Most Recent Posts Wheelchair User Saved By SwimmerPosted May-30-07 08:24:14 PDT Wheelchair-bound victim saved by swimmer after plunging into pond![]() BOSTON -- A quadriplegic man was rescued from drowning in Jamaica Pond. The victim rolled into the water at full speed while in a wheelchair around 11 a.m. on Tuesday. Julia Hutfless and her friend, who happened to be walking by, came to the man's rescue. "This man who was... driving his wheelchair really fast on the pier, and normally, one would slow down toward the end, and we both saw him not slow down," said Hutfless. "We both said, 'He's not going to stop! He's not going to stop!' and just went right off the edge... His wheelchair went one way, and he was headfirst and lying in the water." Hutfless recalled how she and her friend, Amy, sprinted down to the water to check on the man. While her companion rushed to call 911, Hutfless jumped into the pond to try and help the victim. "I just jumped in and grabbed him and turned him over," said Hutfless. "He coughed a little... He asked where I came from. I think, perhaps, he was a bit mad at the fact that I helped him, but then, he was thankful when he was initially on the stretcher going into the ambulance." Another Good Samaritan, who also witnessed the scene, reportedly jumped into the water to assist. The three witnesses were able to pull the victim over to the side of the pond by the time authorities arrived. (Copyright 2007 Sunbeam Television. All Rights Reserved. This material may not be published, broadcast, rewritten, or redistributed.) Theft Victim Gets New WheelchairPosted May-30-07 08:17:30 PDT TRENTON, N.J. - May 29, 2007 - It's always a big day when anyone gets a new set of wheels, but nothing compared to what this day was like for a young man in Trenton. "People do care. It's not a harsh life," said Rafael Garcia. The donated motorized wheelchair that will give back mobility to Rafael arrived at the Mercer Junior-Senior High School in Hamilton Township Tuesday afternoon. It was donated by a family in Chalfonte, Bucks County after seeing our story last week about thieves stealing Rafael's electric wheelchair from in front of his Trenton home. "It was very sad to think someone would steal somebody's wheelchair. Very heart-wrenching. I thought I could help him out with the chair that we have," said Jennifer Seidman, who donated the wheelchair. Rafael, who suffers from cerebral palsy, tried out the new chair and was happy to be back in the driver's seat again. He just needs to get the new chair charged. Since his old wheelchair was stolen, he has had to rely on people pushing him everywhere because he doesn't have the upper body strength to propel himself. "He wants to be independent. He deserves to be independent and the power chair will bring him back his independence," said teacher Leslie Brady. School officials say at least a dozen people offered to donate a motorized wheelchair to Rafael. "We had a huge outpouring from the community of people wanting to help. Then we had to sort through every one trying to help and figure out who really had the equipment that would fit Rafael," said physical therapist Greg O'Brien. "Whoever took it, what they did made me so sad. To know there are some nice people out there who can help us with Rafael, I'm really thrilled," said principal Jean Radimer. And so is the young man who very much wants the mobility the electric wheelchair gives him. Police are still looking for whoever stole his wheelchair.
