Archive for February, 2012

Rare Disease Day

At Homecare Advocate, our calendars are full of health awareness activities, such as this month’s American Heart MonthWe use these events to bring a better understanding of these issues including disease prevention, disease management, and even advocacy. As result, common diseases like breast cancer and congestive heart failure are widely known, and support is available for those dealing with them.  But what about other, lesser-known diseases?  Where do these people go for help?

Rare Disease Day is celebrated worldwide this Leap Day as the world focuses on these 6,800-something rare diseases that all too often go unnoticed individually but affect nearly 1 in 10 Americans collectively.

The diseases these individuals deal with are uncommon, leaving many feeling isolated.  Oftentimes these rare diseases are ‘severe & chronic, disabling, incurable, difficult to manage, and psychologically damaging as people struggle with the isolation, despair, and lack of hope’ according to Europe’s rare disease organization, Eurodis.  However, they share some common traits and would all benefit from additional research & development, a compassionate friend, and optimism for the future.

Perhaps you’ve had some exposure to some of these diseases through the movies, such as The Elephant Man (Proteus syndrome), Simon Birch (Morquio syndrome), or Amélie (osteogenesis imperfecta).  Or perhaps you have a direct experience with the someone whose life is impacted by a rare disease.

When these diseases are personalized, a powerful thing happens.  We develop a deep empathy and connection to those afflicted and are far more likely to help. It isn’t Patient #20934823; it’s Emma.  And when it’s Emma (or George, Liam, Margaret…), we care.

Homecare Advocate Blog: Rare Disease Day

Carter Cline is a sweet 18-month old who this week underwent a grueling 6-8 hour surgery in the latest effort to deal with his numerous health problems from OEIS Complex.  According to his parents, “O.E.I.S Complex consist of an Omphalocele (some organs in a sack on the outside of the body), Exstrophy of the bladder (bladder on the outside of the body turned inside out), Imperforated anus and a Spinal defect.”

I first learned about Carter through a friend of the family.  He told us about the incredible journey Carter and his parents are on and encouraged us to read about it in the family’s blog.  Though this blog is written about the trials and triumphs of this little boy, it tells a larger story of family, hope, and perseverance that all of us can relate to, no matter our obstacles. Millions of Americans on their own courageous journey with a rare disease can relate to the doctor & hospital visits, the frustrating lack of information readily available, and the determination of loving parents who will never give up on their child.

One of the great things about Rare Disease Day is that it helps us see in collective mass what may be invisible individually.

In honor of Rare Disease Day and the millions of Americans like Carter who are impacted, let’s adopt the National Institute of Health‘s focus and commitment to:

And above all, remember the person behind the disease. We’re each different in our own way and face our own struggles.  But we can positively impact one other’s lives, bring joy, and give hope. Don’t miss the opportunity to connect with others bring a little sunshine into their lives.



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Walking the Halls of Congress

Homecare Advocate Blog: Walking the Halls of Congress

How appropriate for Homecare Advocate to report back on our recent trip to Washington DC as we celebrate President’s Day!   George Washington would be proud of the hundreds of people who came from across the country to petition their elected representatives about homecare issues.

Here’s the latest update on our efforts to eliminate the poorly designed auction program that jeopardizes Medicare beneficiary access to quality goods and restricts their ability to choose their provider.

Homecare Advocate Blog: Walking the Halls of Congress

We met with our elected officials to discuss replacing this dangerous program with an economist-backed Market Pricing Program (MPP) that will ensure true savings for the taxpayer without threatening beneficiary harm or access issues to quality goods and services from reputable providers.

What is MPP?

MPP is a reflection of Congress’ goal to create a market-driven health care system with less government-controlled prices. However, unlike the current “Competitive Bidding” program, it has integrity, accountability, transparency, and oversight while ensuring healthy competition among HME companies and real, sharp prices for competitively bid products.  It affects the same product categories as the current program, and would have a national roll-out in July 2013.  Bids will be binding, and the bid price is based off of the clearing price (not arbitrary price-setting as is currently done).  Additional information on the operating principles of MPP may be found here.

Most importantly, MPP resolves the issues that 244 leading economists from around the world have found with the current “Competitive Bidding” program.

How Can MPP Become Law?

Bills are scored by the Congressional Budget Office (CBO) to help lawmakers know the cost of implementing the bill.  The homecare industry understands the need for any bill to be budget-neutral in this economic environment, and we believe that MPP will score close to neutral as-is.  However, we are committed to making MPP a budget-neutral alternative to the anti-competitive auction program and will make the necessary adjustments to ensure it can be implemented without costing taxpayers additional money.

There will be limited opportunities to bring MPP to a vote this year with the upcoming election, so it is vital that the Congressional Budget Office scores MPP quickly.  Round Two of Competitive Bidding will affect about half of Medicare beneficiaries throughout the country, and homecare equipment companies are already preparing their bids.  All four metropolitan areas in Tennessee will be included.

Now that our industry has come up with a viable replacement program, we look to our elected officials to be champions for patients and providers. To help, they need to:

  • Contact their colleagues in House Ways & Means and Senate Finance committees
  • Urge their colleagues to request the score from the Congressional Budget Office
  • Support the replacement of Competitive Bidding with the Market Pricing Program

What Can I Do to Help?

Thanks for all of the groundwork help, fellow advocates!

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All You Need is Love

Homcare Advocate Blog: All You Need is Love

What is better in this world than having special people who lift us up, make us laugh, comfort us when we cry, and love us through it all?  These are important people indeed, and Valentine’s Day is a great opportunity to take pause to celebrate them and what they mean to us.

This Valentine’s Day, we also encourage our Homecare Advocate readers to spread their love throughout their community.  Reach out to a homebound senior in your church or neighborhood.  Visit or call an elderly relative, and let them know you were thinking of them.

