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“I’m hopeful that our citizens will not be faced with the devastation of losing these benefits again,” he added. |
The cuts created much confusion and consternation for patients and health care providers. |
The state release said the administration had hoped for a quick federal re-approval that would allow the “transformative” Bevin program — known as Kentucky HEALTH — to start Aug. 1. |
It said Kentucky has been working with the federal Centers for Medicare and Medicaid Services on details on getting a re-approval, including the status of dental and vision benefits. |
Bevin had initiated the new program, saying the former program was too expensive to continue. He sought federal permission to change the rules. |
Critics have questioned the legality of Bevin’s initiative, saying the state failed to provide enough time for public comments on the changes and did not follow the federal government’s reporting requirements. Democratic lawmakers have criticized the moral and economic impacts of the program, saying it strips health ca... |
The National Assembly on Wednesday unanimously passed a resolution strongly rejecting "baseless Indian allegations" that sought to link Pakistan — without an investigation and "any shred of evidence" — to the Pulwama attack that killed more than 40 paramilitary soldiers in occupied Kashmir (IoK). |
The resolution regarding the "baseless Indian propaganda against Pakistan" in the aftermath of the attack was presented by NA Speaker Asad Qaiser himself during a session of the lower house which commenced today. |
Tensions between India and Pakistan are once again running high following last week's attack in Pulwama. |
Over 40 Indian paramilitary troops were killed in the attack, which has been claimed by the Jaish-e-Mohammad, a proscribed organisation. India has alleged that those who planned the attacks had links with the Pakistani state — a charge that Pakistan has vigorously denied. Shortly after the attack, the Pakistan Foreign ... |
"This House strongly rejects the baseless Indian allegations seeking to link the attack to Pakistan without investigation and any shred of evidence," read the resolution passed by the NA today. |
It condemned India's "kneejerk reaction where instead of introspection on its repressive policies against the people of Indian occupied Jammu and Kashmir ... [it] has again sought to shift the blame to Pakistan through baseless polemic and provocative rhetoric." |
The resolution recalled the statements of various political parties' heads as well as that of Prime Minister Imran Khan, which offered Pakistan's assistance to India in the investigation of the attack and to take action on "actionable intelligence or evidence". |
The lower house in the resolution "strongly" denounced the continuing reprisal attacks on Kashmiris in IoK as well as the targetting of Kashmiri students in India after the Pulwama attack. |
The resolution stressed that India's "smear campaign" should not "delude or obscure the real issues of the human rights nightmare and humanitarian emergency prevalent in IoK due to the Indian atrocities". |
It emphasised: "No one should underestimate the resolve of Pakistan to defend itself against acts of aggression." |
The resolution reiterated that Jammu and Kashmir was an "internationally recognised dispute" pending its resolution on the agenda of the United Nations Security Council (UNSC) because of "Indian intransigence". |
It underscored that a just and peaceful solution of the Kashmir dispute is an "unfinished agenda of the partition of India and essential for durable peace and stability in the region". |
The NA called upon India to immediately halt its "continued human rights violations" in occupied Kashmir and to implement the resolutions of the UNSC. |
It also called for an "impartial plebiscite to determine the future of the people of Jammu and Kashmir." |
Good to see all the political parties coming together. Thanks to the opposition! |
Amazing. The only resolution passed by the National Assembly since the present body was signed in. Apart from this, what legislation has been so far passed? What is the real, on-ground performance till now? |
I must congratulate the house to have finally come together on at least something. Well done. |
Why, just stop paying attention to it. |
N A stands up for its country... Bravo! |
PORTSMOUTH’S owners last night admitted the club face a fresh battle for survival after chairman Vladimir Antonov was warned he faces 10 years in jail. |
Russian businessman Antonov appeared at an extradition hearing at Westminster Magistrates Court following a probe by Lithuanian police into alleged money laundering and fraud at the country’s Snoras Bank. |
Antonov and business partner Raimondas Baranauskas have been charged with misappropriation of up to £200m and forging documents to cover up the theft. |
The offences carry a maximum prison sentence of 10 years. |
Lithuanian authorities want all Antonov’s assets frozen until the case has been heard, which would be a big blow to new Pompey boss Michael Appleton ahead of the January transfer window. |
Antonov, 36, took a 75 per cent stake in the Championship club when his UK-based investment company Convers Sports Initiative took control at Fratton Park in August. |
