The Newest: US well being officers warn of false positives | Your Cash

WASHINGTON — U.S. health officials are warning health professionals about the risk of false positive results with a widely used laboratory test for COVID-19 and flu.

The Food and Drug Administration issued the alert to Friday for health facilities using Roche’s cobas test for coronavirus and seasonal flu. The agency warned that problems with the test’s processing tubes could result in false diagnosis in people who are not actually infected.

Roche’s testing system is widely used to screen large batches of patient samples in hospitals and laboratories.

The FDA recommends health workers test samples multiple times to help assure accuracy. If the test delivers conflicting results it may indicate a problem and use should be discontinued, the agency says.

———

THE VIRUS OUTBREAK:

— WHO grants emergency use of J&J vaccine

— White House says it will direct states to allow shots for May 1

— AP-NORC Poll: People of color bear burnt of virus economic toll

— The pandemic has taken a huge toll on children’s mental health.

——

Follow AP’s pandemic coverage at https://apnews.com/hub/coronavirus-pandemic, https://apnews.com/hub/coronavirus-vaccine and https://apnews.com/UnderstandingtheOutbreak

———

HERE’S WHAT ELSE IS HAPPENING:

LAS VEGAS — Nevada’s top coronavirus official didn’t guarantee the state can meet President Joe Biden’s goal of offering a vaccination to every adult who wants a shot by May 1, but he said it gives everyone something to work toward.

COVID-19 Task Force chief Caleb Cage says everything depends on vaccine allocations. Seventeen new COVID-19 deaths were reported statewide Friday, bringing the pandemic total in Nevada to almost 5,100.

The number of cases statewide is nearing 300,000, while Nevada also passed the 575,000 mark in vaccines initiated.

State officials say almost 324,000 Nevadans, or more than 10% of the state population, are now fully vaccinated.

——

DES MOINES, Iowa — More than 1 million doses of coronavirus vaccine have been administered in Iowa, even as residents who qualify struggle to make appointments for a shot.

The Iowa Department of Public Health said Friday that Iowa has administered 1.03 million doses.

The milestone reflects significant increases in vaccine supplies but it’s unclear how the state will handle surging demand as more adults become eligible in the coming months. Iowa has no centralized system for people to secure a vaccine appointment.

Gov. Kim Reynolds dismissed an early plan to pay Microsoft to set up a statewide registration and appointment scheduling program. Instead, the state set up a website that offers information about where to get vaccines but leaves scheduling to individuals.

President Joe Biden said Thursday evening that he expects the nation to have sufficient vaccine supply by May 1 so anyone who wants a vaccine will be able to schedule an appointment. Reynolds said Iowa could beat that deadline if vaccine supply increases and remains stable.

It’s unclear whether Iowa is prepared to handle such a volume of people when there already appears to be a bottleneck setting up appointments.

———

WASHINGTON — Former White House coronavirus coordinator Dr. Deborah Birx is joining the George W. Bush Institute as a senior fellow.

Birx, who was tapped by former Vice President Mike Pence to manage the Trump administration’s response to the pandemic, clashed with President Donald Trump and other officials who moved to set aside science and promote “reopening” the country. Birx, who initially was interested in a job in the Biden administration, faced criticism for not speaking out more forcefully against the former president’s guidance.

The former U.S. Global AIDS Coordinator, Birx had previously overseen the President’s Emergency Plan for AIDS Relief and led the government’s engagement with international partners on addressing other communicable diseases.

Birx will work on the institute’s public health work, as well as policy efforts to study “how to better position our country to tackle health disparities in the future based off the lessons learned from the COVID-19 pandemic.”

———

SAN FRANCISCO — California on Friday announced it has administered 2 million vaccine doses to people in vulnerable, low-income ZIP codes.

This will allow counties to more quickly reopen activities such as indoor dining and indoor gyms at reduced capacity.

Gov. Gavin Newsom announced last week that he would set aside 40% of vaccine for residents of some 400 ZIP codes the state deems most vulnerable. The point is to tie reopening standards to ensure that the people most impacted by the pandemic are protected against the virus.

By hitting the 2 million mark, the state will reassess counties and allow them to move to the red tier within 48 hours instead of waiting until Tuesday.

Los Angeles County, the nation’s most populous with 10 million residents, said the earliest it would allow museums, gyms, movie theaters and restaurants to open indoors at limited capacity is Monday.

———

BATON ROUGE, La. — Louisiana is telling its coronavirus vaccine providers that they must get shots in arms within a week of receiving the doses or risk getting blocked from receiving future shipments of the vaccine.

The state health department sent a notice Thursday to the hospitals, pharmacies, clinics and other community providers of the coronavirus vaccine detailing the state’s expectations. Gov. John Bel Edwards’ office provided a copy of the notification Friday to The Associated Press.

State health department data shows nearly 18% of the state’s total population has received at least the first dose of vaccines that often require two shots. But Louisiana lags many other states in distributing doses.

———

PARIS — France’s public health watchdog is recommending the coronavirus vaccine made by Johnson & Johnson to be injected into all people over 18, including the elderly.

In guidance issued Friday, France’s High Authority for Health said the one-dose shot should be preferentially administrated in areas where the virus is spreading fast.

The vaccine, which has been approved Thursday by the European Medicines Agency, is not expected to be delivered in the country before mid-April.

France is already using vaccines made by Pfizer-BioNTech, Moderna and AstraZeneca. The country has injected at least one shot to 9,2 % of its population over 18.

Prime Minister Jean Castex expressed concerns Friday over the “very serious situation” the Paris region, where virus patients occupy 95% of intensive care units. Some patients are about to be transferred to hospitals in other parts of France, he said, adding that the government is ready to impose new restrictions if needed.

The country is under a national 6 p.m. curfew and authorities have ordered an additional weekend lockdown in parts of the French Riviera and in northern France. France has been among countries with the highest death tolls, with at least 90,146 lives lost.

———

SAO PAULO — Brazil’s federal government says it has reached a deal to purchase 10 million doses of the Russian-made Sputnik V vaccine against COVID-19, though the shot is yet to be approved by the South American nation’s health agency.

The Brazilian Health Ministry said on Twitter Friday that the jabs will be imported by União Química, a company that has lobbied the government to purchase the vaccines, though its own experience is based on other medical products.

Brazil’s government expects to receive 400,000 shots in April, 2 million in May and another 7.6 million by June.

The ministry said it would also evaluate possible production of thge Sputnik V vaccine by União Química plants in Brazil.

Brazil has already secured contracts for 200 million vaccine doses, half made by AstraZeneca and half by Chinese pharmaceutical company Sinovac.

———

BIRMINGHAM, Ala. — Alabama is expanding eligibility for COVID-19 vaccinations to more frontline workers, residents with certain chronic health conditions, and people 55 and older later this month, state officials announced Friday.

“We have been concerned that many people at high risk and others engaged in close-contact work have not been eligible to receive the vaccine yet, but with the additional vaccine supply we are better able to meet the needs of Alabama residents,” Gov. Kay Ivey said in a statement.

The expansion, starting March 22, will add over 2 million people to the groups who can receive a COVID-19 vaccination in Alabama, roughly doubling the number of people now eligible.

