Trenton NJ, Acting to improve health care access for New Jersey residents, Governor Murphy today announced that the State of New Jersey will move to a State-Based Health Exchange for the year 2021 .
Transitioning to a State-Based Exchange (SBE) will give the state more control over the open enrollment period; access to data that can be used to better regulate the market, conduct targeted outreach and inform policy decisions; and allow user fees to fund exchange operations, consumer assistance, outreach and advertising. By redirecting the assessment on premiums, currently paid to the federal government to utilize a Federally-Facilitated Exchange (FFE), New Jersey can operate an exchange that is tailored and efficient for New Jersey residents.
River Vale NJ, Assemblywoman Holly Schepisi speaks with reporters at a press conference on Feb. 14, 2019, about why public opinion polls increasingly show that Gov. Phil Murphy is taking New Jersey in the wrong direction.
Schepisi says, “We must work together, put aside partisan posturing and implement policies to ensure affordability for the middle class. NJ’s tax increases and Governor Murphy’s policies are crushing our middle class.”
Ridgewood NJ, Valley Health System has selected an enterprise master patient index from NextGate to support automated medical record matching. With population health management supported with analytics becoming a top priority for many healthcare organizations, so is the need to collect data and clean it of duplicate information to better identify and manage patients across all settings of care.
That is the impetus for Valley Health System in Ridgewood, N.J., which has selected enterprise identification company NextGate as its vendor for records management, says Michael Burke, assistant vice president of information systems.
“Incomplete or inaccurate data in one’s health record can be detrimental to patient safety and a major barrier to providing highly-coordinated and individualized care,” he asserts. “Safe and effective care management hinges on the ability to view a holistic, real-time portrait of patients during every encounter. NextGate’s platform will play a significant role in our transformational journey toward improved data exchange, provider collaboration and operational efficiency for value-based care success.”
Valley , which serves 440,000 residents in northern New Jersey and southern New York using cleaner data to analyze and better understand the needs of patients with COPD, congestive heart failure and total joint replacement, and they’ll have the data to back up the level of quality given to patients and show it to insurers to get higher reimbursement.
Trenton NJ, Senate President Steve Sweeney (D-Gloucester/Salem/Cumberland) issued the following statement in response to Governor Phil Murphy’s veto of legislation (S2455 – Sweeney, Oroho/Murphy, McKnight, Mosquera) which would produce substantial cost savings in health care expenses by transferring county college employees and retirees from membership in the School Employees Health Benefits Plan to membership in the State Health Benefits Plan:
“The Governor’s veto will cost the county colleges and their employees millions of dollars in future healthcare savings. Once again, the Governor has chosen to stand with the New Jersey Education Association’s union leaders and against the interests of the taxpayers of New Jersey, the county colleges, their hardworking professors and staff, and the students who will be forced to pay higher tuition. It is a terrible irony when we have a Governor calling for free county college tuition at the same time that he refuses to reduce health care costs and produce savings that could be used in support of the colleges and their students.”
Washington DC , a simple idea to lower healthcare costs continues to be ignored by New Jersey state legislator ,according to Alieta Eck, MD ,”this was a hearing in 2011. Our bill, NJ S239, is still waiting to be heard by the NJ Senate Health Committee. We believe we have enough votes to pass it through, but Senator Vitale refuses to post it. What we are asking, and I fear I did not make this clear enough in the hearing, is that we are asking the state to cover the liability of the PRIVATE practices of physicians who donate 4 hours/week in or through a non-government free clinic. The federal government already protects us for the work we do in the free clinic via the Federal Tort Claims Act. ”
She goes on , “This would improve access to care for the ambulatory Medicaid population, for people who have no insurance or funds to pay for primary care, for people who are undocumented and need medical care– and it would take a huge burden off the taxpayers. If the federal government would block grant those Medicaid dollars back to the states, the states could use the funds to continue to care for the poor and disabled and for indigent nursing home patients– and the state contribution to the Medicaid system would be far less. State budgets would be much easier to balance and taxes would be lower.”
“The hospitals complain that they cannot publish their prices because they would have to ask the insurer in order to state the price up front. What other industry thinks like that? “How much is this dress?” Answer, “What credit card are you using?” Forget the insurer. What is the best CASH, check or credit card price? ” Alieta Eck, MD For Real Health Care Reform
By Rachel Bluth July 25, 2017
COLUMBUS, Ohio — Two years after it passed unanimously in Ohio’s state Legislature, a law meant to inform patients what health care procedures will cost is in a state of suspended animation.
One of the most stringent in a group of similar state laws being proposed across the country, Ohio’s Healthcare Price Transparency Law stipulated that providers had to give patients a “good faith” estimate of what non-emergency services would cost individuals after insurance before they commenced treatment.
But the law didn’t go into force on Jan. 1 as scheduled. And its troubled odyssey illustrates the political and business forces opposing a common-sense but controversial solution to rein in high health care costs for patients: Let patients see prices.
