Navigation Links
New Private Health Plans Must Offer Preventive Care
Date:7/15/2010

By Steven Reinberg
HealthDay Reporter

WEDNESDAY, July 14 (HealthDay News) -- New private health plans must cover preventive services such as blood pressure tests and cancer screenings with no cost-sharing requirements for consumers, according to new U.S. regulations issued Wednesday.

Included in these services are basic tests such as blood pressure, diabetes and cholesterol checks, many cancer screenings, routine vaccinations, prenatal care and regular wellness checkups for infants and children. The new rules are designed to make access to these services easier, according to the U.S. Department of Health and Human Services.

The new regulations do not affect existing health insurance plans but are expected to impact 88 million Americans in the future, according to a key presidential adviser.

"Today's rule really represents a fundamental shift about what it means to have health insurance coverage," Nancy-Ann DeParle, director of the White House Office of Health Reform, said during an afternoon news conference.

"We are shifting from health insurance coverage, meaning coverage for sickness, to ... coverage to keep you well," she added.

The goal of the new regulations, the latest in a series of reforms enacted under the health-reform legislation signed by President Barack Obama in March, is to remove cost as a barrier to preventive care, officials said.

"Often, because of costs, Americans use preventative services at about half the recommended rate," Stephanie Cutter, assistant to the President for special projects, said during the news conference. "Twelve percent of children have not had a doctor's visit in the past year [or] received recommended care less than half the time," she said.

And she added, chronic diseases, such as cancer, diabetes and heart disease, are responsible for seven out of 10 deaths each year and account for 75 percent of the nation's health-care spending.

"Those chronic diseases are often preventable, and as a result of today's announcement, people can get the preventive care they need through their insurance and without any cost-sharing," Cutter said.

Next year, some 31 million Americans in new employer plans, and about 10 million people in individual plans, will benefit from these new regulations, DeParle said.

"The number of people in employer plans is expected to rise to 78 million by 2013, for a total of 88 million people whose prevention coverage would improve because of the new policy," she said.

The new regulations will affect new health plans starting on or after Sept. 23, 2010. Such plans must cover preventive services that have shown scientific evidence that they benefit health.

These plans can't charge a patient a co-payment, co-insurance or a deductible when these preventive services are delivered by a doctor in a plan's network.

Some of the recommendations include:

  • Coverage of preventive services rated "A" or "B" by the U.S. Preventive Services Task Force, such as breast and colon cancer screenings, screening for vitamin deficiencies during pregnancy, screenings for diabetes, high cholesterol and high blood pressure, and tobacco-cessation counseling.
  • Coverage of routine vaccines ranging from recommended childhood vaccinations to periodic tetanus shots for adults.
  • Coverage of recommended preventive care for children, including regular pediatrician visits, vision and hearing screenings, developmental assessments, immunizations, and screening and counseling to deal with obesity and help children maintain a healthy weight.

Dr. Olveen Carrasquillo, chief of the division of general internal medicine at the University of Miami Miller School of Medicine, called the new regulations "a smart thing."

"We have known for a long time that co-payments significantly reduce the use of preventive services," he said.

"In terms of improving health, it's an important step," Carrasquillo added. "It will cost more money, but it will increase the use of preventive services and definitely save lives."

More information

For more on preventive care, visit the U.S. National Library of Medicine.

SOURCES: July 14, 2010, teleconference with Nancy-Ann DeParle, director of the White House Office of Health Reform, and Stephanie Cutter, assistant to the President for special projects; Olveen Carrasquillo, M.D., associate professor of medicine, chief, division of general internal medicine, University of Miami Miller School of Medicine


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. The private sale of drugs in public hospitals
2. Southridge LLC Provides Equity Capital Through Private Agreement with PuraMed Bioscience
3. Private Sector, President's Malaria Initiative Join Forces to Strengthen Angolas Capacity to Control Mosquitoes
4. Agility Consulting Partners with pan (Performance Assessment Network) to Bring Custom Private Label Assessment Capability to Human Resource Professionals and Consultants
5. Freedom Healthnet Affirms Affordable Private Health Insurance Benefits
6. Neovasc Completes Final Tranche of $1.537 Million Non-Brokered Private Placement
7. EarthTrade Water to Hold a Private Screening of Tapped - The Movie: The Truth About Bottled Water Revealed During ExpoWest
8. PCI Compliance and Data Security Requires Private Key Management – New Industry White Paper Explains
9. Carrousel Yacht: Miami Private Yacht Charters With Style, Taste and Value
10. Lack of private insurance contribute to higher deaths among black heart transplant patients
11. Pfizer joins open-access medicinal chemistry public-private collaboration
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... ... athletes and non-athletes recover from injury. Recently, he has implemented orthobiologic procedures as ... City area —Johnson is one of the first doctors to perform the treatment. ...
(Date:6/24/2016)... ... ... Those who have experienced traumatic events may suffer from a complex set of ... or alcohol abuse, as a coping mechanism. To avoid this pain and suffering, Serenity ... event. , Trauma sufferers tend to feel a range of emotions, from depression, guilt, ...
(Date:6/24/2016)... Fla. (PRWEB) , ... June 24, 2016 , ... Global ... Trend magazine’s 2016 Legal Elite. The attorneys chosen by their peers for this recognition ... Florida. , Seven Greenberg Traurig Shareholders received special honors as members of this year’s ...
(Date:6/24/2016)... Plano, TX (PRWEB) , ... June 24, 2016 , ... ... taking part in Genome magazine’s Code Talker Award, an essay contest in which patients ... for an award to be presented at the 2016 National Society of Genetic Counselors ...
(Date:6/24/2016)... Frederick, Maryland (PRWEB) , ... June 24, 2016 ... ... Mid-Atlantic Angels is actively feeding the Frederick area economy by obtaining investment capital ... support over the past 2½ years that have already resulted in more than ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... NAMUR , Belgium , ...  (NYSE MKT: VNRX), today announced the appointment of ... Board of Directors as a Non-Executive Director, effective ... the Company,s Audit, Compensation and Nominations and Governance ... Board, Dr. Futcher will provide independent expertise and ...
(Date:6/23/2016)... Calif. , June 23, 2016 Any dentist ... many challenges of the current process. Many of them do ... of the technical difficulties and high laboratory costs involved. And ... to offer it at such a high cost that the ... it. Dr. Parsa Zadeh , founder of ...
(Date:6/23/2016)... Research and Markets has announced the ... 2016 - Forecast to 2022" report to their offering. ... up to date financial data derived from varied research sources ... with potential impact on the market during the next five ... comprises of sub markets, regional and country level analysis. The ...
Breaking Medicine Technology: