Archive for September, 2009

Steps in choosing the best health plans

Saturday, September 26th, 2009

Choosing a health plan which is the best could be a confusing experience. Although there is no one “best” plans, there are various plans accessible today in market that would be better than others for you and your family’s health insurance needs. In simple terms, however, rather that mere giving you the answers, the best thing we could do is to make sure you are ready with the right questions. The following questions could help you and your family to take intellectual decisions on choosing the best from various options available regarding health care.

There are three major things to be considered, each with their own exclusive set of questions. By considering the questions thoroughly, you would arrive at the right plan for you and your family

1.How affordable is the cost of health care?

? How much would it cost me on a monthly basis?
? Should I try to insure only major medical expenses or cover most of my medical expenses?
? Can I afford a policy that at least cares for my children?
? Are there deductibles I should pay before the insurance begins to help cover my costs?
? After I have met the deductible, what part of my costs is actually paid by the plan?
? If I use doctors outside a plan’s complex, how much more would I pay to get care?
? How frequently do I visit the doctor and how much do I have to pay at each visit?

2.Do the integrated services match my needs (access of care)?

? What doctors, hospitals, and additional medical providers are parts of the plan?
? Are there sufficient kinds of doctors I want to see?
? Where would I go for care? Are these places near where I work or live?
? Do I require getting permission before I see a medical specialist?
? Are there any limits to how much I should pay in case of a major illness?
? Does the plan cover up the expenses of delivering a baby?

3.Have people had good results when covered by a specific plan (quality of care)?

? How do self-governing government organizations rate the different plans?
? What do my friends say about their understanding with a specific plan?
? What does my doctor say about their knowledge with a specific plan?

Flexibility Training: Stretching Our Way to Better Health

Monday, September 21st, 2009

Individuals who want to stay fit and healthy have been incorporating physical activities like cardiovascular training and weightlifting into their fitness routines, almost making exercise the center of their lifestyle. These people are often in a hurry to improve their physique or level of physical fitness that they have forgotten the importance of flexibility training. This kind of training is probably one of the most underrated and undervalued component of conditioning and physical fitness.

Flexibility training increases the the body’s range of motion. With flexibility, a person’s athletic performance is enhanced, with the risk of acquiring injuries greatly reduced. Stretching also speeds up metabolism. These benefits are achieved by improving blood flow into the different internal organs and muscles. Flexibility training helps lengthen the muscle fibers, facilitate ease of movement, while improving muscle recovery and strength. Flexibility training may also reduce muscle soreness, lower back pain, improve coordination and posture, and ease stress and anxiety in one’s life. In addition to these health benefits, various medical studies suggest that regular stretching enables the body’s internal organs to function properly because of improved blood flow.

However, the benefits of flexibility can only be enjoyed if proper training is done. Individuals who fail to perform proper flexibility training may develop injuries and hamper their workout goals. People who want to engage in flexibility training should include the following:

Before stretching, individuals should remember to perform warm-up exercises. These exercises may loosen up the muscle, improve blood flow, and prepare them for flexibility training.
Do not bounce (ballistic stretching) when performing static stretches. Medical experts suggest that ballistic stretching may cause immediate and residual pain. In the long run, it may lead to serious muscle damage.
Try to hold for at least 15-30 seconds to achieve long term flexibility benefits.
Perform flexibility and cool down exercises after workout to return the muscles to their resting stage.
Stretch gradually. Stretch only to the point where mild muscle tension is felt. If there is pain, then you might be doing it wrong. Move into each pose gradually and exhale while doing it.

Warming up is a crucial part of a flexibility program. A good flexibility program works best if a good warm-up session of about five to ten minutes of brisk walking or jogging is done before it. This is done because stretching cold muscles may lead to pulled or torn muscles. Health experts believe that the possibility of getting injured may decrease if the tendons and muscles are more conditioned.
Warming-up exercises may also bring the following health benefits:

Increase the heart and respiratory rate
Boost the amount of nutrients and oxygen delivered to the muscles
Prepare the body for a more strenuous workout
Make it easier to burn more calories
Extend one’s workout routine

A well-planned flexibility training program which includes warm-up exercises may improve fitness and overall health, regardless of age. Physical activities and workouts should not be done hastily. People who want to lose weight or improve their fitness level should remember that there are no shortcuts to physical fitness. Proper training may prevent injuries that may hamper one’s workout program. Individuals who want to engage in flexibility training should seek the approval of doctors and other health professionals. Some medical conditions may prevent certain individuals from performing flexibility poses and stretches.

Why Preventive Care is Important in a Healthcare Plan Provider

Wednesday, September 16th, 2009

More and more progressive healthcare plan providers are offering patients preventive care options. This helps offset the number one concern of most consumers ? cost.

When shopping for health insurance or any sort of healthcare plan, most consumers seek to protect themselves and their families from the potentially disastrous cost of major illness and hospitalization. Hence, preventive care is often an overlooked benefit that many consumers may not give sufficient consideration.

