Telemedicine in the Affordable Health Care Act Explained
Telemedicine is an important component of the robust and technology driven Affordable Care Act system (Obama care) and provides avenues for reducing costs in the new healthcare structure, because it offers options in how to access healthcare services.The Affordable Care Act is the most comprehensive overhaul of the nation’s health care system in decades and it’s implementation and sign-ups will all be processed through marketplace exchanges.What is the Meaning of Telemedicine?Telemedicine is the use of telecommunication and information technology to provide clinical health care without a traditional face-to face consultation. It helps eliminate distance barriers and can improve access to supplementary medical services for people with:
Basic or No Insurance
High Deductible (HDHP) Insurance
Traditional Insurance
Tele-health Vs Telemedicine’Tele-health’ is an older, broader term for services such as health education and is not limited to clinical services, while ‘Telemedicine’ narrowly focuses on the actual curative aspect between the patient and healthcare professional. Examples of Tele-health are health professionals discussing a case over the telephone or conducting robotic surgery between facilities at different ends of the world.Tele-Health has a broader scope than telemedicine and is sometimes called e-health, e-medicine, or telemedicine. Health care professional use tools like e-mails, e-visits, e-prescribing, after-hours care, e-reminders, health assessments, self-management tools, health coaching etc.The State of the MarketThe Affordable Care Act (Obama Care) Health Insurance Exchange (HIX) opens on Oct 1st, 2013. and goes into operation on Jan 1st, 2014. The Obama Care exchanges, are State, Federal or joint-run online marketplaces for health insurance. Americans can use their State’s “Affordable” Insurance Exchange marketplace to get coverage from competing private health care providers.Steps to Sign up for Health Care Plans
Participants enter personal information into a web portal
Learn their eligibility for subsidies based on income, state-determined criteria or employer-based options.
Use a price calculator to shop, compare and choose a best benefit health plan.
Several major health companies have programs like TelaDoc in Aetna, KP-OnCall in Kaiser etc, trying to set up footholds in a market that is widely expected to grow rapidly. All participants have to do is research for telemedicine benefits through their health insurance plans or sign up for independent programs.How Health Care Professionals Administer TelemedicineDoctors can treat most everyday health needs by phone or a scheduled video consultation. A study by the American Medical Association shows that 4 out of 5 visits to a primary care doctor could have been treated over the phone instead. After each consultation, patients will receive a clinical report which can be emailed to a primary care physician.Registered Nurses manage triage calls and act as health coaches. For some specific symptoms, they give guidance for the most appropriate care, and over 32% of the time will offer self-care options so patients avoid a visit to the doctor, ER or Urgent Care facility entirely.Common symptoms often treated through TelemedicineRespiratory Infections, Cold/Flu Symptoms, Urinary Tract Infections, Sore Throats, Headaches/Migraines, Sinusitis, Allergies, Insect bites, Certain Rashes, Sprains/Strains, Arthritic Pain, Stomach Aches/Diarrhea, Gastroenteritis, Minor Burns and many non-emergency medical conditionsBy 2014, the law mandates that all non-exempt Americans have health insurance or face a tax penalty. The Affordable Care Act has far-reaching advantages such as prohibiting insurance companies from dropping a clients’ coverage if they get sick or discrimination against anyone with a pre-existing condition and extending children’s eligibility on parent’s plans.For entrepreneurs, who will most likely be responsible for their own health insurance, knowing how telemedicine can supplement their health insurance plans, means they can take full advantage of the options, savings and benefits.
