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DTSTART;TZID=America/New_York:20141114T000000
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UID:4605-1415923200-1415923200@limba.net
SUMMARY:North Shore LIJ CareConnect-Rachelle Neuwirth
DESCRIPTION:The  program presented by Rachelle Neuwirth at LIMBA this morning was about  an approach to healthcare delivery that is considerably different than  we have come to expect. The fee for services method of medical care is  being replaced by a concept that can be called Wellness Maintenance. \n   \nThe  system we know is predicated on large insuring units creating multiple  configurations of policies that in the final analyses make understanding  the product difficult if not incomprehensible. When payments are made  they are made on the basis of the amount of procedures delivered and the  complexities of those procedures. This is a system the incentivizes  maximum care with little regard for effectiveness. \n   \nThe  Affordable Care Act (Obamacare) mandates that there be several levels  of insurance that you can buy. The choices may be Platinum Gold\, Silver\,  etc.\, but the coverage within those descriptions is all the same\,  whether the issuer is ABC Company or XYZ Company. By creating levels of  insurance that are consistent from one company to another forces the  issuers to compete on price. The system is designed to lower premiums. \nNarrow networks of coverage such as CareConnect\, which was also the sponsor\, are emerging. The so called narrow networks are more responsive than the giants and even get into doctor referrals. They are developing medical databases that help each physician that treats a patient with information that is essential to good care. Eventually Integrated Medical  Records will be the standard. \n \n \nBy  having a thorough understanding of the patients under care allows the  insurance company to act more quickly to the questions of eligible  procedures. We were told that the denial for care rate in health  insurance business is a whopping 18%. In the smaller networks it is much  lower. CareConnect boasts a 2% denial rate by comparison. \n   \nUnder  this concept of wellness maintenance it is conceivable that an Rx could  read; take a 10 minute walk twice daily instead of a pill. Advice on  lifestyle changes such as smoking we have been doing for years\, but  there are other behaviors as well that should be addressed. Such as; how  long should we sit at a computer screen before getting up to get a  drink of water. \n   \nThe presentation was thought provoking and there were many questions at the end. \n   \nErnie Fazio \n  \n 
URL:https://limba.net/calendar/north-shore-lij-careconnect-rachelle-neuwirth/
LOCATION:NY
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DTSTART;TZID=America/New_York:20141128T000000
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DTSTAMP:20141128T050000Z
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UID:4607-1417132800-1417132800@limba.net
SUMMARY:Thanksgiving- no meeting
DESCRIPTION:
URL:https://limba.net/calendar/thanksgiving-no-meeting-2/
LOCATION:NY
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