Thứ Năm, 30 tháng 9, 2021

[Other] Toe Nail Getting Shorter?

I have noticed over the years, that my baby toenail on my left foot has slowly been getting smaller/shorter (just the nail, not the actual toe). It was the same length as the baby toe nail on my right foot but in the last 5 years, it's now only maybe 3mm long (that the entire length of the nail). The nail bed is almost gone. I have not stubbed or damaged my toe either. It's not causing pain or issues, i'm just confussed as to why it is slowly dwindling away. Does anyone know what could be causing this?

Sorry, health subreddit doesn't allow posting, so i figred this was the next best place to post this question.



https://ift.tt/eA8V8J Submitted September 30, 2021 at 09:50PM by throwawayaccc2233 https://ift.tt/3AZSfjT

NPR News: Are You Pregnant? The CDC Really Wants You To Get Vaccinated Against COVID-19

Are You Pregnant? The CDC Really Wants You To Get Vaccinated Against COVID-19
The Centers for Disease Control and Prevention says cases of COVID-19 in symptomatic, pregnant people have a higher risk of admission into intensive care and a 70% increased risk of death.

Read more on NPR

Thứ Tư, 29 tháng 9, 2021

[Question - Insurance] BCBS PPO Copay Question

Hi all,

Looking at insurance options for a new job. My options are Bronze, Silver, or Gold levels of BCBS PPO. On the Bronze level, the copay for PCP visits, specialist visits, urgent care, and some other stuff is listed as N/A. Does that mean I pay nothing for those services? Or I pay the full cost and it just goes towards my deductible?

It's the third teal line here: https://www.bcbstx.com/employer/pdf/tx-sg-plan-brochure.pdf



https://ift.tt/eA8V8J Submitted September 29, 2021 at 11:06PM by cjohns716 https://ift.tt/3kRS4l5

NPR News: Gene-Editing Experiment Improves Sight In Patients With Impaired Vision

Gene-Editing Experiment Improves Sight In Patients With Impaired Vision
For the first time, scientists are reporting they restored vision to people blinded by a rare genetic disorder by infusing the revolutionary gene-editing technique directly into cells inside the body.

Read more on NPR

[Question - Insurance] Are Out of Pocket Maximums really what they sound like?

I have been looking at low premium plans on healthcare.gov and really just want the unsurance to serve as a safety net in the event of a major medical emergency, since I don't go to the doctor often at all.

With that in mind I have been looking at Out of Pocket Maximums and thinking "boy I could live with that. Knowing that this is the most I would have to pay in any disastrous scenario. That sure is swell." But when I go to look at cost examples in some of the plans' documents, I see a few examples where the cost is more than the stated out of pocket maximum. Like WTF. All the examples are just slightly over the maximum, so I half think that it is typo or something but it is really causing me unease since I want to know how all this works before committing to a plan.

Can anyone give me the final word on out of pocket maximums, and also explain why the cost explains for some plans go over their stated maximum?

Much appreciated!



https://ift.tt/eA8V8J Submitted September 29, 2021 at 04:43PM by 895501 https://ift.tt/3ARcy36

[Question - Insurance] Which insurance providers are still offering long-term-care insurance to Washington state residents?

I am freaking out right now. I need to avoid the permanent long term care tax by signing up with a long-term-care insurance plan, but every place I call (EVERY. PLACE. I CALL.) says they are not accepting new applications from Washington state. What is there anyone can do? It has been like this for months already!



https://ift.tt/eA8V8J Submitted September 29, 2021 at 06:09AM by Pangamma https://ift.tt/3F1oMID

Thứ Ba, 28 tháng 9, 2021

[Discussion] Screw private Healthcare

Kaiser is raising my premiums 5.7% to $348.66/mo starting January 2022, which they do every year, and I have never used the hospital in my life. Screw those against universal Healthcare.



https://ift.tt/eA8V8J Submitted September 28, 2021 at 09:40PM by WorldsBestLandlord https://ift.tt/39Mp9su

NPR News: Just Before Taking Effect, Arizona's School Mask Mandate Ban Ruled Unconstitutional

Just Before Taking Effect, Arizona's School Mask Mandate Ban Ruled Unconstitutional
The ban on mask mandates was to take effect Wed. Before that could happen, an Arizona judge ruled that it and other laws were unconstitutional specifically because of how lawmakers passed them.

