Posts Tagged ‘diabetes’

HHS Gives 11 Wellness Programs $31 Million

Wednesday, September 29th, 2010

Wellness gets $31 million to fight obesity and smoking.At present, seven of every 10 deaths among Americans are due to chronic conditions such as heart disease, cancer, stroke and diabetes.  These diseases also eat up 75 percent of the nation’s annual healthcare spending.

New wellness programs are getting a boost from the Affordable Care Act in the form of $31 million to help communities cut obesity, increase physical activity and improve nutrition.  The funding is contained in the Department of Health and Human Services’ (HHS) Communities Putting Prevention to Work (CPPW) program, a prevention and wellness program that is overseen by the Centers for Disease Control and Prevention (CDC).

“As I’ve seen throughout the year in my work with Let’s Move!, prevention works when it comes to improving the health of our families,” said First Lady Michelle Obama.  “These critical investments will help more communities across America tackle serious challenges like childhood obesity, while promoting physical activity and healthy eating.” The funding is being awarded to communities that have resources in place to increase the availability of healthy food and beverages; enhance access to safe places to encourage physical activity; discourage smoking; and promote environments that are smoke free.  Of the 11 awards announced, 10 are dedicated to anti-obesity programs and one to smoking cessation.

“To realize our goals of improving the health of Americans and lowering our nation’s healthcare costs, we must address the underlying factors that influence our families’ health – factors like the foods we eat and the conditions that exist in our homes, neighborhoods and workplaces,” said HHS Secretary Kathleen Sebelius.  “With Communities Putting Prevention to Work, we’re creating evidence-based models that we can replicate on a large scale to permanently reduce the chronic diseases plaguing so many of our communities.”  Already this year, CPPW has given nearly $492 million to support community and statewide hotlines and media campaigns that promote healthy living.

America Is Losing the War Against Obesity

Wednesday, September 22nd, 2010

America is putting on the pounds during this recession.  Americans are not getting thinner, and obesity rates have hit 30 percent of the population or higher in nine states last year, compared with just three states in 2007. Looking at the numbers from a different perspective, this means that 2.4 million additional Americans became obese in just two years, bringing the total to 72.5 million individuals, or 26.7 percent of the population.  Because the survey is based on a phone survey with 400,000 participants, the statistics probably underestimate true obesity rates.

According to Dr. Thomas Frieden, director of the Centers for Disease Control and Prevention (CDC), which issued the survey, “Over the past several decades, obesity has increased faster than anyone could have imagined.”  If the numbers keep climbing, Frieden says that “more people will get sick and die from the complications of obesity, such as heart disease, stroke, diabetes and cancer.”  The report says that obesity’s medical costs could be as high as $147 billion a year and notes that “past efforts and investments to prevent and control obesity have not been adequate.”  Too little exercise and too much fast food that is full of sugar and fat share much of the blame for the obesity epidemic.

The nine states with obesity rates of 30 percent or higher are Alabama, Arkansas, Kentucky, Louisiana, Mississippi, Missouri, Oklahoma, Tennessee and West Virginia.  Mississippi reported an obesity rate of whopping 34.4 percent.  Colorado and Washington, D.C., had the lowest obesity rates at less than 20 percent.  According to Dr. Heidi Blanck, the CDC’s chief of the obesity branch, Americans aged 50 and above had the highest obesity rates.

Healthcare Reform Expands Pharmacists’ Role

Wednesday, June 9th, 2010

Healthcare reform enhances community pharmacists’ ability to advance patients’ outcomes.  The recently passed healthcare reform legislation includes provisions designed to enhance community pharmacists’ ability to advance patients’ outcomes.  http://www.news-medical.net/news/20100322/Pharmacy-provisions-in-health-care-reform-bill-will-help-pharmacists-improve-patient-outcomes-NCPA.aspx The National Community Pharmacists Association (NCPA) notes that the most significant provisions scale back radical cuts in reimbursement for Medicaid generic prescription drugs; call for limited disclosure from pharmacy benefits managers operating in the exchanges to reduce costs; and exempt the majority of pharmacies from Medicare Part B Durable Medical Equipment, Prosthetics and Supplies accreditation.

