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CMA Commends Dept. Of Insurance Regulations That Will Protect Patients From Losing Their Health Insurance, California
The California Medical Association today praised the state Department of Insurance (DOI) for conducting a public hearing this week on its proposed regulations to prevent private insurers from unjustly canceling health coverage for patients after they get sick and file an expensive claim. The DOI released the proposed regulations last month.
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Obama Leaves Door Open To Tax On Health Benefits
"President Barack Obama on Wednesday rejected the idea of fully taxing Americans" employer-provided health insurance benefits, but suggested he might be persuaded to tax so-called Cadillac coverage ... in the interest of a compromise with Congress," McClatchy/The Star-Telegram reports. The President, speaking at a "town hall-style event" taped at the White House and aired on ABC News, "said he would prefer to pay for expanded coverage by eliminating some deductions for higher-earning taxpayers but that "there"s going to have to be some compromise." The President "said he understands Americans" trepidation about changing the system: "They know that they"re living with the devil, but the devil they know they think may be better than the devil they don"t." He said any reform would be phased in, not happen overnight" (Talev and Lightman, 6/24).
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HydroCision Introduces The "Walk In/Walk Out" Option For Treatment Of Herniated Discs
HydroCision Inc. announced the launch of its new SpineJet® Percutaneous Access Set for use in herniated disc procedures using its novel cutting-with-water fluidjet technology. "These instruments will assist the company to more quickly capitalize on the double digit growth of the minimally invasive percutaneous discectomy market," says Doug Daniels. "A large driver of procedural growth has been patients who seek out surgeons who perform minimally invasive procedures to reduce down time from work in these tough economic times. This has led to rapid adoption of this new and evolving technique for the treatment of lower back pain by a growing number of neurosurgeons, orthopedic surgeons and interventional pain physicians. This trend has created the need for new instruments that can work through very small incisions."
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CPAP Adherence: Problem Solving And Coping Styles

According to a research abstract presented on June 8, at SLEEP 2009, the 23rd Annual Meeting of the Associated Professional Sleep Societies, active problem solving strategies are associated with successful use of continuous positive airway pressure (CPAP) therapy for the treatment of obstructive sleep apnea (OSA). Results of the study indicate that certain coping strategies that are associated with CPAP success vary according to how "CPAP success" is defined. When success is defined as using therapy often enough for a sufficient amount of time each night, individuals who use active problem solving strategies are more likely to be successful. However, if success is defined as simply using therapy for a sufficient amount of time during the night then only goal-oriented problem solving and belief about personal control of behavior and emotions are related to success. According to principal investigator Robert Glidewell, PsyD, CBSM, director of the sleep medicine and research program at the Lynn Institute of the Rockies in Colorado Springs, CO., CPAP initiation and education can be changed to improve the likelihood of successful outcomes. "Certain problem solving and coping styles are associated with more successful CPAP use than others," said Glidewell. "Individuals who use active problem solving strategies, such as seeking advice, information and feedback from people in their social network, generate goal-oriented schedules of action with specific tasks and who believe they are in control of their emotions and behaviors while solving problems or challenges are more likely to be successful with PAP than individuals who use other problem solving and coping styles or strategies." With this in mind, authors of the study state patients must be informed that the process of adjusting to CPAP is likely to take between 30 and 90 days. Additionally, CPAP educators should focus on improving specific aspects of problem solving and coping, such as how to engage social and emotional support networks, how to access care providers and how to react to common CPAP related problems. In more challenging cases, a clinical psychologist or other clinician trained in behavioral sleep medicine should be involved in treatment. The study included information from routine pre and post-treatment CPAP follow up in the clinic of a licensed psychologist certified in behavioral sleep medicine. Data were collected from 39 patients after seven days of treatment and from 19 patients after 30 days. Pretreatment standardized questionnaires concerning problem solving and coping styles were used to analyze the relationships between pretreatment questionnaire scores and adherence. Objective CPAP data use information was also collected. Abstract Title: Differential Pretreatment Predictors of Initial and Long-Term CPAP Adherence Presentation Date: Monday, June 8 Category: Sleep Disorders - Breathing Abstract ID: 0582 Kelly Wagner American Academy of Sleep Medicine


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