Read more on NPR

[Question - Insurance] Cobra coverage ending. Moving to Medicaid. What is my best course of action to minimize any issues with my prescription?

Sorry if this is the wrong place to ask this question or if I word anything confusingly. I am new to the world of health insurance and slightly frazzled by all of this (which you will understand why from the next sentence).

So I have a prescription medication for ADHD

I am debating one last visit with my old psychiatrist where he will prescribe the medication as normal.

This worked out well because with my old insurance it usually cost about 35$. Still pricy for me but I could manage. Without insurance (which I’ve had to pay once or twice in the past due to lapses in coverage) was about 375-400$ which is prohibitively expensive for me now. But I may be facing that reality and I’m hoping for guidance.

My last months (august) prescription I filled out earlier in September due to forgetfulness. Now I can’t pick up a new batch (because it’s a controlled substance) until 30 days later. That will be in October and my cobra private insurance coverage will be done and I will be purely on Medicaid.

Should I still go forward with my psych appointment if all I need is the scrip renewal. Is it possible for the doctor referral to be under one insurance plan and the actual medication purchase to be on another.

Sorry if all of this is sounding strange. Like I said, I’m kind of scatterbrained at the moment and very green when it comes to dealing with matters related to healthcare.

And going forward, my old PSYCH is not covered by my new plan 😔😔

So now I have to go through the extremely stressful and painstaking process of figuring out what I’m going to do now. On top of searching for a job and taking care of disabled family members. So any and all advice or words of encouragement are appreciated. Thanks in advance.



https://ift.tt/eA8V8J Submitted September 28, 2021 at 07:15AM by prawnofthedead https://ift.tt/3EXpFSJ

Thứ Hai, 27 tháng 9, 2021

NPR News: Meet The First 2 Black Women To Be Inducted Into The National Inventors Hall Of Fame

Meet The First 2 Black Women To Be Inducted Into The National Inventors Hall Of Fame
Dr. Patricia Bath transformed cataract surgery and fought to eradicate preventable blindness. Marian Croak pioneered the technology behind audio and video conferencing and text-to-donate services.

Read more on NPR

NPR News: The Cost Of Forced Psychiatric Care Like Britney Spears Got Can Be Ruinous

The Cost Of Forced Psychiatric Care Like Britney Spears Got Can Be Ruinous
The pop star was forced into psychiatric care — and compelled to pay for it. That could happen to anyone during an episode of serious mental illness, adding a financial threat to the health woes.

Read more on NPR

Chủ Nhật, 26 tháng 9, 2021

Thứ Bảy, 25 tháng 9, 2021

[discussion] Quit my job as a doc with no plan coz it was just too much

So I am physician who graduated in 2020 and decided to go into private practice. It was the start of the pandemic and I just really needed a job or so I thought. Now because of all the issues in healthcare (crap reimbursement, needing to see like 50+ patients a day, paperwork, not feeling good about the care I am giving coz i am just too stressed) and because of issues in my own private practice ( toxic boss who doesn’t care about patients/staff/ or me) I just decided that unemployment was better than working here.

Anyone else feeling this? Why is this happening to me? I am also not sure that I’ll feel better going to a more academic practice.

I made a video about this too:

https://youtu.be/4N0Nz0yH5oY



https://ift.tt/eA8V8J Submitted September 25, 2021 at 09:41PM by MyBurnoutDiaries https://ift.tt/3ATFqra

NPR News: In France's Perfume Capital Of The World, There's A World Of Beautiful Fragrance

In France's Perfume Capital Of The World, There's A World Of Beautiful Fragrance
Its jasmine and roses are prized by perfumers and those eager to learn the trade. But the French Riviera town of Grasse didn't always smell sweet. Centuries ago, it was known for leather tanneries.