Bruce T. Roberts RPh, NCPA executive vice president and CEO, issued the following statement:  “The pharmacy provisions in the healthcare bill passed by the House of Representatives are welcome steps towards improving the delivery of prescription drug services to patients across America.  Once the bill becomes law, many community pharmacies can continue serving Medicaid patients as well as offering Medicare beneficiaries’ essential medical supplies, like diabetes testing strips.”

Roberts points out that “Throughout this entire healthcare reform process, community pharmacists have offered constructive solutions.  The effective and efficient delivery of prescription drug services can produce considerable benefits. Other challenges remain and the implementation process will require our input to ensure the transition is a smooth one.”

Insurers Balk at Covering Children With Pre-Existing Conditions Before 2014

Thursday, April 1st, 2010

Insurance companies raise Democratic ire over pre-existing condition coverage for childrenNow that President Barack Obama has signed the healthcare reform bill into law, insurance companies are making the point that they do not have to comply by next September with a centerpiece of the legislation, coverage for some children with pre-existing conditions.  Insurance companies claim that the law — intended to ban all discrimination against children with diseases like asthma, diabetes, birth defects, orthopedic problems, leukemia, cystic fibrosis and sickle cell disease – is not as clear to them as it is to Congress and the White House.  According to the insurers, the law does not require them to guarantee “availability of coverage” until 2014.

William G. Schiffbauer, an attorney whose clients include employers and insurance companies, notes that “The fine print differs from the larger political message.  If a company sells insurance, it will have to cover pre-existing conditions for children covered by the policy.  But it does not have to sell to somebody with a pre-existing condition.  And the insurer could increase premiums to cover the additional cost.”

Congressional Democrats reacted angrily to the insurance companies’ interpretation of the law.  Representative Henry A. Waxman (D-CA), chairman of the House Energy and Commerce Committee, said “The concept that insurance companies would even seek to deny children coverage exemplifies why we fought for this reform.”  Senator John D. Rockefeller IV (D-WV) echoes Waxman’s viewpoint, noting “The ink has not yet dried on the healthcare reform bill, and already some deplorable health insurance companies are trying to duck away from covering children with pre-existing conditions.  This is outrageous.”

The Obama administration plans to issue regulations stating that “the term ‘pre-existing’ applies to both a child’s access to a plan and his or her benefits once he or she is in a plan.”  According to the administration’s interpretation of the new law, coverage for children with pre-existing conditions is intended to begin in September.

Why Russ Feingold Voted No

Monday, December 14th, 2009

One of the most surprising votes in the process to pass comprehensive healthcare reform is Senator Russell Feingold’s (D-WI) vote against an amendment sponsored by Senator Barbara Mikulski (D-MD) to fund women’s preventive health services.  The amendment, which will eliminate deductibles and co-payments for screenings like mammograms, passed by 61 – 39, with two Democrats voting “nay” and three Republicans voting “yea”.

Writing on AlterNet, a syndication service and online community of the alternative press, featuring news stories from alternative newsweeklies, magazines and the web, Daniela Perdomo notes that the amendment “guarantees that all women will receive a free annual gynecological exam, which would include screenings for the leading killers of women – breast, cervical, ovarian and lung cancers; heart disease; and chronic illnesses such as diabetes.  It also requires insurance plans to cover a whole slew of comprehensive preventive care and screenings specific to women, with no copayments.”

Feingold’s official statement says that he cast his “nay” vote to assure fiscal responsibility.  According to Congressional Budget Office estimates, the amendment will cost $980 million over the next 10 years.  Feingold has a history of voting for fiscal responsibility, Perdomo notes.  “I can’t rail against Feingold and say that he’s shown little fiscal restraint when voting for other measures.  He voted against the bailout giveaway to the banks.  In other words, I think Feingold’s votes are often sound.  But I do think he is wrong on this one, and I pick on him because he’s normally so level-headed.”

The other Democrat who voted against the Mikulski amendment was Ben Nelson (D-NE).  Republicans voting in favor were Olympia Snowe (R-ME), Susan Collins (R-ME) and David Vitter (R-LA).

Senator Mikulski herself sums it up the best:  “Simply being a woman is a pre-existing condition.”

