Archive for January, 2011

Health Care Reform – As of Today

January 5th, 2011

It came about last week. I was sitting in a State Conference for insurance professionals. I knew it was coming and I was ready to see if maybe THIS time, I would get more understanding than I had before. There was so much coming at me with regards to health care reform, I seemed to be in a tidal wave of information that seemed to change daily. The good news is, it was not just me. The bad news is, eve n many of those people “in charge” have little to no idea what is the 2,000 + pages of legislation called “health care reform”. A few things I came away with, I will share here…as well as an excellent bit of compiled info on some recent points to keep in mind for the coming months of 2010.

  1. Don’t worry if health care reform seems confusing… it is. Many who felt health care reform would be a good thing for the United States, I feel, forgot how many cooks would be in the kitchen on this one. Sure, there were some “head chefs”, but everyone wanted to make it something good for them or the people they represented. Unfortunately, I also feel that all these “chefs” forgot to consider one party of people and that was others. They seemed to forget the masses of people this was supposed to help and instead focused on a plan so riddled with more questions than answers. » Read more: Health Care Reform – As of Today

Home Health Care Bill of Rights

January 4th, 2011

Recipients of home health care in Illinois have certain inalienable rights of privacy guaranteed by the Privacy Act of 1974. Agencies who provide home health care and participate in Medicare and Medicaid programs are required by law to do a complete assessment of your current health status, which includes information which can be used to indicate your progress towards your goals. Home health agencies must use the OASIS – the Outcome and Assessment Information Set to evaluate your health. And to accomplish this, the agency must obtain information from you. This information will be used by the HCFA (Health Care Financing Administration, the government’s Medicare and Medicaid agency) to ensure that your agency meets quality standards, and administers its patients appropriate care. As a patient, you have the right to refuse to provide information to assess your agency. If you choose to provide information for the assessment, it is then protected by the Federal Privacy Act of 1974 and the HHA OASIS – the Home Health Agency Outcome and Assessment Information Set records system. You always have the right to examine, review, copy, and request corrections of your information in the HHA OASIS records system.

The information which is collected will be used for a number of purposes. In the first place, it can support litigation which involves the Health Care Financing Administration, as well as support requests by constituents to Congressional representatives. The information is also used to support policy, regulatory, and reimbursement functions performed by the Health Care Financing Administration and by home health care providing agencies. The information is also used to study the quality and effectiveness of care which is provided by agencies providing home healthcare in Illinois. Assessments based on this information are used to survey and certify Medicare and Medicaid agencies; and they enable regulators to provide these agencies with data to improve the quality of their patient care. The information is also used to develop, validate, and refine the system under which Medicare disburses payments; and for health care payment related projects. It also supports the research and evaluation of epidemiological projects which relate to the prevention of disability and disease; or which maintain or restore health. » Read more: Home Health Care Bill of Rights