(Copyright 2007 by Action News and 6abc. All Rights Reserved.) Wheelchair Topples Handicapped Woman IgnoredPosted May-30-07 08:15:50 PDT Woman out of wheelchair is ignored by passerby Abigail Van Buren Dear Abby DEAR ABBY: When my husband came home from work this evening, he told me a horrifying story. He said that he and some of his co-workers were out on a job, and from their truck they witnessed a woman in a wheelchair topple. They waited for the stoplight to turn green and immediately made their way to her side as quickly as they could. What was upsetting was that nearly 20 pedestrians walked right by without offering to help her. Abby, they didn't even look twice! The woman was extremely embarrassed to have been on the ground so long and was overjoyed when my husband and his co-workers helped her. I cannot believe that no one stopped to help. What is happening to this world? Ð HORRIFIED IN DOVER, DEL. DEAR HORRIFIED: There are still many caring and compassionate people in this world. As to what happened on that street in Dover that day, I will leave it up to the good citizens of that city to consider. Perhaps everyone who passed thought the person walking behind them would take the time to help. Of course, that's no excuse. How sad Ð not only for the woman with the disability but also for those who walked by. ¥ ¥ ¥ DEAR ABBY: My brother, "Dustin," has finally decided to marry his live-in girlfriend of four years, "Cameron." They are now planning their wedding, which will take place in four months. My mother has just informed me that Dustin and Cameron have decided that their wedding will be "adults only" except for Dustin's son. (The boy is 8.) Abby, my brother didn't even have the courage to call me up and inform me of this. I feel that since it will be an informal, small family event Ð fewer than 20 people Ð my two children should be allowed to attend. (They are 8 and 3.) Am I being unreasonable? I feel if there is a "no kids" rule, then there should be no kids Ð period. My husband has refused to attend unless our children are included. Should I go alone or not attend? Ð FURIOUS IN VANCOUVER, WASH. DEAR FURIOUS: The problem with getting messages via "Mother Central" is that they can be incomplete or garbled. Pick up the phone, call your brother and ask him about this. It is possible that your nephew is not going to be a "guest" at the wedding, but rather a member of the wedding party. Whatever answer you are given, respect it. Your husband can do as he wishes, but do not boycott the wedding to punish your brother. You could regret it later. ¥ ¥ ¥ DEAR ABBY: There is a boy I am dating, and I really like him. But I'm scared to kiss him. I'm a person who acts like she knows everything, but the truth is I don't really know how to kiss. Now, I know this sounds weird, but I'm only 12. I wrote to you 'cause I need to trust someone, and I hope that person is you. Just so you know, so far you are the only 1 I can trust 4 now or 4-ever. Please answer soon! Ð "TINA" IN TUCSON DEAR "TINA": Thank U 4 the compliment. Please try not to obsess about not knowing how to kiss. I promise it will happen naturally, when the time is right. The boy you are dating is probably wondering how to kiss you, so hold off and let him make the first move. Then close your eyes, purse your lips and keep both feet on the ground. Dear Abby is written by Abigail Van Buren, also known as Jeanne Phillips, and was founded by her mother, Pauline Phillips. Write Dear Abby at www.DearAbby.com or P.O. Box 69440, Los Angeles, CA 90069. COPYRIGHT 2007 UNIVERSAL PRESS SYNDICATE Wheelchair Catches on Fire in Covington KentuckyPosted May-30-07 08:13:17 PDT Elderly Woman Injured After Wheelchair Catches On Fire var wn_last_ed_date = getLEDate("May 30, 2007 9:56 AM EST"); document.write(wn_last_ed_date); May 30, 2007 09:56 AM EDT
COVINGTON, KY - An elderly Kentucky woman was sent to the hospital in critical condition Wednesday morning after being burned. Fire crews arrived at an apartment complex in Covington to find the victim in her wheelchair on fire. They used a fire extinguisher to put out the flames, but not before the woman received serious burns. She was transported to the University Hospital. The complex manager also suffered severe burns to his hands when he tried to put out the fire. Investigators believed the woman may have been trying to light a cigarette when the fire started. Wheelchair Stolen from Disabled WomanPosted May-30-07 08:11:27 PDT FREDERICK, Md. - A wheelchair belonging to a woman who crawls up 14 steps to her apartment every day was stolen at the bottom of those stairs early Tuesday. "It's like they stole my freedom," said Carole Powell, 47, fighting back tears. "I have no way to get around. I can't even think about it, it upsets me so much. That chair enabled me to work and not ask anybody