15

Healthcare Reform Key Issues Unresolved

The healthcare reform bill has passed in the US Senate. However both the US House of Representatives and the US Senate bills have yet to address important details affecting patient care. Oversight concerning the determination of medical necessity as well as provider network inclusion issues have greatly affected medical reimbursement and patient access to care. Many insurance companies reimburse medical expenses based upon a determination of medical necessity by the carriers claims department. In the absence of external oversight or regulation, the insurance carrier is free to deny care solely based upon their on private internal review.

Another key issue not addressed is how provider networks create financial barriers to care. Many insurance carriers reimburse medical expenses at lower rates or refuse reimbursements for out-of-network providers. Medical practitioners may also be excluded from insurance company networks for a variety of reasons. Practitioners may be required to limit medical procedures for patients and the number of office visits as a precondition for inclusion in the insurance network. Medical practitioners may also be required to accept lower rates of reimbursement for services provided to patients as another precondition to network inclusion. Some medical networks charge medical practitioners a fee for inclusion in networks.

The patients right to choose their own medical practitioner is not federally guaranteed by law. Additionally, there is no guarantee an insurance company will pay for medical services and patients often have no way to determine what will be paid until after a claim is submitted and a response is generated the insurance companys claims department. The federal government seeks to mandate health insurance coverage for all US citizens yet has not stipulated that insurance companies must reimburse patients for medical expenses nor is there language to address oversight of the determination of medical necessity.

The determination of reimbursements is often based on what is termed as usual and customary. Insurance companies have sole discretion over this aspect of reimbursement for general health insurance policies and may choose to exclude many procedures, office visits, and medical tests whether or not teams of doctors agree that such medical services are vital to the patients survival, recovery, or comfort.

The US House of Representatives and the US Senate have not addressed these details which represent core issues affecting healthcare outcomes for patients. Until these unresolved issues are rectified, it is unclear whether or not US citizens with health insurance coverage will have adequate access to medical care.

14

What Are Healthy Fats The Layman’s Guide

What are healthy fats is a question more plus more individuals are asking nowadays due to the awareness which certain kinds of fats have been connected with heart plus artery illness. In this article we are going to answer this question concerning what are healthy fats plus isolate the one fat which stands head plus shoulders above the sleep.

Most food items (including the bag of chips) contain a number of kinds of fats, certain good plus certain not so superior. Good fats are those that have little or no impact on bad fat plus blood lipid levels. Truth be told, some healthy fats can even lower bad fat levels when enjoyed in moderation. All healthy fats fall below the heading of dull fats, plus are broken down into 2 general categories; monounsaturated plus polyunsaturated./p>

But occasionally in the world of analysis anything unexpected plus quite exciting is found that confounds even many knowledgeable experts. And this was indeed the case with a kind of polyunsaturated fatacknowledged as omega 3 oily chemicals.

Omega 3 oily chemicals are at the best of the list when it comes to asking what are healthy fats. They have been known as heart healthy by several noteworthy companies including the American Heart Association and also the American Medical Association. Also, continuous analysis is locating which their health advantages goes far past which of cardiovascular disease plus can include as several as 60 conditions plus illnesses including arthritis, psychological disorders, plus mobile disorders including cancer.

But there is a problem

The issue is the fact that when monounsaturated fats plus polyunsaturated fats are found in abundance numerous types of nutritional delights (olive oil, avocados, soy, corn oil, plus nuts plus seeds) omega 3 oily chemicals are only found in abundance in cold water oily fish (salmon, sardines, anchovies, herring).

Some will believe ample amounts your polyunsaturated fat cardiovascular star can be had from flax, flax oil, plus walnuts full of the omega 3 essential fatty acid alpha linolenic acidic (ALA). While there is some truth in this the actual fact of the situation is the fact that to allow the body to use ALA it should be converted into docosahexaenoic acidic (DHA) or eicosapentaenoic acidic (EPA). In the conversion process over 70 percent is lost. With nuts plus flax being full of calories we can see that certainly isn’t your best option.