Read more on NPR

[Question - Other] Cost Benefit Simulations

I am interested in looking at something like this:

https://cran.r-project.org/web/packages/heemod/vignettes/c_homogeneous.html

Suppose there is an insurance company. The inaurance company processes insurance claims. Let's say there are 100 people working at the insurance company: everyday, new claims arrive and existing claims are settled - but there is always a backlog.

In terms of strategies, the insurance company is considering hiring new employees: they are thinking of 5 new employees (strategy 1: costs $ 200,000), 10 new employees (strategy 2 : costs $ 500,000) or 15 new employees (strategy 3: costs $ 700,000).

The logic being, perhaps more employees could result in: fewer backlog through out the year, faster processing time of claims or smaller payouts to the claim filers (e.g. lets assume that each claim has to be processed in under 30 days, if a claim is approaching 30 days - the insurance company tries to negotiate and pay 50% of the amount owed instead of the whole amount).

In terms of the "transitions", different options can be considered:

A) The amount of backlog in the system (e.g. state A = less than 100 claims, state B = 101 to 200 claims, state C = more than 300 claims). Using existing data, transition matrix can be made to construct this transition matrix (3 × 3).

B) The average number of days spent on a claim (e.g. state A = less than 10 days , state B = 11 days to 25 days, state C = more than 25 claims). Using existing data, transition matrix can be made to construct this transition matrix (3 × 3)

C) The average percentage of the full amount saved on a case (e.g. state A = insurance company pays on average pays less than 50% of cases on average , state B = pays between 51% and 75% , state C = pays more than 75%). Using existing data, transition matrix can be made to construct this transition matrix (3 × 3).

My question is: I understand how to run a simulation that shows on any given day, which state the transition matrix (i.e. markov chain) will be in.

Question 1: But how can you calculate the cost and benefit (utility) of being in state A, state B and State C? I thought of adding integer scores to each state (e.g. state A = +3, state B = +2, state C = +1). Assuming that its always more advantageous to be in state, you run the simulation for 100 days and add the score on each day. A score 201 could mean that the system was on the whole "healthier" than the system with a score of 167. Is there another way of doing this?

Question 2: I know the cost of each strategy. But how do you attribute a benefit to each strategy? The best I can think about is trying to look at the historical data available and try to look at the system statistics when more people were hired vs less people.

Can someone please provide some advice on this? In general, am I understand the use of cost-benefit simulation correctly? Could this simulation serve as a legitimate method to decide which strategy to select?

Thanks!



https://ift.tt/eA8V8J Submitted September 25, 2021 at 10:17AM by blueest https://ift.tt/3CH3wWT

Thứ Sáu, 24 tháng 9, 2021

NPR News: Ancient Footprints Show Humans Lived In The Americas Earlier Than Once Thought

Ancient Footprints Show Humans Lived In The Americas Earlier Than Once Thought
A team of scientists dated the footprints along an extinct lake bed in New Mexico and found them to be between 21,000 and 23,000 — far older than reliable evidence has suggested to date.

Read more on NPR

[Question - Insurance] Blue Shield CA. Why is Dependent Coverage so confusing??? One premium vs individual rates?

I have four dependent children. Two stepsons, and two younger biological children. I've always had workplace coverage that had one monthly premium for myself, and a larger premium if I wanted children covered.

My newest employer (Small business, Blue Shield CA) provided me with a rate sheet. It has a list of prices based by age. Do I have to pay a monthly price for myself and each dependent? Ages: 31(self), 19, 15, 6, 3.