The dramatic increase in the number of people eligible comes at a time when demand continues to exceed supply and will increase the competition to find shots.

State Health Officer Scott Harris said Alabama expanded eligibility because of the expectations of the public — particularly as they see people in other states getting shots — and health officials’ expectation that the supply will jump over the coming weeks.

The new eligible groups include more frontline workers; people 55 and older; those with intellectual and developmental disabilities; and residents age 16 to 64 with certain high-risk medical conditions. The qualifying medical conditions include cancer, chronic kidney disease, diabetes, smoking, obesity, sickle cell disease and heart conditions.

———

LANSING, Mich. — Michigan announced Friday that all residents age 16 and up will become eligible for the COVID-19 vaccine on April 5, nearly a month before the May 1 date pledged by President Joe Biden.

People age 16 to 49 with certain medical conditions or disabilities will qualify starting March 22, when 50- to 64-year-olds can begin getting shots under a previous announcement. Two days later, March 24, a federally selected regional mass vaccination site will open at Detroit’s Ford Field to administer an additional 6,000 doses a day for two months.

The U.S. is expecting to have enough doses for adults by the end of May, but Biden has warned the process of actually administering those doses will take time. As of Wednesday, about 22% of Michigan’s 16-plus population had been fully or partially vaccinated.

The state health department said it may take “several weeks” beyond April 5 for everyone who wants the vaccine to get an appointment.

The site in Detroit will operate 12 ½ hours every day for eight weeks, vaccinating at least 168,000 people with two Pfizer shots, potentially more if a one-dose vaccine is used in the final two weeks. Detroit was selected by the Federal Emergency Management Agency, which is prioritizing vulnerable areas.

———

GENEVA — The World Health Organization granted an emergency use listing for the coronavirus vaccine made by Johnson & Johnson, meaning the one-dose shot can be used as part of the international COVAX effort to distribute vaccines globally, including to developing countries with no supplies.

In a statement on Friday, the U.N. health agency said “the ample data from large clinical trials” shows the J&J vaccine is effective in adult populations. The emergency use listing comes a day after the European Medicines Agency recommended the shot be given the green light across the 27-country European Union. The U.S. Food and Drug Administration granted the J&J vaccine an emergency authorization last month.

A massive study that spanned three continents found the J&J vaccine was 85% effective in protecting against severe illness, hospitalization and death. That protection remained strong even in countries such as South Africa with variants.

The U.N.-backed COVAX effort previously announced it had an initial agreement with J&J to provide 500 million doses, but it’s not legally binding.

———

ATLANTA — U.S. health officials have posted more specific COVID-19 guidance for preschools and other childcare programs.

The Centers for Disease Control and Prevention is recommending very young children and childcare workers are placed in groups that stay together throughout an entire day. It is similar guidance applied to schools with older students.

The guidance is more emphatic about wearing masks, calls on all childcare workers to get vaccinated and issues more information about the importance of ventilation.

The guidance was issued Friday, replacing advisory documents the CDC posted last summer.

It’s meant for programs that care for children before they start kindergarten. That includes preschool programs and home-based family childcare programs.

———

GENEVA — The head of the World Health Organization called on countries not to limit the exportation of critical vaccine ingredients, calling it “one of the major challenges we need to solve” amid a finite supply of COVID-19 vaccines.

WHO chief Tedros Adhanom Ghebreyesus says the U.N. health agency met this week with its partners, industry representatives and others to identify potential solutions to the shortages. Tedros says there were shortages in materials including glass vials, plastic filters and other elements.

“The sudden increase in demand for vaccine production has led to a shortage of these and other supplies,” Tedros says.

He says limiting the production of COVID-19 vaccines was restricting the available supply and could possibly jeopardize the production of routine vaccines for childhood diseases.

———

ROME — Italy’s new premier has pledged to triple the number of daily vaccinations administered daily throughout the country as coronavirus cases rise.

Mario Draghi inspected a vaccination center at Rome’s Leonardo da Vinci airport on Friday and noted the pace, now running 170,000 shots daily, had picked up this month.

Italy’s medicines agency blocked use of one batch of AstraZeneca vaccines, after “several grave adverse events” were reported, Draghi says, describing it as a “precautional decision” in line with other European nations.

Meanwhile, Italy is tightening COVID-19 restrictions for Easter weekend as many hospitals warn they’re running out of ICU beds for coronavirus patients.

The government decided at a Cabinet meeting the entire nation will be under strict ‘’red zone’’ rules the Easter weekend of April 3-5. The day after Easter, called ‘’Little Easter,’’ is a national holiday when many Italians travel for vacations or gather in parks or at beaches for picnics with friends and families. Travel between regions is already banned under previous restrictions.

———

WASHINGTON — The Biden administration says it has the authority to direct states to open up their vaccine supply to all adult Americans by May 1 using the same mechanism it used to order teachers and childcare workers eligible this month.

States are required to distribute the federally provided vaccines in accordance with guidelines set by the Department of Health and Human Services. The department will issue a directive that states allow all adults to be vaccinated under their eligibility criteria by May 1.

The federal government also controls supply directly through the federal retail pharmacy program, federally-run mass vaccination sites and federally qualified community health centers. It could use those mechanisms as well to expand eligibility

———

PRAGUE — The health authorities in the Czech Republic have administered over 1 million coronavirus vaccine shots.

Health Minister Jan Blatny says the vaccination program is picking up speed. So far, almost 288,000 people in the nation of 10.7 million received both shots.

The number of shots surpassed 44,000 in the previous two days, a record. Blatny says the country will receive 1.13 million vaccines of Pfizer, Moderna and AstraZeneca in March. The country expects another 2.1 million in April when the first batch of the newly authorized Johnson & Johnson is scheduled to arrive.

The minister says unlike some other countries, the Czech Republic will continue administering AstraZeneca vaccines.

There were 11,083 new cases reported on Thursday. The country has 22,865 confirmed deaths.

Unemployed employees are hit with one other shock: Many owe the federal government cash for medical insurance

According to the federal government, Ryan made too much money off unemployment. It was more money than she would have made as a preschool teacher, and it bumped her into a different income bracket that reduced her insurance subsidy under the Affordable Care Act. Desperate to keep health insurance in the middle of the pandemic, she’s trying to figure out how to pay the big bill.

“Where do I get all the money to pay back during the pandemic?” said Ryan, 50, who lives in Bergen County, New Jersey. “What did you expect from us? Drop Obamacare During Pandemic? “

Ryan is one of the million Americans facing surprisingly high tax burdens amid a global health crisis. She was finally able to go back to work in a daycare center but says she doesn’t have $ 3,100. She used the savings she had to move from Pennsylvania to New Jersey when a job opened in her field.

“We’re just trying to get back on our feet and we’re now overwhelmed with all the bills we owe,” said Ryan, who lives with her boyfriend.

Congress is trying to fix this problem so that low-income Americans won’t drop their health insurance because they can’t afford it. The $ 1.9 trillion stimulus package, expected to be passed in mid-March, would forgive these tax burdens. (According to an agreement reached late Friday, households earning less than $ 150,000 would also save taxes on the first $ 10,200 in unemployment income.)

