Cynicism or a Healthcare System That Needs Help

This story is about a patient with no real experience in the healthcare system.

A patient was having some sinus issues in December of 2012. Basically, mucus had settled into his sinus cavities. It was like talking in a tunnel and difficult for him to hear.

To get relief, he started with his family doctor in December. The family doctor prescribed some antibiotics-a fast, powerful dose. After a month, experiencing no relief, he went back. The doctor prescribed more medication. No relief. He sent the patient to an Ear, Nose and Throat (ENT) specialist.

The ENT prescribed steroids. He claimed that cured 80% of the individuals with this problem. The patient had high hopes but the steroids did not work, either.

The ENT recommended a CT scan at the hospital. After much searching and aggravation, the patient found out it would be about $2,500 (Note: the patient did have insurance but had a $2,500 deductible and 20% co-insurance). He shopped around (an arduous process) for a clinic to get a price. He found one that would do the sinus CT scan for $400.

The CT scan confirmed everything. The sinuses should have been black (denoting air) but they were gray (denoting mucus).

The doctor recommended a sinusplasty. This is a procedure where the sinus passageways are stretched to allow for draining. A balloon is inflated to allow this to happen. The mucus present would be sucked out through a kind of straw. It was an outpatient surgery, taking about 1.5 hours. It was scheduled for May 31st. The patient said ok.

Of course, prior to the surgery tests had to be done (really?). A blood test, chest x-ray and an EKG. The EKG was because the procedure included a general anesthetic.

The nurse called him two days prior to surgery. The tests were fine. But the EKG indicated a Myocardial infarction (MI)-age undetermined. That meant the patient had experienced a heart attack sometime in his past.

What???

The patient was stunned. Other than being overweight, he had no health issues. If he had a heart attack, he was not aware of it. It didn’t matter. The surgery was cancelled until the patient could obtain cardiac clearance. He had to see a cardiologist to get that.

After an exam, the doctor told the patient, he probably didn’t have a heart attack. The EKG was faulty. The machines were sensitive and could give a false reading pretty easily (the patient was of course, still charged for it).

After another EKG and a heart echo sound, the doctor confirmed there was no attack and that, in fact, the patient’s heart was hale and hearty.

Cardiac clearance was received and the surgery rescheduled for July.

While everyone seemed to mean well, was all of this really necessary? Are all of these doctor’s visits, tests and medications normal? The patient is not cynical by nature but…

Sue (Sunni) Patterson, CMBA, Co-Founder
As an accomplished marketing professional, entrepreneur and lifelong learner, Sunni constantly seeks out dynamic business opportunities. Sunni started in the healthcare industry as a senior medical claims processor with a major insurance payer and since then has partnered with RMK123.com, a top medical billing and revenue management firm. Sunni leveraged this to create Medical Bill & Claim Resolution (MBCR), a medical bill patient advocate firm assisting individuals with interpreting their medical and hospital bills, disputing erroneous charges and resolving/understanding insurance claim decisions. Sunni holds the specialist Certified Medical Billing Advocate (CMBA) designation, which is issued through the Medical Billing Advocates of America upon successful completion of their exam.

BodyTalk – Complementary Or Standalone Healthcare System

BodyTalk in fact falls into the category of Energy Medicine and is not all invasive or prescriptive. A BodyTalk Practitioner does not do any invasive procedures and neither diagnoses nor prescribes anything. This makes BodyTalk an excellent healthcare system that can be used both on a standalone basis or it works very well as a complementary healthcare system too.

BodyTalk is ideal when used on a standalone basis when one is fundamentally healthy but just wanting to maintain and improve overall health and balance of the various aspects of oneself; physical, mental, emotional and/or spiritual. BodyTalk is great in helping one balance the experience of normal daily stress and discomfort. By using BodyTalk on a regular basis one finds that in general one heals faster and more easily.

BodyTalk is also very helpful in a situation where someone is already receiving other physically based treatments; whether they are alternative or traditional. Because BodyTalk works on an energetic level and is not invasive, there are only two possible outcomes from the treatment.

Most people find that they benefit from a BodyTalk session and usually feel much better for having had one. Because BodyTalk is not at all invasive, if a session is found to be ineffective, then the person simply experiences no change from having had a session.

For many years it seems that one had to make a choice between alternative or traditional medical treatment. More and more, however, people are taking the best treatment from both disciplines and applying those to one individual. One is finding that doctors from both disciplines are working together, and some doctors themselves have studied both disciplines and then they pick an appropriate treatment or combination of treatments from both disciplines.