Choices in Finance Education
The finance industry offers a plethora of options to students wanting to join the finance profession.Today’s finance profession is not limited to just the accounting jobs. With the right kind of finance education, a finance student can find himself suitable for a variety of finance roles. Most finance careers require you to be good with numbers and have knowledge of basic business statistics. Let’s take a look at some of the lucrative financial education options.Accountancy: This is the most widely popular financial career. Commonly referred to as a public accountant, you learn about to prepare and maintain a businesses financial records. You also learn about taxation and other financial aspects of the business. Education in this area is very comprehensive, and the exam is considered quite difficult. Apart from public accountants, there are also other specialized fields such as cost accountant, management accountant, and tax expert.MBA Finance: Another popular area in finance education is the MBA in Finance. This program is at the post-graduate level and is offered by most universities as well as business schools. An MBA Finance degree opens up career opportunities in a plenty of areas, which include banking, financial analysis, financial markets, research, etc. In general, the reputation of an MBA Finance is measured based on his skill level and the reputation of the college from where the program was completed.Financial Planning: This is one of the most sought after professions in the finance field. As a financial planner, you are required to manage the personal finances of individuals. You are expected to invest people’s money in the best assets based on their risk profile and also advice them on various matters such as taxation, real estate, among others.Finance Certifications: As the finance profession has grown, many new finance certifications have emerged that help students get equipped with very specific financial knowledge. For example, the Certified Financial Analyst (CFA) designation helps you become a financial analyst. There are popular certification programs for becoming risk managers; these are Financial Risk Manager (FRM) offered by GARP, and Professional Risk Manager (PRM) offered by PRMIA. If you are interested in Alternative investments, then you have the option to become a Certified Alternative Investments Analyst (CAIA). There are financial certifications in almost every area of finance.You can choose to pursue your finance education either as self-study (through certifications) or by joining a college. In either case, you will gain practical experience once you join the industry.
Technology is Disruptive – And Empowering
Technology changes the way we work, live our lives, and have fun. Technology can empower businesses with improvements in productivity, faster development and production cycles, superior decision making by employees, and enhanced customer service. But deriving these benefits from incorporating new technology is not always a smooth process. Technology is often, at first, disruptive before it becomes empowering.Although the ideas developed in this article may have general applicability, they are mainly intended to relate to the incorporation of new information and communications technologies into business processes. Information technologies involve computers and their peripheral equipment as well as the data flow across local area networks. Communications involve any voice and video activity including the telephone system and related equipment as well as the communications pathways creating the wide area networks.Technology Changes Business ProcessesEvery action conducted within a business is part of one process or another. Sometimes the processes are easily defined and readily observable, as in the path of a purchase order. At other times, the process is not so clear but nevertheless it still exists even if by default.New technologies are introduced into business to:
Speed up existing processes
Extend the capabilities of existing processes
Change the processes
In changing the processes, the new technologies will often allow new ways of conducting business that were not previously possible.Other than simply speeding up existing processes, new technologies will be disruptive when first introduced. This results from having to change patterns of behavior and/or relationships with others. When disruption occurs, productivity often suffers at first, until such time as the new processes become as familiar as the old ones. At this point, hopefully, the goal has been achieved of reaching a higher level of productivity than the level at which it started before the introduction of the new technology.Therefore a common cycle that occurs with the introduction of new technologies includes:
Disruption
Lower productivity, and, finally,
A higher plateau of productivity than the starting point
The obvious goals for introducing new technologies are to:
Minimize the disruption
Minimize the time it takes to increase productivity
Maximize the gain in productivity
In achieving these goals it is helpful to understand the:
Context in which the processes operate, that is, who will be impacted by changes in the specific processes affected
Democratizing potential of technology
Types of people that will react in very different ways to new technologies
The processes by which a company operates and the introduction of new technologies do not exist in isolation. Both of these exist within a context that may be a part of and affect:
The social relationships within an organization and possibly with companies with whom you conduct business
Political (power) structures within an organization
How individuals view themselves and their abilities
Technology can be democratizing. If it is used to create and disseminate information useful to the mission and goals of the business, it can be a great equalizer between “levels” of management and staff. The key word is “disseminate.” If access to the information is decentralized, and easy communication of the information is allowed, then “front line” workers can improve the quantity and quality of decisions they make without having to involve layers of management.Types of People from a Technology PerspectiveFrom a perspective of introducing new technology into your company, you may find it helpful to understand the following four types of people:
Innovators/embracers
Enthusiasts
Acceptors
Naysayers