Politicians and health experts say the United States needs to keep as many people as possible covered by health insurance during the deadly pandemic. But this subsidy problem that Ryan and millions of others are now facing makes it difficult.

Low-income workers and the self-employed typically turn to the Affordable Care Act marketplaces for health insurance. If workers earn between $ 18,000 and $ 51,000, they’re eligible for a government grant to make plans more affordable. The catch, however, comes if they got health insurance in November or December 2019 – before the pandemic became a national emergency.

People like Ryan estimated their earnings for 2020 and were far from it, largely because of the additional $ 600 a week Congress made available to the unemployed from April to July. Workers such as preschool teachers, teaching assistants, waiters and the self-employed often benefited more from unemployment than from their regular work last spring. Now they owe money to the government to repay some of their health grants.

This happens to some low-income Americans every year, but experts say it is particularly common now that the livelihoods of so many people have been dramatically disrupted.

According to the Internal Revenue Service, around 3.2 million low-income Americans owed the state money for their health grants in 2018 Data. That number is expected to be over 5 million, according to 2020 Estimates from the Joint Tax Committee and the Kaiser Family Foundation.

“This just goes to show how complicated it is to subsidize people’s health care through the tax system,” said Larry Levitt, executive vice president of health policy for the Kaiser Family Foundation. “In the midst of the enormous uncertainty for the people, it would certainly be helpful if they didn’t have to pay back subsidies for having misreported their income.”

According to the economic stimulus plan, everyone who is unemployed will automatically qualify for the full health insurance subsidy in 2021. If the legislation goes into effect, these Americans won’t get a shock tax bill next year, and they should be able to afford health insurance by now.

Lawyers for the poor hailed these recent initiatives by Congress and the White House, but complained that it had taken lawmakers a year to figure out how to help.

“We have been in a pandemic since March, and nothing has been done by Congress to bring more people to health insurance,” said Tara Straw, a senior health policy analyst at the left-wing Center on Budget and Policy Priorities.

And while there’s a solution along the way, some Americans like Shawn McCreary of Doylestown, Pennsylvania have already paid their taxes – and the credit fine for health insurance.

“That year, I owed $ 3,565 in federal taxes, of which $ 1,300 apparently came from” overpaying “the health exchange because my unemployment was higher than my planned income in November 2019,” McCreary said. “That was a complete surprise to me.”

McCreary, 36, is a special education teacher. He was working as a replacement when the pandemic closed due to the pandemic last March. Since he was a substitute teacher, he was not on the school district’s insurance plan. He had taken out insurance through the health insurance company and said he had even tried to overestimate his 2020 income so as not to pay a fine later, but he was unemployed for most of the year.

As an asthmatic, McCreary already has huge health bills. He was also careful returning to the classroom until he was vaccinated. His grandmother died of Covid-19 in July.

“The pandemic really changed my life from top to bottom,” said McCreary. “I don’t have $ 3,500 to just give back to the government. I almost wish they had paid me less to start with. “

McCreary filed his taxes last month and started a payment plan with the IRS. He will likely have to file an amended statement when Congress passes the stimulus bill that waives the money he owes for the health grant.

For the unemployed, this is another turn in a tough year. Health experts say they just hope the stimulus will go away soon and people will realize they can refill.

West Bloomfield CEO sentenced in $150 million well being care fraud, opioid, cash laundering scheme

The proceeds from the fraud were used to fund private jet flights, tickets to the NBA court finals and the purchase of luxury cars, jewelry and real estate, the DOJ’s press release said.

Rashid has also been ordered to pay Medicare more than $ 51 million in restitution, as well as property attributable to the program’s proceeds, including commercial, residential, and Detroit Pistons, to expire on season card membership, according to the Press release.

Rashid pleaded guilty in 2018 to a conspiracy to commit healthcare fraud and cable fraud, as well as a money laundering count. 21 other defendants, including 12 doctors, have been convicted so far, including four doctors convicted after a month-long trial in 2020. Rashid is the second defendant to be convicted.

Georgia Home leaders again price range with extra money for colleges, psychological well being

The heads of state or government approved much of what Kemp proposed for next year’s budget.

They supported plans to spend $ 40 million on a rural innovation fund and $ 10 million to expand high-speed internet in rural areas.

They agreed to replenish 60% of the legislature-approved cuts in education spending last year. when they fell 10% fearing that government revenues would fall due to the pandemic.

That didn’t happen. Indeed, state tax collections rose 6.3% in the first seven months of this fiscal year.

Much of the government spending goes to K-12 schools and colleges.

Under the fiscal 2022 budget, the state would borrow approximately $ 1 billion for construction projects, much of it for new schools, college buildings, and roads and bridges.

In addition to education, health care is one of the main reasons for the budget increase for the next year. Medicaid – the program for the poor and the disabled – sees another big increase. This is partly because recipients who postpone medical treatments and appointments during the pandemic are expected to see more doctors in 2022. The house plan also provides more money for nursing homes that have been badly hit by the pandemic.

Chairman of Home Remedies Terry England, R-AuburnThe move will add more than $ 58.5 million to various mental health programs, some of which have been overwhelmed by the pandemic’s impact on mental health and addiction problems.

“This will make an important mental health statement,” he said.

The budget would staff a number of agencies, from the Ministry of Health to the Ethics Committee to the Ministry of Finance and the Secretary of State. It would allow pay increases for bank auditors, license service center clerks, and guards in private prisons. It would create new classifications for veterans in the Georgia State Patrol so that they can receive elevations while staying in the workplace.

The spending plan puts $ 2.5 million for the Georgia World Congress Center to get people back to work as more conventions are held when more Americans are vaccinated.

And the House asked the Employees Retirement System to send an additional monthly check to retirees. While retired teachers receive a 3% increase in the cost of living each year, ERS members haven’t had one in more than a decade. Instead, in recent years the legislature has asked the system to give retirees a bonus check that does not permanently increase their pension.

The House plan provides $ 190,000 to fund the review of at least five special interest tax breaks over the next year. A Senate bill was passed at the beginning of this session calls for regular reviews of the dozen of special interest tax breaks approved by lawmakers to see if they are contributing to job creation.

It also has $ 6 million in rehab for MARTA’s bankhead ward, nearly $ 3 million in designing a research tower at Georgia State University, and $ 500,000 in creating an eminent sickle cell research scientist at Georgia Research Alliance.

With the House of Representatives plan failing to fully restore cuts in areas such as education, Danny Kanso, senior policy analyst for the Georgia Budget and Policy Institute think tank, said he is underfunding government agencies by approximately $ 1.2 billion, “at one Time when Georgians were just around the corner The health and economic challenges posed by COVID-19 require more resources to meet their needs. ‘

Duke Well being program gives meals, transportation, cash to assist individuals survive pandemic :: WRAL.com

– In the past six months, a Duke University health system program has helped support more than 30,000 people with COVID-19 who have been exposed to the coronavirus or are at high risk for the virus.

Duke Health’s COVID-19 social assistance program ensures they have food. Masks, gloves and other protective equipment; Access to medical appointments and vaccination appointments; and money to pay their bills.