In summary, in the world of fats, saturated fat plus trans fat put us vulnerable for heart plus artery illness, plus recognizing what are healthy fats may help us eliminate plus substitute properly. Once you recognize the game, creating a winning game plan utilizing the numerous health advantages of omega 3 products /foods all of the sudden doesn’t appear all which far away of the reach.
Dietary Delights

12

SSM Health Care System Inc. – Strategic SWOT Analysis Review

Summary SSM Health Care System Inc. (SSMHC) is an integrated healthcare organization providing services through its healthcare facilities. The organization owns and operates 15 acute care hospitals with about 3,929 licensed beds. It also operates two nursing homes through which it offers rehabilitation, home health care, hospice, and skilled nursing services. It has six healthcare facilities located in four states of the US namely, Illinois, Missouri, Oklahoma, and Wisconsin. SSMHC is headquartered in Saint Louis, Missouri, the US. Company SSM Health Care System Inc. – Strategic SWOT Analysis Review provides a comprehensive insight into the company’s history, corporate strategy, business structure and operations. The report contains a detailed SWOT analysis, information on the company’s key employees, key competitors and major products and services. This up-to-the-minute company report will help you to formulate strategies to drive your business by enabling you to understand your partners, customers and competitors better. Scope – Business description – A detailed description of the company’s operations and business divisions. – Corporate strategy – Company summarization of the company’s business strategy. – SWOT analysis – A detailed analysis of the company’s strengths, weakness, opportunities and threats. – Company history – Progression of key events associated with the company. – Major products and services – A list of major products, services and brands of the company. – Key competitors – A list of key competitors to the company. – Key employees – A list of the key executives of the company. – Executive biographies – A brief summary of the executives’ employment history. – Key operational heads – A list of personnel heading key departments/functions. – Important locations and subsidiaries – A list of key locations and subsidiaries of the company, including contact details.

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13

Health Care Public Relations Opportunities Abound

The delivery of healthcare services, products and information is a high touch undertaking that requires interaction – a dialogue, if you will — among all stakeholders within the healthcare ecosystem. This is where health care public relations pros excel- Human beings require communication both for information exchange and for affective content that may accompany the information. Interpersonal communication is a key part of this interaction and has been transformed by the intelligent use of technology – primarily social media, which has found rapid adoption within the world of health care public relations.

According to various sources, employment opportunities for health care public relations specialists should grow faster than the average for all occupations though 2012. There is an expected increase of 21%-35% in the number of jobs for health care public relations pros that will become available over this period of time. The demand for good health care public relations personnel will increase because of the need to keep the public informed about a variety of issues that could affect their daily lives.

Health Care Public Relations can play a key role in many areas. For example, raising product awareness among clinicians and patients. Confronting reimbursement a major issue is another. The refinement and communication of corporate or product messaging and positioning is yet another. Health care public relations pros can be helpful in developing programs to communicate a major piece of clinical data coming out as well as for mustering the support of influential advocacy groups.

In seeking the right health care public relations counsel you seek those capable of meeting the demanding and always evolving communications needs of medical device, biotech, pharmaceutical and biopharma companies, as well as healthcare providers and the service companies that work with medical sector institutions. You should consider health care public relations professionals that can help you develop, refine and communicate your corporate and product messages to your diverse and critical constituencies: physicans, patients, payors, potential partners, investors, advocacy groups, and thought leaders. In addition, you need to have health care public relations pro that have experience with traditional as well as social media.

Finally, the consummate health care public relations pro will have experience in dealing with companies of various sizes and with products in various stages of development. These include early-stage companies seeking to seed the market far in advance of product availability and attempting to raise capital, to companies in the latter stage of clinical trials and preparing a going-to-market strategy, to companies with mature, available products seeking to revitalize an aging brand.

Kevin Waddel is a free lance writer. To get more information about Public relations, Public Relations New York, Health Care Public Relations and Health Public Relations visit

16

Medicare Advantage Will Get Hit With Health Care Reform

Since even before Medicare was passed in 1965 its been a source of frustration and intense debate from The Hill to Main Street. From concierge doctors to family physicians, politicians and family gatherings, health care reform is still a tough subject to grasp.