for anything." Powell has used a wheelchair since 1999, when bone disease forced the amputation of her left leg below the knee. She had to leave the wheelchair at the bottom of the stairs to her apartment. "I crawled up (to the apartment) every day," she said. Powell thinks someone left the door to the hallway open or someone jimmied open the lock Monday night. The woman used a backup chair, which is in poor shape, on her job at the MARC train station, where she sells tickets for Greyhound. But she was in pain much of the day, because the chair's brakes don't work, the armrests are broken and the seat is too small, she said. "I don't know what to do," she said, having recently spent $1,400 for new wheels for the stolen chair, and can't afford to buy a new one. Local charities did not have a wheelchair to lend her. "I can't imagine a person who steals a wheelchair," she said. A report was filed with Frederick police, but by Tuesday evening, no one had found the chair, according to Sgt. Wade Brown. ___ Information from: The Frederick (Md.) News-Post, http://www.fredericknewspost.com (Copyright 2007 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.) FREDERICK, Md. - A wheelchair belonging to a woman who crawls up 14 steps to her apartment every day was stolen at the bottom of those stairs early Tuesday. "It's like they stole my freedom," said Carole Powell, 47, fighting back tears. "I have no way to get around. I can't even think about it, it upsets me so much. That chair enabled me to work and not ask anybody for anything." Powell has used a wheelchair since 1999, when bone disease forced the amputation of her left leg below the knee. She had to leave the wheelchair at the bottom of the stairs to her apartment. "I crawled up (to the apartment) every day," she said. Powell thinks someone left the door to the hallway open or someone jimmied open the lock Monday night. The woman used a backup chair, which is in poor shape, on her job at the MARC train station, where she sells tickets for Greyhound. But she was in pain much of the day, because the chair's brakes don't work, the armrests are broken and the seat is too small, she said. "I don't know what to do," she said, having recently spent $1,400 for new wheels for the stolen chair, and can't afford to buy a new one. Local charities did not have a wheelchair to lend her. "I can't imagine a person who steals a wheelchair," she said. A report was filed with Frederick police, but by Tuesday evening, no one had found the chair, according to Sgt. Wade Brown. ___ Information from: The Frederick (Md.) News-Post, http://www.fredericknewspost.com Why doesn't the CMS buy from Ebay?Posted May-30-07 08:09:03 PDT HME News - Breaking News Tuesday, May 15, 2007 Competitive bidding: Ready to rip By Liz Beaulieu Managing Editor WASHINGTON – CMS opened the bidding window for national competitive bidding early Tuesday morning. But providers, even those who are prepared, reported that they plan to hold off on bidding until a few weeks before the July 13 deadline. “We’ve laid a lot of the groundwork, but that doesn’t mean we won’t be reevaluating and reevaluating one more time,” said Georgie Blackburn, compliance director for Blackburn’s, part of the Pittsburgh competitive bidding area (CBA). “Each time we read through the paperwork, we find something that we missed. We’ll submit our bid later rather than sooner.” Providers must submit bids by 9 p.m. EST on July 13. CMS plans to award in December contracts that run from April 1, 2008, to Dec. 31, 2009, for mail order diabetic supplies and April 1, 2008, to March 31, 2011, for all other product categories. Like Blackburn, provider Raul Lopez said he plans to continue “playing with figures” until a week or two before the submission deadline. “We have numbers rolling around in our head, but we’ll want to go back and double check our figures,” said Lopez, director of operations for BayShore Dura Medical, part of the Miami CBA. “We’ll probably go back three times a week until the deadline.” Providers shouldn’t wait too long, however, before submitting bids, advised industry attorney Asela Cuervo. “Pull the request for bids (RFB) down and start analyzing it closely,” she said. “Sixty days isn’t a long time. There are a lot of problems that need to be anticipated, and if you wait until the last minute, you may not have enough time to address them.” Providers acknowledged that they worry about using the Internet to submit bids. They reported fearing everything from security breaches to system failures. “If providers go down to the wire to submit bids, how will the system handle that sudden volume?” Lopez asked. Provider Kim Brummett already reported some difficulty the day bidding opened. Brummett, vice president of contracting and reimbursement for Advanced Home Care, part of the Charlotte, N.C., CBA, logged