Following are some benefits of preventive care that you should consider when looking for a health insurance or a healthcare plan.

What is Preventive Healthcare?

A broad definition of preventive healthcare is “measures taken to identify life-threatening illnesses or habits with an eye towards curing, modifying and preventing them.” In other words, preventive care can be anything that helps you stave off illness and live a healthier lifestyle.

Why Preventive Healthcare is Important

Preventive healthcare is important for three reasons:

Early Detection Saves Lives: This is perhaps the most important reason to look for a healthcare plan that offers some measure of preventive healthcare options.

Annual mammograms, pap smears and colon-cancer screenings are all examples of preventive measures that help to save lives. Many life-threatening illnesses have silent symptoms. They only way to detect them is through some type of early detection test.

Take heart disease, for example. The American Heart Association estimates that roughly half of all deaths from this disease are sudden and unexpected. When you consider the great strides that have been made over the last 25 years in preventing and treating this disease, early detection can make all the difference in how well you will survive a heart attack, or whether you will even have one at all.

With illnesses like this, preventive care takes advantage of the advances in medical technology, detecting problems ? or assessing the likelihood of problems ? before they become life-threatening illnesses.

Modifying Behavior Leads to a Healthier Life: Preventive healthcare encourages many to lead healthier lifestyles. Getting regular exercise is one of the easiest things anyone can do to achieve overall better health. Many healthcare providers encourage this by offering discounts on gym memberships, yoga classes and other types of regular workout programs.

Another popular lifestyle change program that providers encourage is a smoking cessation program. Cigarettes are extremely addicting, and many smokers try for years to quite before they succeed. The benefits of quitting can prevent many healthcare problems, from lung cancer and heart disease, to stroke and heart attack, to many respiratory illnesses.

As the ultimate goal of all preventive care is to help patients live longer, healthier lives, amenities like this are natural offerings by healthcare plan providers.

Preventive Healthcare Saves Money: Preventive healthcare allows policy holders to get the most value for their healthcare dollars. This is because preventive care is usually much less expensive than treating a disease down the road.

To encourage this, comprehensive information is needed to make informed decisions. Forward-thinking healthcare providers offer members integrated solutions, like up-to-the-minute health information, medical alerts, drug recalls, wellness assessments and more.

This puts the information that members need right at their fingertips, allowing them to be an active participant in their ongoing healthcare.

Preventive care helps people to actively manage their overall healthcare. By encouraging regular checkups, regular screenings and an overall healthier lifestyle, individuals maintain better overall health, feel better, and minimize their health care costs throughout their lifetimes.

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Unlocking the Health Benefits of Celery

Friday, September 11th, 2009

Many vegetables are known for their numerous health benefits. Diets composed of more vegetables can reduce the risk of chronic disease and other health ailments. Vegetables can supply the body of necessary nutrients like vitamins, minerals, and fiber that are vital for development and maintenance. Many vegetables contain disease-fighting phytochemicals, that can help reduce the risk of different kinds of cancers, heart disease, high blood pressure, and diabetes. Celery is one vegetable that has many health benefits. Aside from being a source of good food, it is also used as alternative medicine. Its leaves, seeds, roots. and stems are used to treat urinal retention, kidney disease, hypertension, and even certain sexual disorders.

Celery is an excellent source of Vitamin C that is essential for promoting a healthy immune system. It also helps alleviate the symptoms of colds. Vitamin C inhibits free radical damage that may trigger inflammatory conditions like asthma and arthritis. This vitamin is also beneficial in promoting a healthy cardiovascular system.

Medical research shows that celery contains active compounds called pthalide that are essential in reducing the blood pressure. Pthalide works by relaxing the muscles of the arteries that regulates the blood pressures which allows the blood vessels to constrict. Healthy blood vessels may help prevent stroke, heart attack, and other heart ailments. The benefits of celery in reducing blood pressure is also attributed to its high contents of potassium, magnesium, and calcium. High consumptions of these minerals have been associated with reduced blood pressure.

A food regimen which contains celery may help prevent cancer because of the anti-cancer properties. This vegetable contains coumarin which essential in the prevention of free radicals from degenerating the cells which is a leading cause of cancer. Coumarins may also enhance the activity of white blood cells, these cells defend the immune system and eliminate harmful cells, including cancer cells. Celery also contain acetylenics that have been shown in some scientific studies to stop the development of tumor cells.

Other health benefits of celery may include the following:

* Diseases of the kidneys (nephritis)
* Diseases of the pancreas
* Diseases of the liver and gallbladder.
* Rheumatism
* Neuritis
* Constipation
* Asthma
* Catarrh
* Pyorrhea
* Diabetes – leaves
* Dropsy – roots
* Brain fatigue
* Acidosis (the condition of depletion of alkaline reserve or bicarbonate content of the body, celery being an alkaline food.
* Anemia, no doubt due to the presence of iron, some protein and Vitamin
* Obesity
* Tuberculosis
* Improvement of teeth, no doubt due to the presence of calcium.
* Calms the nerve and give relief in cases of insomnia.