Local charities may also provide ways for you to connect with seniors.  In our home city of Knoxville, a non-profit charity Random Acts of Flowers distributes donated floral arrangements to hospice and hospital patients.  The flowers, which were originally used in weddings, funerals, and more, are recycled and repurposed to “spread joy and offer comfort through random, thoughtful, botanical deliveries.”   What a great way to multiply love!

We *heart* all of our readers and wish you a very Happy Valentine’s Day.  We’ve selected a few classic love-songs to leave you with today.  What is your favorite love song?

Chet Baker “My Funny Valentine”

Dean Martin “You’re Nobody til Somebody Loves You”

Billie Holiday “Them There Eyes”

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“Grow old along with me, the best is yet to be” –Robert Browning

Homecare Advocate Goes to Washington

We’re capitol bound!

Later this week, I’ll be traveling to Washington DC to speak with our elected representatives about homecare issues.  Hundreds of homecare advocates from across the country will be flying in to attend a national legislative conference that focuses on ensuring that Medicare beneficiaries have access to quality home medical equipment (HME) and services.

As many of you know from our earlier posts on Homecare Advocate, a highly controversial new program is being rolled out nationwide that will detrimentally impact Medicare beneficiaries and destroy the home medical equipment provider community.  Through this program, the government will select the narrow group of companies from which you can receive your medical equipment and care based of the cheapest bid prices–not the quality of care you need or the timeliness in which you need to receive your care.

Numerous credible, independent groups have reviewed this program and all find serious and consequential problems, yet the Centers for Medicare & Medicaid Services insist on moving forward.  You can read some of the independent reviews here, here, and here.  Last week the Wall Street Journal called the program “idiotic and designed for failure” in the latest of a growing number of media outlets covering this controversial program.  A significant majority of Americans will be impacted by the next phase rollout, including all four major cities and surrounding counties in Tennessee.

Fortunately, a sustainable, alternative program has been proposed that achieves real market savings for Medicare and taxpayers while modernizing the payment rates for medical equipment to be consistent with true market prices. This program preserves patient choice and access to quality goods and services.   Aptly titled the Market Pricing Program (MPP), this program has garnered support from leading economists throughout the country and is gaining momentum on The Hill as homecare advocates contact their legislators and urge a repeal of the current anti-competitive auction program in favor of MPP.  For MPP to be implemented, we need a congressional legislative fix.  This requires legislators to vote for it, which will likely occur if MPP can be attached to a larger bill being voted on this year.  However, your representative needs to hear from you–the constituent–so that he/she knows that this is an important issue to you that demands his/her attention.

We need your help.

While not everyone can fly to Washington to speak out, you can make a difference from  home. I urge you to contact your senators and Member of Congress and ask for a replacement of the Competitive Bidding Program with the Market Pricing Program.

You may also send an e-mail via this helpful Web site that allows you to copy and paste pre-crafted talking points into your e-mail that will be sent directly to your elected officials based upon your home address.  You are welcome to customize it as you see fit.

We’ll keep you updated on our progress in Washington and will give you a full report next week.  Feel free to leave a comment below with how you’re joining ranks of homecare advocates dedicated to making a difference.

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5 Steps to a Healthy Heart

Let’s get straight to the heart of the matter–cardiovascular disease is a widespread epidemic in the United States, affecting one in every three people. Learn the facts, risks, and preventative measures you can take to create a healthier heart as we celebrate American Heart Month this February.

Homecare Advocate Blog: 5 Steps to a Healthy Heart

The ugly truth of heart disease:
• Cardiovascular disease is the leading cause of death in the United States
• 1 in 3 deaths is from heart disease or stroke
• Every 34 seconds, someone has a heart attack
• Every 4 minutes, someone dies from a stroke

IMPROVE YOUR HEART HEALTH:

1) Eat Your Heart Out
A heart-healthy diet includes plenty of vegetables, substitution of red meat for fish high in Omega 3 fish acids (such as salmon) or nuts, whole-grain foods like oatmeal or air-popped popcorn. In moderation, dark chocolate also has positive heart benefits by lowering bad cholesterol, reducing blood pressure, and even preventing blood clots. Also, less is more concerning salt and alcohol. Your daily sodium intake may creep up on you even if you don’t add salt if you eat food others prepare for you, like restaurants and prepackaged food.

2) Keep It in Check
Home blood pressure monitoring is essential for those with high blood pressure according to the American Heart Association. Don’t let this “silent killer” sneak up on you. By testing routinely at home, you can evaluate the effectiveness of your blood pressure medication and keep a record for your physician to review. It gives you a benchmark for what you are and whether/not the levels improve over time. Companies like Lambert’s sell blood pressure cuffs available in manual or digital settings.

3) Get Pumped
Exercise at least 30 minutes per day, several days each week. This gets your heart pumping, which improves circulation allowing for better oxygen flow, decreases blood pressure, and strengthens your heart. For mobility-challenged people, pedal exercisers are a great way to get their daily exercise without a risk of falling.

4) Say Yes
Say yes to talking with your physician about whether or not you are a good candidate to take a daily aspirin. Aspirin can help prevent the clotting of platelets in your blood, which helps reduce your risk of heart attack or stroke. Those who are at high risk or who have already had a heart attack or stroke are generally great candidates for this daily ritual.

5) Say No
Say no to smoking. A staggering 20% of all heart-related deaths are directly linked to smoking because of its impact on coronary heart disease. It’s never too late to quit, and the benefits extend into your whole body. Your lungs will perform better, your sense of taste and smell will improve, and you drastically improve the likelihood of extending the length of your life.

We *heart* all of our readers and hope that this helps you jump-start your journey to a healthy heart!

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