I'm seeing some stuff about how I'd only have to pay premiums for the oldest three, but that's only if they're 19 or younger, or 18 or younger, or 21 or younger (on small business plan flyer for BS CA in 2018, but not on the one for 2021), or up until 26..... Then I go to the small business website section and there's nothing about any of it.

I tried calling and got a lot of confusion from Blue Shield. One person said that it was only the eldest 3 until 19, another said eldest three regardless of age, and another was not sure and said to ask my HR dept. I am working for a startup. The CEO is the HR.

WTF?!?!?!??!?

I just want to know the costs. My stepson COULD go on his own insurance for $100/month, but it would be a HDHP, and if the cost is near the same for him to be on mine with the lower deductible, we'd continue to cover him on ours. But we cannot get a straight answer.



https://ift.tt/eA8V8J Submitted September 24, 2021 at 09:54AM by FIThrowaway2738 https://ift.tt/39vxgta

NPR News: NASA's Got A New, Big Telescope. It Could Find Hints Of Life On Far-Flung Planets

NASA's Got A New, Big Telescope. It Could Find Hints Of Life On Far-Flung Planets
The James Webb Space Telescope will let scientists study small, rocky planets around distant stars in more detail than ever before. After decades of work, it could head into orbit later this year.

Read more on NPR

Thứ Năm, 23 tháng 9, 2021

NPR News: Flying Microchips The Size Of A Sand Grain Could Be Used For Population Surveillance

Flying Microchips The Size Of A Sand Grain Could Be Used For Population Surveillance
Northwestern University says these are the world's smallest human-made flying structures, and they could be used to monitor the environment, population surveillance or disease tracking.

Read more on NPR

NPR News: EPA Moves To Sharply Limit Potent Gases Used In Refrigerators And Air Conditioners

EPA Moves To Sharply Limit Potent Gases Used In Refrigerators And Air Conditioners
The new rule is intended to decrease the use of greenhouse gases known as hydrofluorocarbons by 85% over the next 15 years. The gases that are thousands of times more powerful than carbon dioxide.

Read more on NPR

NPR News: A Dead Wild Male Ocelot May Still Have Offspring, If Scientists' Efforts Succeed

A Dead Wild Male Ocelot May Still Have Offspring, If Scientists' Efforts Succeed
South Texas is the one place in the U.S. where ocelots breed in the wild. After the death of a male, scientists tried something novel: artificial insemination from a wild ocelot into one at a zoo.

Read more on NPR

Thứ Tư, 22 tháng 9, 2021

[Question - Other] Has Anyone Used Galileo Telehealth - Is it Any Good?

I'm looking for a great telehealth platform in the USA. I've tried a few but the doctors were not super helpful and I often felt like they didn't really care about helping me.

I've read some good things about Galileo.

Has anyone tried Galileo and was it great - would you use it again?

Have you tried any other telehealth services that were good?



https://ift.tt/eA8V8J Submitted September 22, 2021 at 08:18PM by AviatorPrints https://ift.tt/2XCoqav

NPR News: The FDA Has Been Without A Permanent Leader For 8 Months, As COVID Cases Climb

The FDA Has Been Without A Permanent Leader For 8 Months, As COVID Cases Climb
Dr. Janet Woodcock, an administrative veteran of the Food and Drug Administration since the 1980s, has been acting director of the agency since January. Why is the permanent job so hard to fill?

Read more on NPR

[Question - Other] Kaiser - Style Healthcare for PPOs (All under one roof)

I used to have an HMO with Kaiser and I LOVED having everything under one roof. I could see my doctor, get lab work done, see any specialists I need, and pickup my prescription all in once place. Is there an equivalent for PPOs? I've heard of group practices and medical groups, but I'm not sure if that's the right thing or not. I have Cigna now if that matters. Thanks!



https://ift.tt/eA8V8J Submitted September 22, 2021 at 05:20AM by Mr_D3 https://ift.tt/39sN5AI

NPR News: Humans May Not Have Hunted Woolly Mammoths To Extinction Those Thousands Of Years Ago

Humans May Not Have Hunted Woolly Mammoths To Extinction Those Thousands Of Years Ago
Scientists thought that humans with stone weapons may have caused the disappearance of Ice Age beasts like woolly mammoths. New research shows that stones were no match for mammoths' hair and hide.

