<%@LANGUAGE="VBSCRIPT" CODEPAGE="1252"%>Newsletter Jan 04 December Newsletter
   ONLINE CONTINUING ED CHRONICLE
    Online Continuing Ed for Case Managers, Rehab Nurses,  Managed Care Nurses,
    Social Workers and Life Care Planners

    January 2004
    THE UNINSURED-- PART 1: Who are they and who pays for their care?

     View Prior Issues


OUR WEB SITES:
www.CEUs4CaseManagers.com
www.CEUs4RehabNurses.com
www.CEUs4ManagedCareNurses.com
www.CEUs4CCM.com
www.CEUs4CRRN.com

www.CEUs
4CLCP.com
www.WebEd
4SocialWorkers.com
www.RNCaseManager.com
www.SWCaseManager.com

Courses Approved for
ALL Nurses, Social Workers (ASWB), CCM, CMC,
CRRN, CRC, CPUR, CPUM, COHN, COHN-S, CLCP and CMCN (Pending)

ATTN: READ this newsletter and RECEIVE 4 CE credit hours!
TAKE COURSE: NW0104
Approved for Nurses, Social Workers, CCM,CRRN,CRC,CMC,CPUR,CPUM,CLCP,COHN,COHN-S
 
 points to articles that are Required Reading for this course.
For Fees and Instructions on receiving credit  CLICK HERE

ONLINE Continuing Ed courses
for ALL your
certification requirements

www.CEUs4CaseManagers.com

Looking for a better way to complete your continuing ed requirements?

Online CE Courses on
www.CEUs4CaseManagers.com
They're soooo
oooo
EASY, AFFORDABLE & CONVENIENT



THE UNINSURED

Test Your Knowledge of America's Uninsured



OVERVIEW

Over 43 million U.S. residents, nearly one in six Americans under the age of 65, lack health coverage.  Unless employer-sponsored health insurance becomes more widely available and less costly, or public programs expand, the number of uninsured could continue to rise over the next decade.

With support from the Robert Wood Johnson Foundation, the Institute of Medicine is completing a three-year, comprehensive study of Uninsurance and its implications for uninsured individuals, their families, their communities, and the nation.  The
study has two primary objectives:
  • To assess and consolidate evidence about the health, economic and social consequences of uninsurance for --
    1. persons without health insurance and their families,
    2. health care systems and institutions, and
    3. communities as a whole.
  • To raise the awareness of both the general public and policy makers and improve their understanding of the consequences of being uninsured.

A 16-member Committee issued six reports between September 2001 and January 2004.
See below for a review each of the 6 reports.
Institute of Medicine
Consequences of Uninsurance
    Hidden Costs, Value Lost: Uninsurance in America
Insuring America's Health: Principles and Recommendations

January 14, 2004
  Hidden Costs, Value Lost: Uninsurance in America
Hidden Costs, Value Lost: Uninsurance in America

Portrait of the Uninsured
June 17, 2003
    A Shared Destiny: Community Effects of Uninsurance
A Shared Destiny: Community Effects of Uninsurance

March 6, 2003
    Health Insurance is a Family Matter
Health Insurance is a Family Matter

September 18, 2002
    Care Without Coverage: Too Little, Too Late
Care Without Coverage: Too Little, Too Late

May 21, 2002
    Coverage Matters: Insurance and Health Care


Coverage Matters: Insurance and Health Care

October 11, 2001


Statistics

2003 statistics will be released later this year.

Census Bureau - Health Insurance Coverage 2002

Millions lost health insurance coverage in 2002

Number of Americans without Health Insurance Rose in 2002.

Minorities are the Most Uninsured

Hispanics 35%
Blacks 22%
Asians 21%
Non-Hispanic Whites 12%


Sicker & Poorer
The Consequences of Being Uninsured
Executive Summary
Full Report

A Review of the Research on the Relationship between Health Insurance,
Health, Work, Income and Education

A new report by the Kaiser Commission on Medicaid and the Uninsured synthesizes the major findings of the past 25 years of health services research assessing the most important effects of health insurance. The report evaluates thousands of citations and 230 research articles to assess the consequences of being uninsured for health status and economic opportunity and concludes that the weight of this large body of research makes a compelling case that health insurance does lead to improved health and better access to care.

The major findings from the paper include:

  • The uninsured receive less preventive care, are diagnosed at more advanced disease stages, and once diagnosed, tend to receive less therapeutic care (drugs and surgical interventions);
  • Having health insurance would reduce mortality rates for the uninsured by 10 15 percent; and
  • Better health would improve annual earnings by about 10-30 percent (depending on measures and specific health condition) and would increase educational attainment.

CAUSES of INCREASING
NUMBER of UNINSUREDS

Center on Budget and Policy Priorities
The primary factor behind the increase in the number of uninsured was an erosion in both adults' and children's private health insurance coverage, driven by

  • the weak economy,
  • rising unemployment and
  • the increasing costs of health care.

CASE MANAGERS' FORUM

VISIT the Case Managers' Forum --
www.rncasemanager.com/Forum/default.asp

See what others are talking about on --

  • Ethics,
  • Managed Care,
  • Utilization Review
  • CCM Certification and much more!

FREE JOB POSTINGS !
on www.RNCaseManager.com
See Employer Services

Looking to hire a Case Manager ?
Post your positions on
www.RNCaseManager.com
/ www.SWCaseManager.com
See Employer Services in page heading.