While Andy Griffith is currently appearing in television ads explaining Medicare changes to seniors, and the White House is praising its upcoming health care overhaul, the facts of how Medicare will change still remain a bit fuzzy.

1965. A lot of good things came out that year, like Medicare. This year, like always, we’ll have our guaranteed benefits and, with the new health care law, more good things are coming. Free checkups. Lower prescription costs and better ways to protect us and Medicare from fraud. See what else is new. I think you’re gonna like it, says Andy Griffith in his new TV ad. (Time.com) Seems to be pretty simply and explanatory, right? In reality, its a little more complicated.

Time.com states that Medicare Advantage, will in fact be greatly affected by health care reform, causing many seniors who have Medicare Advantage plans to lose fringe benefits that are not required by law. According to the Wall Street Journal, dozens of Medicare Advantage providers plan to cut back vision, dental and prescription benefits. Some plans are eliminating free teeth cleanings and gym memberships, and raising fees for hearing aids, eye glasses and emergency-room visits.

Medicare Advantage plans will take the biggest hit when the health care overhaul starts to take effect next month, mainly because Medicare Advantage plans are privately run plans that offer additional benefits beyond traditional Medicare. Obamas health care overhaul cuts to Medicare Advantage will open up the doors for 30 million Americans who currently dont have health insurance c overage. By taking some funding away from Medicare Advantage, money can be put towards those 30 million uninsured.

Democrats say the payment cuts are fair because Medicare overpays private insurers to run the plans. The government now pays private insurance companies an average of 9% more to operate the plans than it costs the government to run traditional Medicare, according to the Medicare Payment Advisory Commission, an independent congressional agency. That allows insurers to offer richer benefits to enrollees. (Wall Street Journal Online)

As for standard Medicare plans, they will not change, a common misconception among seniors according to Time.com. In a July poll, 50% of seniors believed health care reform would cut benefits that were previously provided to all people on Medicare, and that Medicare patients will have to spend more out of their own pocket. The reality is that while Medicare Advantage will change dramatically, standard Medicare will not, according to Time.com.

The law requires Medicare to pay 100% of preventive care, which includes checkups. The law will also gradually close the Medicare prescription drug gap known as the doughnut hole.

11

A Healthy Vinegar Dressing

One of probably the most effective vinegar dressing employed to flavour the dishes for a large number of many years now is the balsamic vinegar dressing. This type of dressing is regular and it is considered as one of your very hot dressing used by countless chefs to add some zest on their meal or salad which may well reverse possibly the tasteless meal into some thing.

The balsamic vinegar dressing is well-known because of its easiness both with specialists and residence cook. It is categorized as conventional and the commercial balsamic vinegar. Even should you were not in a position to attend proper culinary lesson about salad dressing you are able to nonetheless create the your very best tasting salad dressing using the balsamic vinegar dressing.

At present, salad dressing need not only on taste but additionally on its wellness benefits. You should possess a salad healthy dressing with very low cholesterol, low carbohydrates and it should be healthy particularly for those that have health troubles.

Take into consideration about the elements that you need to add within your salad to make it healthier without compromising the taste. Should you go to some gourmet food you will discover gourmet condiments produced of natural spreads , accoutrements and sauces.

There is no want for you to worry about creating a salad dressing, a straightforward oil and vinegar dressing is sufficient to have the ability to create a healthy dressing which is effortless to produced, with simple ingredients and is also amazing tasting.

The main ingredient in vinaigrette dressing may be the traditional aged balsamic vinegar as well as the most effective olive oil. There is no require for you personally to invest a whole lot for balsamic. If you search the web you’ll discover there are actually lots of tasting and affordable priced balsamic vinegars. Your balsamic vinegar dressing is greatest in combination with oliver oil, pepper, mustard and salt. The rule from the thumb is that a teaspoonful of mustard for every one fifty percent cup of salad dressing.

10

Several Healthy Lifestyle Changes For Dieting

Everyone possesses the power to make positive, healthy lifestyle adjustments. Whenever sticking to a best weight loss plan making those healthy and positive lifestyle modifications will be a lot simpler. A couple changes are decreasing anxiety, acquiring enough sleep as well as consuming nourishing foods.

