in the program, and lost 60 pounds. She also no longer needs blood pressure or cholesterol medicine

Kentucky hospitals reported a big increase in research investment in 2012: $336.8 million, up from $270.8 million in 2011. They also contribute to education of health professionals. In 2012, they reported spending $141.7 million on health professions education, up from $127.4 million in 2011.

Pediatric care simulator
KHA cited as an example two pediatric care simulators, which are used throughout the state. They were purchased by Saint Joseph Hospital Foundation, part of KentuckyOne Health.  They have been instrumental in improving pediatric education for nurses who use them to practice assessment and intervention techniques, improving pediatric care and outcomes, KHA said.

The hospitals also contribute to their communities by subsidizing clinical services. The 24 neonatal intensive care units in Kentucky are examples of such programs that have received a portion of the reported $31.7 million spent on subsidies in 2012.

Hospitals said they contributed $12.3 million to support community and social service organization to promote health in 2012. As an example, KHA cited support for medical missions around the world by St. Elizabeth Healthcare in Northern Kentucky.

Hospitals said they contributed $3.8 million in 2012 for community building activities to protect or improve the health or safety of their communities. KHA said such programs often address the root cause of health problems, which are often not obviously health-related. One such program is the refurbished porches and ramps built for several needy families in Clay County that were provided by the Manchester Memorial Hospital.

A more obvious way that hospitals give back to their communities is through providing jobs, KHA noted. Kentucky hospitals were one of the largest employers in 2012. They paid approximately $4.1 billion in employee wages and salaries and more than $1 billion in employee benefits in 2012.

Hospitals also stimulate the economy through purchasing of supplies and services, which they said totaled more than $6.4 billion in 2012. They also said they generated an estimated $604 million in state and local taxes, through taxes paid directly or from their 82,488 full and part-time employees.

Princess Health andMuscle Mondays.Princessiccia

There's no doubt- incorporating strength work into your training regime will help you run more economically, and decrease the odds of developing exercise induced muscle cramping.  

We want you all to reach your full potential, and be as fast as you can be.  That's why we have decided to introduce: 

MUSCLE MONDAYS

What: This will be a circuit-based, full-body strength workout built specifically for runners.  
When: Every Monday, after our interval session (approx 7:40pm).  Come for one workout, or come for both!
Where: Bechtel Park in Waterloo
Cost: FREE (only for H+P club members)

The Coach:
H+P is very excited about who will be coaching Muscle Mondays!  These sessions will be lead by new H+P runner and New Balance tech-rep extraordinaire, Vicky Siemon.  She has extensive experience building and coaching strength training protocols for runners.  She also incorporates these sessions into her own training which have allowed her to achieve numerous running career highlights:
  • OCAA athlete of the year across all sports (2011-2012)
  • 2nd place at CCAA cross-country nationals (2011)
  • A 5K PB of 17:27
  • A 10K PB of 35:56


It's going to hurt...but it's also going to be awesome!  

Let's get strong.  Let's get fast.
#cantwontstop

Princess Health and Princess Health andObamacare raised woman's premium 74% but she's thankful it has extended health care to those who didn't have it.Princessiccia

"Beneath the loud debate" about the Patient Protection and Affordable Care Act, it is "quietly starting to change the health care landscape," writes Abby Goodnough of The New York Times, in the latest installment of her series looking at the law through the lives and businesses of Kentuckians.

"In Kentucky alone, more than 350,000 people � about 8 percent of the state�s population � have signed up for coverage," Goonnough notes. "Insurers and medical providers are reporting steady demand from the newly covered for health care, ranging from basic checkups to complex surgical procedures." About 80 percent of the signups in Kentucky are for Medicaid, and that number is likely to increase, because while open enrollment in private plans for 2014 closes tonight at midnight, Medicaid accepts enrollees year-round.

Goodnough's story looks at a new Medicaid enrollee, a man who is having difficulty affording his subsidized policy, and a woman whose income is so high that she couldn't even get subsidies for a new policy through the state health-insurance exchange � but who, like the other two, came to one of the Family Health Centers in Louisville because her doctor wasn't in the network for her new policy. The centers "primary and preventive care in low-income neighborhoods where private doctors are scant," and just over half their patients last year had no coverage, Goodnough reports.

New York Times video; to play it, click on image
Donna Morse, 61, is a widow who "lost her insurance last year because it did not meet the new law�s standards. Now she has a new plan with much higher premiums, and which few doctors and hospitals will accept," Goodnough writes. "She is paying $448 a month for a new Humana plan, up from the $258 monthly premium she paid before," an increase of 74 percent. And when she took her prescription to her neighborhood Walgreens, she "discovered that the chain did not accept her new Humana policy, a so-called narrow network plan with a limited number of providers."