“Many of the people we serve come from historically marginalized populations who are very distressed and in a desperate situation,” said Fred Johnson, vice president of Duke’s Division of Community Health.

Duke works with several community organizations – La Semilla, El Centro, Durham County’s Project Access, Gang Free, Slice 325, PEACH, and TRY – to provide services that help people take the right steps, such as: B. Isolate after exposure without worrying about how they eat or pay the bills.

“M.Each of them was an essential worker. Many of them were hourly workers with whom they had to make choices [not] To isolate or not to receive income, “Johnson said.” We believe this program has enabled them not to make this an either / or choice. “

To date, the program has provided 62,000 ready-to-eat meals, more than 10,000 boxes of PPE, and $ 2.5 million in funding.

“Entitled [individuals] had to isolate. So they could only get services that were roughly 14 days, which is the quarantine time, “Johnson said.

Jermaine Barnes drives seniors to and from medical appointments as part of the program.

“With most of these disabled and elderly people, in the pandemic, they have a hard time getting out and going around and doing things. They’re tired of sitting in their house and just doing nothing. So, getting them out to see.” their doctors, get vaccines, everything, it’s heartwarming, “said Barnes.” Without a program like this, I hate to say it, but I think there would have been a lot more deaths. “

The program was launched in September with $ 3.2 million CARES Act funding channeled through the state Department of Health and Human Services. It initially served Counties Durham, Vance and Granville and was later expanded to include Counties Wake, Franklin, Warren and Nash.

Johnson said the program was only supposed to last three months, but another $ 4.2 million government grant kept it going. However, this funding will expire at the end of March.

He hopes the health insurers will take over the funding so that it can continue.

“W.We know this [DHHS] secretary [Dr. Mandy] C.Fire and some of the major insurers have shown a clear interest and plan to introduce interventions and payments for interventions related to social health drivers, “he said.

CEO Sentenced to Jail in $150 Million Well being Care Fraud, Opioid Distribution, and Cash Laundering Scheme | OPA

The chief executive officer of a Michigan and Ohio-based group of pain clinics and other medical providers was sentenced to 15 years in prison today for developing and approving a company policy to re-inject patients unnecessarily in exchange for prescriptions for over 6.6 million doses administering medically unnecessary opioids.

Mashiyat Rashid, 40, of West Bloomfield, Michigan, was the CEO of the Tri-County Wellness Group of medical providers in Michigan and Ohio. In addition to serving his sentence, Rashid was also ordered to pay Medicare more than $ 51 million in restitution and forfeit property to the United States that resulted from revenues from the healthcare fraud program, including over 11 commercial real estate, $ 5 million. Residential Properties and a Detroit Pistons Season Pass membership.

Rashid pleaded guilty in 2018 to a number of conspiracies to commit healthcare and cable fraud; and to a number of money laundering. 21 other defendants, including 12 doctors, have been convicted so far, including four doctors convicted after a month-long trial in 2020. Rashid is the second defendant to be convicted.

According to court records, Rashid was the CEO of the Tri-County Wellness Group from 2008 to 2016, where the clinics wanted to offer prescriptions of Oxycodone 30 mg to patients, some of whom were in legitimate pain and others were drug dealers or opioid addicts, but forced patients to undergo unnecessary re-injections in exchange for prescriptions.

The study found that in some cases, patients experienced more pain from the gunshots than from the pain they allegedly treated. that audible screams from patients were observed in all clinics; and that some patients developed adverse conditions including open holes in their backs. Patients, including opioid addicts, who told doctors they didn’t want, needed, or benefited from the injections were denied medication by the defendants and their co-conspirators until they agreed to submit to the expensive and unnecessary injections. The evidence also showed that the defendants repeatedly performed these unnecessary injections on patients, as Tri-County paid more for facet joint syringes than any other medical clinic in the United States.

The evidence at the trial showed that the Tri-County clinics made a point of making money through patient care. The tri-county clinics deliberately targeted the Medicare program, recruiting patients from homeless shelters and soup kitchens. The evidence at the trial showed that Rashid only hired doctors who were willing to disregard patient care when looking for money. Rashid motivated doctors to follow the Tri-County Protocol, offer opioid prescriptions, and give unnecessary injections by offering to split Medicare reimbursements for these lucrative procedures. The specific injections used had nothing to do with the medical needs of the patients but were selected for administration as they were the highest paying injection methods. A former Tri-County employee testified at the trial of Rashid’s co-defendants that the clinic’s practices were “barbaric.”

Deputy Attorney General Nicholas L. McQuaid of the Department of Justice’s Department of Criminal Investigation; Acting US attorney Saima Shafiq Mohsin of the Eastern District of Michigan; Special Agent in Charge Lamont Pugh III of the US Department of Health’s Office of the Inspector General (HHS-OIG) in Chicago; Special Agent in Charge Timothy Waters of the FBI’s Detroit Field Office; and the special agent in charge Manny Muriel of IRS Criminal Investigation (IRS-CI) Detroit announced this.

HHS-OIG, FBI and IRS-CI conducted the investigation. Deputy Chief Jacob Foster of the National Rapid Response Strike Force and trial attorney Tom Tynan of the Criminal Division’s Fraud Division were pursuing the case.

The fraud department heads the Health Care Fraud Strike Force. Since its inception in March 2007, the Health Care Fraud Strike Force, which maintains 15 strike forces in 24 districts, has indicted more than 4,200 defendants who billed the Medicare program a total of nearly $ 19 billion. In addition, the Centers for Medicare & Medicaid Services are working with the HHS-OIG to take steps to increase accountability and reduce the presence of fraudulent providers.

On the transfer at FirstBank, Kidder Mathews, On the Cash, Valleywise Well being

Bryce Lloyd, Market President of FirstBank Phoenix, announces resignation

FirstBank, one of the largest banking-for-good private banks in the country, announced that Phoenix Market President Bryce Lloyd, and Humphrey Shin, will be retiring after more than 32 years with the company will enter the role starting Monday March 1st.

Lloyd began his career at FirstBank in 1989 as part of their management training program. He rose to various positions including SVP and EVP before being named Market President in 2007, where he was tasked with launching the FirstBank brand in Arizona. Under his leadership, Lloyd moved FirstBank’s Arizona presence from a $ 20 million asset to a thriving bank with 15 branches and nearly $ 1 billion in assets.

ALSO READ: FirstBank ended the 3rd quarter with record growth in deposits

ALSO READ: FirstBank deposits top US $ 20 billion for the first time in banking history

Lloyd was also instrumental in helping FirstBank and the Alliance of Arizona Nonprofits launch Arizona Gives Day, a 24-hour online fundraiser that has raised more than $ 23 million to nonprofits since the program began in 2013 collected in Arizona. Additionally, he was involved in numerous nonprofit and business organizations throughout his career including Coalition for the Homeless, Greater Scottsdale Boys and Girls Club, Valley Partnership, Scottsdale Chamber of Commerce, Arizona Bankers Association, among others.