Read more on NPR

[Discussion] Why don't clinics actually have the medicines they're prescribing?

It just seems kinda annoying having to always go to a separate place to get them.

I have to pick up multiple refills and I also have to make an appointment at the clinic that'll work since I keep missing my appointments and then I keep missing the time frame to call the damn medical ride so I have to change the scheduled appointment to a day later just so there's 48 hours in advance to even get a medical ride.. so I keep going in circles with this already but it would be great to actually be able to pick up my prescriptions while I'm there instead of having to go somewhere entirely different. Just seems like they're trying to make it difficult for people without cars. I can't drive there, getting a rid there isn't always an option (and don't really wanna ask), it's a good minute walk to the Wal Greens, I'm not trying to hop on the bus (I haven't used the bus since early 2020 before covid really started) just to go get a few prescriptions and come all the way back, and I can't even have it delivered because even tho delivery is fee, they still have the damn $1 co pay for each prescription and of course they won't take cash and need it on a card, which I don't have, so even that doesn't work.

Then I started thinking, why don't these clinics have the prescriptions they're giving people, already at the clinic? I mean its a clinic, you should already have all of it? I already gotta come to the clinic why send me somewhere else lol, and then when you have medical rides, it isn't like you could just say "hey go to wal greens on the way back to pick up my prescriptions", medical rides are one way there and one way back. Which is another thing, these medical rides should start incorporating the ability to go pick up your your prescriptions after leaving the clinic lol cuz it just makes sense.. how else are people gonna go get them if they already relying on medical rides 😂

But anyway yeah, why don't clinics already have the prescriptions there?



https://ift.tt/eA8V8J Submitted September 22, 2021 at 02:38AM by AntiBullshyt https://ift.tt/3hShmNW

[Question - Insurance] What are some points that people who support private health insurance would support (rather than let’s say Medicare For All)?

I’m doing a research paper on why we should have Medicare for All in the USA. One part that I want to touch on is the counterpoints for it. I already got “freedom of choice” and antigovernment sentiments as the two points. Any more you guys have? Sorry if this is a little too political.



https://ift.tt/eA8V8J Submitted September 22, 2021 at 03:31AM by AniMelon111 https://ift.tt/39q7UNl

Thứ Ba, 21 tháng 9, 2021

[Question - Other] CHC Exam Study Materials?

I am signing up to retake the Certification in Healthcare Compliance exam. I failed earlier in the year and primarily studied with the mometrix guide book and OIG youtube lectures. Does anyone here have recommended study materials for the exam? I tend to do well with lots of practice questions so a book with hundreds of those would



https://ift.tt/eA8V8J Submitted September 21, 2021 at 11:25PM by BieTea https://ift.tt/3nXLw6m

NPR News: The Best Time For Rehabilitation After A Stroke Might Actually Be 2 To 3 Months Later

The Best Time For Rehabilitation After A Stroke Might Actually Be 2 To 3 Months Later
Intensive rehabilitative therapy that starts two to three months after a stroke may be key to helping the injured brain rewire, a new study suggests. That's later than covered by many insurance plans.

Read more on NPR

NPR News: Here's Why Firefighters Are Wrapping Sequoia Trees In Aluminum Blankets

Here's Why Firefighters Are Wrapping Sequoia Trees In Aluminum Blankets
The sequoias are "wrapped with house-wrapping material, kind of an aluminum-foil fabric that goes around the base of the trees," says Jon Wallace, who is helping to lead the firefighting effort.

