Posts Tagged ‘MEDICARE’

U.S. Medicare rules seek improved care, lower costs

In OFF THE BEATEN PATH on April 1, 2011 at 1:29 pm
This program will create a financial incentive for doctors to take more interest in a patient’s follow up care, thereby, providing better care.
There are some who say that the entire medical and pharma system is based on making money and not on getting you better.  I guess this proves it.
The promise of “better care for patients” apparently wasn’t enough in order to get this program off the ground…they had to both pay doctors more AND show a savings to the government.
While I applaud the program to increase follow up care, this seems to me like doctors are now going to get paid more to do what they should already be doing (and are doing in other countries).
The USA medical system is ranked 37th in the world by the World Health Organization.
U.S. Medicare rules seek improved care, lower costs | Reuters

A patient waits in the hallway for a room to open up in the emergency room at a hospital in Houston, Texas, July 27, 2009. REUTERS/Jessica Rinaldi
A patient waits in the hallway for a room to open up in the emergency room at a hospital in Houston, Texas, July 27, 2009.

WASHINGTON | Fri Apr 1, 2011 8:41am EDT – By Donna Smith

(Reuters) – U.S. Medicare regulators on Thursday launched a program for doctors to deliver more follow-up care to patients that they predict will save the government as much as $960 million over the next three years while providing better healthcare for the elderly.

The Centers for Medicare and Medicaid Services proposed rules under President Barack Obama’s healthcare overhaul setting out guidelines for doctors and hospitals who form so-called accountable care organizations to deliver Medicare services.

The idea, called coordinated care, is to give primary care physicians a financial incentive to follow up on patients who are sent to the hospital or prescribed a course of treatment.

The traditional pay for service structure provides no such incentives, which take the form of a share of any cost savings.

“We’ve known for a long time that too many Americans fail to get the best care when they walk into a hospital or a doctor’s office,” Health and Human Services Secretary Kathleen Sebelius said in a telephone press conference.

“One in every five Medicare beneficiaries who leaves the hospital is back within 30 days. In many cases it is because they failed to receive the correct follow up care,” she added…

U.S. Medicare rules seek improved care, lower costs | Reuters.

Vote to change Bone Marrow Transplant for MDS

In STEM CELLS IN THE NEWS on February 14, 2010 at 4:22 pm

Membership  (These are the Congresspersons that will have the deciding vote to change Bone Marrow Transplant for MDS) you can change this by sending your letters or email of Support  urging them to Co-sponor  HR 1230.   Your congressperson doesnt have to be on the list, they can still Co-sponsor HR1230

The following Members have been selected to serve on the Energy and Commerce Committee in the 111th Congress:

Henry A. Waxman, CA, Chair Joe Barton, TX, Ranking Member
John D. Dingell, MI, Chair Emeritus Ralph M. Hall, TX
Edward J. Markey, MA Fred Upton, MI
Rick Boucher, VA Cliff Stearns, FL
Frank Pallone, Jr., NJ Nathan Deal, GA
Bart Gordon, TN Ed Whitfield, KY
Bobby L. Rush, IL John Shimkus, IL
1.   Anna G. Eshoo, CA John B. Shadegg, AZ
Bart Stupak, MI Roy Blunt, MO
2.   Eliot L. Engel, NY Steve Buyer, IN
3.   Gene Green, TX George Radanovich, CA
4.   Diana DeGette, CO, Vice Chair Joseph R. Pitts, PA
Lois Capps, CA 13.   Mary Bono Mack, CA
Mike Doyle, PA Greg Walden, OR
Jane Harman, CA Lee Terry, NE
5.   Jan Schakowsky, IL Mike Rogers, MI
6.    Charles A. Gonzalez, TX Sue Wilkins Myrick, NC
Jay Inslee, WA John Sullivan, OK
7.    Tammy Baldwin, WI Tim Murphy, PA
Mike Ross, AR 14.   Michael C. Burgess, TX
Anthony D. Weiner, NY Marsha Blackburn, TN
Jim Matheson, UT Phil Gingrey, GA
8.    G.K. Butterfield, NC Steve Scalise, LA
Charlie Melancon, LA
9.    John Barrow, GA
Baron P. Hill, IN
10.   Doris O. Matsui, CA
Donna M. Christensen, VI
Kathy Castor, FL
John P. Sarbanes, MD
11. Christopher S. Murphy, CT
Zachary T. Space, OH
Jerry McNerney, CA
Betty Sutton, OH
12. Bruce L. Braley, IA
Peter Welch, VT


In BUSINESS OF STEM CELLS on February 14, 2010 at 1:43 pm


My name is Jack and I am 66 years old with health coverage through Medicare.  I have been diagnosed with Myelodysplastic Syndrome (MDS), a bone marrow failure disease which typically progresses to Leukemia. The only known cure for MDS is a Bone Marrow Transplant.  Currently, Medicare will not cover this life saving treatment until MDS makes its progression to Leukemia, a full on CANCER.