“Thanks to Bryce’s initiative and direction, we have expanded our banking for good mission across Phoenix,” said Jim Reuter, CEO of FirstBank. “We applaud Bryce’s decades of leadership at FirstBank as he concludes the book of an incredible career.”

“It has been an absolute privilege to spend my career with a company that puts community support first,” said Bryce Lloyd. “I know that Humphrey is well prepared to take on this role and will continue to lead our region successfully.”

Following Lloyd’s resignation, Humphrey Shin, who currently serves as Executive Vice President for FirstBank, will assume the role of Phoenix Market President. Shin will be responsible for overseeing FirstBank’s Phoenix area branches, including the bank’s personal and business banking services.

“After many years working under Bryce and East Valley Market President Joel Johnson, I have seen what great leadership looks like from both a business and a wider community perspective,” said Humphrey Shin. “I look forward to taking on this new role and doing everything I can for the families, businesses and communities we serve.”

Shin has been in the banking industry for nearly 17 years, joining FirstBank as a management trainee in 2004 and rising rapidly before being named executive vice president in 2016, where he was responsible for business development, mentoring, and training for junior officers in administration a broad portfolio of business and commercial real estate loans. He also shares Lloyd’s passion for helping the local community and is a board member of numerous nonprofits including Valley Partnership, Goodwill of Central and Northern Arizona, and the Arizona Housing Coalition.

FirstBank recently saw exceptional year-over-year growth in Arizona. Deposits rose 34.4 percent from $ 589.7 million in 2019 to $ 792.6 million at the end of 2020. Loans increased 5.4 percent from $ 889.1 million to $ 937.3 million and net worth 5.1 percent from $ 938.9 million to $ 987 million. Company-wide, FirstBank’s total assets rose to $ 24.5 billion, an increase of 22.5 percent, while deposits rose 22 percent from year-end 2019 to $ 21.9 billion. Over the same period, FirstBank’s net lending ended up increasing 14.3 percent to $ 13.0 billion by 2020.

Tyson Switzenberg and Tim Hurley move to Kidder Mathews

Tyson Switzenberg and Tim Hurley, a leading team of retail brokers in Arizona, has joined Kidder Mathews’ Phoenix office.

Switzenberg has been appointed Executive Vice President. He is a seasoned broker with 20 years of experience representing, developing and leasing retail tenants. He comes to Kidder Mathews from JLL where he was a consistent top producer and director of the retail practice.

“We chose Kidder Mathews because of the company’s culture and unique business platform. Both offer the flexibility to serve our customers in the best possible way, ”said Switzenberg.

Hurley has been named associate vice president, specializing in retail tenant representation and agency leasing. He was also with JLL before joining Kidder Mathews.

“We are excited to add recognized market leaders like Tyson and Tim to our growing and dynamic team in Phoenix. They and their clients will enjoy and benefit from our culture, ”said Mark Read, Kidder Mathews Regional President of Brokerage for the Southern California and Southwest regions.

Today, Kidder is the largest independent commercial real estate company on the West Coast Mathews has aggressively expanded many of its specialty groups as it grows. The expansion of the Switzenberg and Hurley team is important to the expansion of the company’s retail brokerage services in Arizona.

On the Money welcomes Catherine Pesavento

On the Money, LLC, an accounting, bookkeeping and profitability consultancy based in Phoenix, welcomes accounting professional Catherine Pesavento. Catherine is highly skilled and extremely passionate about her job. She has extensive corporate accounting experience for global and small businesses.

It is characterized by financial planning and analysis as well as budget and forecast development and evaluation. Catherine served for 17 years as an integral member of the finance team of a multi-billion dollar global human capital and business advisory services company. She also spent a decade as an accountant for a leading architecture and consulting firm specializing in architectural acoustics in Chicago.

We interviewed several qualified applicants, and Cathy’s enthusiasm for our mission to help our small businesses and nonprofit customers gave her the edge. ” said Ruth Urban, President and CEO of On the Money. “She will be a great addition to our team!

Lia Christiansen named Chief Administrative Officer of Valleywise Health

Lia Christiansen has been named Chief Administrative Officer (CAO) of Valleywise Health, Arizona’s public teaching hospital and safety net system. Christiansen most recently served as chief operating officer for acute care at Minnesota Health Fairview in Minneapolis. She will join Valleywise Health’s senior executive team on February 22nd.

“I am excited to add someone of Lia’s caliber to our team,” said Steve Purves, President and CEO of Valleywise Health. “With over 25 years of experience, she combines a keen business acumen with a real passion for healthcare and compassion for people. We are very excited to welcome you to Valleywise Health as we continue to transform our community’s public health system. “

As CAO, Christiansen will be responsible for overseeing support departments and services, including HR, IT, marketing / communication, environmental and building services, planning and office activities for redesigned construction and integrated project management offices, among other things. She will work with hospital administrators, members of the Maricopa County Special Health Care District board of directors, doctors from the District Medical Group and the community to advance the ever-increasing level of health care service to patients and the community.

“I am honored to be a part of Valleywise Health and its excellent team of leaders, clinicians, staff and doctors,” said Christiansen. “The rich history of serving families for more than 140 years and the vision of transforming care to improve community health through innovation are inspiring. I look forward to working with hospital leaders, doctors, staff, volunteers, and community members to find new ways in which we can serve our region and positively impact people’s lives. It’s an exciting time in Valleywise Health’s growth and I can’t wait to get started. “

During her time as COO at M Health Fairview, Christiansen was responsible for operations in five acute care hospitals with 796 licensed beds, net sales of $ 670 million, 36,500 inpatients and 4,500 full-time positions. Prior to joining M Health Fairview, she worked for the HealthEast Care system in St. Paul, Minnesota, as vice president of hospital operations overseeing three hospitals and vice president of shared operations, where she oversaw the system’s subsidiary and support departments directed. HealthEast merged with M Health Fairview in 2017.

Christiansen earned a bachelor’s degree in English and communication from Concordia College in Moorehead, MN and a master’s degree in business in communication from the University of St. Thomas at St. Paul. She was a COO scholar at the Health Management Academy from 2019 to 2020, is Lean Bronze certified and trained in FEMA Incident Command. She was named one of the 25 Observable Women by the Minnesota / St. Paul Business Journal and was recognized as an Outstanding Administrator by Minnesota Physician Magazine.

Alternatives For Innovation: Three Methods To Streamline Well being Care Administration And Save Cash

There is currently a nationwide discussion on the cost of health care. The United States spends far more on health care than many other countries, but conversations about improvement should not be limited to discussions about models of care. The United States has to deal with over-spending issues in our health care system – especially administration, billing, and other overheads. It is a topic that we are in the Health Council for Health Spending and Valueto which I have the privilege Co-chair.

When we look at the data, we find that our spending seems to far outweigh any other country’s spending on health care administration. in the a calculationU.S. healthcare administrative spending was $ 937 per capita, above 14 other nations in the Organization for Economic Co-operation and Development. Our closest neighbor on this list is Germany, which spends $ 293 per capita.

