Archive for the ‘Health Insurance’ Category
January 22nd, 2012
Lack of dental coverage sends patients running to ER for pain relief
While government-managed health care programs such as Medicaid pay for emergency room visits for adults seeking temporary relief from toothaches and other dental emergencies, coverage of outpatient dentist office treatment for those problems varies from state to state, according to a 2011 federal Medicaid report. Federally mandated preventive and other dental care usually ends when Medicaid recipients enter early adulthood. That leaves states to determine whether they will provide dental benefits to adult Medicaid patients and if so, what type and how much.
No Medicaid
The report shows that 10 states offer no Medicaid dental benefits to adults. The remaining states offer a jumble of services that leave many adults with inadequate and limited access to dental care. In addition, Medicare doesn’t cover routine dental care or most dental procedures such as cleanings, fillings, tooth extractions or dentures, Medicare spokeswoman Ellen Griffith said. As a result, many adult government health care program enrollees and uninsured Americans are turning to emergency care providers nationwide to manage the pain from dental problems. Unlike dentists or oral surgeons, ER doctors and other health care providers can’t pull a tooth or treat other dental problems.
The ER
One dentist estimates as many as 40% of the patients she sees needing an extraction had previously sought care in an ER. Those ER visits translate into higher costs for taxpayers as many patients return to the ER two or more times per dental problem to manage symptoms, according to the ADA. And, while the Affordable Care Act addresses dental care for children on Medicaid, the requirement doesn’t exist for adults, ADA spokesman Robert Raible said. "This funnels everyone to the ER, which is the most expensive place to get health care," said Sorkey.
Dental emergencies
Between 1.3% and 2.7% of all ER visits nationwide that don’t result in a hospital admission are dental emergencies, the HRSA report says. A 2011 South Carolina Dental Association study estimated a single ER visit for toothache pain resulted in a Medicaid reimbursement of $236. The report found a dentist’s office visit, which would include extraction of an infected tooth, would be about $107. "The key thing is the problem is not solved when they go to the emergency room," said Phil Latham, the Association’s executive director. "If they can go to a dental office, the problem is solved for half of the reimbursement."
The ADA
To better evaluate the impact of using the ER for relief of dental emergencies nationwide, the ADA is working with the Centers for Disease Control and Prevention to devise a methodology to get "broader and deeper numbers and look at key indicators for solutions," ADA President William Calnon said. Louisiana Medicaid Medical Director Rodney Wise said the state’s decision not to cover dental expenses for most Medicaid patients 21 and older is about money. South Carolina and Washington State cut adult Medicaid dental benefits last year, and other states, such as California, have reduced benefits in recent years in an effort meet budget cuts, according to state and federal reports.
Tags: Dental treatment, Medicaid, Tooth extractions
Posted in Business, Economy, Employment, Finance, Health Insurance, Personal / Internet | No Comments »
January 14th, 2012
How do you mean he turned left instead of right?
Hundreds of telephones must be ringing in deserted offices around the world and in Italy today. The phones in insurance companies are unmanned on Saturdays and calling on Sunday won’t do any good either. Can you imagine the chaos that has already started and will continue for the next days, months and even years as insurance companies pass the buck from one to another? Can you explain, how, in the year 2012, a luxury cruise liner, the Costa Concordia, owned by the Carnival Corporation and operated by Costa Cruises, built in 2004 at a cost of about $570 million can hit a sand bank off the coast of Italy and end up on its side in the water with a huge hole in its bottom?
No ordinary ship
How could this ship, a modern cruise liner and the largest ship to be built in Italy at 114,500 tons, 950 feet long and 118 feet wide and able to carry 3,700 passengers and a crew of 1,100, come to such an ugly end? She is lying on her side about half submerged in the water like some mammoth sea creature waiting for the kindly sheriff to end her misery by putting a bullet through her head. The ship had 1,500 staterooms; 505 had private balconies and 55 had direct access to the central spa. The Costa Concordia had one of the world’s largest wellness centers at sea, the Samsara Spa, a two-level, 20,000 foot wellness area, with gym, a thalassotherapy pool, sauna, Turkish bath and a solarium. The ship also had four swimming pools, two with retractable covers, five spas and a poolside screen on the Pool deck. There were five onboard restaurants, thirteen bars, a cigar and cognac bar and a coffee and chocolate bar. Entertainment options included a three-level theater, casino and a discotheque. There was a children’s area equipped with PlayStation products, Grand Prix motor racing simulator and an Internet cafe.
Here come the insurance claims
In the “Claim Age” in which we live, I imagine that every single passenger and crew member who was on board on Friday evening will be lodging a claim against the ship’s owners, the Master, the helmsman, the cruise operator and anyone who has the any connection to the cruise-shipping industry. Even though the ship didn’t sink like the Titanic, who whose 100 year disaster will be commemorated in April this year, just about everything will be recovered but will have been ruined by immersion in sea water. If it is not soaked for a few weeks, the fumes of the salt will do the job.
Now what?
Naval engineers must all be hard at work working out a system of sealing the hull and hauling the giant back onto its bottom. Is there going to be fight over salvage rights, salvage fees and who gets what? Will the ship be fully repaired and made seaworthy again? Will you be booking a cruise on the Costa Concordia sometime in the future?
Posted in Assurance / Insurance, Business, Economy, Employment, Finance, Health Insurance, Travel | No Comments »
January 8th, 2012
Make sure you have enough money!
The good news is that life expectancy in the US is the highest it has ever been. The bad news is that many of us will run out of money before we die. The immediate effect on every American is that you should rush off and check if you can afford to live to a ripe old age – plus. Nothing is free, as we all know and the extra years are being tacked on at the end, not the beginning.
The pills
In case you don’t get it, those are the years when you are popping expensive pills to keep everything working; those are the years when you are living it up in an expensive retirement community somewhere in the Sun Belt. Those are the years when you need money.
The Active Retirees
As a result of this longevity, a new social class, known as the Active Retirees has developed. It is a reputable and much respected occupation. I am one of them. I spend my days in front of the computer, out there in cyberspace, surfing for information, gliding from one link to the next, marveling at the endlessness of the information highway. My ophthalmologist, who I visit at 3 month intervals because she insists I can get glaucoma at any moment, warned me about excessive computer use and says that she sees a definite change on the retina thing at the back of my eye. “It has developed the format of a computer screen,” she noted two visits ago. “At last!” I breathed thankfully.
The mornings
My days are well taken care of. The mornings are crammed full of retirement activity. I eat a late breakfast and browse the newspapers briefly; the news is always depressing: unemployment, bad economy, terrible politics, dormant job market, social revolution. I tackle the NY Times crossword with varying results, check my miserable stock portfolio for signs of life, read the health tips, log into my bank account and take a fleeting glance at my overdraft, and by then it’s almost time for lunch.
Afternoons
After lunch things slow down considerably ending in a nap, but an active retiree never forgets that he may be called upon at any time to take or fetch a grandchild to some unheard of place miles from the nearest internet café or coffee shop. My nights are generally sleepless and I can vouch for the fact that there’s nothing to watch on the TV after midnight.
Internet earnings
To keep my brain active, I do intensive research on the internet, following ads that claim you can make $10,000 a month by just sitting in front of your computer and not moving. It’s not true. There are sites where you can earn small amounts of money. On just about all of them you will sweat blood to pull in a few measly dollars that won’t pay for anything. You will, of course, have to pay for this advice.
Tags: Active retirees, Life expectations, Longevity, Retirees
Posted in Business, Economy, Employment, Finance, Health Insurance, Money, Personal / Internet, Retirement | No Comments »
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