I am writing to you because your voice can play a significant part in changing this shameful medical neglect by Medicare.  It is through proactive communication with Medicare, via the legislative process, that we, (the general public and constituency of our state of residence) can spotlight this ultimate “death sentence” currently given to MDS patients.

HR 1230 is a new bill authored by Congresswoman Doris Matsui, So. California, focused on MDS and thus far co-sponsored by 43 other representatives. If it is passed into legislation this bill will expand Medicare coverage to include bone marrow transplants for MDS.  I am appealing to you on behalf of myself, and every other of the 20-30,000 MDS patients in America, to help us get HR 1230 passed this spring.  It is possible that your participation could be the determining factor in obtaining authorization from Medicare for MY bone marrow transplant. This could save my life.

PLEASE CONTACT YOUR STATE REPRESENTATIVE with the information below AND ASK THAT HE/SHE AGREE TO CO-SPONSOR HR 1230.  The information you need for your representative’s address is at the bottom of this email.  It is important that we do this NOW.  As you know there is strength, and success in numbers, one lone voice is not enough no matter how loud it is.


*  Below is a message that I’m asking you to copy and send to your State Representative.

A Push for Medicare Coverage of BMT for Patients with Myelodysplastic Syndrome

Myelodysplastic syndrome (MDS) is a disease in which the bone marrow does not make enough healthy blood cells.  About 80 percent of people who have MDS are 65 years of age or older.  Currently, blood and marrow transplant (BMT) is the only known treatment that can cure MDS. Yet, Medicare does not always cover BMT for the treatment of MDS.

The American Society for Blood and Marrow Transplantation (ASBMT) has submitted a request asking Medicare to consistently cover BMT therapy for older Americans with MDS.

The ASBMT based their request in part upon the results of research led by physicians from the University of Minnesota BMT Program. Dr. Brian McClune and Dr. Daniel Weisdorf examined transplant data from 551 MDS patients of all ages. Their analysis revealed that there is no significant decrease in overall survival for older BMT patients.

For more information, please see the complete article in the latest ASBMT newsletter: http://www.asbmt.org/News/CMS+MDS

Click on this web site to find out email address for your Reps.


Please copy the message below, and paste it into an email communication to your representative ,  or feel free to compose your own request.  Medicare will review all letters from state representatives regarding H.R 1230 and make a decision very soon.   The more co- sponsoring representatives we can get on board, the more positive will be the future of MDS Medicare patients who can only survive with a bone marrow transplant.

Thank you for your help !


I am writing to ask you to cosponsor the Bone Marrow Failure Disease Research and Treatment Act of 2009 (HR 1230), introduced by Representative Doris Matsui (D-CA) on February 26, 2009.  Forty three of your colleagues have signed on as co-sponsors and now we need your support.  As a constituent coping with bone marrow failure disease, I ask that you support this new comprehensive approach to combating these devastating diseases.
Every year approximately 20,000 to 30,000 Americans are diagnosed with aplastic anemia, myelodysplastic syndromes (MDS), paroxysmal nocturnal hemoglobinuria (PNH), and other acquired bone marrow failure diseases.

The Bone Marrow Failure Disease Research and Treatment Act of 2009 would leverage the expertise and resources of several agencies within the Department of Health and Human Services (HHS), as well as patient advocacy organizations, in a new comprehensive approach to combat bone marrow failure diseases.  It would establish a National Registry for Acquired Bone Marrow Failure Disease at the Centers for Disease Control and Prevention (CDC) to help us gain a better understanding of the causes of these diseases and what disproportionate prevalence’s exist throughout the U.S.  This legislation would also establish and coordinate outreach and educational initiatives targeted to minority populations and would seek to improve diagnostic practices and quality of care of patients suffering from these

You can read a summary and section description of the legislation at www.aamds.org/action.  Please cosponsor this important legislation by contacting Sam Stefanki in the office of Representative Matsui at sam.stefanki@mail.house.gov or at (202) 225-7163.

Thank you for your attention to this important matter.

TO see the Congresspersons that will have the deciding vote to change Bone Marrow Transplant for MDS) you can change this by sending your letters or email of Support  urging them to Co-sponor  HR 1230.   Your congressperson doesnt have to be on the list, they can still Co-sponsor HR1230 CLICK HERE

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