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Posts Tagged ‘Experts’

Denver, CO (PRWEB) July 12, 2012

A newly-formed local group, Adelante con la Salud, focused on improving Latinos access to healthcare services is bringing representatives from Massachusetts to Denver to discuss how Colorados Latinos can ensure they get the health care coverage they are entitled to as part of the Affordable Care Act (ACA).

We held off on bringing Carlos Solis and Maria Gonzalez to Denver until we could learn how the U.S. Supreme Court would rule on the ACA, explained Melanie Herrera Bortz, co-project director for Adelante con la Salud: Latino Health Care Engagement Project. Now that the court has ruled, its time for everyone, including Latinos, to understand the benefits of the health care law.

Carlos Solis, who is bilingual, is a navigator for Health Care for All Massachusetts, a consumer health care advocacy organization. As a HelpLine supervisor, Solis has helped thousands of Latinos in Massachusettss secure health care coverage. The ACA was in many ways modeled after Massachusetts health care law, so having Mr. Solis here will be invaluable for Colorados Latino community, Herrera Bortz said.

I am looking forward to go to Denver to have the opportunity to talk to members of the Colorado Latino community. There is a lot to learn from the Massachusetts model, especially for Latinos, and I would like to share our experience with people there who will benefit, said Carlos Solis.

Maria Gonzalez is the communications director at Health Care Financing Administration and will be also available to discuss how the Massachusetts law has impacted thousands of Hispanics in the northeastern state and what Latinos in Colorado should expect with the full implementation of the ACA. The Hispanic population in Massachusetts has benefited the most from the health care reform that was approved in 2006, and we anticipate that this group will also be positively impacted by the federal law in states such as Colorado, said Gonzalez.

Solis and Gonzalez will be joined during media interviews by local health care expert Marguerite Salazar, the regional director of the U.S. Department of Health and Human Services.

The ACA is vital to the health of the Latino community because it will provide access to care for thousands of Latinos and will provide free preventive services like diabetes screenings and mammograms, Herrera Bortz said. Our organization believes the ACA will do for Colorado Latinos what the Massachusetts health care law did for Latinos there, we just need to educate our community. In Massachusetts, coverage for Latinos skyrocketed.

Currently, 98 percent of MA residents are now insured and very few people (less than one percent in 2008) are paying a penalty for not having coverage. In addition, the states total health care bill has increased less than other states.

About Adelante con la Salud

Adelante con la Salud: Latino Health Care Engagement Project is a newly formed collaborative of passionate, experienced local advocates dedicated to educating Latinos in Colorado about the benefits of The Affordable Care Act and the Colorado Health Benefit Exchange using media and grassroots advocacy. The bilingual campaign will reach statewide. The group is supported financially by Community Catalyst and the Herndon Alliance.







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Washington, DC (PRWEB) January 05, 2012

Atlantic Information Services, Inc., publisher of Health Plan Week, Inside Health Insurance Exchanges, AIS’s Health Reform Week and ACO Business News, is pleased to announce its January 10 webinar, Setting Out-of-Network UCR Rates: Evaluating FAIR Healths Benchmark Data and New Alternatives for Insurers and Employers. See webinar details at http://aishealth.com/marketplace/c2m01_011012.

Its been nearly four years since New Yorks attorney general investigated the out-of-network reimbursement system used by insurers in the state and concluded it was flawed. UnitedHealth Group and 10 other insurers contributed nearly $ 100 million to a settlement, a portion of which was used to launch FAIR Health, Inc., a not-for-profit entity that has become a national clearinghouse for claims-based data.

Today, methods used to determine rates for out-of-network providers are coming under increased scrutiny. And rising deductibles and other out-of-pocket costs are leaving enrollees looking for tools that can help them estimate costs. Some medical societies have proposed that FAIR Health (and its 12 billion billed procedures for more than 120 million covered lives) become the default data source for determining rates for members who seek care from out-of-network providers. But some health insurers and self-insured employers have come up with alternative methods for determining Usual, Customary and Reasonable (UCR) rates for out-of-network providers.

Speakers Robin Gelburd, President of FAIR Health, Inc. and Robert Park a principal and consulting actuary in the New York office of Milliman will present the specifics about FAIR Health and other alternatives being used today by employers and health plans to set out-of-network rates.

During the 60-minute presentation and 30 minutes of Q&A, the speakers will answer these and other questions:


What models exist today for setting out-of-network rates? What are the chief advantages and disadvantages of each?