Many patient advocates say such transparency would be helpful for patients, allowing them to shop around for some services to hold down out-of-pocket costs, as well as adjust their household budgets for upcoming health-related outlays at a time of high-deductible plans.
Despite New Jersey’s lack of regulatory guidance when it comes to telemedicine, a California-based digital startup group called PlushCare, which provides urgent care treatment electronically, has opened for business in the Garden State.
Telemedicine is an online service designed to make it easier to be treated by a doctor or nurse without leaving home — via smartphone or computer.
The service is not intended for broken bones, wounds, or other serious injuries, but has become popular among patients suffering from bronchitis, sinus infections, pink eye, sore throat and urinary tract infections.
8Apr – by Daniel Steingold – 189 – In Health Studies
ROCHESTER, Minn. — When it comes to treating a serious illness, two brains are better than one. A new study finds that nearly 9 in 10 people who go for a second opinion after seeing a doctor are likely to leave with a refined or new diagnosis from what they were first told.
Researchers at the Mayo Clinic examined 286 patient records of individuals who had decided to consult a second opinion, hoping to determine whether being referred to a second specialist impacted one’s likelihood of receiving an accurate diagnosis.
The study, conducted using records of patients referred to the Mayo Clinic’s General Internal Medicine Division over a two-year period, ultimately found that when consulting a second opinion, the physician only confirmed the original diagnosis 12 percent of the time.
A new study finds that 88% of people who go for a second opinion after seeing a doctor wind up receiving a refined or new diagnosis.
Among those with updated diagnoses, 66% received a refined or redefined diagnosis, while 21% were diagnosed with something completely different than what their first physician concluded
Ridgewood Nj,one again many have demonstrated selective anesthesia, so here is a reminder of Obamacare architect Jonathan Gruber bragging about deceiving the American people, who he thinks are stupid.
Obamacare Architect Jonathan Gruber not only twice admits fooling stupid Americans but admits the concerted effort in the to mislead what the ACA or Obamacare is all about and what it goals are .
In a report, released by the Alliance for a Just Society,in 2015 is the result of a yearlong study that included a survey of 1,200 low-income people in 10 states and was conducted in Spanish, Cantonese and English. It found that people of color, families in rural communities and those with language and cultural barriers still struggle to get health care and pay for it.
The conclusion was , “cost was a struggle even in states that expanded Medicaid, where insurance premiums paid by people every month can be high.” “While the racial barriers are significant, the biggest barrier for enrollment for people of color was premium cost,”
The Heritage foundation came up with the exact same conclusion in 2013 . Many of Obamacare’s beneficiaries have already discovered or will eventually discover that there’s a big difference between insurance coverage and access to health care services.
Today, the New York Times highlighted a report by the Department of Health and Human Services that shows access to care in the Medicaid program is very limited.
The study, conducted between July 2013 and October 2013, concludes that more than half of providers could not offer appointments to Medicaid managed care enrollees with 35 percent of providers listed under an erroneous location. Nor were those the only issues, according to the report:
Among the providers who offered appointments, the median wait time was 2 weeks. However, over a quarter had wait times of more than 1 month, and 10 percent had wait times longer than 2 months. Finally, primary care providers were less likely to offer an appointment than specialists; however, specialists tended to have longer wait times.
This is neither surprising nor a new conclusion. The Medicaid program has a long and well-documented history of limited access to care and poorer health outcomes for beneficiaries compared to those with private insurance.
Ridgewood NJ, Coverage vs. Care, Interview with Dr. Alieta Eck on Halo Health where she discuses ,why insurance coverage is not the same as access to medical care and offers some interesting ideas could help.
Dr. Alieta Eck, M.D. graduated from the Rutgers College of Pharmacy in NJ and the St. Louis School of Medicine in St. Louis, MO.
She studied Internal Medicine at Robert Wood Johnson University Hospital in New Brunswick, NJ and has been in private practice with her husband, Dr. John Eck, MD in Piscataway, NJ since 1988.
In 2003, they founded the Zarephath Health Center, a free clinic for the poor and uninsured that currently cares for 300-400 patients per month utilizing the donated services of volunteer physicians and nurses.
Dr. Alieta Eck is working to enact NJ S94 in New Jersey whereby physicians would donate their time caring for the poor and uninsured in non-government free clinics in exchange for the State providing medical malpractice protection within their private practices. She is convinced that this would relieve taxpayers of much of the Medicaid burden currently consuming 1/3 of the NJ budget.
Alieta Eck has been involved in health care reform since residency and believes that the government is a poor provider of medical care. Dr. Alieta Eck testified before the Joint Economic Committee of the US Congress in 2004 about better ways to deliver health care in the United States.
In addition, she serves on the advisory board of Christian Care Medi-Share, a faith-based medical cost sharing Ministry and is a member of Zarephath Christian Church. She and her husband John have five children, one who is now an ophthalmology resident in St. Louis, MO.