Read more on NPR

[Question - Other] How to appeal doctors bill other than through insurance

Hi, I would like some advice, and I greatly thank you for your time in advance for any input. I checked my insurance plan, which provides for a routine hearing exam every 2 years. It was listed under the preventive care section. I called ENT office and booked an appointment - specifically mentioning that I need this routine hearing test. They took me in, and I mentioned routine hearing test again to the doctor and audiologist.

My insurance denied the claim as not-covered, and I am on the hook to pay the bill. They told me the doctor's office has to bill it as preventive hearing test. Doctor's office now tells me that they're a specialty office and do not provide routine hearing exam. That's only done at primary care. I am stuck between this madness. Fortunately the bill is only $56 so I can just pay it off. But I find this practice to be a scam, and want to hold this doctors office responsible.

In my opinion, they should've disclosed that they do not provide a routine hearing exam. It seems like they didn't know about this difference either. But what really concerns me is that doctors office could've billed me for anything and I would have no way of disputing it.

PS - I've been going to this office for many years and getting the same test done. But I only recently moved to HDHP so have started paying more attention to the medical service process. What a shitty process for the patient.



https://ift.tt/eA8V8J Submitted September 20, 2021 at 11:39PM by wasvsdal https://ift.tt/39m2QcJ

Thứ Hai, 20 tháng 9, 2021

[Question - Other] Wait Times To See Doctor

Hello,

Is it normal for doctors to be fully booked two months in advance? I made a doctor’s appointment today and they said their next available appointment is for the middle of November.

Is it normal to sit in a doctor’s office for a very long time?



https://ift.tt/eA8V8J Submitted September 20, 2021 at 11:06PM by Anna_2012 https://ift.tt/3Ey9j2L

[Question - Other] Health care administrators: How to you stay informed on ever-changing regulatory/policy changes?

Hey,

I´m new in the field and curious how you keep informed on regulatory changes relevant for your work. Do you read websites, sign-up for journals or receive emails from industry bodies?



https://ift.tt/eA8V8J Submitted September 20, 2021 at 04:38PM by Coup1 https://ift.tt/3tUJ2GN

Kocaeli Diş Hastanesi

2009 yılından günümüzediş hekimliği alanındahizmet veren Özel Donatım Ağız ve Diş Sağlığı Merkezi Türkiye de 2 ayrı şehirde diş tedavi klinikleri ile faaliyet gösteren Adapazarı/Sakarya merkezli İzmit/Kocaeli şubeli , çağa uyum sağlamayı hedefleyerek, yenilenen misyon ve vizyonu ile ,Dental Radyoloji kliniği(Digital Panaromik,Sefalometrik Röntgen üniteleri) ameliyathaneleri ile hizmet veren ağız ve diş sağlığı merkezidir.

https://preview.redd.it/y7ruth8irlo71.png?width=317&format=png&auto=webp&s=e4579af7eef61208b8bc71e141e4262ecc4c24a6



https://ift.tt/eA8V8J Submitted September 20, 2021 at 01:30PM by donatimdis https://ift.tt/3hQ9dtr

[Question - Other] Recent graduate curious about pursuing MHA

I have a bachelors in kinesiology and recently applied to physician assistant schools and interviewed at 1 so far. I’m losing my mind waiting to hear back from schools and wanted to have another options to pursue and thought I would do MHA.

From other posts on this sub I learned I should look for schools with a CAHME accreditation. In my state (Oklahoma) there is only one school with it. However, I am willing to move for a good school if I have to.