How does FAIR Healths new database differ from Ingenix databases? Whats new? What remains the same?

What are the pros and cons of basing out-of-network rates on a percentage of Medicare? How will FAIR Healths Medicare comparison tool work?

How will detailed consumer pricing information about out-of-network costs encourage members to stay in network?

What are the chances that FAIR Health will become the industry standard? What must take place for this to happen?

How should benchmarking data be used to determine charges under value-based payment mechanisms such as an ACO?

Visit http://aishealth.com/marketplace/c2m01_011012 for more details and registration information.

About AIS

AIS develops highly targeted news, data and strategies for managers in hospitals, health plans, medical group practices, pharmaceutical companies and other health care organizations. Learn more at http://www.AISHealth.com.

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Washington, DC (PRWEB) January 05, 2012

Atlantic Information Services, Inc., publisher of Health Plan Week, Inside Health Insurance Exchanges, AIS’s Health Reform Week and ACO Business News, is pleased to announce its January 10 webinar, Setting Out-of-Network UCR Rates: Evaluating FAIR Healths Benchmark Data and New Alternatives for Insurers and Employers. See webinar details at http://aishealth.com/marketplace/c2m01_011012.

Its been nearly four years since New Yorks attorney general investigated the out-of-network reimbursement system used by insurers in the state and concluded it was flawed. UnitedHealth Group and 10 other insurers contributed nearly $ 100 million to a settlement, a portion of which was used to launch FAIR Health, Inc., a not-for-profit entity that has become a national clearinghouse for claims-based data.

Today, methods used to determine rates for out-of-network providers are coming under increased scrutiny. And rising deductibles and other out-of-pocket costs are leaving enrollees looking for tools that can help them estimate costs. Some medical societies have proposed that FAIR Health (and its 12 billion billed procedures for more than 120 million covered lives) become the default data source for determining rates for members who seek care from out-of-network providers. But some health insurers and self-insured employers have come up with alternative methods for determining Usual, Customary and Reasonable (UCR) rates for out-of-network providers.

Speakers Robin Gelburd, President of FAIR Health, Inc. and Robert Park a principal and consulting actuary in the New York office of Milliman will present the specifics about FAIR Health and other alternatives being used today by employers and health plans to set out-of-network rates.

During the 60-minute presentation and 30 minutes of Q&A, the speakers will answer these and other questions:


What models exist today for setting out-of-network rates? What are the chief advantages and disadvantages of each?

How does FAIR Healths new database differ from Ingenix databases? Whats new? What remains the same?

What are the pros and cons of basing out-of-network rates on a percentage of Medicare? How will FAIR Healths Medicare comparison tool work?

How will detailed consumer pricing information about out-of-network costs encourage members to stay in network?

What are the chances that FAIR Health will become the industry standard? What must take place for this to happen?

How should benchmarking data be used to determine charges under value-based payment mechanisms such as an ACO?

Visit http://aishealth.com/marketplace/c2m01_011012 for more details and registration information.

About AIS

AIS develops highly targeted news, data and strategies for managers in hospitals, health plans, medical group practices, pharmaceutical companies and other health care organizations. Learn more at http://www.AISHealth.com.

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While numerous studies have linked gum disease with and increased risk of heart disease and stroke, there is no proof that bad gums actually cause heart disease or strokes, an American Heart Association committee said after reviewing 500 journal articles and studies.

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Washington, DC (PRWEB) January 05, 2012

Atlantic Information Services, Inc., publisher of Health Plan Week, Inside Health Insurance Exchanges, AIS’s Health Reform Week and ACO Business News, is pleased to announce its January 10 webinar, Setting Out-of-Network UCR Rates: Evaluating FAIR Healths Benchmark Data and New Alternatives for Insurers and Employers. See webinar details at http://aishealth.com/marketplace/c2m01_011012.

Its been nearly four years since New Yorks attorney general investigated the out-of-network reimbursement system used by insurers in the state and concluded it was flawed. UnitedHealth Group and 10 other insurers contributed nearly $ 100 million to a settlement, a portion of which was used to launch FAIR Health, Inc., a not-for-profit entity that has become a national clearinghouse for claims-based data.

Today, methods used to determine rates for out-of-network providers are coming under increased scrutiny. And rising deductibles and other out-of-pocket costs are leaving enrollees looking for tools that can help them estimate costs. Some medical societies have proposed that FAIR Health (and its 12 billion billed procedures for more than 120 million covered lives) become the default data source for determining rates for members who seek care from out-of-network providers. But some health insurers and self-insured employers have come up with alternative methods for determining Usual, Customary and Reasonable (UCR) rates for out-of-network providers.