on to analyze the RFB and found nothing. “All you can do is change your password,” she said. “(But) I’m sure they’ll post it.” Even with the bidding window open, AAHomecare continued to appeal to CMS to “slow down.” There are still too many questions, the association believes, like do subcontractors have to be accredited to participate? “There are basic fundamental questions that have yet to be answered,” said Walt Gorski, AAHomecare’s vice president of government affairs. “CMS has been extremely aggressive, and we would hope that they would slow down, so we have the opportunity to get this right, rather than rushing it into place to meet arbitrary deadlines.” In addition to the July 13 bidding deadline, providers must register for a user ID and password before June 30, and they must become accredited before Aug. 31. National Stroke Awareness MonthPosted May-30-07 08:06:09 PDT National Stroke Awareness Month Highlights DMEs' Role in Rehabilitation DMEs are taking National Stroke Month especially seriously this year because of their concern about the affect of competitive bidding on patients' access to home medical equipment. Stroke is the leading cause of long-term adult disability in the United States. Someone in the United States suffers a stroke every 45 seconds and dies from stroke every three to four minutes. Fifteen people died of stroke during the hour before you read this. It's not just an illness affecting the elderly, either: Twenty-eight percent of stroke victims each year haven't even reached their 65th birthday. The prevalence of stroke and the devastating toll it takes on peoples lives is the reason for National Stroke Awareness Month. Many of the 700,000 Americans who will experience a stroke this year will rely heavily on medical-equipment providers for the rehabilitation and assistive technologies that can help them recover some of their pre-stroke lives. Already, DMEs serve the 5.5 million stroke survivors in the United States who make medical equipment an integral part of their daily lives as they regain mobility and try to live independently. In a surprise for health-policy analysts, the number of people who died from stroke in the United States in 2004 (the most recent year for which data is available) dropped by 6.5 percent, according to the National Center for Health Statistics. The decline contributed to the overall two percent decline in the number of U.S. deaths in 2004, the largest decline in 60 years. While experts attribute the drop to better medical care and improved procedures and medications, they also caution that the overall mortality and morbidity trend is upward, primarily because of Americans' high-calorie, high-fat diets and lack of regular exercise. Stroke occurs when a blood vessel in the brain breaks or is blocked. The surrounding brain tissue is damaged by bleeding and lack of oxygen. Brain cells begin dying, and brain damage follows. The exact area of the brain where the stroke occurs and the extent of brain tissue affected by ischemia or hemorrhage determine the kind and extent of victims' disability. To learn more about stroke and National Stroke Awareness Month, visit www.stroke.org/. Scooter Store will pay $4 million in settlementPosted May-30-07 08:04:09 PDT Scooter Store Settlement Complicates DMEs' Lobbying Efforts Regardless of what they think about the guilt or innocence of The SCOOTER Store, DMEs are still reeling this week after the company announced it would settle with the Justice Department on charges it had sought to defraud Medicare. The news couldn't have come at a worse time as providers are trying to build support in Congress for legislation that would soften the effects of CMS's attempts to rein in equipment reimbursements and stem fraudulent claims. News of the SCOOTER Store's alleged efforts to get Medicare to pay fraudulent claims made it much more difficult for DMEs' Capitol Hill advocates to explain how CMS's reform efforts will hurt small, independent providers. In return for Justice dropping criminal charges, The SCOOTER Store will pay $4 million and give up many millions more in pending claims for Medicare reimbursement to Medicare. The SCOOTER Store's founder, Douglas Trent Harrison, also agreed to personally pay $500,000 and forego dividends from his shares in the company for the next year. The Scooter Store denies any wrongdoing. While some providers lamented the adverse economic impact of the government's actions against The SCOOTER Store, others found it difficult to let the San Antonio-based company off the hook. To read details about The SCOOTER Store settlement, see http://www.usdoj.gov/opa/pr/2007/May/07_civ_344.html. Scooter Store Pays back stolen Money from taxpayersPosted May-16-07 08:09:17 PDT To: NATIONAL EDITORS Contact: U.S. Department of Justice, +1-202-514-2007, TDD +1-202-514-1888 