To find a new Job -
Job seekers please visit us at -- www.RNCaseManager.com/Jobseeker Central

BOOKS
FOR SALE
Coming in
February
www.Books4CaseManagers.com
www.Books4RehabNurses.com
www.Books4LifeCarePlanners.com
www.Books4ManagedCareNurses.com
www.Books4SocialWorkers.com

New CE Courses: Available NOW

www.CEUs4CaseManagers.com
See New Courses


Comprehensive Introduction to
Case Management
© (7 parts)
See Course Outlines for CM1001-CM1007

  1. CM1001: Introduction to Case Management© (6 hours)
  2. CM1002: Financial Reimbursement Systems© (3 hours)
  3. CM1003: Specialized Roles of Case Mgmt© (4 hours)
  4. CM1004: Skills for Successful Case management© (5 hours)
  5. CM1005: Quality Patient Care, Measuring the Effectiveness of CM and Linking JCAHO to Case Mgmt© (5 hours)
  6. CM1006: Legal and Ethical Issues of Case Management© (4 hours)
  7. CM1007: Hiring and Certification of
    Case Managers
    © (3 hours)

Additional NEW courses

  1. MM1015: Evolution of Case Management© (2 hours)
  2. MM1016: Developing Collaborative Relationships © (4 hours)
  3. MM1017: Taking a Systems Approach to Case Management© (4 hours)
  4. MM1018: Contemporary Models of Case Management Parts 1, 2 and 3© (7 hours)
  5. MM1019: Case Management - Its Public Policy Implications © (3 hours)

EXAM PREP Courses

CCM,CRRN,
COHN and COHN-S

UPCOMING CONFERENCE

The cost of NOT covering the Uninsured and
Who pays for the Uninsured?


The Cost of NOT covering the Uninsured

The Cost of NOT Covering the Uninsured -
Key Findings

Uninsured can affect entire community
'The insured and the uninsured have a shared destiny' March 2003
WASHINGTON (AP) -- The presence of a large number of uninsured people in a community can affect the availability of medical care for everyone, the Institute of Medicine reported this week.

Who pays for the Uninsured?
  1. Medicare's Disproportional Share
    Hospital (DSH) Payments
  2. Safety-net Hospitals
  3. Cost-Shifting
  4. Overcharging the Uninsured
  5. Tax-exemptions for Non-profit Hospitals
How Much Medical Care Do The Uninsured Use, And Who Pays For It?

1. Disproportionate Share Hospital Payments

Why and How does Medicare make DSH payments?

What are Disproportionate Share Hospital Payments?

DSH adjustment controversies continue . . . (Medicare/Medicaid).(disproportionate share hospital)

2. Safety Net Hospitals

The Dependence of Safety Net Hospitals and Health Systems on the Medicare and Medicaid Disproportionate Share Hospital Payment Programs
Briefing Note / Abstract
Full Text
3. Cost Shifting

"Cost-Shifting" in New Hampshire Hospitals

4. Overcharging the Uninsured

Gouging the Medically Uninsured: A Tale of Two Bills

Why Hospitals Overcharge the Uninsured

Uninsured and Overcharged: How Advocate Health Care Overcharges Chicago hospital patients

5. Tax-exemptions for Non-profit Hospitals

CHARITY? Nonprofit hospitals skimp on care for the poor
The Internal Revenue Service grants nonprofit hospitals tax-exempt status as long as they provide "significant health care services to the indigent.". . .

According to the health department report, Catholic Healthcare West's two S.F. hospitals, St. Mary's and St. Francis Memorial Hospital, gave out around $3.2 million in free treatment during fiscal 2001-02. Meanwhile the hospitals reaped roughly $5.3 million in tax exemptions. And Catholic Healthcare West generated company-wide net revenues of more than $50 million.

Nonprofit hospitals take tax break and run (another perspective on the same information presented in the article above)

Charitable Hospital Accountability:  A Review and Analysis of Legal and Policy Initiatives

SOLUTIONS to the PROBLEM
Coming in NEXT Month's Newsletter



ADDITIONAL ARTICLES
and RESOURCES

The Uninsured - Issue Spotlight
Kaisernetwork.org brings you the latest research and analysis on providing health care coverage for the 41 million Americans who lack coverage

Disabled are falling through gaps in Medicare coverage

Resources for the Uninsured SCI/D Person

Bureau of Primary Health Care - Service Delivery Locator

 

INDIGENT PRESCRIPTION PROGRAMS

The list below contains the name and telephone numbers of companies that have indigent programs in place.

Medication Manufacturers' Indigent Drug Programs

Indigent Prescription Programs

The Medicine Program

RxHope.com - Patient Assistance Programs

Needy Meds



www.CEUs4CaseManagers.com
ADVISORY BOARD
Toni Cesta, PhD, RN, FAAN
Elaine Cohen, EdD, RN, FAAN
Connie Commander,RN,CCM,CPUR
CMSA's Case Manager of the Year 2003
Vivian Campagna, Director , Case Management
St. Clare's Hospital & Health Center, NY, NY
Interested on being part of our Advisory Board? Contact us - 1-866-543-2273


Want to review past issues
of our newsletter?


A LITTLE HUMOR: Multiple Choice Tests


If you would like to be REMOVED from our Newsletter mailing list, please REPLY with the word REMOVE in the subject.
If you know someone who would like to be ADDED to our mailing list, please email us at:  vicki@emailias.com
If you would like to call us with QUESTIONS or COMMENTS, our toll free # is 1-866-543-2273
If you are receiving DUPLICATE copies of this newsletter, please contact us at: 1-866-543-2273
or email us at  vicki@emailias.com with Subject: RECEIVING DUPLICATE COPIES

TOP