Speakers Robin Gelburd, President of FAIR Health, Inc. and Robert Park a principal and consulting actuary in the New York office of Milliman will present the specifics about FAIR Health and other alternatives being used today by employers and health plans to set out-of-network rates.

During the 60-minute presentation and 30 minutes of Q&A, the speakers will answer these and other questions:


What models exist today for setting out-of-network rates? What are the chief advantages and disadvantages of each?

How does FAIR Healths new database differ from Ingenix databases? Whats new? What remains the same?

What are the pros and cons of basing out-of-network rates on a percentage of Medicare? How will FAIR Healths Medicare comparison tool work?

How will detailed consumer pricing information about out-of-network costs encourage members to stay in network?

What are the chances that FAIR Health will become the industry standard? What must take place for this to happen?

How should benchmarking data be used to determine charges under value-based payment mechanisms such as an ACO?

Visit http://aishealth.com/marketplace/c2m01_011012 for more details and registration information.

About AIS

AIS develops highly targeted news, data and strategies for managers in hospitals, health plans, medical group practices, pharmaceutical companies and other health care organizations. Learn more at http://www.AISHealth.com.

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Washington, DC (PRWEB) January 05, 2012

Atlantic Information Services, Inc., publisher of Health Plan Week, Inside Health Insurance Exchanges, AIS’s Health Reform Week and ACO Business News, is pleased to announce its January 10 webinar, Setting Out-of-Network UCR Rates: Evaluating FAIR Healths Benchmark Data and New Alternatives for Insurers and Employers. See webinar details at http://aishealth.com/marketplace/c2m01_011012.

Its been nearly four years since New Yorks attorney general investigated the out-of-network reimbursement system used by insurers in the state and concluded it was flawed. UnitedHealth Group and 10 other insurers contributed nearly $ 100 million to a settlement, a portion of which was used to launch FAIR Health, Inc., a not-for-profit entity that has become a national clearinghouse for claims-based data.

Today, methods used to determine rates for out-of-network providers are coming under increased scrutiny. And rising deductibles and other out-of-pocket costs are leaving enrollees looking for tools that can help them estimate costs. Some medical societies have proposed that FAIR Health (and its 12 billion billed procedures for more than 120 million covered lives) become the default data source for determining rates for members who seek care from out-of-network providers. But some health insurers and self-insured employers have come up with alternative methods for determining Usual, Customary and Reasonable (UCR) rates for out-of-network providers.

Speakers Robin Gelburd, President of FAIR Health, Inc. and Robert Park a principal and consulting actuary in the New York office of Milliman will present the specifics about FAIR Health and other alternatives being used today by employers and health plans to set out-of-network rates.

During the 60-minute presentation and 30 minutes of Q&A, the speakers will answer these and other questions:


What models exist today for setting out-of-network rates? What are the chief advantages and disadvantages of each?

How does FAIR Healths new database differ from Ingenix databases? Whats new? What remains the same?

What are the pros and cons of basing out-of-network rates on a percentage of Medicare? How will FAIR Healths Medicare comparison tool work?

How will detailed consumer pricing information about out-of-network costs encourage members to stay in network?

What are the chances that FAIR Health will become the industry standard? What must take place for this to happen?

How should benchmarking data be used to determine charges under value-based payment mechanisms such as an ACO?

Visit http://aishealth.com/marketplace/c2m01_011012 for more details and registration information.

About AIS

AIS develops highly targeted news, data and strategies for managers in hospitals, health plans, medical group practices, pharmaceutical companies and other health care organizations. Learn more at http://www.AISHealth.com.

###





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Washington, DC (PRWEB) January 05, 2012

Atlantic Information Services, Inc., publisher of Health Plan Week, Inside Health Insurance Exchanges, AIS’s Health Reform Week and ACO Business News, is pleased to announce its January 10 webinar, Setting Out-of-Network UCR Rates: Evaluating FAIR Healths Benchmark Data and New Alternatives for Insurers and Employers. See webinar details at http://aishealth.com/marketplace/c2m01_011012.

Its been nearly four years since New Yorks attorney general investigated the out-of-network reimbursement system used by insurers in the state and concluded it was flawed. UnitedHealth Group and 10 other insurers contributed nearly $ 100 million to a settlement, a portion of which was used to launch FAIR Health, Inc., a not-for-profit entity that has become a national clearinghouse for claims-based data.