Innovators/embracers will investigate new technologies on their own. They will sometimes be helpful to introducing new technologies that would otherwise not have been known to the company. They will sometimes be a “thorn” in pushing for new technologies they think will be useful (or just “neat” to have) but do not fit the company’s agenda or objectives. These people will embrace new technologies when introduced by others, will often be the first ones to fully incorporate and make use of it, and could help others to fully utilize new technologies.Enthusiasts will accept new technology enthusiastically. They won’t usually seek it out but will be eager to incorporate it into their processes where appropriate. As a result of their openness, they will often readily learn how to use the new technology and may also be useful in assisting others through the learning process.Acceptors will accept new technology because it is required. They will not seek it out. In fact, they will often try to avoid it at first until they are forced to accept it. Once they understand the new technology is here to stay, they will willingly learn how to benefit from it or, at least, live with it.Naysayers habitually oppose new technologies and often are very vocal about their opposition. They often gripe about any changes and will often never change if they don’t have to or they quit before they are made to change “the way they do things.”The productivity vs. time curve will look different for each of these types of people. Think of how each person in your own organization fits into these four types. Think of how that impacts deriving the full benefits that you’ve carefully targeted. Think of how that impacts your ability to discover additional benefits once the technologies are implemented. Understanding the differences can help smooth out the rough spots during and after the implementation process.Lessen the Disruption; Increase the EmpowermentUnderstanding the context in which processes exist, the democratizing potential of technology, and the types of people will help you achieve the goals stated above for a more rapid payoff from a smoother introduction of new technologies.In addition, make the new technologies transparent to the user or, at least, make them as intuitive to operate as possible. Extra time in pre-planning the introduction of new technologies and training employees in the use of the technologies can provide a return many times greater than the hours spent in planning and training. You can achieve faster increases in productivity, reduced impact on customers, and lower burdens on support staff.With proper planning and training, the productivity curve will increase at a faster rate and to a higher level than it might otherwise have achieved
10 Essential Investor Tips For Successful Investing
Trading and investing into the financial markets has never been more popular. More and more people are starting to see the benefits of taking a little time to, first invest in themselves through a trading and investing education, but also using that knowledge on the financial markets.Whilst traders may take quicker positions and investor will most likely be holding positions for much longer, perhaps months or even years. So, if you fancy investing into the financial markets successfully, and profit from companies you already know about like Google, Facebook or Microsoft, then these are the ten essential things that an investor must do and know before they start. Let’s take a look…1. What are your goals?It sounds simple but many people start investing into a trillion dollar market without any type of plan which, let’s face it, is essentially a gamble. Whilst it can be very simple to invest profitably for the long-term you must define your goals as this will align your expectations correctly, so you don’t kick yourself in the teeth if you don’t hit a million dollars in one day. For example, knowing whether you are investing for the next five or twenty-five years can make a huge difference to how you decide to invest.2. Start early for compound interestThe single biggest reason to the success of most billionaires is the power of ‘compound interest’. Even Albert Einstein regarded this as the ‘eighth wonder of the world’. It basically means that your money makes you money as all the gains you make you put back into an investment so it compounds and builds over time. Sounds good right? It definitely is! The earlier you start the better but no matter how old you are it’s never too late to start but imperative that you do actually start!3. Every little helpsNo matter how little or how big you can invest, it is well worthwhile investing on a regular basis. It sounds so simple but most people don’t see the point in investing just $10 per month. However, if you look to the future by the time you’re very old that amounts to a lot especially if you parked it into some good investments over the years. Of course, most people have a ‘spend today and save tomorrow’ mentality and that’s the trap folks. Save and invest regularly to reap the rewards in the long run – you’ll be glad you did.4. DiversifyIt’s imperative to spread your capital across a wide range of investments to reduce your risk and increase potential returns over the long-term. Whilst some investments are doing poorly some others may be doing great, thereby balancing it out. However, if you’re fully invested into just one thing then it’s either 100% right or wrong. There are thousands of markets across currencies, stocks, commodities and indices so the opportunity is there.5. Educate yourselfBy far the most important tip. You must educate yourself and learn your craft. After all if you’re investing your hard-earned capital it makes sense to do your homework. Even if you read all the articles here and watched all the videos you’ll be doing far better than the majority of investing wannabes who simply give away their money to the markets.6. Have practical expectationsOf course, we all want that million dollar investment and for many it will come at some point. But you can’t plan for that, if it happens great if not then you still need a plan to survive and to reach your goals as discussed in the first tip. Remember it’s the journey that’s the most beautiful part and what you do on a daily basis that makes the difference.7. But don’t limit yourselfIt’s important one must remain conservative in deciding which investment to take. However, that shouldn’t limit you to just what you know. Be creative and find opportunities no matter how uncomfortable they may be. After all if it was that comfortable everyone would be doing it. Be adventurous in finding opportunities but be conservative in deciding which ones to take.8. Manage your riskSuccessful investing is all about managing risk. If you have $1,000 to invest then there’s no point in putting all of that on just one investment. You’re basically saying it has a 100% success rate… which of course is highly unlikely. If you follow the steps above, like making sure you diversify, then you’ll be on the right path.9. Review constantlyA very simple step to achieving more from what you are already doing is to review your investments constantly. However, this does not mean to look at your profit and loss of a five-year investment every single day – you’ll never make it to the fifth year as markets move up and down. But it’s important to review what investments have worked and have not worked. Concentrate on doing more of the stuff that has worked and find out where you’re going wrong with the stuff that hasn’t.10. Have fun!Sounds simple but most people forget that are best work comes from when we enjoy the process. Whilst investing is a serious process you are allowed to enjoy it too. In fact the buzz of finding an opportunity, researching it, investing into it and then seeing the result is exciting in itself.There you have it ten essential tips for successful investing.