Tension results in extra fat in many manners. The first scenario includes raising levels of cortisol which will slow down the metabolism. When metabolic rate slows a human body will burn fewer food calories. Therefore, if people do not minimize caloric intake, then body fat is added.

One more way stress results in extra fat is people generally stuff themselves when stressed. People usually crave food products whenever stressed. These foods are generally not healthy. As opposed to healthy veggies and fruits, people crave salty, sugary and fatty products such as candy bars, ice cream and potato chips. These kinds of food items are high in damaging ingredients which lead to excessive weight.

Luckily, there are positive and healthy lifestyle adjustments people can add which assist in lowering tension. These healthy and positive lifestyle changes are laughter, yoga, martial arts and listening to music. These types of stress relieving strategies help people control anxiety. As soon as people can cope with stress, eliminating weight is simpler.

One more positive and healthy lifestyle adjustment people may add to daily routines is getting plenty of sleep. Getting adequate sleep will allow the human body to properly process food products rather than these food products turning into fat. In addition, whenever the human body acquires enough sleep damaged cell membranes can be repaired.

Studies have proven a link involving sleep deficiency and body weight. Whenever a person does not get plenty of sleep more foods are usually consumed during their day. Hence, people should attempt to sleep seven or eight hours each night. Plus, the room should be completely dark with no sounds.

The last positive, healthy lifestyle change a person might implement within daily routines is consuming nutritionally sound food items. When following a best weight loss plan eating healthy foods will be easy. Healthy foods have many nutrients a body must have whereas unhealthy food products have substances the body cannot digest. If a human body is unable to break down food products, these kinds of food products change into fat.

Implementing positive, healthy lifestyle changes is a breeze having proper guidance. Decreasing tension, obtaining enough sleep plus consuming nutritious food products are only a few healthy, positive lifestyle adjustments a person may want to add to everyday routines. Whenever using a person’s best weight loss plan dropping pounds is less difficult than people might think.

16

Fruits Can Prevent Cancer Occurrence

Cancer is still a frightening disease for every human being. Until now there is no drug that is able to positively recover the disease. But the efforts of humans in wrestling this problem does not end here. There have been many hypotheses done by scientists in the fight against this disease. However, the results that can be concluded only limited prevention from the beginning has not reached the stage of healing.

In this case there is no known exact cause. It’s just based on the results of research a person’s lifestyle greatly affect of this disease’s emergence. As well as bad habits of smoking, obesity, excessive alcohol consumption, unhealthy eating patterns and so forth. Given how fierce this disease is, there are actually some first steps to prevent it. Boldsky in Liputan6.com (19/07/2018) Eating lots of fruits is one of the most important methods to keep cancer away. Here are some fruits that can prevent cancer early.

1. Wine

Grapes are fruits rich in flavonoids, which contain antioxidants and anti-inflammation tall one. Wine has a very good role in fighting cancer. Not only does it damage cells cancer in connection but it also can inhibit cancer growth in the intestines, stomach, liver and breast.

2. Papaya

Often referred to as “superfood”. Where in benefits this fruit contains antioxidants lycopene in it. This can prevent the growth of cancer cells, especially on the cervix, prostate, liver, lung and pancreas. In addition papaya fruit also has no side effects on other healthy cells.

3. Advocates

These fruits give a plentiful supply of B advocation that targets stem cells in cancer. It also has carotenoids that function to combat tumor formation.

4. Orange

It will surely come to mind when talking about citrus fruits with vitamin C. Orange can protect the body from nitro samines that fight cancer cells in the digestive tract. Limolene is a nutrient found in orange peel. It has the role of activating antioxidants that will detoxify the enzyme system.

5. Apple

The skin of the apple carries triterpenoids that trigger maspin. Maspin is a protein that can suppress cancer cells. Maspin proven to fight cancer cells in the prostate and breast.

6. Strawberries

Strawberries are also rich in vitamin C, and various types of phytonutrients, flavonoids, and polyphenols. All of these nutrients are very potent as an anti-carcinogenic agent, which works effectively on the skin, bladder, lung, esophagus, and breast.

