Here and There Healthcare
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Here and There Healthcare
Healthcare economics from all over the world. Pharma, research, hospitals, insurance, medical tourism
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Spending on US Health Care, 1996-2013

Spending on US Health Care, 1996-2013 | Here and There Healthcare | Scoop.it
This study used data from National Health Expenditure Accounts to estimate US spending on personal health care and public health, according to condition, age an

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Kuwait Interior Minister abandons responsibility over sending staff for treatment abroad

Kuwait Interior Minister abandons responsibility over sending staff for treatment abroad | Here and There Healthcare | Scoop.it

KUWAIT: Deputy Premier and Interior Minister Lt Gen Sheikh Khaled Al-Jarrah Al-Sabah issued a ministerial decision transferring responsibility for the approval of sending interior ministry employees for treatment abroad or to private hospitals in Kuwait to the Ministry of Health’s treatment abroad department. The interior minister previously had the authority for making such approvals, but …


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Prix des médicaments : la guerre est déclarée

Prix des médicaments : la guerre est déclarée | Here and There Healthcare | Scoop.it
Face à l'envolée du prix de certains médicaments innovants, La contre-attaque s'organise. Cette semaine, la bataille se déplace sur le pla
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Apple HealthKit reportedly to shift from tracking to diagnosis

Apple HealthKit reportedly to shift from tracking to diagnosis | Here and There Healthcare | Scoop.it

Apple plans to turn HealthKit app bundle into a full-fledged diagnostic tool that interprets fitness and health data in order to offer medical advice, Bloomberg reported Monday.

The tech giant has recruited a team of health care experts over the past few years who are busy beavering away to build an electronic record system that will be able to analyze data for both doctors and patients, the news service reported, citing "people familiar with team's plans."

Apple introduced HealthKit software in 2014 and, right from the start, made data gathered from wearables a central part of the accompanying Health app's job.

 


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Apple brings in star YouTube doctor to work on digital health

Apple brings in star YouTube doctor to work on digital health | Here and There Healthcare | Scoop.it

Since Apple treats its works-in-progress as state secrets, those of us on the outside are left to speculate on what the tech company might be up to, including in healthcare. Sometimes, we get some clues and are left to fill in the blanks.

This week brought a pretty interesting clue.

Apple, of Cupertino, California, has hired Canadian digital health guru Dr. Mike Evans for an unspecified role in worldwide health innovation.

Evans is founder of the Health Design Lab at the Li Ka Shing Knowledge Institute at St. Michael’s Hospital in Toronto. He also runs his own multimedia project, the Evans Health Lab, which “build[s] engaging health media to make the world a better, healthier place,” according to the lab’s website.

 


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Medical tourism hurts Nigeria's healthcare

Medical tourism hurts Nigeria's healthcare | Here and There Healthcare | Scoop.it
When Nigerians need to see a doctor, many get on a plane instead of going to the local hospital. The medical exodus is hurting Nigeria's health service. A
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The Reshaping Medical Tourism Market: More US Patients Seek Lower-Priced Care Overseas - HealthPopuli.com

The Reshaping Medical Tourism Market: More US Patients Seek Lower-Priced Care Overseas - HealthPopuli.com | Here and There Healthcare | Scoop.it
More U.S. patients are faced with spending more out-of-pocket for health care services, to meet high-deductible health plans and rationally spend their health savings account investments.
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Employers who want to add medical tourism benefits to their plan will need specialty help.

Employers who want to add medical tourism benefits to their plan will need specialty help. | Here and There Healthcare | Scoop.it

Hi,

I'm Michael Tarabay, VP of Business Development for Mercury Healthcare International. I've been a benefits advisor for more than 30 years and I can help your plan save money without cutting benefits.

 

Once an employer has decided to add a domestic or international health travel benefit option to their ERISA self-funded, group health benefit plan, they'll need to design their benefit option and add the details of their unique program to their Summary Plan Description (SPD).