Is Home Health Care For You?
To find out if the disabled person a disabled person is in need of home health care assistance, you should seek the advice of a physician. Be sure to find out the patient you are considering requires professional home health care or home care services.Professional home health care services givers include the medial aspect such as nurses, therapists, home health care assistants, and other licensed and certified medical caregivers. They are present to administer skilled care to the patient.Home care services are provided to those who need assistance with tasks such as house cleaning, running errands, cooking, and just being around to assist if the patient needs other tasks such as these performed.Social workers also play a part in home health care. They can provide counseling for emotional and social problems that the patient may be experiencing. They will direct those who need it to community resources which are available to them. They have various other services to offer as well.Companions are another part of the care giving team. They are the ones who provide companionship to people who can not stay by themselves. If a disabled person stays by their self having a companion there to assist them can help if an emergency situation should occur.To be assured that you have the best quality home health care for your disabled family member speak with others who are having or have had the same experience as you are going through.Make sure that the home health caregiver that you request is experienced in care giving. The caregiver’s supervisor should manage the care provided to make sure the patient is receiving quality health care.Whether you are hiring a home health care provider on your own or through an agency be sure to conduct an interview. Go over the needs of the patient and make sure the caregiver is capable of providing the type care that the patient needs. Advise the caregiver on medications, physical and mental problems that the patient may have, and how to deal with them. Make sure they know where everything is situated in the house which pertains to patient care. It will help in case of an emergency.The payment for home health care services may be paid by the patient or some such as a family member. Medicare, under certain guidelines, will pay for skilled caregivers. There are others such as Medicaid, the Veterans Administration, and Social Services have programs which assist qualified patients. There are various other payers such as private insurances and more.If the cause of illness is a work related incident workers compensation could pay for the home health care needed. In any case, the actual cost of home health care depends on which state the patient resides in.
