梅州做人流带多少钱(梅州左附件炎症状) (今日更新中)

When the Trump administration required nursing homes to report their COVID-19 cases, it also promised to make the data available to residents, families and the public in a user-friendly way.But some facilities that have had coronavirus cases and deaths turn up as having none on Medicare’s COVID-19 nursing home website. Those data may be incomplete because the reporting requirements don’t reach back to the start of the pandemic. Numbers don’t necessarily portray the full picture.“The biggest thing that needs to be taken away ... is in its current form, it is really leaving consumers in the dark,” Sam Brooks, project manager for Consumer Voice, said of Medicare’s data website. Consumer Voice is a national advocacy group for improved quality in long-term care.Nursing homes are only required to provide the government with data on coronavirus cases and deaths among residents and staff as of May 8, or more than two months after the first outbreak in a U.S. facility was reported. Nursing homes have the option of full disclosure, but not all have taken it, and there is no penalty for withholding older data that may reflect poorly.The missing information from early in the pandemic leads to some puzzling results on the website.For example, a nursing home that had one of the first major reported outbreaks in the country — Life Care Center of Kirkland, Washington — shows no confirmed COVID cases and no deaths on the CMS data page.A spokesman for Life Care Centers of America, a major chain, said the company is providing the information the government requested.“We are reporting what CMS is asking us to report to them,” said Tim Killian. “We are not evading them in any way.“The Kirkland facility is now COVID-free and it has been for some time,” Killian added. The data showing no cases “is a snapshot of what is currently in the facility.”The company said its cumulative count shows 100 residents tested positive, and 34 died. “You can ask us directly and we’ll give you the exact numbers,” said Killian.But consumer advocate Brooks said that information should be on the CMS site.As it stands, the site “doesn’t tell the whole picture,” he said. “You are not going to be able to look at a home and make an informed decision.”The federal Centers for Medicare and Medicaid Services, which sets standards for nursing homes, said protecting nursing home residents is a top priority, and “transparency and information sharing has proven to be one of the keys to the battle against this pandemic.”But CMS said it lacked the legal authority to require nursing homes to disclose COVID information from before the effective date of its reporting rule in May.On Capitol Hill, there is pressure for more information.Sen. Chuck Grassley, R-Iowa, recently introduced legislation that would require nursing homes to report coronavirus cases and deaths going back to Jan. 1, a push that has bipartisan support.The estimated 1.4 million people living in some 15,500 nursing homes represent a tiny share of the U.S. population, but they have borne a disproportionate share of coronavirus deaths. Nursing homes are only now starting to emerge from a national lockdown that took effect in mid-March.According to the latest CMS figures, more than 33,000 nursing home residents have died in the pandemic. A running tally by The Associated Press, which also includes other long-term care facilities and staff as well as residents, shows more than 55,000 deaths.Depending on the total count, that translates from about one-fourth of the deaths to more than 40%, strikingly high proportions in either case.Coronavirus data for nursing homes do not appear directly on Medicare’s NursingHomeCompare website, the main portal for consumers trying to research a facility on behalf of a family member or friend. Instead, a link takes users to a different COVID-19 site that features statistics and a national nursing home locator map.Finding information on individual nursing homes via the data website can be confusing.If users type in a ZIP code or the name of a nursing home, the website’s locator map will display some small red dots near a larger marker icon, which also has a big dot in the middle.Instructions say click on one of the dots. But which one?The data is under the small red dots, not the larger locator, which instinctively draws the user’s eye.“I would click on the big dot,” said policy attorney Toby Edelman of the Center for Medicare Advocacy, which represents enrollees. “Why would I look for this thing that I can barely see?”CMS said it has received no reports related to search problems although more than 100,000 individuals accessed the site in June.The agency says it will continue to evaluate the usability of the website to ensure it meets consumer needs. 4782

While it's true that premiums for the popular silver Obamacare plan could shoot higher for 2018, most enrollees will actually end up paying less for coverage next year.In fact, more consumers will be able to snag policies that will cost them nothing each month.How can that be?It's because premium subsidies are soaring too, making many plans on the exchanges more affordable.The Trump administration, however, is stressing how much premiums will rise, saying this is yet another sign that Obamacare is irreparably broken. They are downplaying the fact that the subsidies will cover most, if not all, of the cost.Obamacare advocates worry that consumers will be scared off by the news that premiums are skyrocketing for next year. They plan to highlight the fact that many people will be able to find lower-premium policies thanks to the subsidies.Even the Trump administration found that Obamacare plans will be more affordable next year. Some 80% of enrollees will be able to find a policy for a month or less -- up from 71% this year and the highest share so far."This year, more people than any previous year have access to a plan for or less," said Josh Peck, a former Obama administration official and co-founder of Get America Covered, which is promoting enrollment for 2018. "That's what we want everyone to know."Here's why this is happening:Many insurers jacked up the rates of their silver plans in part to make up for President Trump ending federal support for Obamacare's cost-sharing subsidies. These subsidies reduce deductibles and co-pays for lower-income enrollees.Premiums for the benchmark silver Obamacare plan will soar 37%, on average, for 2018, according to federal data released Monday.The premium subsidies are pegged to a benchmark silver plan in each market. So if that plan's rate rises, the value of the subsidy does too. More than eight in 10 Obamacare enrollees receive premium subsidies.Insurers, however, did not hike the price of bronze or gold plans nearly as much. The rate of the lowest-cost bronze plan is rising 17%, on average, while the cheapest gold plan is going up 19%, according to the Kaiser Family Foundation.That means the more generous premium subsidies will cover more of the monthly cost of these plans, so consumers will pay less.A 40-year-old earning ,000 will pay 75% less, on average, for the cheapest bronze plan and 21% less for the lowest-cost gold plan, according to a new analysis by the Kaiser Family Foundation. A 40-year-old earning ,000 will see a 28% drop in the price of the cheapest bronze plan, and an 8% decrease in the least expensive gold plan's premium.Bronze plans have lower premiums, but their deductibles are higher -- nearly ,900, on average, for an individual in 2018, according to a new report from Health Pocket, an online health insurance shopping tool. Meanwhile, gold plans have higher premiums, but their deductibles are only ,320 on average for a single enrollee next year.The cheapest gold plan will have lower premiums than the least-expensive silver plan in 459 counties next year once subsidies are factored in, Kaiser found. Silver plans will have an average deductible of just over ,000 next year.Many more consumers will be able to enroll in bronze plans and pay nothing each month. For instance, a 48-year-old consumer earning roughly ,000 can find a zero-premium policy in nearly 1,050 counties next year, up from 132 counties in 2017, according to an analysis by Oliver Wyman consulting group.Not everyone, however, will be so fortunate. Enrollees who don't qualify for premium subsidies -- those who earn more than ,000 as an individual or ,500 for a family of four in 2018 -- may be hit with the full premium hike. They may be better off buying bronze or gold plans or looking for individual coverage outside of the Obamacare exchanges.  3877