 

ERISA sets fiduciary standards that require employee benefit plan funds be handled prudently and in the best interests of the participants. It requires plans to inform participants of their rights under the plan and of the plan’s financial status, and it gives plan participants the right to sue in federal court to recover benefits that they have earned under the plan. To be qualified for tax preferences under the Internal Revenue Code (IRC), plans must meet requirements with respect to pension plan contributions, benefits, and distributions, and there are special rules for plans that primarily benefit highly compensated employees or business owners.

 

ERISA specifies what the SPD must contain.[1] The Summary Plan Description, or SPD, is the main vehicle for communicating Plan rights and obligations to Participants and Beneficiaries. As the name suggest, it is generally a summary of the material provisions of the Plan Document, which is understandable to the average Participant of the employer. However, in the context of Health & Welfare Benefit Plans, it is not uncommon for the SPD to be a combination of a complete description of the Plan's terms and conditions, such as a Certificate of Coverage, and the required ERISA disclosure language.

 

Under Section 104(b)(1), a plan administrator must provide a summary of any material modification (SMM) in the terms of the plan as well as any change in information required to be included in the SPD.[2] This summary must be provided, in most cases, within 210 days after the close of the plan year in which the modification was adopted, and also must be furnished to the Labor Department upon request.[3]

 

Similar to the SPD, the materials must be written in a manner that can be understood by the average plan participant. While ERISA does not define “material modification” and does not specifically cover what changes warrant an SMM,[4] courts have addressed this issue.[5] Courts have held plan amendments such as the establishment and elimination of benefits are material modifications. [6]However, as courts have also pointed out, not all plan amendments are material modifications. [7]

 

[1] Hicks v. Fleming Cos., 961 F.2d 537 (5th Cir. 1992).

[2] 29 U.S.C. § 1024(b)(1), ERISA § 102(a); 29 U.S.C. § 1022(a); 29 C.F.R. § 2520.104b-3.

[3] ERISA § 104(b)(1), 29 U.S.C. § 1024(b)(1); 29 C.F.R. § 2520.104a-8.

[4] However, regulations provide a special rule for health plans. Subject to an exception, an SMM shall be furnished if there is a “material reduction in covered services or benefits.” 29 C.F.R. § 2520.104b-3.

[5] EMPLOYEE BENEFITS LAW (Matthew Bender 2d ed.)(2000).

[6] See, e.g., Baker v. Lukens Steel Co., 793 F.2d 509 (3rd Cir. 1986)(elimination of an early

retirement benefit option was a material modification); American Fed’n of Grain Millers v.

International Multifoods Corp., 1996 U.S. Dist. LEXIS 9399 (W.D.N.Y. 1996) aff’d, 116

F.3d 976 (2d Cir. 1997) (amendment to a medical plan requiring retirees to pay a portion of

premiums considered a material modification).

[7] See, e.g., Hasty v. Central States, Southeast and Southwest Areas Health and Welfare

Fund, 851 F. Supp. 1250, 1256 (N.D. Ind. 1994) (amendments more specifically providing

for a trustee’s discretionary authority under an employee benefit plan were not a material

modification because the amendments “simply clarify a power”).

 

 

For more information, please call me at 800-727-4160

 


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US medical tourism network agrees four new deals

US medical tourism network agrees four new deals | Here and There Healthcare | Scoop.it

MHI's network includes over 6,000 pre-screened and inspected hospitals, more than 4,300 of which are in the USA, along with over 750,000 vetted doctors, clinics, dialysis centres, physical therapy and rehab centres, labs, imaging and hearing centres, plus substance abuse and mental health clinics.

 

MHI operates several offices worldwide where staff work to operate a health travel and medical tourism logistics hub, conduct patient safety reviews and use medical records to conduct extended outcomes measurements for health travel and medical tourism patients seeking care in a location other than their home town.


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Exclusive: Best and worst hospital trusts for nursing

Exclusive: Best and worst hospital trusts for nursing | Here and There Healthcare | Scoop.it
In-depth analysis of the latest national survey data has revealed the best and worst trusts for overall nursing care and nurse staffing levels, based on the views of hospital patients.
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The top 41 health-oriented social media influencers .. great to be listed among such great people #hcsmeu #hcsmeufr #hcsm

The top 41 health-oriented social media influencers .. great to be listed among such great people #hcsmeu #hcsmeufr #hcsm | Here and There Healthcare | Scoop.it
...

