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Tacked onto the coronavirus stimulus bill is new legislation tackling one of the most controversial practices in health care – surprise medical bills.That's when you go to the hospital or have an elective procedure and then later find out some of the doctors or facilities were out of network, meaning you could owe tens or hundreds of thousands of dollars.The most impactful part about the legislation is that patients would no longer get those surprise out-of-network bills for emergency care or for a planned procedure. They will instead be billed an in-network rate.Out-of-network providers would have to give patients a heads up on estimated charges, at least three days.Air ambulance companies would also not be able to charge more than in-network costs. Ground ambulances were not included.Insurance and providers have to go to arbitration to work out the final payment. It's a complex solution advocates say could end up costing Americans more in the long run.“So, a mediation process that some states have put in place, but research has shown that it increases the likelihood that consumers face higher premium costs on the back end,” said Clare Krusing with the Coalition Against Surprise Medical Billing.That Coalition had been pushing for policies that, in their simplest form, would have essentially made in and out-of-network rates the same. Savings that in-part would have funded community health centers.“Not only is that approach the cleanest way of dealing with this, but it also saves the patients and taxpayers the most money, who are going to save billion over 10 years.The group plans to continue to push for more terms around that arbitration process to prevent abuse, driving up costs.None of the new surprise medical bill legislation takes effect until January 2022. 1803
State Superintendent Tony Evers defeated incumbent Gov. Scott Walker and will become the next governor of Wisconsin. Evers, a Democrat, won with 50 percent of the vote over the Republican governor Walker. The two were locked in a tight race, with the latest Marquette University Law poll showing the race at a dead heat. Walker has served as Wisconsin’s governor since 2011. Walker and Evers traded barbs over a number of topics, including healthcare. The two disagreed on whether Republicans would keep pre-existing conditions in the healthcare policy while dismantling other portions of the Affordable Care Act. A key element of Walker’s campaign was the issue of taxes, claiming if elected Evers would certainly raise them. In particular, he said Evers would raise the gas tax in the state of Wisconsin. Evers denied having such plans days before Election Day. The two also focused on education in Wisconsin. Evers, the state superintendent, said in a rally the night before the election he planned for a .5 billion increase in K-12 education. Walker touted his most recent school budget, which he claims gave 0 more per student. 1181

TAMPA, Fla. — The Centers for Disease Control has just identified more than 220 strains of what they call “nightmare bacteria” that can kill up to 50 percent of the people who catch them.“I never ever thought that I would end up getting MRSA,” said Sandra Jankowski, who was infected with antibiotic resistant bacteria her father contracted during a visit to a local hospital.Jankowski believes she was infected while caring for her father at a nursing home.“He had small scrapes and other things, which meant what was there in his system was sort of out there for all the rest of us,” she said.Jankowski contracted MRSA in her eyes and she underwent treatment for months.“It's much more rampant than we realize and very difficult to get rid of,” Jankowski said.She was lucky, because her infection eventually responded to drugs.But the CDC announced Tuesday that researchers have identified more than 220 strains nationwide that don't respond to drugs.“We are learning what is the extent of the problem and how to best manage it. And that's so critical,” said Dr. Seetha Lakshmi, an infectious disease specialist at Tampa General Hospital.She says new research and better communication between local partners and state and federal agencies will help address the crisis.The first of its kind nationwide assessment released Tuesday provides new information to providers.The CDC has more than 500 employees dedicated to containing unusual antibiotic resistance.“If you're the frontline provider, how do you act on this issue? What are your resources? How do you prevent this from spreading to other places, other people?” Lakshmi said.And identifying specific strains of "nightmare bacteria" will help health care providers respond aggressively, as the CDC pointed out in a conference call today.“The containment strategy can reduce the number of nightmare bacteria cases by 76 percent,” CDC officials reported in a nationwide conference call Tuesday.A summary of the report can be found here.Lakshmi says local hospitals now limit widespread use of antibiotics, which keeps bugs from mutating as rapidly.“You take it only if you need it. Don't take it if you just have a runny nose cold with a virus,” Lakshmi said.And other practices, like frequent hand washing can also help.“What we need to do is raise awareness,” said Jankowski, who believed she contracted her infection after touching her father.One way to protect yourself from hospital acquired infections is to do research before choosing a healthcare facility, if possible.And healthcare experts say infection rates can be lower at satellite offices or clinics that specialize in specific surgeries.Most Tampa Bay area hospitals already report their infection rates.You can compare them at the following link. 2781
Tennis superstar Serena Williams says she found out her sister's killer had been released from prison minutes before her loss to Johanna Konta last month.The 6-1 6-0 defeat to Konta in the opening round of the Silicon Valley Classic was the worst of Williams' 23-year career.In an interview with Time Magazine, the 23-time grand slam champion said she was scrolling through Instagram 10 minutes before her match and learned the killer had been released on parole."I couldn't shake it out of my mind," the 36 year-old said.Robert Maxfield was jailed for 15 years in April 2006 for the shooting of Yetunde Price -- Williams' older half-sister -- in 2003 in Compton, Los Angeles.Price was 31 at the time of her death and had three children aged 11, 9 and 5. 762
Ten eastern states are under winter storm warnings, and an additional five states are under winter weather advisories or storm watches ahead of a nor’easter headed for the region this week. The worst of the storm is expected to hit the region on Wednesday.The winter storm warnings extend in a line from North Carolina to Massachusetts. A number of major cities, including New York, Philadelphia, Boston and Pittsburgh, are in the winter storm warnings that were issued by the National Weather Service. The National Weather Service says that the heaviest snow is expected in South-Central Pennsylvania, where up to 2 feet is expected to accumulate. The National Weather Service says that dangerous travel conditions and isolated power outages are likely.The National Weather Service says that for areas along the I-95 corridor, there is concern of significant freezing rain, which would lead to widespread power outages, tree damage. Up to a quarter inch of ice accretion is possible.The National Weather Service says that the nor’easter’s rain/snow line is still being determined, and a small change to the track could make a major difference for the amount of snow for major Northeast cities. 1202
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