Healthcare System For Employees – Important Facts

But getting a reliable insurance plan is a must for employers who want to provide good benefits for their employees. So what’s a responsible but financially hard up business owner to do?

What employers must know is that there are health insurance plans designed specifically for small business owners and this is what they should be considering for their employees. There are many insurance companies out there who have ready-made services for small business that have plans that are well within reach of any employer. Some employers think that getting healthcare for their employees is a financial burden. Fact is, business can actually save money in the long run by getting a healthcare system for employees.

The best way to get the most affordable healthcare systems for employees is by performing a through research and survey of all the available insurance plans for small businesses out there. Talk to different insurance agents and ask them about alternatives if the plan that they will present to you is a bit out of your reach. Inquire about how to get tax free insurance policies which will surely be advantageous to you. Many insurance companies offer big discounts when it comes to providing group insurance policies so be sure to ask about it as well. This may seem lot a lot of work for you but the rewards will be tremendous.

You could also benefit from websites that compare different insurance premiums. By logging on to these websites, you will be able to get a quick glance of the available plans to you. It is advisable that you go for the one that provides the most value for money even if it is not necessarily the cheapest.

What Physicians Can Do to Prepare For the New Healthcare System

There has been a great deal of discussion about the new health care reform and whether or not it will affect the business of medical malpractice insurance. Although it has been said that there will be no changes in the business of insurance, there will be many changes in the healthcare industry as a whole. Regardless, now is the time for physicians to prepare for these changes.

It has been estimated that 32,000,000 people will be added to the healthcare system. With such a dramatic increase in people demanding healthcare, there will be an enormous amount of paperwork to process. Likewise, doctors will most likely need to increase their staff because there will be new patients who will have many questions or need help filling out paperwork.

One of the things that physicians can do to prepare is to do a thorough review of their policies and procedures to make sure that there is an established system in place to take care of administrative tasks. The more organized an office is, the easier it will be to process patients’ billing and paperwork.

Another way that physicians can prepare for changes is to make sure every person on their team is properly trained. Everyone has to be on the same page when it comes to caring for patients. This has always been the case, but now more than ever physicians have to be more mindful and conscious of how they are treating people. Providing quality health care will be the determining factor on whether or not a person continues to seek care from a particular physician.

Under the new healthcare reform bill, physicians will be rewarded for high quality, efficient care. There will be increased payments to Medicare Advantage plans that demonstrate care and significantly improve quality.

The bottom line is that physicians need to be flexible and adapt to the inevitable changes in healthcare that will take place in the following years. Keep an open mind and always be on the lookout for ways to improve patient care.

Healthcare System

Importance Of Technology In Healthcare System

Healthcare is a business today and like any other business the major motto is profit. But at the same time technological advances are required because until and unless the caregivers provide advanced technology and advanced result the patients will not trust them. In most of the countries healthcare is in private sector and the completion has only improved the standard. Use of technology is not only noticed in the use of advanced diagnostic and surgery machineries, but it is also noticed in the administrative system. People want things to be more professional and for that automated report generation, data maintenance, online registration and checking, and other facilities are enabled.

Different Sections Of Healthcare

Today, healthcare is not only limited to doctors and patients. Many new professions have developed in this industry and both the professional and the patients are taking advantage of them. Posts such as clinical assistant, nurse, nursing assistant, therapist, medicine supplier, administrative staff and many more have come in the existence. Each of them has enriched the industry in its own way. The education and qualification needed for each of them is different and people are earning a lot of money by getting involved in these jobs.

Cost Of Healthcare And Medical Insurances

The cost of healthcare is not the same in all healthcare systems around the world. In some countries healthcare is a privilege offered by the government to its people. The cost here is quite less and in many cases the industry comes under the public sector or is partially managed by public sector. But in some other countries the cost is high but thanks to the medical insurances available for the people there, it can be afforded by many people. It is seen that in the third world countries the cost is still out of the reach and as the literacy level is low, people don’t have much knowledge about insurances.

Scope Of Development In Healthcare

Though healthcare systems around the world has improved quite a lot in last few years, there are scopes of improvement still left in it. In some countries the technological advances can be accessed only by the rich. This is not a good sign because the poor are still suffering and dying. There are several researches carried out for finding medicine for life threatening diseases such as AIDs and cancer and in many cases success is achieved. A lot of investment was made for these researches. Though the good results are visible to the world the cost seems to be high. Healthcare system around the world is a growing sector of the market and as time will progress it will be enriched even more with new technique and new thoughts.