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Bravo Lionel, Bravo Andrew !

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Indian healthcare data, information and analytics

Indian healthcare data, information and analytics | Here and There Healthcare | Scoop.it
India eyes jump in medical tourism #healthcare #medical #tourism #datajournalism http://t.co/NtHjwHqppS
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Why You Should Consider a Second Medical Opinion

Why You Should Consider a Second Medical Opinion | Here and There Healthcare | Scoop.it
When you’re facing a new medical diagnosis, it’s common to feel confused. Making decisions can be very difficult as you navigate the healthcare system, espe
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Kuwait  - ‘Health tourism’ on hold for now

Kuwait  - ‘Health tourism’ on hold for now | Here and There Healthcare | Scoop.it

KUWAIT CITY, Nov 14: The Supreme Committee for Overseas Treatment has been cancelled and the final decision on sending Kuwaiti patients for treatment abroad now lies in the hands of special committees in hospitals, reports Al-Shahid daily quoting highly-reliable sources. Sources disclosed this step is part of efforts to eliminate financial burdens caused by the …


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Insurer struggling to promote medical tourism packages | IMTJ

Insurer struggling to promote medical tourism packages | IMTJ | Here and There Healthcare | Scoop.it
Australian insurer nib is struggling to promote medical tourism to Thailand and within Australia. Medical tourism packages fail to take off.
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La région de Vénétie publie des résultats de télésuivi de patients atteints de maladies chroniques

La région de Vénétie publie des résultats de télésuivi de patients atteints de maladies chroniques | Here and There Healthcare | Scoop.it
Le projet européen Renewing Health a été lancé en février 2010 et s'est terminé en décembre 2013 avec un panel de 7000 participants. La Vénétie a participé avec 3302 patients atteints de 4 maladies chroniques.
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Could Amazon’s Echo be a digital care agent for chronic patients?

Could Amazon’s Echo be a digital care agent for chronic patients? | Here and There Healthcare | Scoop.it

Amazon Echo’s Alexa, the cloud-based personal assistant, senses chronically ill patient Bob, 75, enter the room.

Alexa: Good morning, Bob. It’s time for you take your 10 mg of Coumadin.

Bob: Thank you, Alexa.

If the above scenario sounds a little far fetched – how in the world can Amazon’s Echo device sense a person’s presence as well as know to say which medication to to take and how much – it’s time to put a little faith in the internet of things.

“That technology exists now and it’s a matter of time before Amazon decides to creates a version of the device that either interfaces with another sensor device that is a motion sensor or has a motion sensor built in,” said Nathan Treloar, president and chief operating officer at Orbita, a software company that builds digital services for home health and is based in Boston, Massachusetts.

 


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MedRepublic’s Virtual Medical Tourism Platform Allows Patients Greater Access to Medical Treatments Abroad - September 21, 2016 - Medical News Bulletin

MedRepublic’s Virtual Medical Tourism Platform Allows Patients Greater Access to Medical Treatments Abroad - September 21, 2016 - Medical News Bulletin | Here and There Healthcare | Scoop.it
Medrepublic, a virtual medical tourism platform, helps to link Canadian and American patients with health services in other countries.
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Medical Tourism - A Growing Retail Heath Strategy | Huffington Post

Medical Tourism - A Growing Retail Heath Strategy | Huffington Post | Here and There Healthcare | Scoop.it
The Cleveland Clinic
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World Medical Tourism Congress: Piece de Resistance for U.S. Employer Savings

World Medical Tourism Congress: Piece de Resistance for U.S. Employer Savings | Here and There Healthcare | Scoop.it
U.S. self-funding employers are avoiding rising healthcare costs by adopting medical tourism into their self funded medical plans;

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Monica Rix Paxson's curator insight, August 2, 2014 12:14 PM

There is money to be saved. It remains to be seen if employers, insurers and patients will accept it. One thing seems certain: The price structure of medical care in the USA won't change.