Do you guys think this is a good option? I want to work in healthcare and while I’m not aware of the whole administrative side of things, I was exposed to it while shadowing PAs.



https://ift.tt/eA8V8J Submitted September 20, 2021 at 10:17AM by throwaway3357305 https://ift.tt/2XAuHns

Novel Influenza [Question - Other]

Hey All! I’ve been asking this question on myself for a bit, and I was wondering what would happen. Firstly, a Human would be infected with the 2009 H1N1 virus and then pass it to an Avian Animal. If the animal managed to get infected, will there be a possibility it’ll transmit back mutated? If so, what are the chances of that happening? I’m generally curious so any answers would be helpful!



https://ift.tt/eA8V8J Submitted September 20, 2021 at 06:24AM by DualTheEpic https://ift.tt/3hQrYgn

Very Desperate [Question- Insurance]

I just got married and have been trying to jump on my husband's insurance but he got his name changed and they're making it impossible. I've tried googling but I'm lost. I'm desperate and I only make 10 dollars an hour as a cashier. I don't know what to do! Please help!



https://ift.tt/eA8V8J Submitted September 20, 2021 at 01:57AM by UndertaleFan1996 https://ift.tt/39zieCV

Chủ Nhật, 19 tháng 9, 2021

[News] The Abu Dhabi Stem Cell Center has started the first trial of its kind in the UAE and the region to study the efficacy and safety of immune cell therapy known as T-cells using a receptor-targeted cell (CAR T-cell) in the treatment of leukemias.

https://ift.tt/3hKtFvM

https://ift.tt/3hKtFvM Submitted September 19, 2021 at 04:03PM by PabloMarcos https://ift.tt/3nO3KXN

[other] Swollen after pin removal

I broke the base of my thumb almost 2 months ago and had 2 pins going through it into my wrist to hold the bone in place. I got out of my cast and my temporary pins were yanked out 8 days ago. The area around my thumb is still quite swollen and tender though. How long will that last?



https://ift.tt/eA8V8J Submitted September 19, 2021 at 05:49AM by D0227 https://ift.tt/3EyXOYH

Thứ Bảy, 18 tháng 9, 2021

Thứ Sáu, 17 tháng 9, 2021

NPR News: We Know Students Are Struggling With Their Mental Health. Here's How You Can Help

We Know Students Are Struggling With Their Mental Health. Here's How You Can Help
Experts say taking care of your own wellbeing first will allow you to help your kids and students. You should also listen to their concerns and teach them tools to manage their anxieties.

Read more on NPR

NPR News: Hundreds Of Dead Migratory Birds In New York City Prompt Calls For Dimming Lights

Hundreds Of Dead Migratory Birds In New York City Prompt Calls For Dimming Lights
After a volunteer collected more than 200 dead migratory birds from the sidewalks around the World Trade Center, bird groups in the city called on the complex to dim unnecessary lights at night.

Read more on NPR

[Question - Insurance] Who do I include in household for state insurance application

This might vary depending on location but maybe I can get a general idea from asking this.

My boyfriend (27) lives with his parents, his mom's current income being around $100k/yr (though it's through severance pay from being recently laid off, unsure if that makes a difference).
He does not have income but is not claimed as a tax dependant*.* He has to make use of free health services in every aspect. Right now we're trying to apply for Soonercare (Oklahoma's Medicaid) and it's asking for income information for the household, I'm unsure of who to include in the household..

I found this on healthcare.gov:
https://www.healthcare.gov/income-and-household-information/household-size/

And I'm not sure what to make of it, who exactly do I put down if I'm applying only for him? He doesn't file taxes since he doesn't have an income, and it says to include parents only if you claim them as tax dependents. Is that true for this situation too? Is it wrong for him to apply as a sole household? I feel like including his mom's income would make him ineligible despite her not paying for his healthcare. What are our options here?

Also, if nobody can answer, are there any other subs I could possibly cross-post this to for help?



https://ift.tt/eA8V8J Submitted September 17, 2021 at 03:53AM by icehellking https://ift.tt/39aO1ts

Thứ Năm, 16 tháng 9, 2021

[Discussion] How mature/reliable are risk stratification ML models in the Healthtech space?

So I'm possibly interested in machine-learning models that receive laboratory data as inputs, then hopefully are able to churn out some kind of risk stratification to assign that particular patient.

But the first thought that crossed my mind was all the typical pitfalls associated with Machine Learning especially in relation to health data (e.g. the sheer downside of a false positive or false negative).

