Were looking at numbers dropping close to freezing and wind chills in the 20s. Tomorrow is cool despite sun, still in the 40s. Steadiest snow will be in the afternoon, but at that point i think roads remain wet. There might be slick spots into sunday evening in. Terms of snowfall totals ive changed new jerseys snowfall totals down to 1 to 3 inches, but i do think we can still see 3 to 6inch totals over connecticut and long island. I have a snowfall map and the details of timing in the minutes away. We continue to follow breaking news after a massive man hunt, the last fugitive want in the pair terrorist attacks has been capture paris terrorist attacks has been captured alive in brases les. Months in hiding Salah Abdeslam captured. Josh einiger in the newsroom with how it all went down. He was the most wanted man in europe and now hes finally in custody alive. A barrage of gunfire echoed through this paris neighborhood today and when it was over, victory, a bullet in his knee, Salah Abd
There are a couple of areas that we are clear we need to update. One is the concept of an essential Community Provider. Thats not something that we were really looking at before. Are those now included in your networks theres also just issues in the new environment. Are we applying it to all man e managed care. Do you go out to ppos . Do you go out to others, as well chlts were having weekly calls. In fact, our next one is thursday, july 24 00th at 130 p. M. Mark it on your calendars. Be there. Weve received comments from about 30 different i. Groups so far. Were going to go and see where we need to update our model. This is always going to be our number one point. We dont want it one size fits all, federal government comes 234 and this is the time and distance for each type of provider. I dont know about you, but wyoming is just a tad different than los angeles. What are the standards . What about certain populations . As has been braugts up, we need to balance. Theres no sense going
That providers can communicate more openly and easily sharing information between them about patients. Thats especially important and helpful with Electronic Health platforms when the providers are on the same platform. This can reduce duplicate testing and even conflicting treatment. Payers and providers can share more Meaningful Health care data, Work Together on Health Care Analytics to determine what is the right improvement we can make to quality and cost . The providers within a clinically integrated network can be more familiar with each others, not just their medical practice protocols but their administrative practices. Allowing handoffs to be much smoother with less error. Then also these tighter relationships allow these providers to comment with the payers back to them where there are Service Needs and things that need to be improved. So ill go on to what we also want to talk about, though, and that is there needs to be adequate Consumer Protection and education. Especially
Coverage for example in one market where we are the narrower provider we found they had no access to pet scans. Another glitch we found as their exclusive Network Provider they had not contracted with any Lamp Services or radiation therapy. We can provide these services but frankly getting Outpatient Lab testing at your hospital may not be as convenient as some of the labs that are available with better parking and hours. Finally id like to reemphasize the reality of the marketplace is that price dominates. Premiums is what people are most likely to look at. Those with low income still leave outofpocket medical expenses that are unaffordable below this operation. As a result, even modest out pocket costs create affordability programs. This is from one of our markets. A married couple. Income 48,000 a year. They chose a bronze plan. Their premium is subsidized. They have a 3,600 deductible and a 12,000 potential outofpocket maximum. If one of this group needed a jant re placement or hth
That somebody can be get to in tough numbers and types in a reasonable amount of team states can look at the networks to make sure that that definition of reasonable is reasonable. When you look at the time it takes people to get to them, any waiting periods, any distance issues that you make sure that everybody can get to somebody in a sufficient way. If not, if there is an insufficient network the carrier makes sure the patient can go to another doctor or provider and that they would be not charged more for going to them. They require the carriers to file an access plan with the commissioner prior to offering the new managed care plan. What goes in that is a description of the network and also say how they are going to monitor the network on an ongoing basis. What their egregious procedures will be if somebody has a problem or question about the network. Notification. How do they notify if theres a change. Also, the continuity of care if somebody is dropped how are you going to make