Pompey joint owner Roman Dubov said: “I am trying to save the business and help a lot of people in employment. |
Pompey, who were forced into administration last year with debts of £138m, had previously claimed the investigation would not affect them. |
Albert G. Winans, 82 passed away Wednesday, September 5, in Ocala, Florida, from a short battle with cancer. |
Born in Syracuse, New York, to the late Paul A and Helen G Winans. He graduated from Nottingham High School, and attended Syracuse University. He served in the United States Airforce. |
He was predeceased by his son Paul. Survived by his wife Anne Griffin, daughters Ellen and Carolyn, son Calley, several grandchildren, his sister Joanne W (Art) Corcoran and 1 niece and 2 nephews. |
Poldark (9 p.m., UNC-TV) – Poldark faces one turning point with Elizabeth and another with Demelza. |
The Last Ship (9 p.m., TNT) – The crew of the Nathan James makes a discovery and Chandler sees an opportunity to add another ship to the fleet. Also, Chandler and his team encounter an unexpected enemy. |
True Detective (9 p.m., HBO) – Sticking with this terrible (so far) season? Well, tonight Paul works the prostitute angle while Frank receives the first casualty in a secret war. |
Penny Dreadful (10 p.m., Showtime) – In the second season finale, Vanessa must rely on her strength in order to defeat the demon. |
Ballers (10 p.m., HBO) – Spencer and Joe hold a corporate event, and the rivalry between Spencer and Reggie reaches a boiling point. |
Halt and Catch Fire (10 p.m., AMC) – Gordon returns to California in hopes of reconnecting with his brother. |
The Brink (10:30 p.m., HBO) – Alex tries to get a message to Walter, while Zeke and Glenn await their inquiry into the downed drone. |
For decades, many have been dreaming of a revolution in healthcare based on the premise that making patients more accountable for healthcare costs—making them “consumers”—will result in higher quality and lower costs. It’s a brilliant vision. And smart people believe it makes sense. Except for one little detail: For ma... |
There is a conventional wisdom about patients that is inconsistent with the reality that many patients live. It starts with the premise that patients want to shop for healthcare like they shop for other goods and services. We assume patients want to go on-line and manage their health and make all of their own healthcar... |
The conventional wisdom continues with assumptions about the literacy, engagement, capability, and wealth. For many healthcare entrepreneurs, the median patient is assumed to be an MBA graduate with significant disposable income. The imagined patient has a “Type A” personality and wants to be obsessively engaged in eve... |
And, on a related note, the conventional wisdom assumes high levels of digital literacy. The average patient has a sophisticated smartphone and multiple paired Bluetooth devices and knows how to use them. And would be able to improve their health if they just had the right tools to do so. |
The implementation of this view is the proliferation of point solutions that aim to solve problems that we assume that patients prioritize: transparency of lab data, access to on-line medical records and easy access to appointment scheduling. While these are wonderful convenience features that we should undoubtedly ado... |
And they’re oddly implemented as an endless maze of disconnected portals, tools, and apps—few of which speak to each other and few of which delivers anything close to the value that we believe that they will. Either because patients don’t use them as intended, or they fail to capture the complexity of the broader ecosy... |
And there are many companies and startups that excite the people that are built on this vision of consumerism with clever tag lines that mask the incrementalism that underlies them. These are healthcare solutions that are really good for the 80% of patients who account for 20% of our healthcare costs. But the question ... |
Because if you are really trying to change the cost or quality equation in healthcare—you need to imagine a different consumer profile. One where the patient doesn’t want to be engaged in the traditional sense of the term—but where everything just works right for the patient. Where needs are anticipated and addressed b... |
CareMore, the company I lead, espouses a very different vision of consumerism. By way of introduction CareMore is a $1.4B Medicare and Medicaid delivery system that focuses on the care of more than 150,000 high-cost, high-need and vulnerable patients in 10 states. Our mission is to make health care more accessible, aff... |
These statistics and faces reflect the incredible diversity of those we serve. And these statistics tell a different story from the consumer story you’re used to hearing about. |
To make it real, I share reflections from the clinic session I held and tell you about two of the patients we took care of. |
The first patient I saw in clinic was 84 year old Mrs. Matos (details and name changed to protect identity). She had just recently been in the hospital because she suffered an episode of low blood pressure. When our doctors saw her in the hospital—they found that she wasn’t eating or drinking enough or taking her medic... |
