Vermont well being program decreased hospital stays, saved cash

The first two years of a Vermont program designed to keep patients healthy while cutting costs saved Medicare patients money and kept more people out of the hospital, an evaluation of the program found.

Commissioned by the Centers for Medicaid and Medicare Services and released this week, the report looked at the first two years of Medicare’s participation in Vermont’s so-called all-payer model of health care.

the report found that in 2018 and 2019, Medicare patient costs were saved about 4.7% year over year in the system under study. For all Medicare patients in Vermont, the system saved about 6.5% year over year.

In 2019, the system reduced the acute hospital stays of people in the system by almost 18%, it reduced the acute treatment days of patients in the hospital by 14.7% and the number of people re-admitted to hospital within 30 days by 12, 4%.

“These declines are very encouraging,” said Ena Backus, director of health care reform in Vermont, on Friday.

The same report found that the project run by the OneCare Vermont organization did not enroll as many people to join the system as hoped. In 2019, it was hoped the program would cover 75% of eligible Medicare patients, but it only hit 47%.

Vicki Loner, CEO of OneCare, said the overall results are encouraging.

“We still have a long way to go to fully realize the (all-payer) vision, but we are on the right track and we must continue to make steady progress for the people of Vermont.”

The report covers 2018 and 2019, the first two years of the five-year program.

The goal of the total pay model is to maintain patient health while reducing healthcare costs by paying a fixed amount of money for each insured patient rather than for every service provided.

To achieve this goal, medical providers, and in some cases social workers, work closely with patients to ensure they are receiving the best possible care.

The report commissioned by CMS from an organization affiliated with the University of Chicago looked only at the Medicare population of Vermont participating in the all-payer model. It also looked at the impact of the system on Vermont’s Medicare program as a whole.

Medicare is the state health insurance for people over the age of 65.

According to the report, the system provides an important, unifying forum for providers, payers and the state to work towards health reform.

“The widespread transformation of long-term care will take time,” the report says.

OneCare also works with Medicaid, an insurance company for low-income Americans, and some of the patients privately insured through the Blue Cross Blue Shield of Vermont.

Future reports will look at the performance of both Medicaid and private insurance companies, Backus said.

The five-year program is slated to run through 2022, but Backus said Vermont officials will request an extension of the program to 2023 by the end of this year.

Earlier this year, Vermont auditor Doug Hoffer released a report that found OneCare missed its Medicaid financial targets by $ 25.6 million between 2017 and 2019.

5 Methods a Dwelling Guarantee Has Saved Us Cash

There was a time when we didn’t have a home guarantee when anything that broke in our home was our financial responsibility. Depending on the condition of the house when you buy it, it can be expensive to pay for everything yourself. There was also a time when we had the wrong home guarantee. It helped cover service calls and most of the time Repairbut only paid the depreciation for everything that needed to be replaced. When a 10 year old water heater broke, the warranty company would add the value of a 10 year old water heater (almost nothing) to the installation of a new one. In short, we paid 90%.

Not all house guarantees are created equal. The initial warranty on our current home was a stinker, and I’ve heard from friends who were dissatisfied with their home warranty. When we dropped the first warranty and bought a new company, I wasn’t sure how lucky we would be. Still, we had a wish list. When we were looking for a new home guarantee, we were looking for three things:

  1. A policy that covers replacement costs
  2. A company that does not reject (or exempt certain items) requests based on the age of systems or devices
  3. A policy with full coverage (that is, a policy that covers the largest number of items)

A typical home warranty currently costs between $ 28 and $ 50 per month. When we found a company that seemed to have what we were looking for, we looked for the most comprehensive warranty they offered. Protecting our four bedroom, four bath home with two ovens and two central air units costs us $ 63 a month – the best $ 63 we spend a month. Here are five ways we have saved money with this guarantee.

1. Service calls

The average device service call costs anywhere from $ 50 to $ 150 an hour, according to Home Advisor. We pay a one-time fee of $ 75 when a service technician comes, no matter how long the job takes. If they order parts and have to come back another day to install them, we won’t be charged another fee. Knowing we’ll only spend $ 75 if the refrigerator or water softener breaks makes the hassle a little easier.

2. Repair costs

The stoves were almost at the end of their life when we bought the house. The first times either of them collapsed, they could be repaired. We didn’t have to pay a cent for these repairs beyond the service fee. One year the oven stopped working on New Year’s Day, and anyway a service technician came and got it working again – all for $ 75.

The average cost of an oven repair is $ 303. Since our two ovens were repaired four times in two years, that would have cost us around $ 1,200 without a house guarantee. Instead, we paid $ 75 per visit for a total of $ 300.

3. Replacement costs

After three years, both ovens had to be replaced. The average cost to replace and install would be around $ 5,500. With our warranty, we paid $ 75 for a service call and $ 250 for a new plenum (the sheet of metal made that connects the oven to the duct system). I’m not sure why that wasn’t covered, but we were so happy to have a house guarantee that we didn’t bother paying the plenary.

