Archive for the ‘ Medical ’ Category

Looking into more natural ways to help cure acne can sometimes be much better than taking medication due to the side-effects associated with prescription drugs. Foods and Herbs that help cure acne can be a very effective means of dealing with this condition. Because they are natural, they do take longer to work, but by being faithful and utilizing all your resources, you can cause your acne to clear up.

Foods and herbs that help cure acne include carrots, ginger, garlic, and papaya.

Carrots contain a lot of fiber, Vitamin A, as well as quite a few other vitamins and minerals. The fiber in carrots can help detoxify the body. The huge amounts of Vitamin A found in carrots are very helpful in curing acne. When you body gets enough Vitamin A, you will notice that your acne will begin to clear up.

Ginger and garlic the world’s best natural antibiotics. They improve your body’s immune system. Ginger and garlic also have wonderful anti-inflammatory properties that help with the swelling of acne and the redness that comes with it.

Papaya is a wonderful fruit to eat when you are trying to fight acne. It helps with digestion, allowing your body to remove those toxins that can wreak havoc in your system. Papaya also contains papain, which is an enzyme that is used to fight inflammation. By consuming more papaya, you cause your acne to resist swelling, and be rid of the redness that accompanies acne.

Herbal remedies for acne are very easy to do at home, and you don’t have to worry about multiple visits to the dermatologist or pay the huge costs of visiting them as well. Also, some of the treatments that you go through when you visit a dermatologist can be quite painful. These herbal remedies can be taken as simple supplements that can be taken with a meal, or another option is buying a topical application that can be applied twice a day. When deciding to go with an herbal remedies that help cure acne, be sure to do your research to find out exactly how the herbs are going to effect your body, or may interact with other medication you may be taking. Herbal treatments can be harmful to people who are pregnant, have kidney conditions, and diabetes, so talking with your physician is always best. Another thing to consider when using an herbal supplement is the fact that some herbs work well in others, while you see no improvement. You will have to find the right herbs that work for you, and that can take time and effort. Some herbs that people have found to work well are, Milk Thistle, Red Clover, Licorice Root, and Echinacea.

What Kind of Exercise?

Although any kind of physical movement requires energy (calories), the type of exercise that uses the most energy is aerobic exercise. The term "aerobic" is derived from the Greek word meaning "with oxygen." Jogging, brisk walking, swimming, biking, cross-country skiing and aerobic dancing are some popular forms of aerobic exercise.
Aerobic exercises use the body’s large muscle groups in continuous, rhythmic, sustained movement and require oxygen for the production of energy. When oxygen is combined with food (which can come from stored fat) energy is produced to power the body’s musculature. The longer you move aerobically, the more energy needed and the more calories used. Regular aerobic exercise will improve your cardiorespiratory endurance, the ability of your heart, lungs, blood vessels and associated tissues to use oxygen to produce energy needed for activity. You’ll build a healthier body while getting rid of excess body fat.
In addition to the aerobic exercise, supplement your program with muscle strengthening and stretching exercises. The stronger your muscles, the longer you will be able to keep going during aerobic activity, and the less chance of injury.

How Much? How Often?

Experts recommend that you do some form of aerobic exercise at least three times a week for a minimum of 20 continuous minutes. Of course, if that is too much, start with a shorter time span and gradually build up to the minimum. Then gradually progress until you are able to work aerobically for 20-40 minutes. If you need to lose a large amount of weight, you may want to do your aerobic workout five times a week.
It is important to exercise at an intensity vigorous enough to cause your heart rate and breathing to increase. How hard you should exercise depends to a certain degree on your age, and is determined by measuring your heart rate in beats per minute.
The heart rate you should maintain is called your target heart rate, and there are several ways you can arrive at this figure. The simplest is to subtract your age from 220 and then calculate 60 to 80 percent of that figure. Beginners should maintain the 60 percent level, more advanced can work up to the 80 percent level. This is just a guide however, and people with any medical limitations should discuss this formula with their physician.
You can do different types of aerobic activities, say walking one day, riding a bike the next.
Make sure you choose an activity that can be done regularly, and is enjoyable for you. The important thing to remember is not to skip too many days between workouts or fitness benefits will be lost. If you must lose a few days, gradually work back into your routine.

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4. How would moral hazard4 be minimized?
If reimbursement is based on actual amounts paid by insurers and self-funded plans, the payers probablywould alter certain behaviors (e.g. provider contracts, cost-saving measures) as they will no longer beresponsible for the catastrophic costs associated with individuals or groups covered by reinsurance.
Options to mitigate this effect (known as moral hazard), to varying degrees, include:
Ø Reimbursing payers based on government-defined nominal costs per service (e.g. Medicare feefor service payable amount)
Ø Requiring a coinsurance amount from payers, thereby keeping a portion of the catastrophic claimsas the payers’ responsibility
Ø Reimbursing payers based on a risk adjuster or other predictive model, similar to the CMS-HCC  (Hierarchical Condition Category) model Requiring payers to have in place cost-containment measures, such as disease management, inorder to participate in the pool.

