By Katie Kerwin McCrimmon Squirrels and software snafus have brought down NASDAQ over the years. Last weeks debilitating three-hour crash of the financial exchange appears to have been triggered by a software glitch, proving that even long-established networks can be vulnerable to catastrophe. In Colorado, an exchange of a different sort Connect for Health Colorado is bracing for different disasters: blizzards, floods and severed data lines. But the most likely potential problems center on connections with Colorados Medicaid computers, insurance industry websites and the federal data hub, which must provide information on tax subsidies to help cut the cost of…
Category: Trends In Health Care - Part 4
By Katie Kerwin McCrimmon Andrea Mahoney was skiing her last run of the day at Breckenridge in January when she heard her knee pop. It sounded bad. The diagnosis she got from her doctor confirmed her hunch. She had torn her ACL and MCL, and had damaged her meniscus. Mahoney had surgery in late February at a physician-owned outpatient center. After extensive pre- and post-surgical physical therapy and a grueling seven months of rehabilitation, shes pleased with her results and now is running again with a brace. Mahoney is eager to get back to her typical athletic routine full of…
By Katie Kerwin McCrimmon People living in resort areas of Colorado will have to pay higher health insurance rates than those in other regions when plans start being sold through the states health exchange on Oct. 1. An average 40-year-old non-smoker living in a resort area who is buying a mid-level silver plan could be charged a base rate as high as $667 per month compared to the least expensive silver plan for a comparable 40-year-old in Greeley, whose base rate would be about $232 per month. Shoppers will also be able to choose from lower level bronze plans and…
By Katie Kerwin McCrimmon Colorados Division of Insurance has approved 242 plans from 13 carriers for the states health exchange, Connect for Health Colorado, which is slated to open on Oct. 1. Deputy Insurance Commissioner Peg Brown briefed members of Colorados health exchange board on Monday on plans that her department has reviewed and approved. Were very pleased with the number of carriers and plans. It represents a wide variety of choice for the Connect for Health marketplace and healthy competition in the Colorado insurance marketplace overall, Brown said. Of the approved plans, 150 are targeted at individuals while 92…
By Katie Kerwin McCrimmon Just seven weeks before the Oct. 1 launch of Colorados health exchange, managers said that their IT systems are not getting accurate data from state Medicaid systems, prompting a warning to board members Monday. Adele Work, the project manager who leads technology for Connect for Health Colorado, shifted her readiness estimate for synching with state systems from yellow, meaning cautiously moving forward,to red, meaning not ready. She highlighted her concerns Monday that state IT systems may not properly communicate with the exchange systems by Oct. 1. Work said shes prepared to shift to contingency plans on…
By Katie Kerwin McCrimmon KEYSTONE Best known for beating brilliant humans at Jeopardy, Watson, the super computer, soon may be coming to a hospital or insurance company near you. But dont call him (or her) Dr. Watson. The more appropriate reference may be to Sherlock Holmes my dear Watson, the indispensable right-hand man or woman as Lucy Liu now portrays Dr. Joan Watson in the re-imagined TV show, Elementary. IBMs Watson is actually named to honor the companys founder, Thomas J. Watson. But as Watsons creators dream up future roles for their intelligent machine medical sleuth, patient watchdog and reading…
By Katie Kerwin McCrimmon KEYSTONE If Silicon Valley venture capitalists were trying to fix broken health care systems, they would invest in multiple solutions at once and expect most to fail. But they would take action. That was the message from Rebecca Costa, an evolutionary biologist and a keynote speaker at the Colorado Health Symposiumsponsored by the Colorado Health Foundation. In nature, diversification ensures survival. In health care, Costa sees big organizations that want to meet endlessly, hold focus groups, then move tentatively, if at all, as they embark on singular solutions destined to fail at a glacial pace. Singularity…
By Katie Kerwin McCrimmon KEYSTONE Colorado faces daunting challenges in providing a healthy environment for both its oldest and youngest citizens, according to a new report from the Colorado Health Institute. The report, Reaching Our Peak: Creating a Healthier Colorado, assesses how Colorado rates in five major areas that affect health: schools, workplaces, communities, medical providers and places where we age. The Colorado Health Institute unveiled the report at this weeks Colorado Health Symposium, a gathering of state and national health leaders sponsored by the Colorado Health Foundation. Colorado scores lowest for healthy aging, according to the reports authors who…
By Donna Smith As health systems around the world grapple with the increasing costs of providing health care for their citizens, far too many are considering more extensive privatization of their systems to emulate the U.S. health care model. This is a mistake not only from an economic perspective but also from a human rights and public health position. As one of the people deeply injured by the profit-driven U.S. health system and as a professional advocate for a universal, public model that provides health care without financial barrier, I know that more privatization of any health system allows for…
By Katie Kerwin McCrimmon One of Colorados largest health insurance companies has reversed itself and is now covering care for transgender patients. Kelly Costello, 32, of Denver, received stunning news last week. One day after getting a formal notice that Anthem Blue Cross and Blue Shield of Colorado would not cover chest reconstruction surgery, the company abruptly overturned its decision. Costello received a written notice that Anthem has reversed its decision and now will cover some or all of the services. Costello had paid about $8,000 in out-of-pocket expenses for the surgery he underwent in April. Costello is overjoyed. Im…