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GROUP HEALTH BENEFITS INSIGHTS with MICHAEL - November 15, 2011

GROUP HEALTH BENEFITS INSIGHTS with MICHAEL - November 15, 2011 | Here and There Healthcare | Scoop.it

According to recently-released research* from Xerox companies ACS and Buck Consultants, nearly one third (31%) of those responding to the survey weren't able to put any money in their HSA this year. On another survey question, 21% reported that they through HSAs were not valuable to them for one reason or another, and a whopping 36% reported that their high-deductible health plan (HDHP) / health savings account (HSA) combination did not meet their family's needs.  That's disappointing, to say the least!

 

On the other hand, employers who responded reported that the cost of providing HSA-qualified plans is less than the cost of providing a standard Preferred Provider Organization (PPO). The average direct cost to provide an HDHP/HSA is $5,469 for individual coverage and $9,909 for family coverage.

 

In comparison, the average PPO cost is $7,158 for individuals and $10,691 for family. When coupled with a domestic health travel option for US-based employees those savings can quickly escalate into extra thousands of dollars saved simply by driving a few hours or hopping on a low-cost airline for a short flight to an alternative source of care for high-cost elective procedures.

 

"The key to the savings is to know where and how to look for them," says Michael Tarabay, VP of Business Development at Mercury Healthcare International (MHI). "In the past, folks have always simply assumed that they could only select their care from the list of nearby providers, even if those providers charge upwards of 60-80% more than the hospital 90-miles away."

 

When employers sign up with MHI, they get savings, convenience and choices. One quick call to our professional Care Navigators™ and plan participants and MHI consumer members can have access to transparent pricing and doctor credentials at over 800,000 providers in the USA and 92 other countries. So, no matter where they live or work, here in the states, or as expats, we can steer them to qualified, pre-screened and inspected providers who have stepped up to the plate and are ready to compete for their business with service, quality, access and price, Tarabay continues.

 

For anyone seeking more information on how we can save millions on group health benefits with a variety of cost saving solutions, please call me today at 800-727-4160.

 

I am committed to find ways to save your self-funded employee or union welfare benefit plan money and lower the out-of-pocket costs for your workforce and their dependents, without forcing you to cut benefits or reduce coverage.

 

*2011 Employer and Account Holder Surveys, ACS and Buck Consultants, November 10, 2011


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singletruth's comment, April 4, 2012 3:07 AM
Wow, sounds like you have none of your bases covered and then pretend we actually have a system that doesn't bankrupt people as a matter of course when they get seriously sick.

HSA are worse than ridiculous, they're insulting to a working persons intelligence, but thanks for passing along the corporate line.
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California Women Can Soon Skip the Doctor to Get Their Birth Control - KQED

California Women Can Soon Skip the Doctor to Get Their Birth Control - KQED | Here and There Healthcare | Scoop.it
The new law will also permit pharmacists to prescribe other medications, order lab tests and administer vaccinations.
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E-santé : vers une Santé Publique 2.0 ? #hcsmeufr

E-santé : vers une Santé Publique 2.0 ? #hcsmeufr | Here and There Healthcare | Scoop.it
E-santé : vers une Santé Publique 2.0 ? #hcsmeufrr

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Formidable, mais pourquoi les pouvoirs publics s'intéressent-ils si peu au fond à tout ça?

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An 'Utterly Broken' Drug Market: The High Cost of Surviving Cancer

An 'Utterly Broken' Drug Market: The High Cost of Surviving Cancer | Here and There Healthcare | Scoop.it
Why are cancer drugs so expensive? With more new treatments costing as much as $10,000 a month, calls are increasing to tie price to performance.

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Pour ceux qui critiquent le système de soins français ...

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Le secteur médical chinois en plein essor, une chance pour les start-up françaises

Le secteur médical chinois en plein essor, une chance pour les start-up françaises | Here and There Healthcare | Scoop.it
Vouloir accéder au titre de première puissance mondiale, nécessite d’offrir à sa population un système de santé performant.

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