Today, methods used to determine rates for out-of-network providers are coming under increased scrutiny. And rising deductibles and other out-of-pocket costs are leaving enrollees looking for tools that can help them estimate costs. Some medical societies have proposed that FAIR Health (and its 12 billion billed procedures for more than 120 million covered lives) become the default data source for determining rates for members who seek care from out-of-network providers. But some health insurers and self-insured employers have come up with alternative methods for determining Usual, Customary and Reasonable (UCR) rates for out-of-network providers.

Speakers Robin Gelburd, President of FAIR Health, Inc. and Robert Park a principal and consulting actuary in the New York office of Milliman will present the specifics about FAIR Health and other alternatives being used today by employers and health plans to set out-of-network rates.

During the 60-minute presentation and 30 minutes of Q&A, the speakers will answer these and other questions:


What models exist today for setting out-of-network rates? What are the chief advantages and disadvantages of each?

How does FAIR Healths new database differ from Ingenix databases? Whats new? What remains the same?

What are the pros and cons of basing out-of-network rates on a percentage of Medicare? How will FAIR Healths Medicare comparison tool work?

How will detailed consumer pricing information about out-of-network costs encourage members to stay in network?

What are the chances that FAIR Health will become the industry standard? What must take place for this to happen?

How should benchmarking data be used to determine charges under value-based payment mechanisms such as an ACO?

Visit http://aishealth.com/marketplace/c2m01_011012 for more details and registration information.

About AIS

AIS develops highly targeted news, data and strategies for managers in hospitals, health plans, medical group practices, pharmaceutical companies and other health care organizations. Learn more at http://www.AISHealth.com.

###





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Washington, DC (PRWEB) January 05, 2012

Atlantic Information Services, Inc., publisher of Health Plan Week, Inside Health Insurance Exchanges, AIS’s Health Reform Week and ACO Business News, is pleased to announce its January 10 webinar, Setting Out-of-Network UCR Rates: Evaluating FAIR Healths Benchmark Data and New Alternatives for Insurers and Employers. See webinar details at http://aishealth.com/marketplace/c2m01_011012.

Its been nearly four years since New Yorks attorney general investigated the out-of-network reimbursement system used by insurers in the state and concluded it was flawed. UnitedHealth Group and 10 other insurers contributed nearly $ 100 million to a settlement, a portion of which was used to launch FAIR Health, Inc., a not-for-profit entity that has become a national clearinghouse for claims-based data.

Today, methods used to determine rates for out-of-network providers are coming under increased scrutiny. And rising deductibles and other out-of-pocket costs are leaving enrollees looking for tools that can help them estimate costs. Some medical societies have proposed that FAIR Health (and its 12 billion billed procedures for more than 120 million covered lives) become the default data source for determining rates for members who seek care from out-of-network providers. But some health insurers and self-insured employers have come up with alternative methods for determining Usual, Customary and Reasonable (UCR) rates for out-of-network providers.

Speakers Robin Gelburd, President of FAIR Health, Inc. and Robert Park a principal and consulting actuary in the New York office of Milliman will present the specifics about FAIR Health and other alternatives being used today by employers and health plans to set out-of-network rates.

During the 60-minute presentation and 30 minutes of Q&A, the speakers will answer these and other questions:


What models exist today for setting out-of-network rates? What are the chief advantages and disadvantages of each?

How does FAIR Healths new database differ from Ingenix databases? Whats new? What remains the same?

What are the pros and cons of basing out-of-network rates on a percentage of Medicare? How will FAIR Healths Medicare comparison tool work?

How will detailed consumer pricing information about out-of-network costs encourage members to stay in network?

What are the chances that FAIR Health will become the industry standard? What must take place for this to happen?

How should benchmarking data be used to determine charges under value-based payment mechanisms such as an ACO?

Visit http://aishealth.com/marketplace/c2m01_011012 for more details and registration information.

About AIS

AIS develops highly targeted news, data and strategies for managers in hospitals, health plans, medical group practices, pharmaceutical companies and other health care organizations. Learn more at http://www.AISHealth.com.

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Washington, DC (PRWEB) January 05, 2012

Atlantic Information Services, Inc., publisher of Health Plan Week, Inside Health Insurance Exchanges, AIS’s Health Reform Week and ACO Business News, is pleased to announce its January 10 webinar, Setting Out-of-Network UCR Rates: Evaluating FAIR Healths Benchmark Data and New Alternatives for Insurers and Employers. See webinar details at http://aishealth.com/marketplace/c2m01_011012.