Unfortunately, “administrative costs” are not a proper budget item that we can cut. All businesses have the necessary overheads, and successful, customer-centric businesses incur costs for customer service and the selection of their offerings. However, when looking at these costs, which include everything from billing, insurance, human resources, legal, electronic medical records, and other software updates to hardware, facility costs, and taxes, it is clear that there is either waste or surplus in managing our healthcare system . In fact, experts estimate that the 15 to 30 percent of total U.S. healthcare spending used in administration about half is wasteful– about 7.5 to 15.0 percent of total national health expenditure.

Where’s the trash?

ON Read the literature carefully reveals some culprits. Medical billing costs usually vary greatly depending on the type of care. For example, visits to the emergency room were found Generate billing costs that represent a much higher percentage of total sales than inpatient surgeries or inpatient stays. in the another studyResearchers found that billing and insurance costs were much higher for private insurers than for public programs.

It is probably impossible to completely eliminate waste, excess, or even fraud in healthcare administrative spending, but I believe this is an opportunity for private sector innovation. Many of our current management systems are too manual and the exchange of information is disrupted. Both attributes result in costly, bespoke, practical solutions that are prone to fraud and waste.

New, innovative systems could automate processes better and introduce safety functions. I find three approaches appealing: a central clearing house for claims, optimized prior authorization and improved quality reporting.

Centralized Claims Clearinghouse

A concept that my friend strongly supports Harvard health economist David M. Cutler, PhDA centralized claims processing center could standardize the electronic transmission of billing information in order to reduce the costs of operating different systems between providers and payers. The banking industry has paved the way here; The automatic clearinghouse system moves money around the world while ensuring security. In the healthcare sector, the billing information would have to be standardized, then a claims settlement agency would forward payment claims and point out any fraud. Japan and Germany have already had success with this approach. And the private sector has been active here, and several health information technology companies have set up clearing houses. But have these separate groups created more separation as lightness. Consolidation is required so claims from any vendor or payer can be handled seamlessly.

Streamlining and restricting the use of prior authorizations

This concept is likely to get the most support from vendors. Some researchers have found that prior authorization is the most expensive and time consuming administrative transaction – perhaps why Medicare rarely uses it. Manual prior authorization can cost average $ 11 per transaction For vendors, an automated solution can cost $ 1.88 per transaction. These savings will grow rapidly.

The Centers for Medicare and Medicaid Services published a proposed rule for pre-approval standards in December. The proposed rule requires public payers to create programming interfaces that streamline documentation and communication for prior approvals using existing electronic health records. There is an opportunity here for technical innovations.

Reducing the frequency of prior approval is an equally attractive goal and an excellent opportunity for advanced technologies such as natural language processing in conjunction with electronic health records.

Improved quality reporting

Finally, a careful review of quality reporting should strike a balance between providing high quality care and not paying exorbitantly for the data required for quality assurance. We all know the maxim: if you can’t measure it, you can’t improve it. However, there is so much noise in our current metrics that the actual measurement of quality will depend on the work and cost of generating the data. Here, too, the healthcare sector would be well suited to use insights gained in other industries about automated data acquisition, harmonized quality metrics, and automated reporting and labeling of data outside of the norm. We need transparency about the costs associated with recording quality indicators and the return on this investment. Using data science tools is likely to optimize the metrics we collect while maximizing the insights we get from that data.

Harvest the low hanging fruit

While our country’s health care model offers room for improvement in many areas, the targeted control of waste and excess in the management of the system is a really low-hanging fruit. Here, private-sector technological solutions in combination with effective public sector guide rails can achieve significant cost savings and urgently needed increases in efficiency.

Editor’s note

This piece was inspired and informed by our recent Council discussion on Health Spending and Value Added in January 2021, as well as extensive research by Council staff, although the views expressed are my own.

Shock Squad eases cash worries of single Gilbert mother battling well being problem | 3TV’s Shock Squad

PHOENIX (3TV / CBS 5) – Brandy is a single mom of three who works in the healthcare sector helping keep people healthy during the pandemic. But now she’s the one with a health condition, and her big sister and brother-in-law wanted to do something for her, so they reached out to the Arizona Family Surprise Squad.

“She’s had a tough time last year,” said her brother-in-law, Dave. “She was diagnosed with adenomyosis.” It’s a condition that requires Brandy to have a hysterectomy. Dave says she is a strong personality and no matter what he thinks she will take this challenge and be better than before.

“It’s just very important to us. And so it was an emotional ride for all of us. “

The surprise team followed Dave and his wife Andrea to the family practice where Brandy works. Andrea had told Brandy she was there to drop off some hair products and Brandy had no idea what she was up to.

“Surprise,” said 3TV’s Olivia Fierro when Brandy walked outside. “We’re the Arizona Family Surprise Squad.” Fierro invited Brandy to share her story.

“I’m always exhausted and tired trying to take care of children and work around the clock,” explained Brandy. “And it just got to the point where I am like this, oh my god. I’m in bed at 7:30 a.m., 7:00 a.m. sometimes because I’m just so exhausted. “

“What you really have on your side are people who love and support you,” said Fierro.

“If I didn’t have her, I honestly don’t know where I would be,” Brandy agreed.

“We love to be part of anything that makes you feel loved and supported while you go through a lot,” said Fierro, handing her an envelope. Inside was a note stating that the surprise team would pay for $ 500 worth of meal sets to help Brandy while she recovered from the surgery. And the surprises weren’t over yet.

“Because you need to relax and unwind,” continued Fierro. “We have two nights for you at the JD Marriott Scottsdale Camelback Inn Resort and Spa. Enjoy dinner at Rita’s Cantina & Bar and just relax.”

Fierro and the Surprise Squad had one more surprise in store for brandy. “We’re thrilled to make this $ 3,500 courtesy of the Arizona Family Surprise Squad and Valley Toyota Dealers available to you.”

“Oh my god,” gasped Brandy. “Thank you guys. I really appreciate that. If I could hug you I would. I know you shouldn’t hug anything during COVID, but I really appreciate it. “

“You can hug your family,” smiled Fierro. “We’ll let you do this part. They love you so much. “

“Surprise,” said Dave as he and his wife hugged Brandy.

If you’d like to help with the catering service that Dave and Andrea set up for Brandy while she recovers from surgery, click Here.

Copyright 2021 KPHO / KTVK (KPHO Broadcasting Corporation). All rights reserved.

The cash behind psychological well being: How the pandemic elevated innovation, funding in behavioral well being care

Anfang dieses Monats markierte Modern Health einen Meilenstein, den nur wenige Unternehmen jemals erreicht haben: den Status eines Einhorns.

Mit Hilfe seiner letzten Finanzierungsrunde in Höhe von 74 Millionen US-Dollar hat das Startup, das Arbeitgebern als Plattform für Leistungen im Bereich der psychischen Gesundheit dient, eine Bewertung von 1 Milliarde US-Dollar erreicht. Das Unternehmen hat insgesamt 170 Millionen US-Dollar gesammelt und zählt Unternehmen wie Pixar, Zendesk und Clif Bar zu seinen Kunden.

