Monday, May 7, 2012

Kayla Tynes's Article


Kayla Tynes
Healthcare

According to www.cdc.gov 7.8% of children under the age of 18 have no access to healthcare.  Many programs are being readily available to administer to those with no access to healthcare.  The State Children’s Health Insurance Program, which is administered, by Medicaid and Medicare Services provides health insurance for uninsured children.
Former Pennsylvania Governor Robert P. Casey signed the law House Bill 20, also known as the Children’s Health Insurance Act.  HB 20 is a program designed to provide insurance coverage for children’s whose family have a household income too high to qualify for Medical Assistance and who can’t afford Private insurance.  CHIP was later used as model for the CHIP, a federal government program.  Some families have incomes that are too modest but too high for Medicaid.  SCHIP helps those families tremendously.  There are an estimated 6.6 million children who are covered by SCHIP.
Sates have different options for designing CHPS: Medicaid expansion, Separate Child Health Insurance Program or a Combination of the two approaches.  States have different rules for eligibility.  Uninsured children under the age of 19 whose families earn up to $36,200 a year are usually eligible.  SCHIPS pays for: immunizations, hospitalizations, doctor and emergency room visits.
CHIP is ministered by the Mississippi Division of Medicaid.  It does not replace Medicaid.  Mississippi has a coalition private health related, public and non-private organizations that are committed to improving Mississippi children healthcare. There are many places in Oxford, MS that administer to the needy and unfortunate and help any way they can, places like Allcare and the Pregnancy Test Center, both offering and help to those who need it. 
Allcare Mississippi is located on West Jackson Avenue in Oxford MS.
Kimberly Van-everly, a nurse practitioner at Allcare said, “We have people to come see us from Grenada, Blue Mountain and Water Valley.”
Van-everly is employed at Allcare and sees all kinds of cases.  In March 2012, 29.2% were self pay, 21.6% were Medicaid, 3.2% and 3% are Medicare. In 2011 Allcare gave out $24,800 worth of free healthcare.    Allcare provides all the medical needs for uninsured citizens.  Allcare is one of the only clinic in Oxford that provides pediatric forensic evaluation of sexual or physical abuse assistance. If the patient has a condition where they need a referral Allcare works in conjunction with other clinics that see the same type of children and need the same kind of assistant.  It is up to the patient after that.
“We do what we can here and refer them to people who we trust,” said Van-everly.
Sometimes the parent of a child who is self -pay can’t pay for the referral business.  These families of children have to find other means to support the doctor visit or remain with the illness.
There are many other health organizations for uninsured children in Oxford: Oxford  Family Clinic, Allcare Medical Clinic, Oxford Medical Ministries Clinic.  The Pregnancy Test Center also helps young women and even children as young as 13. 
The Pregnancy Test Center works in conjunction with SIDS and can refer them to a doctor.  Most the young women have Medicaid.   Some of their services are: free pregnancy tests, limited ultra sounds, confidential consulting about pregnancy options, parenting help.   All services are free and confidential and are offered in a warm, caring environment.   Women earn points for all the classes they attend and with those points they earn free stuff from the baby boutique, like diapers, clothes and bottles.
Peggy Thomas, executive director said, “All services are free.”
The center is a non-profit organization funded by individual services and they work in conjunction with the Health Department and WICK.
There are many options for a family attempting to receive health insurance for their child.  Families are urged to see if their children are eligible for Medicaid or CHIP.  It is possible if the family has two children that one be eligible for either program.  Each program takes applications and a required interview by the caretaker or parent of the child.   Household income is what the eligibility is based on. It is important to make arrangements before the child becomes ill.  CHIP’s benefits are not retroactive. 
CHIP and Medicaid cover a wide range of services.  Only uninsured children qualify for CHIP  Services include: immunizations, outpatient and in patient care, health screenings (visual and hearing exams), lab services, doctor’s or clinic visits for well or sick-child care, dental and mental care, prescription medications, hearing aids, eyeglasses.  To apply a child for any Mississippi Health Benefits one must bring proof of family income, proof of citizenship and Social Security numbers for each person applying to the in-person required interview.  Eligibility for children under 19 is continuous for one year.   There are no deductibles or premiums.   For more information on Health Benefits for children families can call 1-877-KIDS-NOW. 