Some of the above statements are scientifically proven to overcome the symptoms of cancer cell growth in humans. So far if it is applied in everyday life then there is no harm. Because it prevents better than treating.

4

Best Diet Pills for Women Choose the right slimming pills

The best diet pills for women are formulated and made by keeping in mind the body chemistry of women. These pills are made in such a way that they make women to lose weight in the easiest and fastest possible ways. An important factor that affects weight loss is suppressing or killing one’s craving or say want to eat. There are many of us who usually over eat and consume junk, oil, fry products and preservatives. If you have the keen interest when it comes to eating this kind of stuff then the chances of gaining weight and increase in cholesterol are also very high.

In order to lose weight considerably, the best diet pills for women are the perfect savior. They suppress the woman’s urge to take in more than what is required by the body. If one continues to take in or consume more than the recommended amount of calories per meal, then the efforts induced in losing weight will all go in vain and the result will be zero.

It is very much essential to know that the female body structure and metabolism is very different from the biological structure and metabolism than of the male. The female metabolism is different and there are hormonal changes that keep going on and off.

For these reasons, one should take the needed precautions when one wants to include diet pills in losing weight. There are some pills available that can have some side effects that are less than desirable.

There are many uncertainties with the pills however one can always avoid being in such a dilemma by making it sure that one selects the right pills for self. There is a vast variety to choose from such as beachbody weight loss pills.  Consulting the dietician who will guide in every step of losing weight will be highly beneficial. Depending on the various health conditions in different bodies, these pills are suggested.

One should not consume without any prior consultation.

The best diet pills for women would normally be the ones which are harmless for you to consume. If you are sick, it is most likely that you cannot enjoy the effect of the pills. One should try to keep up a positive eating habit in their life. If one does not spend the time to find the right, beneficial nutrients for the diet, one probably cannot have the high-quality dieting effect no matter how much one consumes the diet pills. Eating pills solely will not at all help in achieving the positive results.  Also it cannot bring you a healthy and happy life. Therefore, one should keep a certain level of eating to give basic nutrients for certain activities like the normal metabolism.

13

Foot Reflexology Singapore – How to Choose a Right Spa

Are you tired dealing with everyday stress in your life? Do you want to get rid of existing mental and physical stress? Do you want to rejuvenate yourself? Do you want to rediscover your personality? If yes, then massage therapy can be an effective choice to determine. It is a fact that body massage not only releases the tension from the mind but also helps you getting rid of physical stress. There could be various types of massage options to determine, but the most effective one is foot reflexology Singapore. Here, you will be given exclusive tips on how to find out a right spa and massage center for foot massage in Singapore.

Internet can be of Great Use

Whether you are looking for exclusive services or products, internet can always be the best option to go with. The same rule can also be applied when it comes to knowing about a right massage and spa point in Singapore. Therefore, you are thoroughly advised that before making a concluding choice, you initially have to do research online. For this, you just need to type the world foot massage Singapore in the search bar of a reliable search engine online. Once you press the enter key, you will be given plenty of sites to determine. Now, go through the services of your created list of top spas in Singapore.

Know the Benefits of Foot Massage

It is also an important point that should be kept in mind while looking for a right spa online. Therefore, again you require taking help from the internet. With the help of this innovative technology, you can easily grab information about the benefits of foot massage. Once you will become aware of the benefits of foot reflexology Singapore, you can make a right decision accordingly. Hence, you are suggested to visit a few sites that provide adequate information on various benefits of choosing different types of massage methods including foot massage.

Massage Stuffs

Since there are plenty of spas and massage centers available in Singapore, you may get confused on finalizing a right one. This is the point where you have to take massage stuffs into consideration. Always remember a reliable massage center or spa unveils the benefits of natural massage ingredients. Therefore, you must choose an option that can help you unlocking the benefits of nature and proven massage techniques in terms of foot massage Singapore. You must avoid visiting a massage center that applies harmful chemicals or other synthetic massage stuffs while offering massaging services. Make sure the spa you choose should be known for offering natural foot massage.