Nevertheless, Morse, a dental hygenist, told Goodnough that she was �very pleasantly surprised� by her experience at the clinic and �I�m really thankful that a lot of people are getting health care that couldn�t have it in the past.�

That describes David Elson, 60, "a self-employed businessman with a multitude of health problems and medical bills," and forgot to pay the first month's premium for his subsidized policy; and Tamekia Toure, 40, a diabetic and single mother who moved to Louisville from Alabama and got on Medicaid but found a job at Amazon soon after her clinic appointment. "She was elated to find work so quickly . . . but also a little scared," Goodnough writes. "Would her new income make her ineligible for Medicaid, so soon after she had signed up? With the expanded program, this so-called churning in and out of Medicaid, based on changes in income, is expected to be common, and for many, problematic." (Read more)
Princess Health and Princess Health andPublic Health Week, April 1-7, puts focus on issues.Princessiccia

Princess Health and Princess Health andPublic Health Week, April 1-7, puts focus on issues.Princessiccia

The state Department for Public Health is working to promote National Public Health Week, April 1-7 this year. The week is an annual observance that focuses on critical public-health issues to raise awareness and help people live longer, healthier lives.

�In some way, public health touches everyone, every day in Kentucky,� said Health Commissioner Stephanie Mayfield, M.D., said in a news release. She noted efforts to expand public health�s influence in Kentucky, including health departments' work to obtain national accreditation and find opportunities for improvement within existing programs at a time of continuing budget cuts.

�We know that investing in prevention and public health can make an enormous difference and it�s the right direction for Kentucky to move in to address poor health outcomes,� Mayfield said. �Many premature deaths could be prevented by making healthy choices like not smoking, maintaining a healthy weight, eating right, staying active, and the getting recommended immunizations and screening tests.�

The state health department, the Kentucky Health Department Association, the Kentucky Public Health Association and local health departments will be sponsoring community events that promote taking the simple preventive steps that lead to better health and lead to a healthier Kentucky. For more information about National Public Health Week, visit http://www.nphw.org/about. More information about Kentucky public health can be found at. http://chfs.ky.gov/dph/.

Friday, 28 March 2014

Princess Health and Princess Health andKynect enrollment accelerates as Monday deadline nears; call center to be open form 8 to 4:30 Saturday and Sunday.Princessiccia

Princess Health and Princess Health andKynect enrollment accelerates as Monday deadline nears; call center to be open form 8 to 4:30 Saturday and Sunday.Princessiccia

Enrollment in coverage through the state's Kynect health-insurance exchange is accelerating as Monday's deadline for open enrollment approached.

State officials reported Friday that the rate has surpassed 4,000 per day, bringing the total to more than 350,000, or one of every 12 Kentuckians. Four-fifths of the enrollees are in Medicaid, which is open to adults with incomes at or below 138 percent of the federal poverty threshold and to children in households up to double the threshold.

Medicaid, funded mainly by the federal government, is free to beneficiaries. The insurance exchange offers private insurance plans with premium subsidies to people earning up to 400 percent of the poverty threshhold, about $96,000 for a family of four. A preliminary analysis has found that about three-fourths of enrollees report that they did not have insurance before signing up through Kynect.

Thousands of people have been found eligible for a subsidy to purchase a qualified health plan but have yet to select a plan. People who remain uninsured as of Tuesday, April 1, could face a financial penalty of $95 or 1 percent of income, whichever is greater, under the federal health-reform law. The penalty applies to every uninsured member of a household and will increase each year.

�In these final days of open enrollment, we strongly encourage folks to complete their applications and choose a plan,� said Carrie Banahan, executive director of Kynect. �After March 31, the subsidies to help cover the cost of a private health plan won�t be available again until the fall enrollment period � and by that point, being without insurance may cost you on your taxes, not to mention keep you at risk for big bills from sickness or injury.�

Individuals can sign up online 24 hours a day at kynect.ky.govIf someone has started or filed an application by March 31 and has not been able to complete it through no fault of their own, Kynect says it will work with them to make sure they get enrolled. Individuals who have applied by March 31, but have not yet chosen a plan will have until April 15 to do so, with coverage beginning May 1.