Und während Modern Health bereits vor der Pandemie auf großes Interesse stieß, sagte CEO Alyson Watson, dass ihr Unternehmen zu denjenigen im Bereich der Verhaltensgesundheit gehört, die nach COVID-19 nur eine seismische Verschiebung in der Branche gesehen haben . Allein im ersten Halbjahr 2020 erzielten Startups für digitale Verhaltensgesundheit 588 Millionen US-Dollar, was ungefähr der jährlichen Finanzierung für dieses Segment in einem früheren Jahr entspricht. Rock Health schrieb in einem Bericht letztes Jahr.

“Größer als nur das Wachstum ist die Änderung der Denkweise, die in der Gesellschaft stattgefunden hat. Es gibt jetzt eine viszerale Reaktion auf die psychische Gesundheit”, sagte Watson gegenüber Fierce Healthcare über die Erfahrungen ihres Unternehmens auf dem Markt. “Diese Pandemie und alles andere, was auf der Welt passiert ist, hat gleiche Wettbewerbsbedingungen geschaffen, so dass – obwohl nicht jeder mit der gleichen Sache zu tun hat – die Fähigkeit besteht, sich einzufühlen, dass jeder kämpft oder in irgendeiner Form kämpft. Vor der Pandemie war das nicht so. “

Alyson Watson (Moderne Gesundheit)

Dies führt zu einigen echten Veränderungen in der Branche, einschließlich eines Anstiegs der Investitionen, der in den kommenden Jahren zu spüren sein wird. Hier sehen Sie vier dieser Änderungen.

1. Das Stigma hat stark abgenommen

Im vergangenen Jahr gab es bei Anbietern, die einen Anstieg der oft als “Krankheiten der Verzweiflung” bezeichneten Krankheiten wie Angstzustände oder Depressionen verzeichneten, zunehmend Alarm.

VERBUNDEN: Das Startup Modern Health für psychische Gesundheit im Wert von 1,17 Mrd. USD nach der Finanzierungsrunde der Serie D.

“Wir sind seit einiger Zeit sehr besorgt darüber, dass die Auswirkungen auf die Verhaltensgesundheit tatsächlich eine dritte Welle der Pandemie darstellen”, sagte Matthew Hurford, MD, Präsident und CEO der Community Care Behavioral Health Organization von UPMC und Experte für Verhaltensgesundheit.

“Die erste Welle war offensichtlich der enorme Tribut, den das Virus selbst forderte. Und dann mit der Abschaltung und den tiefgreifenden Auswirkungen auf die Wirtschaft, den wirtschaftlichen Auswirkungen, die damit durch Arbeitslosigkeit und all die finanziellen Schwierigkeiten verbunden waren, die sich daraus ergeben”, sagte Hurford gegenüber Fierce Gesundheitspflege. “Jetzt beginnen wir bereits im Sommer letzten Jahres zu sehen, worüber wir uns Sorgen machten: die Auswirkungen all dieser Kräfte auf die Verhaltensgesundheit zusammen.”

Die Pandemie war ein perfekter Sturm, da sie für den Einzelnen stressig war und ihnen gleichzeitig viele ihrer Bewältigungsmechanismen wie soziale Unterstützung entzogen hat, sagte Hurford.

Aber es hat einen Silberstreifen gegeben.

“Eines der aufkommenden Themen ist, dass mit einem größeren Bewusstsein für die Verhaltensgesundheit und den Auswirkungen von Dingen wie einer globalen Pandemie auf die Verhaltensgesundheit eine stärkere Aufdeckung, größere Empfehlungen und eine Verringerung der Stigmatisierung einhergehen”, sagte Hurford. “Wir müssen erkennen, dass dies tatsächlich eine gesunde Spannung ist, die im Laufe der Zeit zu größeren Investitionen in das verhaltensbezogene Gesundheitssystem führen wird. Sie wird Innovationen vorantreiben, um Wege zur Skalierung zu finden.”

Vin Phan, Partner und nationaler Praxisleiter für die Beratung von Transaktionen im Gesundheitswesen bei der Beratungsfirma BDO, hat dies aus finanzieller Sicht gesehen. Schon vor der Pandemie war der Bereich Verhaltensgesundheit ein ziemlich heißer Sektor mit Private-Equity-Investitionen, sagte Phan gegenüber Fierce Healthcare.

“Infolge der Pandemie hat der Verhaltensgesundheitssektor meiner Meinung nach angesichts der gestiegenen Nachfrage nach Amerikanern, die von zu Hause aus arbeiten, profitiert. Da die gewohnte soziale Interaktion fehlt, müssen Kinder aus der Ferne lernen”, sagte Phan. der im Januar einen Bericht veröffentlicht hat über die Chancen und Herausforderungen von Investitionen in den Sektor. “Das erhöht die Nachfrage nach verhaltensbezogenen Gesundheitsdiensten.”

In den letzten 12 bis 18 Monaten sei sein Team an mehr als 25 Transaktionen im Bereich der Verhaltensgesundheit beteiligt gewesen, vor allem im Bereich Autismus und Suchtbehandlung. Behavioral Health-Unternehmen erzielen bei Fusions- und Übernahmeverträgen gesunde Renditen.

VERBUNDEN: Die Nachfrage nach virtueller psychiatrischer Versorgung steigt. Hier finden Sie wichtige Trends, wer es verwendet und warum

“Private Equity zahlt vielen dieser Unternehmen, die sie kaufen, ein ziemlich gesundes Vielfaches”, sagte Phan. “Wir haben mit Private-Equity-Unternehmen zusammengearbeitet, die das Zehnfache der Einnahmen dieser kleineren Unternehmen zahlen. Ihr Ziel ist es jedoch, diese Dinge zusammenzufassen und einen großen Player zu schaffen, der die Gesamtkosten für die Bereitstellung dieser Dinge und die Steigerung der Rentabilität übernimmt Sie können das 10-fache des Gewinns nehmen und einen Börsengang durchführen oder verkaufen oder einen Exit mit dem 20-fachen des Gewinns des Kaufpreises durchführen. “

2. Die Branche wird bei Daten immer besser

Corbin Petro (Eleanor Gesundheit)

Wenn Corbin Petro davon spricht, evidenzbasierte Pflege zu befolgen, liegt dies daran, dass dies immer noch ein wesentliches Unterscheidungsmerkmal in ihrem Industriesegment ist. Der CEO von Eleanor, einem Startup für Suchtbehandlung, sagte, das Unternehmen verfolge einen Ansatz zur Schadensminderung bei Substanzstörungen, anstatt die Abstinenz von Patienten zu fordern.

“Die Behandlungslandschaft für psychische Gesundheit, Verhaltensgesundheit und Substanzstörungen war nicht sehr evidenzbasiert. Sie war nicht sehr datengesteuert”, sagte Petro. “Wir sind nicht abstinenzbasiert, weil die Beweise uns sagen, dass wir es nicht sein sollten. Wir steuern unsere Ergebnisse auf das, was für die Menschen wirklich wichtig ist.”

Das Interesse von Zahlern und Arbeitgebern, Daten über klinische Ergebnisse und Kosteneinsparungen anstelle von Einzelfällen zu suchen, wächst. Mit anderen Worten, sie möchten wissen, wie sich die Investition in die Verhaltensgesundheit rentiert.