White House counsel Don McGahn's 30 hours of conversations with special counsel Robert Mueller's team has unnerved President Donald Trump, who didn't know the full extent of McGahn's discussions, two people familiar with his thinking said.The meetings only add complications to the already-fraught relationship between the President and the White House's top lawyer. And as nervous aides await a verdict in former Trump campaign chairman Paul Manafort's trial and watch with trepidation the inauspicious public relations blitz carried by lead attorney Rudy Giuliani, uncertainty surrounding the President's handling of the Russia investigation abounds.Trump was spending another weekend at his New Jersey golf club when The New York Times first reported McGahn's cooperation with Mueller's office, which is investigating Russian attempts to interfere in the 2016 election. 880

WICHITA, Kan. (KGTV) -- The NCAA Tournament ended Thursday night for the Aztecs after the team lost to the Houston Cougars 67-65. Rob Gray drove for a wind-milling layup that just trickled over the rim with 1.1 seconds left, and Trey Kell's off-balance 3-pointer at the buzzer was no good, giving No. 6 seed Houston a 67-65 victory over San Diego State in the first round of the NCAA Tournament on Thursday night.Devin Watson had just tied the game for the Aztecs with a turnaround 3-pointer, his second in a matter of seconds, when Gray dribbled up floor with 29 seconds left.He allowed the clock to tick down to six seconds before crossing over, scooting under two defenders and scooping up his shot.The layup gave him 39 points and the Cougars (27-7) their first tournament win since 1984.Devin Davis and Corey Davis Jr. added nine points apiece for Houston, which lost two players to fouls down the stretch, and struggled to contain the Aztecs' big front line. 977

White House officials were alarmed by Education Secretary Betsy DeVos' struggle to answer basic questions about the nation's schools and failure to defend the administration's newly proposed school safety measures during a tour of television interviews Sunday and Monday, according to two sources familiar with their reaction.Though DeVos was sworn in to her Cabinet position 13 months ago, she stumbled her way through a pointed "60 Minutes" interview with CBS' Lesley Stahl Sunday night and was unable to defend her belief that public schools can perform better when funding is diverted to the expansion of public charter schools and private school vouchers. At one point, she admitted she hasn't "intentionally" visited underperforming schools."I hesitate to talk about all schools in general because schools are made up of individual students attending them," DeVos said, as Stahl suggested that DeVos visit those underperforming schools.Things worsened as DeVos continued her cable television tour Monday morning. The White House released its proposals for school safety measures after a shooting in Florida killed 17 people. Part of the proposal includes a task force to examine ways to prevent future mass shootings, headed by DeVos. Though the proposals don't include raising the age limit to purchase firearms from 18 to 21 -- as President Donald Trump once suggested -- DeVos told Savannah Guthrie on NBC's "Today" show that "everything is on the table.""The plan is a first step in a more lengthy process," DeVos said, adding that she does not think that arming teachers with assault weapons would be "an appropriate thing.""I don't think assault weapons carried in schools carried by any school personnel is the appropriate thing," DeVos said. "But again, I think this is an issue that is best decided at the local level by communities and by states.""The point is that schools should have this tool if they choose to use the tool. Communities should have the tools, states should have the tool, but nobody should be mandated to do it," she said.The White House did not respond to a request for an official comment regarding DeVos' performance. It is unclear what Trump's own reaction to her interviews was, but officials in the West Wing said things went from bad to worse as DeVos continued her interviews.DeVos is just the latest member of Trump's Cabinet to come under scrutiny. Interior Secretary Ryan Zinke, Housing and Urban Development Secretary Ben Carson, Veterans Affairs Secretary David Shulkin and Environmental Protection Agency Administrator Scott Pruitt were all scolded by officials from the White House counsel's office and the Cabinet liaison after a series of embarrassing and questionable ethical behavior at their respective agencies.This isn't the first time DeVos has made headlines. She also struggled to answer education questions during her contentious confirmation hearing before the Senate last January. At one point, she told Democrat Sen. Chris Murphy that some schools may require guns to fight off grizzly bears."I will refer back to Sen. (Mike) Enzi and the school he was talking about in Wyoming. I think probably there, I would imagine that there is probably a gun in the schools to protect from potential grizzlies," she had said.In the end, Vice President Mike Pence had to break the tie to confirm her nomination, making her the first Cabinet nominee in history to require a tie-breaking vote by the vice president to be confirmed. 3545

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