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Prenatal Care and Infant Mortality
By: Meghan Pettigrew


(MSDH) The Mississippi State Department of Health has recently made infant mortality an agency priority.  The primary causes of infant mortality are low birth weight, premature birth, birth defects, sudden infant death syndrome or maternal complications during the pregnancy. 

When it comes to prenatal care, it also utilizes an impact on infant mortality

Starting in 2003, the national infant mortality average started at 6.9, and since then has escalated.  In the fall of 2004 the average raised to 9.7, which averaged to one year per thousand lives.  In 2005 the rate jumped sharply to 11.4, which struck the American society making infant mortality a top priority. 

The healthy people 2020 goal for infant mortality in the U.S is 60 infant deaths per 1,000 live births, which is a reduction of 10 percent since 2006 with the rate of 6.7 infant deaths per 1,000.

Concerned with the rising numbers each year, federal officials say rates have stagnated in the south at levels way above the national average. 

Over a 10-year span, the rate of Mississippi infants remained relatively unchanged from 2001 to 2010. 

Over the past 10 years the rate of Mississippi infants dying before their first birthday ranged from a low of 9.6 deaths per 1,000 live births to a high of 11.4 deaths per 1,000 live births since 2005.

In 2010, the most recent found infant mortality rate for Mississippi was 9.6 infant deaths per 1,000 live births.

The average rate from 2001 to 2010 was 10.3 infant deaths per 1,000 live births, with African American infant mortality rates twice as has as whites.

Racial disparity in Mississippi sets as huge factor when observing infant mortality rates.

In Mississippi, infant deaths among African American newborns rose to 17 percent
per thousand births in 2005, in which it was at a low in 2004 averaging out to 14.2
per thousand.  While among whites rose from 6.1 to 6.6 per thousand, and the national average being 5.7 for whites and 14.0 for African Americans. 

The overall jump in Mississippi showed that 65 more babies died in 2005 than in the previous year, with a substantial total of 481.

PhD and Executive Director of the Pregnancy Test Center in Oxford, Peggy Thomas, works with the community on helping lower the city’s infant mortality rates.

“The Pregnancy Test Center is a non-profit business that is funded by individuals and the government,” Thomas said.  All of their services are free and offered to anyone, which includes a pregnancy test and free ultrasound.

“The ultrasound, which is one of the major factors when it comes to prenatal care, is offered for free because the earlier the mother sees the ultrasound, the more real it becomes to them I have a baby inside of me,” Thomas also said. 

Thomas believes after having the free ultrasound expecting mothers start taking better care of themselves, which helps contribute avoiding prenatal care.

The Pregnancy Test Center offers “preparing for a baby” classes, which gives the mother information on how to take care of themselves during pregnancy so that they have healthier babies.  Aside from the “preparing for a baby” classes, the Pregnancy Test Center also offers “parenting” classes, which teaches mothers everything from discipline to reading skills.

Last month, the Pregnancy Test Center had 106 visits, including patients taking classes, and gave 46 pregnancy tests. 

Low to none income patients visit the Pregnancy Test Center daily, which is why Thomas decided to work inconjuntion with the health department.  “Most of our patients are Medicaid qualified and need verification of their pregnancy, so they come to us then take their verification to Medicaid,” Thomas said.

“(WIC) Women, Infants and Children, which is a program that helps with having a healthy pregnancy and healthy baby, is introduced to expecting mothers by our ultrasound nurse,” Thomas also said.

The Pregnancy Test Center also recently started working with the “SIDS Alliance,” which stands for sudden infant death syndrome.  “The SIDS Alliance comes to explain and work with expecting mothers on how to prevent prenatal care by doing simple motions like not putting the newborns blanket in the crib and having the newborn sleep on their back,” Thomas said.

“Since the SIDS Alliance organization started the “public awareness campaign” about sleeping on the back, SIDS reduced in half just from that one factor,” she said.  

The Pregnancy Test Center is a pro-life business, which does not support abortion.  Instead, they give the expectant mother facts about abortion and work towards adoption, assuring the patients they’re not “giving away their baby, but giving their baby a plan.”

Advanced Practiced Registered Nurse, Kimberly Van Every, of All Care Medical Clinic, takes pride in helping these same types of patients, being one of the only clinics in Oxford that accepts Medicaid.

“First, we send the patient straight to Medicaid and start them out on prenatal vitamins,” Van Every said. 

