1-800 New Health Blog | Health, Wellness, & NC Health Insurance (BCBSNC)

BCBSNC introduces new Generic Waiver Program

Blue Cross and Blue Shield of North Carolina is once again helping members out with their prescription drug costs with a new generic copayment waiver program. This new version is a more revised and condensed edition of the generic copayment waiver programs that they have used in previous years.

Under this new Generic Waiver Program, copayments and coinsurance for all generic prescriptions filled or refilled between January 1, 2009 and June 30, 2009 will be waived by BCBS of NC. Underwritten (fully insured) groups and individual members will be eligible for this program. Also, self funded or ASO groups may partake in the program. The ASO clients will be furnished with more detail as needed.

Research suggests combining Zoloft and therapy beneficial to children with anxiety disorders

As many as 20 percent of U.S. children and teens are found to be affected by anxiety disorders. Anxiety disorders are the most common psychiatric illness in children.

A recent study found that a popular antidepressant, well known as Zoloft, combined with three months of psychotherapy substantially helped children who suffered from anxiety disorders. The research also found that therapy by itself helped a lot as well. This was comforting to parents who worry about the affect of drugs on their children.

It was discovered that combining the drug sertraline, which is available as a generic and under the brand name Zoloft, along with therapy, worked best. Each method used alone also should major benefits, according to Dr. John Walkup, who is the lead author of the government-funded research and a Johns Hopkins Hospital psychiatrist.

Walkup said that children who were previously so anxious that they wouldn’t sleep alone, play with their friends, or leave home, had their symptoms almost disappear in many cases.

Sertraline is one of those antidepressants that is linked with suicidal thoughts and behavior in children having depression. Only a small amount of the 200 plus kids in this study had suicide thoughts and there were no suicide attempts, claimed Walkup. Suicidal tendencies are more prevalent in depression cases than anxiety related cases.

Mostly used to treat adult depression and anxiety, Zoloft is also approved for treating obsessive-compulsive disorder in kids, but not for anxiety. However, some doctors have used it for that. Also, some less intense and smaller studies have recommended that it as well as other antidepressants can help.

This new study is the largest examining treatment of childhood anxiety disorders and it was paid for by the National Institute of Mental Health.

Health Department recommends 2 1/2 hours of exercise weekly

On October 7, new exercise guidelines from the Health and Human Services Department, or HHS, were set to attain good health. Most adults should get 2 1/2 hours a week. Of course this varies according to how old you are and your level of fitness. If you are a more sedentary adult, a little exercise is fine at first, such as a short walk around the block or a friendly game of softball. Adults who are more fit can scrunch all their week’s requirement into a shorter time period, with 75 minutes of intense exercise like running or a bike race. An hour long walk three times a week works just as well as a 30-minute weekday exercise class. If this doesn’t work out for those who are too busy during the week because of work or other issues, a two-hour bike ride on Saturday or Sunday can do the trick. In other words, if your activity is more intense, you can do less time.

Children and teens need even more activity. The HHS guidelines suggest at least an hour a day. This daily hour should include activities such as bike riding, soccer, skating or running. Muscle-strengthening activities like sit-ups and tug-of-war and bone-strengthening activities like jumping rope or skipping should be done three times a week.

This advice should be taken seriously since many children in the U.S. are considerably less healthy than their parents. Almost one third of children are overweight and 16 percent are obese. Even though young children are usually more active by nature, more and more schools are sadly decreasing the amount of recess and gym time. A recent study found that once in high school, less than a third of teens get an hour of physical activity a day.

Adults, according to the HHS, should do muscle-strengthening exercises such as weight training or push-ups at least two days a week. The good news for some adults is that carrying heavy loads or intense gardening can be included as one of these exercises. Even older adults who can still do these activities are urged to do so.

When doing aerobic activities, try to go at least 10 minutes at a time to increase heart rate enough to count. While doing moderate activity, you should be able to talk, but not be able to sing. While doing intense activity, you should only be able to say a few words before catching your breath.

The HHS hired an expert panel to look at all the information on the question of how much exercise is enough. The panel discovered that consistent physical activity can decrease the risk of heart attacks and stroke by at least 20 percent. This can diminish the possibility of an early death and help people stay clear of high blood pressure, type 2 diabetes, colon and breast cancer, bone weakening and depression. The government studied this scientific report to determine the guidelines for these minimum activity levels.

The guidelines assert that these are minimum goals. Obviously, those who do more than the minimum will get better results.

Replacing health benefits after unemployment

According to Anna Wilde Mathews in The Wall Street Journal (11, 20) Healthy Consumer Column, around 1.2 million jobs have been lost so far this year, pushing a large number of people to deal with losing the health benefits that come with unemployment.

Kathleen Murray, of consultant Mercer, claims that the best thing to do, if possible, is to try to get coverage from a family member’s employer. There is another option called Cobra, the 1986 Consolidated Omnibus Budget Reconciliation Act. This is an employer-sponsored plan.

Several large insurers have been presenting an expanding range of plans with many benefits and prices for consumers to choose from. Mathews also recommends that people with limited incomes try to find out if they or people in their family might be able to access government coverage.

On site medical services for employees offered by some employers

Although many employees are still trying to extend more medical costs onto workers, an increasing amount of companies are furnishing services such as free check-ups, screening exams and prescription drugs. These services can help employees save a substantial amount of money each year. Some businesses are even claiming that the programs will help them save money eventually. 

The trend is catching on since more and more companies plan to reduce their healthcare costs by putting more attention on prevention, which includes complications such as hypertension and diabetes. Employees believe that if employees don’t have to leave work for medical reasons, they will obviously be more productive. Some companies are even opening up fully prepared workplace medical centers which are staffed by physicians and nurses offering primary care-type services. Employees don’t have to pay a fee for yearly physicals or standard screenings at these facilities, and they only have to pay $5 to $10 to be treated for minor illnesses.

Hospital quality program successful for Blue Cross and Blue Shield

The Blue Cross and Blue Shield Association has been victorious with their hospital quality program. The association revealed at a news conference recently that patient outcomes have significantly improved, and costs have been diminished.

The program has been implemented in 45 states with certified centers containing four categories: cardiac care, bariatric surgery, transplants and complicated and rare cancers. There are 800 programs at 650 hospitals within 45 states.

Establishments using the program have shown a 26 percent lower rate for bypass surgery readmission and a 37 percent lower rated for outpatient angioplasty readmission. All this has occurred within an astonishing 30 days. This was revealed in a study by WellPoint on 41,000 patients. Also, bypass procedure costs at these hospitals came to be five percent less than facilities that did not take part in the study, and outpatient angioplasty costs were an amazing 12 percent lower.

Physician’s plan for more access and affordability of primary care

In the Doctor’s Office column of the Wall Street Journal (11,13) Benjamin Brewer M.D. explains that even though people with health coverage with their employers may be currently happy with things as they are, the hurting economy and developing problems in primary care are causing things to get worse. He writes that most people are in accordance that getting everyone healthcare is the right way to go, but the problem is affordability.

Dr. Brewer’s idea is for the government to provide everyone with $365 of their tax money back to use towards primary healthcare. Under this plan the services would be predetermined, but the patient would get to pick the doctor, and the amount would be fixed for a year. He claims that this will cover many things associated with preventive health. With this plan, according to Brewer, a basic amount of service could be provided for all for less than the economic stimulus package.




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