Her husband had recently been in the hospital with heart failure. And her care-giver son who lives with them both is too overwhelmed with all of her healthcare needs to keep a job or know what to do. Every evening, Mrs. Matos sundowns. She suffers an episode of extreme confusion and forgets to eat or drink or refuses h... |
The second patient I saw was 82 year old Mrs. Perreira (details and name changed to protect identity). Mrs. Perreira is a Portuguese immigrant and doesn’t speak a word of English. She’s illiterate both in English and Portuguese and was widowed five years ago from her husband to whom she was married for 60 years. Throug... |
Today, her anxiety has intensified and she is terrified of being alone. She lives with her 53 year old son. Every time her son leaves home to run an errand—usually to meet some need she has—she calls him in a bewildered panic and begs to come home. When I met her, I laid my hand on her shoulder, she began to weep inten... |
Her son, whose own life has been permanently been placed on pause, begged me to solve her problems. These are just two of our patients, but CareMore sees over 1,000 Mrs. Matos and Mrs. Perreira’s every day. These are 1,000 patients and families—only a fraction of whose needs would be met by the dominant industry view o... |
CareMore’s view of consumerism is grounded in the following simple ideas: 1) Healthcare should anticipate and deliver on consumers’ needs proactively. 2) Sick people should not have to shop for the care they need. 3) Consumers should not pay out of pocket for the things that they need. |
The consumer experience in healthcare must be cognizant of the fact that many patients with chronic disease live in total denial of their condition. Any effort to engage them must begin by acknowledging and engaging this denial—not assume engagement. Any consumer experience in healthcare must begin with an acknowledgem... |
And any consumer experience in healthcare must begin with the premise that the moment when someone is sick or unwell is the moment when they just want to be cared for. They may want to be empowered to make choices, but more often than not, they want to know that the people caring for them have their best interest at he... |
They recognize that there are massive asymmetries in information between themselves and healthcare professionals. However, they are less interested in navigating those information asymmetries than they are in having someone, who knows them, and can help them make the right choices, the right referrals, the right decisi... |
They don’t want to worry about incidentals. They want the system to anticipate and deliver on those needs. |
CareMore was one of the first organizations in the country to recognize that transportation is a barrier to care for many frail seniors who can no longer comfortably drive. We now partner with Lyft on a ride-sharing program - but we do all the work for the patient. We call the patients. We request the ride. We call the... |
When our patients are discharged from the hospital, we make sure there are healthy meals waiting for them at home. We want to make sure they aren’t coming home to a few cans of sodium-rich Campbell’s soup and an empty refrigerator. |
Because we recognize that access to nourishment is often a critical barrier to patients getting better. We recognize that one of the barriers all sick patients face when they become ill is poorly executed transitions of care. To address this problem, CareMore doctors—we call them extensivists—will see patients not just... |
We don’t put emphasis on patients to manage their own health information as many healthcare delivery organizations do, but we make sure information travels with them wherever they go to limit the duplication of unnecessary services and care. |
When patients are diagnosed with chronic disease, we engage them in one of a number of chronic disease management programs that are based in our neighborhood care centers. Supported by multidisciplinary care teams—dietitians, podiatrists, nurse practitioners, physical therapists, pharmacists, behavioral therapists and ... |
Probably most controversial notion is the idea that sick people shouldn’t shop. But think about it. You’ve just been diagnosed with breast cancer. Multiple sclerosis. Diabetes. Do you want to be flipping through directories to find a doctor? Or do you want the appointment to be set up for you urgently with exactly the ... |
There is poverty in thought and intellectual laziness when we simply say consumers want to make these decisions. Many of us want to be engaged because we don’t trust that the system will default us to the best possible care options. But imagine for a minute that the system did, by default, reliably get you to the best ... |
While CareMore is not perfect in this regard, we use a number of sophisticated data tools to monitor the quality of our provider network and direct patients to the best doctors in the community. And there is a recognition that healthcare delivery is not just the sum of its parts. How the pieces fit together is just as ... |
One of the cornerstones of modern healthcare consumerism is the idea that patients need to pay out of pocket for some aspect of healthcare. While co-pays can be useful deterrents to unnecessary healthcare utilization—there are some instances where it doesn’t make sense for patients to share in the cost of their care. O... |
