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Passage of House Bill 709

FYI, the bill regarding Workers  Comp in which our fellow case manager, Michael Fryar educated us on, did pass.

I have captured some of the changes in a blog from the Hart Law Firm for your update:

http://myworkerscomplawyernc.com/new-workers-compensation-bill-signed-into-law-in-north-carolina/#axzz1YvTVsElP

This is just an example of why we need to keep up with the ongoing changes in  Health Care Reform, or we may be reading about changes in our jobs next. Thanks to Michael for being such a great advocate and his letter to the editor, which informed me of this issue. It appears that  disabled workers did not win with this legislation.  Sh

 

 

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Please see this article by Michael Fryar, CM / Rehab Consultant posted in the Editorial Section of the Winston Salem Journal. Michael wrote this editorial to bring awareness to a bill currently being proposed by the NC House and Senate, which would drastically change worker’s comp in NC.

Per Michael, the injured worker may be forced into a low paying job and lose his/her compensation with no effort to re-establish the worker in his profession at his same level of income. Public policy should help the majority of people. Anyone who has been injured at work through no fault of their own, deserve rehab and an opportunity to be employed within the same wage range they had prior to their injury.

You can read this bill at the NCGA site. The bills are House Bill 709 and Senate Bill 544.

The Bill is has been sent to the Committee on Insurance.

You can email Representative Dale Folwell, a sponsor of the bill at  Dale.Folwell@ncleg.net with your comments. I have emailed Representative Folwell and asked him to please clarify the purpose of this bill and state his position, as well as what  research or data has justified this action. I will keep you posted as to the response.

Thanks to Michael for advocating for his clients!!! We should do no less.

Susanh

Summaries from the “Hill” 2011

As many of you know, Alison Kelly and I both attended the CMSA Public Policy Workshop “Day on the Hill” April 5th and 6th   in Washington DC.  Last year, I was a voice of one, but this year, North Carolina had a total of four attendee’s. Besides Alison and myself,  Darlene Cooper,  owner of “Patient Advocates” and Cynthia Bracey, a nurse Case Manager for the Womack Army Medical Center at Fort Bragg attended as well. Darlene is from our local chapter and Cynthia is from the Fayetteville chapter and currently working toward her Ph.d.  (Go Cynthia!) It was great to have company in Washington and I hope more can come next year.

At the Workshop, we heard from the Public Policy Analyst, Kim Bolton, Director of Communication and Planning for Blue Cross, Blue Shield National Association. Hot issues include MLR and what areas of focus are outside of “Administrative Cost”.  Another hot topic is how “exchanges” in 2014 will impact consumers and brokers. The rules are undecided and the stake holders are rallying to be sure their voices are heard.

If you want to know more, there is a great site we learned about in Washington called www.healthreformgps.org.  Joel Teitelbaum, JD, who is an Associate Professor of Health Policy in the School of Public Health and Health Services at George Washington University has spearheaded the insurmountable task of documenting the progress of health care reform in America. This is the a mammoth piece of legislation which we have not seen since Medicare.  It does things that have never been discussed, as government interfacing with the private business sector.  This site is a must to any interested party in the health care sector. 

 One can also find a lot of great information on the Commonwealth Fund website: http://www.commonwealthfund.org/Health-Reform/Health-Reform-Resource.aspx. This site gives a breakdown of the ACA by year, so you know what is to come.  Also, visit the Medicare’s website for more information on their role in Health Care Reform,  http://innovations.cms.gov. The Center for Innovation has been sited to determine which models of Chronic Care Management are the most effective.

We also heard from Garry Carneal, JD  owner of Schooner Healthcare Services. He will be a keynote speaker at our 2011 CMSA Piedmont-Triad Conference. He was the person who labored over our “Case Management Model Act” which is circulating on the Hill since 2009. He was Director of the NCQA and has published extensively on medical management and regulatory trends. He has worked alongside the National CMSA Board for many years.  If you want to learn more about Garry and his work initiatives and his predictions for Case Management, we will see you September 22nd at the Piedmont Triad Conference!!!!  

Last, take a look at the AHRQ (http://www.effectivehealthcare.ahrq.gov) which is a leg of DHHS which reviews Comparative Effectiveness Research. They are now working on “Comparative Effectiveness for Case Management for Adults with Medical Illness and Complex Case Management needs”.  Does Case Management, when compared to other models, make a difference. THE DRAFT HAS BEEN POSTED at http://www.effectivehealthcare.ahrq.gov/index.cfm/search-for-guides-reviews-and-reports/?pageaction=displayproduct&productid=608

Please take a minute to review. We usually have only 4 weeks to comment!

Get involved. Even small attempts add up!

 Susanh

The National Public Policy Committee does not endorse the left or the right, but does itself promote legislation and interest that will benefit practicing Case Managers. You can always go to the National Site and link to the Public policy site for legislative flyers and updates, but they have always supported Transitions of Care, Licensure of Case Managers, Care Coordinator or Care Managers, Multi-State compact, reimbursement by Medicare for Physician coding for Case Management Services. Our esteemed National Committee has had opportunity to sit down with the CMS, Center for Medicare and Medicaid Innovation Representatives, as well as White House Health Care Policy Aids.

Hello world!

Welcome to my world… of Case Management, which seems to be changing everyday! Please feel free to post articles of interest to Case Managers on my blog.