5. Addressing geographic cost factors, such as Medicare geographic cost factors.
If a reinsurance program is created on a federal level, geographic cost differentials may result in different
"subsidies" for different geographic areas of the country. Because health care costs are high in some partsof the country (due to both cost per unit differences and utilization differences), a fixed attachment pointcould result in insurers in low-cost areas subsidizing insurers in high-cost areas. Ways to mitigate thispotential problem include:
Ø Adjusting the "national-average" attachment point based on Medicare geographic cost factors
Ø To the extent that the program is financed by assessing participating insurers, calculating theassessment on a statewide or regional basis, rather than across the entire federal program.

6. How should the accumulation period be defined?
Most reinsurance arrangements are based on one year’s claims, but it must be determined how this isdefined. Options include:
Ø Reimbursing payers on a “paid-claims” basis, that is, based on all claims paid by the insurerduring the year
Ø Reimbursing payers on an “incurred-claims” basis, that is, all claims for services received by theinsured (and thus incurred by the payer) during the year.

7. What types of services are eligible for reimbursement?
Different insurance plans will have different benefit packages, covering different services. In addition,some benefit packages will be more generous than others. As a result, it is important to define whatservices are eligible for reimbursement under the reinsurance program. Options include:
Ø Medicare/CMS reimbursement policy
Ø Reimbursement based on the underlying insurance plan.

8. Other considerations:
Ø How would the reinsurance program be administered? Through a government agency? Throughthe states? Through private reinsurers? Through a partnership or combination of public andprivate entities?
Ø Would premiums from insurers and self-funded plans be required for participation in thereinsurance program? If so, how should these premiums be determined?

Many health plans and self-funded employer plans are large enough to manage effectively their owncatastrophic risk, and therefore usually choose not to purchase commercial reinsurance. As a result, thecurrent reinsurance market is fairly small compared with the health insurance market as a whole.
Nevertheless, reinsurers have significant amounts of available capital and large enough risk pools tohandle claim variability.
Under "true" reinsurance, risk protection is purchased by insurers for very large (catastrophic) claims.
Insurers can almost always purchase reinsurance with annual limits of up to $5 million, and with limits upto $10 million sometimes available.
Under "stop-loss" insurance, insurance is purchased by self-funded employers to cover the risk of largeclaims. Attachment points (per claim deductible) range from $10,000 to $500,000, with most fallingbetween $25,000 and $250,000. Self-funded employers can almost always purchase stop loss with annuallimits of up to $5 million. Higher limits are available, but are not always easy to obtain.
Issues for Consideration
Many issues need to be considered when designing a government reinsurance program. How theseissues are addressed could affect how the program is implemented as well as its ultimate costs.

1. Would participation in the reinsurance program be voluntary or mandatory?
A program could be voluntary or mandatory. If the program was made voluntary, it would need to bedetermined what level the decision would be made on. There are several choices:
Ø Insurer level—Under this option, insurers who opt to participate in the reinsurance program wouldbe required to do so for all of their health plans, not just select groups.Employer group level—Under this option, insurers could determine to enroll employer group planson a case-by-case basis, enrolling some groups, but not others.
Ø Individual employee level—Under this option, insurers could determine to enroll particularemployees (and any dependents) on a case-by-case basis, enrolling some employees, but notothers.
Ø Individual insured level—Under this option, insurers could determine to enroll particular insuredson a case-by-case basis. This differs from the employee level above, because the insurer couldchoose to reinsure only a dependent, but not the employee.
If participation in the program was mandatory, it could apply to:
Ø All health plans
Ø All self-insured health plans
Ø All health plans, excluding those that are self-insured
Ø All health plans with less than some fixed number of members
Ø Some other subset of health plans

2. What issues should be taken into account for a reinsurance program at the state level, the federal level,or for a program that has both state and federal elements?
Issues that would need to be considered include the interplay of state regulations and ERISA with thereinsurance program, how current state high-risk pools and other state reinsurance programs would beimpacted, issues unique to multi-state employers, and the desirability of uniform benefits and procedures.

3. Will the attachment point be increased over time, and if so how?
The cost of a reinsurance program would increase at a rate faster than underlying medical trend due to theleveraging effect of a fixed attachment point. That is, costs of the program would increase not onlybecause underlying medical costs would increase, but also because more claims would exceed theattachment point. Over time, this leveraging effect would increase the costs of the program substantially,and therefore, the costs to the government in a government-sponsored program would also increase.
Options to mitigate this effect include increasing the attachment point annually by the increase in the
Medical Consumer Price Index, the increase in health spending, or some other measure of health costincreases.
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