Durante el primer año de pandemia global, los consumidores médicos en Colorado recibieron más de un millón de servicios de atención médica de bajo valor: en pruebas de diagnóstico, exámenes y tratamientos en los que el riesgo de daño supera cualquier posible beneficio para el paciente.
Cari Frank, del Centro para Mejorar el Valor en el Cuidado de la Salud, el grupo detrás de un nuevo informe, dice que los consumidores y las aseguradoras pagaron 134 millones de dólares por estos servicios en 2020.
"Incluso a pesar de COVID, cuando las personas no tenían acceso a servicios de atención medica de la misma manera, asegura Frank. "Seguíamos viendo un gran número de servicios de atención de bajo valor. Y cuestan mucho dinero, tanto para los planes de salud como para el paciente, y en realidad pueden causar daño a los pacientes."
El ejemplo más obvio de atención de bajo valor es cuando los proveedores recetan opioides para el dolor agudo de espalda sin probar primero con medicamentos alternativos, un remedio que conlleva un riesgo significativo de adicción e incluso la muerte.
Los proveedores de salud de todo la Nación, en colaboración con juntas médicas y otras asociaciones profesionales, han creado una lista y normas para servicios de bajo valor a través de una iniciativa llamada Choosing Wisely.
Frank dice que correr la voz puede ayudar a reducir los costos generales de salud. Ella dice que muchos servicios que ahora se consideran atención de bajo valor fueron las mejores prácticas en algún momento.
"Muchas cosas son solo, históricamente, esta es la forma en que el proveedor ha tratado a los pacientes," dice Frank. "Y toma un tiempo cuando las normas cambian, para que haya una adopción real de las normas."
El costo promedio de los servicios de bajo valor es de 130 dólares, pero algunos, incluidos los catéteres periféricos para pacientes con enfermedades renales en etapa avanzada, cuestan más de 14 mil dólares por incidencia.
Frank señala que cada paciente es diferente y que algunos procedimientos considerados como de bajo valor en realidad pueden ser el curso adecuado para los pacientes.
"Pueden haber antecedentes familiares, o pueden haber antecedentes médicos en los que hayan probado otras alternativas," opina Frank. "Por lo tanto, todavía es necesario que exista ese tipo de comunicación entre el proveedor y el paciente."
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Lawmakers in Olympia this session moved to add more protections for consumers against predatory loans.
Washington state lawmakers passed Senate Bill 6025 unanimously in both chambers, closing a loophole companies were using to evade caps on the amount of interest charged on loans.
Sam Leonard, an attorney in Seattle, said tech companies providing financial services such as loans would charter out of state banks, especially in Utah, where lenders can charge unlimited interest rates.
"These fintech lenders a lot of times will charge 150, 200% interest on relatively small dollar loans, $3,000, $5,000 and the like," Leonard explained.
Washington state has a set of protections called the Consumer Loan Act to shield people from predatory loans. Leonard said capping interest rates at the federal level would help people across the country.
However, he emphasized the bill goes a long way to increase protections for Washingtonians.
"Not a lot of states at this time have passed similar legislation," Leonard pointed out. "Washington is out in front of the curve with regard to protecting low-income Washingtonians or other Washingtonians that might enter into these predatory loan products."
Leonard added the issue with predatory loans is they keep people in continuous debt cycles.
"Loan products like these essentially strip low-income individuals' ability to improve their economic situation," Leonard noted.
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While there's snow in the immediate forecast, the spring storm season has arrived in Minnesota and state officials said with complaints related to homeowner insurance claims on the rise, it is important to monitor changes in policies.
The Minnesota Commerce Department said complaints from policyholders, largely stemming from their claims being denied, have more than doubled since 2020.
Julia Dreier, deputy commissioner of insurance for the Minnesota Department of Commerce, said under a changing climate, the nation is seeing plenty of extreme weather events resulting in wind and hail damage, and insurance companies are adjusting to what's happening.
"Insurance costs are going to increase," Dreier pointed out. "We do want to make sure that Minnesotans are prepared."
As some carriers narrow what is covered or require higher deductibles, Dreier urged consumers to carefully review their policy when it is up for renewal, to avoid surprises when they have to file a claim. The department acknowledged changes can slip under the radar when consumers rely on paperless statements sent via email, or with busy schedules preventing them from reading all the fine print in documents they receive.
The department emphasized it is a complicated process in getting complaints resolved, noting some can be partially reversed in favor of the homeowner. Dreier noted they work closely with the industry to make sure a company's actions are within the letter of the law.
"One of our jobs is to make sure that insurance companies aren't doing something unethical when they're submitting their policy forms to us and their rates to us for review," Dreier added.
The department does have a new video on its YouTube channel, which offers more details on how to better prepare yourself ahead of any future claims, including knowing whether your policy offers flood protection and assessing the value of items in your home.
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Wisconsin has announced a big development in trying to establish more digital equity around the state.
Gov. Tony Evers and the Public Service Commission say Wisconsin's blueprint for digital equity has been accepted by the National Telecommunications and Information Administration.
That means the state is eligible for up to $30 million to implement its approach over the next five years.
Martha Cranley - state director for AARP Wisconsin - called it a robust plan, noting that older populations continue to face challenges in being connected to the digital world.
"We know that at least 15% of people 50-plus in Wisconsin are not connected," said Cranley, "either because the wires simply don't come to their house, or they don't have a device, or they don't know how to use it."
Cranley said the lack of connection is especially concerning in rural areas across northern Wisconsin, where aging communities have limited resources.
Stakeholders also note an infusion of new aid is helpful with the federal government's Affordable Connectivity Program - which provides discounts on monthly internet bills for eligible households - in danger of running out of money.
Cranley said the state's plan came together following extensive public outreach, in which her organization helped convey the need for improved internet access for those 50 and older.
"They certainly heard from older people about how important this is to connect to their doctor," said Cranley, "and to connect to government services, and frankly, find employment."
Overall, Evers says the plan's federal approval means more than 410,000 homes and businesses will be better positioned to be connected to new or improved high-speed internet service.
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