In total, these two new ovens would have cost us $ 11,000. Instead, we paid a total of $ 650 (two $ 75 service calls plus two $ 250 trays).

4. Insider offers

Since our home warranty company almost always sends the same local company in for repairs, we got to know the technicians pretty well. Not only did the technicians give us tips to help our systems and equipment last longer, they also guided us to the best deals on items we’d like to install. For example, when we mentioned that we wanted to replace a non-working humidifier for the whole house, they told us how we could do it for $ 350. The average cost to buy and install a whole home humidifier is about $ 900, so we knew we were getting a deal.

5. Buy new

I like my house – very much. However, the oven and dishwasher are two of the ugliest appliances I’ve ever seen. When I was younger and a little less smart, I would have replaced them while laying hardwood floors and painting walls. But no. The house guarantee covers both devices when they make their final arc, and I am eagerly awaiting the day. Having a home warranty means you don’t have to pay anything to replace something that the warranty eventually covers.

So how much did the home guarantee save us overall? We can get to the heart of it by just focusing on the stoves. Over the course of three years, we paid $ 2,268 in warranty premiums ($ 63 x 36 = $ 2,268). We also paid $ 450 for six service calls and $ 500 for new plenums. In total, we paid $ 3,218 for warranty premiums, service calls, and materials that were not covered under warranty.

If we hadn’t purchased a warranty, we would have paid the full cost of service, repairs, and replacing the two units – which would have set us back by at least $ 12,200. We could use the saved money for other things, such as invest for retirement.

I can’t imagine ever knocking out anyone else mortgage without choosing the right home guarantee to protect our interests. Still, our home guarantee company offers a level of coverage that may not be offered by every company. This is why it’s important to make a list of what to look for in a warranty and look around to find the company that best suits your needs. By purchasing the right home warranty, we saved nearly $ 9,000 and met some pretty clever technicians in the process.

Mary J. Blige: My followers saved me from suicide | Leisure

Mary J. Blige credits her fans for keeping them from suicidal thoughts.

The 50-year-old musician has admitted that she considered suicide early in her professional career, but ultimately decided to seek help because she knew she had fans who counted on her.

She said, “I think subconsciously, I was like, ‘Oh, I can’t kill myself now. All these people, someone is going to get behind me’ because people were too persistent and strong and emotional about this album. So believe I So In my subconscious I thought: “I can’t” [die] now. I just have to go through this. I have to assert myself. ‘ And so I just kept pushing, no matter how hard it got, no matter how ugly it got. “

The ‘Family Affair’ hitmaker has been concerned with her mental health for over two decades, and while it’s an ongoing process, Mary says she is in a much better place than before.

She added to People magazine, “It’s not as bad as it was, I’m in a great place. But I have to fight for my freedom and happiness every day because that was a tough captivity, you know?”

Meanwhile, in December, Mary spoke about the pain she faced after her divorce in 2016 from Kendu Isaacs, who she was married to for 13 years.

She said, “I just have to go through this until something excellent comes up. I don’t know when that will happen. But I’d rather be myself than make the same mistakes over and over again. I’m going to be patient and see this thing and love me now. “

And Mary previously talked about how music saved her life as well.

She said, “Music was a vessel that God used to save my life. If I didn’t have music … I probably wouldn’t be here.

“So many things have happened… My mother struggled to raise us as a single mother.

“My father was away as a little kid and made us fight in a terrible place. I love him and respect him now, but I was angry about it for years.”

Sandia Labs creates software program exhibiting how a lot cash could be saved utilizing vitality storage

ALBUQUERQUE, NM (KRQE) – Sandia National Laboratories released a new software application that can help companies find out how much they can save by adding an energy storage system. The application called search, can also provide various scenarios and model the potential of solutions.

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In a press release, Sandia explains that renewable energy sources like solar panels and wind turbines do not produce electricity continuously. Energy storage systems such as lithium-ion battery-based designs and pumped storage hydropower can increase the stability and reliability of the power grid.

Quest has two tools, an enterprise and civil infrastructure analysis tool, and a market analysis tool that utility companies can use to assess how much revenue an energy storage system would generate. Sandia electrical engineer Tu Nguyen explains that the analysis tool can help companies or city project managers estimate how much money an energy storage system will save when combined with solar panels or additional power generators.

A consumer can enter their location and tariff structure that they are paying for, and they can also enter the type of renewable electricity system they have or want to install. Nguyen states in the press release that during certain times when demand is high, electricity providers typically charge more per kilowatt hour.

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By reducing electricity consumption during these times, the energy storage system saves customers electricity costs. Sandia reports that the market analysis tool was developed to help small utility companies understand how much revenue an energy storage system would generate by providing services to improve grid stability. The tool reportedly contains data for seven energy markets in North America.

Sandia also offers webinars and tutorials to help new software users understand how the software runs.