In addition to these health benefits, celery contains many active ingredients that has made this vegetable a very important plant when it comes to promoting good health. It contains balanced content of minerals, vitamins, and other necessary nutrients. Celery also contains important concentrations of plant hormones and other essential oils that may regulate the nervous system and promote a sense of relaxation Some studies also claim that the celery is may also promote stimulating and positive effects on the sexual system. Because of the many health benefits of celery, regular consumption of this vegetable is encouraged by many nutritionists and other health experts.

Cut Health Plan Costs By Cutting Out the Managed Care Middleman

Sunday, September 6th, 2009

Cutting out the managed care middleman and contracting directly with medical providers may seem like a drastic solution for reducing health plan costs. Yet for employers who’ve been whipsawed by relentless cost increases, it may be the only solution that actually works. The profit-bloated managed care industry, with much to lose, has propagated many myths about why this sensible approach won’t work. But their solutions haven’t worked. Costs continue to surge and employers are desperately seeking relief. It’s time to debunk the myths about direct provider contracting and shed some light on this ingenious, innovative cost-containment strategy.

Myth 1: Employers cannot negotiate as good a deal with medical providers as can managed care companies. The truth is employers can often negotiate just as good a deal, or better. Providers welcome direct agreements for the very reason that they are not like conventional managed care contracts. Physicians have complained for years about adversarial agreements and poor reimbursements forced upon them by HMOs and PPOs. This negative perception has created a strong willingness among medical providers to do business directly with employers. These “win-win” agreements ultimately save employers money without shortchanging the providers. Unlike managed care companies, direct agreements disclose all contractual details so both employer and provider know the deal they’re getting and nothing can be hidden by a middleman’s “cut.”

Myth 2: You need large numbers of employees to negotiate direct provider contracts. The truth is physicians and hospitals will often contract with employers for limited numbers of employees. When a direct agreement is fair and reimbursement terms are reasonable, providers quickly realize it’s a smart business decision to work with employers in their own community. A local employer, regardless of size, represents an established group of existing lives as prospective patients, ready to use the direct network providers. Direct networks have been successfully developed in areas where the employer had as few as 30 employees.

Myth 3: Direct contracting won’t work in areas where other PPO networks are available. The truth is doctors are sick of disadvantageous agreements and miserable reimbursements forced upon them by managed care companies. They actually welcome the opportunity to contract directly with employers. For many doctors, the very fact it’s an agreement with the employer, and not a managed care company, is reason enough to participate in a direct network. A direct agreement establishes a true business relationship between provider and employer, one that promises the provider quicker reimbursements, better benefit payment levels, and easier access to the ultimate payer (the employer). It’s also a gesture of good community relations for any physician, medical group, or hospital to demonstrate.

Myth 4: Direct networks create more administrative burdens and higher costs. The truth is once direct networks are developed, the advantages of “owning” a network quickly outweigh “leasing” one from a managed care company. There are no recurring network access fees; less physician attrition; fewer employee complaints; simpler self-renewing contracts; better provider relationships; straightforward plan design features; and the ability to choose the best contractors for utilization review, case management, claims processing, and other administrative tasks. Managed care companies have failed to contain employer medical cost increases, despite all their so-called network management efforts. Ironically, and coincidentally, managed care industry profits are at an all-time high while employers continue to suffer.

Myth 5: Direct contracting exposes employers to greater liability. The truth is direct contracting poses no greater risk of litigation than any other benefit program component and may actually offer greater protection against it. Direct contracting is intended only for self-insured employers whose plans are governed by ERISA, which offers built-in protection against liability. ERISA preempts state tort laws and limits the employee’s ability to hold an ERISA plan liable for malpractice under state laws, which govern malpractice, not ERISA. Because direct provider agreements state the employer is not providing/directing medical care and has no role whatsoever in any medical decision, the protection offered by ERISA’s preemption is safely maintained.

Myth 6: Managed care companies can’t (or won’t) process claims for direct networks.
The truth is that processing claims and administering benefits for employer-owned provider networks are well within the technical capabilities of managed care companies. Their feigned inability to process direct network claims is one of many ways that managed care companies hold their employer-clients hostage in networks that are owned, leased, or arranged by the managed care companies themselves. If an existing managed care company cannot or will not administer direct network claims, there are plenty of third party administrators (TPAs) than can handle it, usually at a lower cost per employee. For employers that want direct networks in select locations (but want to keep commercial networks elsewhere), using a TPA is a convenient and cost-effective way to get the job done.

Myth 7: Managed care companies do a better job containing costs and saving employers money. If that was true, employer medical plan costs would be falling instead of rising. The truth is employers who have implemented direct provider contracting are experiencing lower costs and higher savings. One national employer with 20,000 employees has used direct networks to keep their health plan cost trend flat for the past five years. Another major employer reduced its health plan costs by more than 20% without reducing benefits or shifting costs to employees.

Bottom Line: Cutting out the managed care middleman and contracting directly with medical providers can help savvy employers reduce benefit costs and regain control over their corporate health care plans.