Eleanor hat daran gearbeitet, diesen Wertnachweis durch wertorientierte Pflegepartnerschaften mit Kostenträgern zu erbringen. Um die Ergebnisse zu verfolgen, verwendet Eleanor klinisch validierte Fragebögen, die das Ausmaß von Angstzuständen und Depressionen messen, sowie HEDIS-Maßnahmen und soziale Determinanten der Gesundheit. Das Unternehmen verfolgt auch die Patientenbindung und -bindung sowie die Reduzierung der Gesamtkosten für die Versorgung anhand der Notaufnahme und der stationären Inanspruchnahme als Frühindikatoren.

“Diese Ergebnisse zu verfolgen und uns selbst zur Rechenschaft zu ziehen, ist das, was wir in diesem Segment des Gesundheitswesens neu machen”, sagte Petro.

Modern Health, das sich selbst als einzigartige Plattform für Mitarbeiter bezeichnet, die jederzeit für psychische Gesundheitsbedürfnisse zur Verfügung stehen, hat klinisch validierte Fragebögen sowie Patientenbindungswerte verwendet.

Aber es gibt eine wachsende Anerkennung innerhalb der Branche, dass es bessere Wege braucht, um die Ergebnisse zu verfolgen, sagte Watson. Es gibt keine Röntgen- oder Blutuntersuchung, die als endgültige Diagnose dienen könnte – Spezialisten für Verhaltensgesundheit verlassen sich immer noch weitgehend auf selbst gemeldete Informationen, um sie verfolgen zu können.

Neue Forschungsergebnisse zeigen, dass Technologien wie das Betrachten von Textnachrichten, die Nutzung sozialer Medien und die Zeiten, zu denen sich Menschen anmelden, als Indikatoren für den psychischen Gesundheitszustand einer Person dienen können. Aber das hat immer noch große Einschränkungen, sagte Watson. Zum Beispiel sagte sie: “Während einige mit Technologie vertraut sind, die alles aufzeichnet, was wir auf unseren Telefonen tun, und uns sagen, was wir tun, fühlen sich andere immer noch unwohl damit.”

3. Vorschriften haben es einfacher gemacht

Fast über Nacht sprang das Gesundheitswesen in Bezug auf die Nutzung von Telegesundheitsplattformen fast ein Jahrzehnt vorwärts.

Dies war nicht nur auf die Notwendigkeit zurückzuführen, die durch Bestellungen zu Hause verursacht wurde, sondern auch auf Änderungen in den Centers for Medicare & Medicaid Services, die es den Anbietern ermöglichten, die Erstattung von Telegesundheitsdiensten zu verbessern. “Viele unserer Kunden und Zielgruppen konnten diese Telemedizin-Plattformen nutzen, um ihre Patienten zu versorgen. Aus diesem Grund stieg ihr Volumen weiter an”, sagte Phan.

Eine weitere der größten Veränderungen war der Rückzug des Ryan Haight Act, der es Anbietern von psychischer Gesundheit ermöglichte, Medikamente während eines ersten Besuchs virtuell zu verschreiben, wenn sie zuvor persönlich gesehen werden mussten, sagte Petro. Das System “wirft einen genauen Blick auf einige der bestehenden Vorschriften: Die Ausnahmeregelungen, das Gesetz von Ryan Haight und andere Dinge wurzeln wirklich im Stigma”, sagte Petro.

Phan sagte, dass es auch Optimismus bezüglich der neuen Präsidialverwaltung gibt, wenn es um Erstattung und Zugang in diesem Sektor geht. Präsident Joe Biden sowie die von ihm angeworbenen Beamten, die zuvor Teil der Obama-Regierung waren, haben in der Vergangenheit auf eine Ausweitung der Versorgung gedrängt, und die psychiatrische Versorgung könnte davon profitieren, sagte Phan.

4. Die Arbeitgeber nehmen es ernst

Nach Watsons Erfahrung erzielten Unternehmen, die Produkte für die Verhaltensgesundheit verkauften, früher mehr Erfolg beim Arbeitgeber-Buy-In, wenn sie ihre Produkte als “Wellness-Angebote” bezeichneten, da viele Unternehmen noch vor einigen Jahren vor einem Nutzen für die psychische Gesundheit zurückscheuten.

Jetzt, sagte sie, fordern sie speziell robustere Produkte für die psychische Gesundheit.

Die Verschiebung des Gesprächs über psychische Gesundheit begann wirklich im Jahr 2018 mit dem hochkarätigen Tod von Starkoch Anthony Bourdain und der berühmten Modedesignerin Kate Spade durch Selbstmord, sagte Watson.

“Viele Leute sprachen darüber, wie diese Leute, die in den Augen der Gesellschaft sehr erfolgreich waren und ehrlich gesagt, niemand wirklich wusste, dass sie Probleme hatten, und sagten ‘Wie konnte das passieren?'”, Sagte Watson. “Jetzt haben Sie berühmte Athleten, die anfangen zu sprechen und sagen: ‘Ich bin ein erfolgreicher Athlet, aber ich kämpfe mit Depressionen’, richtig? Michael Phelps. Kevin Love. Die NFL. NHL. … Das hat diese geistige Gesundheit fast geschaffen Bewegung, in der die Leute sagten ‘Warte eine Sekunde. Psychische Gesundheit wirkt sich auf alle aus.’ “

Traditionelle gesundheitliche Vorteile durch traditionelle Träger sind jedoch häufig nicht mit soliden Netzwerken von Therapeuten verbunden, da ihre Erstattungssätze häufig niedrig sind, während viele Personen bereit sind, viel mehr aus eigener Tasche für die Pflege zu bezahlen. Viele Anbieter verzichten auf die Teilnahme an Versicherernetzwerken, was es für diejenigen, die auf ihre Krankenversicherung angewiesen sind, schwierig macht, rechtzeitig auf die Versorgung zuzugreifen, sagte Watson. In der Zwischenzeit haben traditionelle Mitarbeiterhilfsprogramme (EAPs) häufig eine Nummer von 1 bis 800 und eine schreckliche Benutzererfahrung, die eine Person dazu zurückführen kann, ihre medizinische Versorgung für den Zugang zur Pflege zu nutzen, sagte sie.

Mit dem abnehmenden Stigma, das bereits aufgetreten ist, und dem Stress der Pandemie fühlen sich mehr Mitarbeiter wohl genug, um nach besseren Optionen für die psychische Gesundheit zu fragen, sagte Watson.

VERBUNDEN: Startups für digitale Verhaltensgesundheit erzielten im Rahmen einer COVID-19-Pandemie Mittel in Höhe von 588 Mio. USD

“Selbst im Jahr 2020 mit psychischer Gesundheit sahen wir Wachstum und psychische Gesundheit war sicherlich eine Priorität für alle Arbeitgeber geworden”, sagte Watson. “Aber ich denke, wenn wir in diesem Jahr etwas gesehen haben, ist es wirklich die vierte Säule der Leistungen für jeden Arbeitgeber da draußen. Jeder hat medizinische, zahnmedizinische und Sehkraft. Die psychische Gesundheit ist jetzt wirklich die vierte Säule der Leistungen geworden.” für alle Arbeitgeber. “