Its been nearly four years since New Yorks attorney general investigated the out-of-network reimbursement system used by insurers in the state and concluded it was flawed. UnitedHealth Group and 10 other insurers contributed nearly $ 100 million to a settlement, a portion of which was used to launch FAIR Health, Inc., a not-for-profit entity that has become a national clearinghouse for claims-based data.

Today, methods used to determine rates for out-of-network providers are coming under increased scrutiny. And rising deductibles and other out-of-pocket costs are leaving enrollees looking for tools that can help them estimate costs. Some medical societies have proposed that FAIR Health (and its 12 billion billed procedures for more than 120 million covered lives) become the default data source for determining rates for members who seek care from out-of-network providers. But some health insurers and self-insured employers have come up with alternative methods for determining Usual, Customary and Reasonable (UCR) rates for out-of-network providers.

Speakers Robin Gelburd, President of FAIR Health, Inc. and Robert Park a principal and consulting actuary in the New York office of Milliman will present the specifics about FAIR Health and other alternatives being used today by employers and health plans to set out-of-network rates.

During the 60-minute presentation and 30 minutes of Q&A, the speakers will answer these and other questions:


What models exist today for setting out-of-network rates? What are the chief advantages and disadvantages of each?

How does FAIR Healths new database differ from Ingenix databases? Whats new? What remains the same?

What are the pros and cons of basing out-of-network rates on a percentage of Medicare? How will FAIR Healths Medicare comparison tool work?

How will detailed consumer pricing information about out-of-network costs encourage members to stay in network?

What are the chances that FAIR Health will become the industry standard? What must take place for this to happen?

How should benchmarking data be used to determine charges under value-based payment mechanisms such as an ACO?

Visit http://aishealth.com/marketplace/c2m01_011012 for more details and registration information.

About AIS

AIS develops highly targeted news, data and strategies for managers in hospitals, health plans, medical group practices, pharmaceutical companies and other health care organizations. Learn more at http://www.AISHealth.com.

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Olivebridge, NY (PRWEB) January 1, 2010

This January, millions of financially stressed Americans will be making resolutions to reduce debt. Unfortunately, though, some of them owe so much that tightening their belts just won’t work, even if they found the discipline to stick with a careful budget. “For some, extreme debt reduction programs may be the only route back to financial health,” reports Gerri Detweiler, co-author of the e-book Reduce Debt, Reduce Stress: Real Life Solutions for Solving Your Credit Crisis (Good Advice Press, 2009, $ 14.95).

How do you know when drastic measures may be needed to reduce your debt? Here are some warning signs:


You’re on a bare bones budget, but still don’t have enough money to pay your bills.
You’re thinking about withdrawing money from retirement accounts to reduce credit card debt or to pay other bills.
You’ve missed at least one car and/or mortgage payment.
You’re afraid to answer the phone, fearing it will be another call from a creditor or debt collector.

If any of these warning signs apply to you, it’s time to see a specialist and get expert help managing your debt. Extreme debt diet options include:

Credit Counseling. The financial equivalent of a “packaged meal plan.” credit counseling agencies take decisions out of your hands by setting up a debt management plan for you. After closing all of your credit card accounts, you’ll make one monthly payment to the agency, which in turn will pay participating creditors. The big advantage of this option is that, with no open credit cards, you won’t be tempted to binge and take on more debt while you’re trying to dig out.

Unfortunately, just as diet plans can be hard to follow, credit counseling can be hard to stick with for the three to five years it’ll likely take to pay off what you owe. Make sure the payment plan is realistic, and something you can stick with.

Debt settlement and bankruptcy. These options represent the “bariatric surgery” approach to debt reduction. In other words, they’re drastic measures, but they may be necessary for people who have so much debt that it is jeopardizing their financial health. “Debt settlement and bankruptcy will leave you with scars,” warns Reduce Debt, Reduce Stress co-author Marc Eisenson, “But the damage to your credit history may be the price you need to pay to become debt free.”

“One solution doesn’t fit all,” explain Detweiler and Eisenson. Their book, Reduce Debt, Reduce Stress, starts with a “debt diagnosis,” then lays out the pros and cons of all the options for getting out of debt, including do-it-yourself debt repayment plans, debt consolidation, credit counseling, debt settlement and bankruptcy. The book includes real-life stories from people who have successfully used these approaches to get out of debt. Readers will also get advice for finding reputable agencies who can help them achieve their goal of becoming debt-free.

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