Maximizing Profits by Lowering Health Care Costs in an Obamacare Society
Health care costs are a growing concern amongst small and large business owners throughout America. The cost of medicine in the United States is out of control, with the average CT Scan or MRI costing thousands of dollars. Simple and complex treatments, office visits, and procedures are costing employers millions of dollars while decreasing the profitability of their organizations. Because of the rising health care costs, employers are forced to reduce bonuses, reduce spending, and sometimes layoff employees, which increases stress.Employers can manage health care costs in a society that is preparing for major health care renovation by monitoring the eligibility of spouses and dependents, investigating and reporting all claims, switching to different policies, encouraging spousal health insurance, reducing workers compensation payouts, and developing a legal team to handle litigation and settlement issues.Utilizing competitive business strategies that monitor expenses closely can control health insurance costs. In 2007 the average employer paid $12,106 in health care costs, with the employee picking up $3,281 of the bill. Health care costs continue to rise, causing employers financial distress.Conduct Family Eligibility AuditsAn employee’s family is one of the largest health care expenses businesses deal with, as children and spouses become ill over the course of their policy. It is commonplace for businesses to spend millions on an employee’s dependent or spouse. Companies can reduce the amount of money spent on spouses and dependents by actively investigating all non-employee claims.In most policies a dependent is defined as someone under 18 or who is a full time student below a certain age. The new Obamacare insurance reform requires employers to pay for dependents under 26; however, many current policies set the age at 23 or 24.Employers can minimize health care costs by ensuring any person over 18 is a full time non-exempt student. Employers can encourage employees to set their dependents up with school-sponsored insurance, which reduces the employers overall cost. Additionally, employers can alter the policies to remove unrestrictive verbiage from the documents, such as policies that do not require older dependents to be in school. Verification of a dependent’s status can be obtained from leading national clearinghouses and verification services at a fraction of the price of their health plan.There are other health insurance loopholes employers can leverage, such as retiree benefits for dependents as well as dental and vision services. Limit the scope of retiree health plans by removing dependent coverage, only providing medical services to the employee’s spouse. Additionally, consider modifying vision and dental coverage for dependents by limiting it to essential and preventative services.Deductibles and Out of Pocket ExpensesEmployers can significantly reduce the amount of money they spend on an employee’s health insurance plan by utilizing plans with high deductibles, which ensure that their workers are protected in case of major illness or injury. Additionally, deductibles place most of the annual expenses on the employee, with the employer serving as backup in case of life threatening illness, expensive operations, and other expensive procedures, such as CT Scans or MRIs.High deductible plans are ideal for small and large businesses that want to minimize health care costs and risks associated with high premium traditional plans. Employees are made aware of their high deductibles and take a proactive approach to their health, avoiding expensive hospitalizations for otherwise preventable diseases, such as diabetes.When employees are aware of the true cost of health care, their overall demeanor towards a healthy lifestyle improves. They also are more appreciative of the services and benefits their current employer offers.Minimize Health Care Costs by Splitting or Switching PlansEncourage employees to utilize their spouse’s employer paid health insurance package if it is available. The strategy can be marketed as providing them with the maximum coverage, pointing out how their spouses program is a viable alternative. Educate employees on the open enrollment procedure, fostering communication within their family regarding the topic.Employees can save up to $5,000 by switching to their spouse’s insurance, especially if the employee was on a high deductible policy. Another option is to encourage employees to split their dependent’s coverage amongst both of the health plans, minimizing financial risk to your business.It is illegal to demand that employees switch to their spouse’s plan or remove dependents from their policy. Incentive programs are unethical but may drive lower health care costs in your organization. Use this method as a last resort, as some employees may take action against the company. Insurance commissioners frown upon the incentive or spousal switching program, thus it is best to encourage the splitting of spouse and employee coverage.Start a Healthy Living ProgramThe fastest and most efficient way to decrease health care costs is by encouraging your employees and management staff to live a healthy and preventative lifestyle. Preventative care costs far less than other medical procedures, which reduces the out of pocket expenses for both the business and employee. Offer awards or incentive programs for employees who quit smoking, lose weight, stop drinking, or take a proactive approach to their health.Be careful when publicly honoring the employee in front of their coworkers, as some may be nervous or reserved, these are sensitive topics after all. Healthy living programs foster a wholesome lifestyle, in which the employee receives routine checkups and works to reduce preventable conditions, such as obesity and high cholesterol. Healthy lifestyle programs can target diet, weight loss, smoking, alcoholism, aging, and stress. Additionally, healthy employees can participate by continuing to exercise on a routine basis and reducing their stress levels.
Best Weight Loss Program – 10 Effective Lifestyle Tips
With all the swarming weight loss sites over the internet, the need for true and effective best weight loss program and information has become a search endeavor. How can you determine the best weight loss program suitable for you? Is there any gauge, measure, or standard for it?Many individuals find weight loss a chronic endeavor. For some, the shedding of pounds may seem lasting but it is just a temporary event. They do not know until they once again stand on the scale and found that they have regained the lost weight – worse, the weight regained is greater than the weight lost. On the other hand, several popular diets are found ineffective because they lack the lasting factors of what the best weight loss program truly is.Thus, what do we need to find in a weight loss program? Here are the effective factors and strategies to consider:
Exercise. Exercise is a cliche in the fitness industry. No matter how cliched the word is but this still remains one of the genuine factors for weight loss. Recent studies have shown that it is advisable to exercise 30 minutes for 5 days in a week. Alternatively, another study has shown that 10 minutes of exercise three times a day is also effective. Thus, there is no reason for individuals to give the “no time for exercise” excuse. Always find time and discipline to exercise 4 to 5 days a week and increase your exercise intensity level every two weeks.