The staff at All Care Medical clinic give the patients information on the Pregnancy Test Center, and eventually send them there for further care.  

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Affordable Healthcare
by Wesley Marecle
Mississippi is usually ranked last in all things that are good, and first in all of the bad categories. Healthcare does not exclude this either, Mississippi has hundreds of thousands of uninsured citizens. Many are hoping that maybe one day they will have ways of being able to get affordable healthcare.
           
According to StateHealthFacts.org in the United States 16 percent of the population is uninsured. In Mississippi that number is 19 percent, which means more than 500,000 people, have no health insurance.

According to research from the AARP nearly 95,000 Mississippians age 50-64 are uninsured. There are also thousands of people in Mississippi on Medicaid and Medicare as well. In some of these cases the people are too young for Medicare, but to old to have to pay on high insurance premiums. In Mississippi 13 percent of the population is on Medicare, 378,000 people. Medicaid is higher with 21 percent of the population, 618,000 people. 

The AARP also reported that in 2007, Mississippians paid more on average for prescription drug cost than the rest of the United States. In 2005, Mississippians filled on an average of 13 prescriptions a year. 52 percent of these prescriptions were generics. If biological treatments were also available in generics Mississippians could save millions of dollars a year.

The most obvious problem with not having health insurance is trying to find a place to get treated. Even if you have Medicare or Medicaid some places will just not take you. However, there are a few exceptions of clinics that will take you if you have no insurance.

There are a few right here in Oxford Mississippi that will actually accept you if you don’t have insurance. AllCare Mississippi is one and the Pregnancy Test Center is another one. These local clinics offer their services to the uninsured people of Mississippi.

Kimberly Van Every is the Advanced Practice Registered Nurse at AllCare Mississippi Clinic. Her clinic accepts all patients if they are uninsured or not. Her clinic is one of the few in Mississippi that will actually do this.

They will take underinsured and the uninsured. They offer a discount to the uninsured and will also offer a payment plan if it is needed. If you are uninsured they offer a sliding fee schedule based on their poverty level. If the person is at 100 percent poverty level they can pay as little as just $15 per visit. AllCare Mississippi saw 29.2 percent of their customers last year that were uninsured.

The Pregnancy Test Center in Oxford Mississippi will also take uninsured patients. The difference in AllCare Mississippi and the Pregnancy Test Center is that the Pregnancy Test Center is a privately owned operation mostly funded by churches. Donations are taken and the program runs off these donations.

Dr. Peggy Thomas is the executive director of the Pregnancy Test Center.

               “We want the people to know that they still have an option even if they don’t have money to pay for a baby. We are pro life and will do anything possible to keep the child from getting aborted,” Thomas said.

There are many different reasons for someone not to have health insurance. For one it may cost way too much as in Charles Jone’s case. Charles has Crohn’s disease and he also has to get off his parents health insurance in the next year. Charles has been searching for health insurance plans that he might be able to afford. The cheapest so far he says is around $700 a month.

               “I guess when I turn 26 I just won’t have health insurance. It is too expensive and I cannot pay the price for it,” Jones said.

The Affordable Healthcare Act could help some of these people by providing coverage to over 30 million people that are uninsured. It could also help people like Charles out by creating small health insurance markets where you can go with a group of people to buy health insurance for a cheaper price. And also help many college students by allowing them to stay on their parents plan till they turn 26.

The Affordable Healthcare Act will also do much more than just offering health insurance markets. It allows young adults to stay on their parent’s plans till they are 26. It will also expand Medicaid to cover more uninsured low-income people. It will require for companies with 50 or more workers to provide health insurance coverage. On top of all these and more it will provide affordable healthcare to more than 30 million uninsured citizens.

The Affordable Healthcare Act will help millions of citizens, but there are other ways that the government could help local clinics such ass AllCare Missisippi.

               “They can offer better reimbursement something that’s more comparable to insurances such as Blue Cross Blue Shield. It can also offer 100 percent reimbursement on Medicare Patients because for other providers it actually does reimburse those providers at 100 percent, but for nurse practitioner owned clinics it only reimburses us 80 percent of the liable for Medicare. And also just offering more incentive payments. There are incentive payments out there that the government does do for providers that see Medicare and Medicaid patients. Just offering more incentive payments for other providers to actually want to do that,” Van Every said.