Rural Family Practice Physician Chosen as Surgeon General

Friday, July 24th, 2009

President Obama has chosen a little-known family practice physician who runs a small clinic in a rural community on Alabama’s Gulf Coast as his Surgeon General of the United States.  She is Dr. Regina Benjamin,  who has spent her career tending to the healthcare needs of the poor.  According to Obama, “When people couldn’t pay, she didn’t charge them.  When the clinic wasn’t making money, she didn’t take a salary for herself.”artbenjaminnominationgi

Dr. Benjamin has committed herself to fighting the preventable illnesses that prematurely took the lives of both her parents, as well as her brother and sole sibling.  According to Dr. Benjamin, “I cannot change my family’s past, but I can be a voice to improve our nation’s healthcare for the future.”

Dr. Benjamin’s medical education was paid for by the National Health Service Corps, a federal program where students agree to pay back by working in areas that lack physicians for a specified time.  To honor that obligation, she founded the not-for-profit Bayou La Batre Rural Health Clinic in 1990 in the fishing village of Bayou La Batre, AL.  She remains the practice’s CEO.

The clinic, which was heavily damaged by Hurricanes Georges and Katrina, burned to the ground several years ago.  Every time, Dr. Benjamin rebuilt, even if it meant mortgaging her house or maxing out her credit cards.  Despite the setbacks, Dr. Benjamin remains dedicated to providing quality healthcare to the village’s 2,500 residents.

Benjamin is a stark contrast to Obama’s first nominee for Surgeon General – Sanjay Gupta, a glamorous TV personality and globe-trotting neurosurgeon who raised the hackles of Senators and withdrew his nomination.

The Surgeon General post, which is used primarily as a bully pulpit on healthcare initiatives, requires Senate confirmation.

Wellness Is a Proactive Approach to Healthcare

Wednesday, June 24th, 2009

Now is the time for healthcare providers to take a proactive approach to the well-being of their respective communities and target markets.  The American Recovery and Reinvestment Act (ARRA), signed into law by President Obama on February 17, contains $1 billion for the new Prevention and Wellness Fund.  This Fund will make available resources for funding immunization programs; infection prevention programs; and the prevention of mpj040515400001chronic diseases such as high blood pressure, diabetes and heart disease.  Based on statistics provided by the Center for Disease Control and Prevention, more than 70 million people in the United States (approximately 25 percent of our total population) live with cardiovascular disease.  Wellness programs have a direct impact on the prevention of these diseases and will be an important components of any preventative program.

Healthcare providers have historically been hesitant to invest in wellness and fitness centers due to the capital resource requirement and uncertain return on investment.  With careful planning and strategic development, these facilities can bring a substantial new revenue stream into the organization.  Skeptics may point to the Medical Fitness Association, which reports that in 2008 there were approximately 950 medically based wellness and fitness centers in the United States, with one-third reporting operating losses.

While such risks do exist, investing in wellness facilities and programs that directly address the prevention of chronic disease have the potential for more than satisfactory financial results.  If managed with a clear direction, thought and competence, these facilities can provide a financial return far more attractive than the equities market has offered in the recent past.  The resources allocated to fight chronic disease will come back tenfold in cost reductions over the long term.

Now is the time to invest in the well-being of our future.  We should not wait for another opportunity like the one Congress and President Obama have provided.  We need to take advantage of this now.

The Healthcare Village: Making Good Health More Convenient

Friday, April 17th, 2009

With 78 million baby boomers marching towards retirement, the U.S. population is older and less healthy as cases of obesity, diabetes and other chronic diseases increase, says Donna F. Jarmusz, Alter+Care Senior Vice President, in a recent interview for the Inspire blog.  These same consumers dislike inconvenient, institutional healthcare delivery systems, are demanding and have high expectations.  We have a drive-through mindset and enjoy everyday consumer experiences– buying a cup of coffee, drive-up banking, picking up dry cleaning.  We hardly think about them because they’re all convenient and accessible.
Consumers are looking for a similar consumer focus in their healthcare services.  They are also looking to healthcare providers for preventative health resources to achieve healthier lifestyles.

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