Train with Weights or Do Some Weight Training. Weight training helps you shed off some body fats better. Muscles burn fats. On the other hand, cardiovascular exercises are still effective for weight loss since it burns calories but muscles gained from weight training gives you the maintenance for a healthier and leaner look. It is advisable that at the minimum, you increase your weights 5% every two weeks from its current weight. For example, if you are lifting 30 kilogram weights then you must, at the minimum, lift 31.5 kilogram weights after two weeks.
Keep a record. Keep a document of your food intakes and the things that hinders you to your weight loss. This record is effective in tracking your food intake, activity, and lifestyle. In this way, you will have a better plan and idea on how to approach your weight loss goal better. However, do not be too overly conscious in taking a record. It is not good to overdo the recording responsibility or else you will lose fun in your life. Just keep some information in your long term memory and transfer them later in your log book or journal.
Stop overeating. Know the reasons and factors behind why you overeat so that you can control and ultimately stop overeating. If the primary reasons are stress and pressure, then find ways to channel your energy better. Most overeating problems are due to stress and pressure at work or family life. Learn to know the cause of your overeating and ask for psychological help if necessary.
Join a support group. Create or join a weight loss support group for you. In this way, you have people to back you up and keep you motivated for your weight loss goal. These are the people that will kick your ass when necessary to keep you in your weight loss goal. Your support group must be heterogeneous in nature. This means that you must compose your support group coming from your close friends, immediate family members, office mates, and other pivotal people in your life. In this case, there is always a person who can monitor you wherever environment you are.
Learn from the meals. Meals in fast food chains and restaurants are not normal anymore. Some, if not most, are already supersized. If you have observed the meals in all these fast food chains, hamburgers, fries, sodas, and many more are all supersized. Thus, always watch your diet. This is already a good time to apply tip # 3: keep a record. Always have a track on what you eat so that you will know what you must learn and what you must do.
Take joy in small progress. Acknowledge yourself when you have done little and consistent weight loss progresses. Do not be too harsh on yourself if you cannot shed off pounds that easily. The key here is consistently losing of unwanted body fats. On the other hand, do not be saddened for some weight gains after several exercises; it may be due to the muscles you build. Remember that muscles are heavier than fats, thus, weight gain does not necessary follow that you are getting fatter – it could be that you are getting leaner. Above all, always be honest to yourself if you really have gained some pounds due to fats or due to muscles.
Chew your food well. By chewing your food well, you eat slowly. This is because, once you have take in some food, it takes 20 minutes to signal your brain of the feelings of fullness. Thus, if you eat fast, there is a big tendency that you have taken a lot of food within 20 minutes compared to eating slowly. Aside from that, chewing your food well helps your body easily metabolize what you eat. It also prevents you from constipation and indigestion problems.
Eat fewer foods with unhealthy fats. Eat fewer foods that contain unhealthy fats like transfats, unsaturated fats, and cholesterol while eat foods that contain healthy fatty acids coming from nuts, fish oils, olive oils, almonds, and other healthy oils. Essential fatty acids contain omega 3 and omega 6 that are good for the heart that helps in promoting sound health and healthy cardiovascular performance.
Be healthy, not thin. Being thin does not necessarily mean that you are healthy. What is the worth of being thin when you look skinny and dull? Thus, focus your energy on being healthy by combining exercises, healthy foods, and balanced lifestyle all together. The absence of any of these factors may result from imbalance – unhealthiness. It is difficult to get lean muscles or gain muscles fast when an imbalance occurs.All in all, the best weight loss program does not solely rely on the different diet programs out there that you can avail, but more so, it is all about choosing the best weight loss program suitable for your body. It takes research to get to know the best weight loss exercise program for you. However, always choose the program that comes in natural and not those ones that promote expensive and easy solutions to weight loss. Never do some shortcuts in your weight loss goals or you will pay the price later. Weight loss is not just a physical problem, it is also a moral and personal problem towards one self.