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Leroy Jones, Jr. is the creator of Talking Technology with Leroy Jones, Jr.

"NEW SHOW - ALLONE MOBILE"

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Personal Health Records on your cell phone?

Recently, I had the chance to chat with the good folks at AllOne Mobile.

They are working to provide . . .  "instant, secure access to personal health records anytime, anywhere via your mobile phone."


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"TALKING TECHNOLOGY WITH LEROY JONES, JR."

June 12, 2009

TOPIC:  "NEW SHOW - ALLONE MOBILE"

With CEO Bill Reed and Senior VP Stu Segal





HEALTH TERMS - BALANCE BILLING

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What is Balance Billing?

Definition:
  The practice of billing a patient for the fee amount remaining after insurer payment and co-payment have been made. Under Medicare, the excess amount cannot be more than 15 percent above the approved charge.



HEALTH TERMS - ADVERSE SELECTION

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What is Adverse Selection?

Definition:  The problem of attracting members who are sicker than the general population, specifically, members who are sicker than was anticipated when developing the budget for medical costs. A tendency for utilization of health services in a population group to be higher than average or the tendency for a person who is in poor health to be enrolled in a health plan where he or she is below the average risk of the group.

From an insurance perspective, adverse selection occurs when persons with poorer-than-average health status apply for, or continue, insurance coverage to a greater extent than do persons with average or better health expectations. Occurs when premium doesn't cover cost. Some populations, perhaps due to age or health status, have a great potential for high utilization

Some population parameter such as age (e.g., a much greater number of 65-year-olds or older to young population) that increases the potential for higher utilization and often increases costs above those covered by a payer's capitation rate.

Among applicants for a given group or individual program, the tendency for those with an impaired health status, or who are prone to higher than average utilization of benefits, to be enrolled in disproportionate numbers and lower deductible plans.




CARING FOR LOVE ONES

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The economics of health care reform continue shape the debate . . .

Downturn Puts a Chokehold on Those Caring for Family Members


ELECTRONIC MEANING

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EHR_June 2009.jpg
What does it all mean?

Defining 'meaningful use' of Electronic Health Records(EHR)


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