WASHINGTON, May 11 /PRNewswire-USNewswire/ -- The SCOOTER Store Inc. will pay the United States $4 million, and give up many millions more in pending claims for reimbursement to Medicare, to settle allegations that the company violated the civil False Claims Act and defrauded the United States, the Justice Department announced today. In addition to the $4 million cash payment, the San Antonio wheelchair supplier will give up the right to reimbursement for most of its pending Medicare claims. Such claims total more than $43 million, but Medicare estimates that the payments The SCOOTER Store could actually expect to have received based on those claims is approximately $13 million. Medicare commonly reimburses less than the face value of claims presented to the agency for payment. The cash component of the settlement package includes a $500,000 contribution by The SCOOTER Store founder Douglas Trent Harrison, who also agreed to forego dividends from his shares in the company for the next year in exchange for a release of his personal liability. The settlement resolves a lawsuit brought by the United States in 2005, in which the government alleged that The SCOOTER Store engaged in a multi-media advertising campaign to entice beneficiaries to obtain power scooters paid for by Medicare, Medicaid, and other insurers. Instead of the "zippy" power scooters that were advertised, The SCOOTER Store sold the beneficiaries expensive power wheelchairs that they did not want, need, and/or could not use. By representing to physicians that their patients wanted and needed power wheelchairs, The SCOOTER Store obtained thousands of "Certificates of Medical Necessity" from physicians who did not know about the company's fraudulent practices. The SCOOTER Store then billed government and private health care insurers for power wheelchairs, which were far more costly than power scooters, and collected millions of Medicare and Medicaid dollars. The SCOOTER Store received $5,000 to $7,000 in reimbursement for each power wheelchair it sold, more than twice the amount for a scooter, which sold for around $1,500 to $2,000. Many beneficiaries had no idea what kind of equipment they were getting, until it was delivered by The SCOOTER Store. The government's lawsuit also alleged that The SCOOTER Store knowingly sold used power mobility equipment to beneficiaries and billed Medicare as if the equipment were new, in violation of Medicare regulations. In addition, the U.S. alleged that The SCOOTER Store charged Medicare millions for unnecessary power mobility accessories. "This settlement is part of our ongoing commitment to fighting abuse of Medicare's durable medical equipment benefit," said Assistant Attorney General Peter D. Keisler. "Equipment suppliers whose practices violate the law need to know that we are dedicated to protecting Medicare funds and beneficiaries from their fraudulent schemes." New rules for power mobility implemented last year by the Department of Health and Human Services Centers for Medicare and Medicaid Services are designed in part to prevent the abuses that resulted in the government's lawsuit against The SCOOTER Store. In addition, The SCOOTER Store will operate for the next five years under a Corporate Integrity Agreement with the Office of the Inspector General at the Department of Health and Human Services that is designed to help ensure future compliance by the company with Medicare regulations. The civil settlement resolves several lawsuits filed by The SCOOTER Store against the United States seeking payment for its claims to Medicare. As part of the settlement, The SCOOTER Store gave up those claims and agreed to dismiss the lawsuits. The civil settlement also resolves claims in a suit brought by a whistleblower who was a former employee of The SCOOTER Store. As a result of the settlement, the whistleblower will receive $3,228,251 as the statutory award, and the whistleblowers' suit also will be dismissed. Under the qui tam provisions of the False Claims Act, private parties can file an action on behalf of the United States and receive a portion of the settlement if the government reaches a monetary agreement with the defendants. The case was investigated by the FBI's San Antonio Health Care Fraud Unit, the Texas Attorney General's Medicaid Fraud Control Unit, and the Office of the Inspector General, Department of Health and Human Services and was handled by the U.S. Attorney's Office for the Western District of Texas and the Civil Division of the Department of Justice. SOURCE U.S. Department of Justice Medicare cuts concern Wealthy Insurance CompaniesPosted Mar-20-07 08:46:54 PDT ASSOCIATED PRESS
1:49 p.m. March 19, 2007
WASHINGTON – Perhaps no health insurer has more to lose than Humana as Congress considers cutting payments to private companies that run Medicare plans.