The Kynect call center will be open through the weekend to help people navigate the exchange. For assistance, call 1-855-4kynect (1-855-459-6328) Saturday and Sunday from 8 a.m. to 4:30 p.m. ET.
Princess Health and Princess Health andCounty Health Rankings officials are coming to Kentucky Tuesday to spotlight local projects to improve community health.Princessiccia

Princess Health and Princess Health andCounty Health Rankings officials are coming to Kentucky Tuesday to spotlight local projects to improve community health.Princessiccia

State officials and health leaders will gather April 2 at the Kentucky History Center in Frankfort to celebrate Kentucky�s successes in implementing strategies for improving health at the community level, as reflected by the latest edition of County Health Rankings by the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute.

Representatives of the foundation and the university will be at the Frankfort event, arranged by the state Department of Public Health, the Foundation for a Healthy Kentucky and the Friedell Committee for Health System Transformation, which is planning a statewide campaign to improve Kentucky's health status, community by community.

The event will highlight promising local health projects and initiatives to improve community health. It will feature four Kentucky counties � Grant, Todd, Floyd and Franklin counties � that have used the County Health Rankings to help their communities begin to show signs of progress.  Lt. Gov. Jerry Abramson will highlight Gov. Steve Beshear�s "Kyhealthnow" initiative to significantly improve Kentucky�s dismal health rankings and habits.

The County Health Rankings allow counties to see how well they are doing on 29 factors that influence health, including smoking, high school graduation rates, employment, physical inactivity and access to healthy foods. This year�s rankings include several new measures including housing, transportation and access to mental health providers.

�The County Health Rankings are a starting point for change, helping communities come together, identify priorities, and create solutions that will help all in our diverse society live healthier lives, now and for generations to come.�said Dr. Risa Lavizzo-Mourey, president and CEO of the Robert Wood Johnson Foundation.

Nationally, this year�s Rankings show that people living in the least healthy counties are twice as likely to have shorter lives as people living in the healthiest counties. For a story on the rankings in Kentucky, click here.

Thursday, 27 March 2014

Princess Health and Princess Health andGroup overseeing effort to make state healthier hears of 'dire need,' tools for improvement.Princessiccia

Kentucky's health is "in dire need of improvement," but the state has some tools to do that, including health-care reform and the insurance program for its own employees, the group of officials charged with improving the state's health heard at its first meeting Thursday.

Mayfield
Dr. Stephanie Mayfield, commissioner of the Department of Public Health, told the group overseeing "Kyhealthnow" that the state is near the bottom of national rankings on nearly every goal set for the effort, but "is poised to make strong progress through school-based programs and the fact that federal health reform has made preventive services free," a state press release said.

The goals are that by 2019, Kentucky will reduce its smoking, obesity and uninsured rates by 10 percent; cut its death rates from cancer and cardiovascular disease by 10 percent; reduce deaths from drug overdoses and the average number of poor mental health days by 25 percent; reduce the percentage of children with untreated dental decay by 25 percent, and increase adult dental visits by 10 percent.

The effort is overseen by state cabinet secretaries, other key state officials, Mayfield as co-chair and Lt. Gov. Jerry Abramson as chair, by appointment from Gov. Steve Beshear. They are to meet quarterly.

The oversight group also heard from Department of Employee Insurance Commissioner Joe Cowles, whose agency provides health insurance coverage for 266,000 members, including employees of state agencies, school boards and local government, as well as retirees under age 65 and their dependents.


Cowles talked about the two insurance plans that contain a wellness component designed to encourage plan members to lead healthier lifestyles. "These plans provide lower coinsurance, deductibles and out-of-pocket maximums," Cowles said. "But more importantly, those who choose a LivingWell plan are required to complete an online health assessment. This helps them become more aware of their current well-being and understand their health risks. And, they get a personalized plan of action so they can get or stay healthy."

The department also offers a diabetes prevention program at no cost, and it has shown encouraging results, as participants are improving their physical activity and overall health, Cowles said. And it has anti-fraud measures that track the distance members drive to fill prescriptions, what drugs they are buying, how often, and so on.


The officials also heard from Dave Adkisson, president and CEO of the Kentucky Chamber of Commerce, which has made the health and wellness of Kentuckians one of its top three priorities because health-insurance costs have increased and an increasing share of companies� tax dollars go to pay for health care. He said the state's health problems have reached 
�epidemic proportions.�

�We commend Governor Beshear for engaging his entire administration in a comprehensive effort to improve Kentucky�s health problems,� Adkisson told Kentucky Health News. �Health costs are a major issue among Kentucky businesses. But containing those costs can be like turning an aircraft carrier around in open water. We are glad state government as a huge employer has stepped up its efforts to encourage wellness among state employees and their family members who are covered by the state�s health insurance program. By being aggressive on wellness, prevention and disease management, tens of thousands of lives will be improved and health care costs paid by taxpayers will be contained.