Are models like these used widely in this space? What vendors etc are generally the go-to for something like this, if accreditation is one of our main concerns. We're Asia-based if that makes a difference!



https://ift.tt/eA8V8J Submitted September 16, 2021 at 10:20PM by Lostwhispers05 https://ift.tt/3AhK3v7

[Question - Other] Why is it so hard to contact health care providers in the US?

Whether it's for billing questions, appointment scheduling, or pretty much anything else, health care customer support is abysmal and is guaranteed to take a big chunk out of your day.

Almost every health care provider I've encountered makes you call them on the phone, listen to long messages, wait on a long hold, and talk to several different layers of tech support people to resolve even the simplest of questions. It takes a minimum of 20 minutes to get anything done, and often much longer. Most do not provide any sort of email or chat-based support. It's like they don't want to hear from customers.

It's 2021. Why?



https://ift.tt/eA8V8J Submitted September 16, 2021 at 06:48AM by Quartersharp https://ift.tt/3Cm6BeV

Thứ Tư, 15 tháng 9, 2021

[News] A Boy Went to a COVID-Swamped ER. He Waited for Hours. Then His Appendix Burst. — Non-COVID patients are paying a price as the delta variant and low-vaccination rates overwhelm hospitals across the country. “Wait times can now be measured in days,” said an expert.

https://ift.tt/3ltSzkf

https://ift.tt/2XwH9UW Submitted September 15, 2021 at 08:40PM by Exastiken https://ift.tt/2Z1fMD1

Health Emergency [Question - Other]

[Question - Other]

Hi Guys-

I am a 33 yr old female. I have been having health issues for the past year and no one can tell me what is wrong. I was diagnosed w pcos, not sure if I have endometriosis…I am dealing w chronic constipation, feel a tightness in my rib cage area…very high DHEAS…generally feel awful. Is there anywhere I can go that can do a full evaluation on me or do I just die now? I have had mris and ft scans and all of them say No tumors or anything. I have been to the ER and they did not help me as they said they can only tell you if you have cancer or are having a heart attack etc. I am not mentally ill either as many ppl have tried to call me at this point. I even went on Zoloft and that didn’t work.

Please can someone help me? My life is passing me by and I’m chronically sick. I am desperate and don’t know where to go? Is there somewhere that I can go to be evaluated and figure out what’s wrong??



https://ift.tt/eA8V8J Submitted September 15, 2021 at 08:27AM by StopFlaky8111 https://ift.tt/39a9EKm

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https://ift.tt/3noWOQU Submitted September 13, 2021 at 04:22PM by bigjoocylips https://ift.tt/3tC1BiP

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Quit job and got married at the same time, is my wife eligible for COBRA? [Question - Insurance]

For context, this is in the US. I got married and 2 weeks later had my last day at my professional job with benefits. I gave my notice slightly before getting married and my last day was approximately 2 weeks after the wedding. I asked about getting my wife added onto my benefits after getting back form the honeymoon but before I left the job, and the HR dept. directed me to the company that handles the insurance packages for the company. I called the insurance company and was told that because of the way the company is set up, that life changes have to be processed by the company's HR dept. and not by the insurance company. They also informed me that because we were married while I was still covered by insurance, that I would have 30 days from the date of the wedding to get my insurance changed to retroactively cover my wife for the last 2 weeks of my employment, which would then give her eligibility to be covered by COBRA. I contacted the HR department and left a message asking to add my wife for the purpose stated above and the response was that the HR department would think about it and let me know what their position would be in a few days.

My questions are...

  1. Is what the insurance company told me accurate?
  2. Is the company legally obligated to go through with adding my new wife on the policy despite the fact that I am no longer an employee? Or, are they allowed to say screw you, you should have processed this earlier?

Thanks in advance for the help!



https://ift.tt/eA8V8J Submitted September 12, 2021 at 08:07AM by ajoyce132 https://ift.tt/3z4BYbB