While many major insurance companies participate in Medicare Advantage, the privately-run component of the government health plan for seniors, Louisville, Ky.-based Humana Inc. makes nearly half its earnings through the program, according to Prudential Equity Group. By comparison, competitors Aetna Inc. and UnitedHealth Inc. make just 3 percent and 13 percent, respectively, of their profits through their Medicare Advantage plans. A House subcommittee meets Wednesday to look at how much the government spends to insure senior citizens in Medicare Advantage compared with those in traditional government-run Medicare. Of the 43 million Americans covered by Medicare, about 8 million, or 19 percent, receive their benefits through private company plans. Ways and Means Health Subcommittee Chairman Pete Stark, D-Calif., and other Democrats with oversight of the program have already made it clear they think insurance companies are overpaid. “Managed care plans originally came into Medicare saying they could do more for less,” Stark said. “Now that they're in the program, they have changed their tune and are demanding we continue to overpay them to provide their services. That makes no sense.” Democrats are struggling to make good on a promise to balance the budget, even as they attempt to expand funding for several federal programs, including one that provides health insurance for poor children. Medicare Advantage plans became a prime target for savings earlier this month when a nonpartisan group that advises Congress on Medicare reported the government spends 12 percent more to provide care for beneficiaries in private plans than in traditional Medicare. The advisory group recommended Congress lower payments to companies like Humana and UnitedHealth to make them equal with regular Medicare spending, a measure that would save $65 billion over five years, according to the Congressional Budget Office. While reforming the Medicare Advantage program is not the top priority for Democrats this year, most policy analysts agree it will be an important issue and that the risk of cuts is significant. Humana declined to comment for this story, but its lobbying group, America's Health Insurance Plans, is vigorously defending Medicare Advantage plans, saying they offer more benefits, like dental and vision coverage, as well as lower out-of-pocket expenses. “Within the beltway it's very easy to talk about policy and numbers on a page,” said Mohit Ghose, the group's spokesman. “But when you listen to Medicare beneficiaries out in the field, as many congressmen will be doing as we head into the budget process, you will hear from them just how much relief these plans provide for them.” Ghose's group recently spotlighted a report showing that Medicare Advantage plans are favored by constituencies close to the Democratic party: low income and minority seniors. Medicare officials could not confirm the report's findings, but acknowledged that 57 percent of Medicare Advantage enrollees have incomes between $10,000 and $30,000, compared with 46 percent of those in the government plan. The controversy over Medicare Advantage is getting attention on Wall Street. Earlier this month Jefferies & Co. analyst Brian Wright downgraded Humana Inc. and WellCare Health Plans Inc. to “hold” from “buy,” saying negative scrutiny from Congress could hurt growth for both companies. Prudential analyst David Shove recommended that “investors stay away from heavy Medicare Advantage contractors like Humana and stick with heavy commercial players like Cigna.” Shares of Humana rose 63 cents on Monday, or 1.1 percent, to close at $58.86 on the New York Stock Exchange, where the stock has traded between $41.08 and $68.24 over the past 52 weeks. Part of the reason Humana is uniquely vulnerable to Medicare cuts is that it recently expanded its investment in a plan type called private fee-for-service. Congressional advisers report these plans cost the government 19 percent more than traditional Medicare and are a leading contributor to the escalating costs of the program. One reason for those heightened costs is that unlike other types of managed care plans– such as health maintenance organizations– private fee-for-service plans are not designed to control medical spending and eliminate unnecessary care. So what triggered the explosive growth of these plans? Ironically, the same legislative body which is now looking for ways to slow their growth. In 2003, a then Republican-controlled Congress aiming to expand Medicare Advantage offerings changed the government's payment policy to encourage companies like Humana to set up more private fee-for-service plans. According to Jon Blum, vice president with consultant Avalere Health, the debate over whether Medicare Advantage's primary purpose is to provide extra benefits for seniors or cost savings for government is mainly a result of divisions within Congress itself. “The difficulty with Medicare Advantage has always been that there are a lot of different constituencies trying to accomplish conflicting goals through the same program all at the same time,” Blum said. “Until there's a clear policy definition of what the program should be, you're going to continue to see these conflicting goals.” | ||||||||||||||||