When a patient has to pay for his / her insulin out-of-pocket, some patients will elect not to take it or try to stretch whatever insulin they have for longer. As you can imagine, this is a terrible idea. We believe that for life-saving, critical therapies, insurance benefit design must match the need. |
As a result, in most plans, CareMore provides coverage for insulin through the Medicare donut whole. While this costs CareMore more in terms of providing benefits - it also yields savings in terms of patients who are not hospitalized with hyperglycemia because of non-compliance with their medicines. |
And we have similar benefits in place around other activities we aim to invent like no-copays for chronic disease management services and no co-pays for accessing our senior-focused physical fitness centers. |
Taking a step back, our model is to envelop the patient across all points of care with the types of support that is needed to maintain health and effectively and efficiently manage sickness when it arises. |
And so rather than asking our patients to make lots of consumer choices - we are intensively focused on listening to our patients. |
Every employee at the director level and above needs to speak to a different patient every month to get their perspective on what is working and what isn’t working. We host patient luncheons to solicit their feedback on the care they receive and new programs we are launching. And we distribute our phone numbers and ema... |
And from all of these interactions with our patients have come a number of non-traditional programs, such as - complimentary monthly toe nail clipping to ensure that they don’t self-injure themselves and create non-healing wounds and ulcers; an integrated dental and chronic disease management clinic that ensures we are... |
So the healthcare industry has a choice. It can chase the dreams of traditional consumer-thinking -solutions for the 80%. Or it can pursue high-touch, highly engaged, integrated, and anticipatory care for the 20% of patients who really need it. Neither path is wrong - but I think one path leads to where the biggest pro... |
Milwaukee Brewers` manager George Bamberger, Cub manager Jim Frey`s long- time companion and friendly antagonist, telephoned him last month. |
That fourth-place disappointment, caused in large part by a rash of injuries, made 1985 an uncomfortable year for the 1984 National League Manager of the Year. |
Frey is itching to go in 1986 to do his part to rectify a 77-84 record that left the Cubs 23 1/2 games behind the NL champion St. Louis Cardinals. |
For 1986, Cubs` president Dallas Green has made it clear his expectations will be higher for Frey and his club to bolt out of the chute early and contend for the NL East title. |
''That`s what Jimmy gets paid for,'' said Green, whose manager is signed through 1987. |
''We all know the nature of this business,'' Frey replied. |
The 54-year-old Frey has developed an immunity to baseball pressure and said he will approach spring training with the same workmanlike resolve as in previous campaigns. |
''I can`t imagine I`ll try any harder than I did in the spring of 1985,'' Frey said as the winter baseball meetings concluded with the Cubs having completed one trade--acquiring infielder Manny Trillo from the Giants for utility infielder Dave Owen. ''I tried as hard as I could in 1984 and I tried as hard as I could in... |
With the Cubs` bid to acquire a starting outfielder stymied so far, it appears Ron Cey again will be the starting third baseman going into camp. |
Although Cey had an off-year by his standards with 22 homers, .232 average and 63 runs batted in, Frey knows it is difficult to find another third baseman with Cey`s offensive ability. |
Frey is encouraged by winter-league reports from Venezuela, where shortstop Shawon Dunston is hitting .286 and fielding more confidently and consistently. Cubs` coach Ruben Amaro is managing Dunston and Trillo, playing on the same club, is tutoring him. |
''We have gotten reports as good about Dunston`s fielding as his hitting,'' Frey said. ''He`s a guy who in April didn`t look like he knew what baseball was all about. In August, he didn`t look much better. In September, he looked like the player everybody expected he could be. |
Frey said he hasn`t concerned himself yet with the off-season moves of other NL East teams. |
''I`m glad to see Joaquin Andujar traded from St. Louis to Oakland,'' he admitted. ''He`s an awfully tough pitcher. |
''I think the Cardinals are simply a good offensive team. Not only a running team, they`ve got a good hitting team. That`s how they beat us last year. They were getting 12-14 hits a game and we were getting six. |
''The challenge I will have and my players will have in 1986 will be to first of all get healthy and then concentrate on getting the job done like we did in 1984. |
Police and gardaí investigating the disappearance of a woman late last year now believe she may have been murdered. |
A missing person appeal about the whereabouts of 28-year-old Saoirse Smyth was issued in December 2017 but she has never been found. |
Today, gardai and the Police Service of Northern Ireland sealed off a house in Omeath, Co Louth as part of their joint investigation. |
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