New Case Rate Packages from PhilHealth

source: Philhealth

NEW case rate packages for selected medical conditions and surgical procedures will soon be available in institutional health care facilities accredited by the Philippine Health Insurance Corporation (PhilHealth).

According to PhilHealth President and CEO Dr. Rey B. Aquino, "the shift from fee-for-service to case rates for these medical and surgical cases was prompted by developments taking place in the health care industry, most notable of which is the need to provide optimal financial risk protection especially to the most vulnerable groups, including the poorest of the poor." He added that better member appreciation and faster reimbursement of fees to health care providers were also among the major considerations for introducing this new type of provider payment scheme.

The use of case rates is an internationally accepted payment mechanism that serves to package payment for health interventions. Through this mechanism, members will be able to predict how much PhilHealth will be paying for each of the services provided. "Gone are the days when we could not even give a definite amount of benefits for each of these common medical conditions and surgical procedures," Aquino said, adding that "...now, the member is empowered with just the right amount of information he needs for a particular disease or illness."

Among the medical cases and the corresponding package rates are Dengue I (P8,000.00), Dengue II (P16,000.00), Pneumonia I (P15,000.00), Pneumonia II (P32,000.00), Essential Hypertension (P9,000.00), Cerebral Infarction (CVA I, P28,000.00), Cerebro-vascular Accident with Hemorrhage (CVA II, P38,000.00), Acute Gastroenteritis (P6,000.00), Asthma (P9,000.00), Typhoid Fever (P14,000.00), and Newborn Care Package in Hospitals and Lying-in clinics (P1,750.00).

On the other hand, the surgical procedures include Radiotherapy (P3,000.00 per session), Hemodialysis (P4,000.00 per session), Maternity Care Package (MCP, P8,000.00) coupled with the Normal Spontaneous Delivery (NSD) Package in Level 1 (P8,000.00) and Levels 2-4 hospitals (P6,500.00), Caesarian Section (P19,000.00), Appendectomy (P24,000.00), Cholecystectomy (P31,000.00), Dilatation and Curettage (P11,000.00), Thyroidectomy (P31,000.00), Herniorrhaphy (P21,000.00), Mastectomy (P22,000.00), Hysterectomy (P30,000.00) and Cataract Surgery (P16,000.00).

Aquino said the new case rate packages are available for all member-types admitted in any of the accredited institutional health care providers nationwide starting September 1. He, however, emphasized that "...for our Sponsored Program members who are admitted in government hospitals, the "No Balance Billing" (NBB) policy applies, meaning no other fees nor expenses shall be charged to or paid for by the patient-member above and beyond the package rate."

The NBB policy shall also apply to any other member type such as the employed, individually paying and overseas workers, who will avail themselves of the MCP and NCP in all accredited MCP non-hospital providers such as maternity clinics, and birthing homes.

"This policy was approved after a series of consultations with concerned medical societies and other institutional partners. These conditions and procedures were also among the top 49 percent of total claims we paid for over the previous years," the PhilHealth Chief noted. With all of these packages in place, the government agency needs about P3 billion for the next six to 12 months once members start availing themselves of the packages early next month.

Health Tips

I received this in my email as a forwarded message, but the core principles seem sound enough and match those medical advice I've read over the past few months.

EATING FRUIT

We all think eating fruits means just buying fruits, cutting it and just popping it into our mouths. It's not as easy as you think. It's important to know how and when to eat.

What is the correct way of eating fruits?
IT MEANS NOT EATING FRUITS AFTER YOUR MEALS! * FRUITS SHOULD BE EATEN ON AN EMPTY STOMACH.

If you eat fruit like that, it will play a major role to detoxify your system, supplying you with a great deal of energy for weight loss and other life activities.

FRUIT IS THE MOST IMPORTANT FOOD.
Let's say you eat two slices of bread and then a slice of fruit. The slice of fruit is ready to go straight through the stomach into the intestines, but it is prevented from doing so.

In the meantime the whole mal rots and ferments and turns to acid. The minute the fruit comes into contact with the food in the stomach and digestive juices, the entire mass of food begins to spoil.

So please eat your fruits on an empty stomach or before your meals! You have heard people complaining - every time I eat water-melon I burp, when I eat durian my stomach bloats up, when I eat a banana I feel like running to the toilet etc - actually all this will not arise if you eat the fruit on an empty stomach. The fruit mixes with the putrefying other food and produces gas and hence you will bloat!

Graying hair, balding, nervous outburst, and dark circles under the eyes all these will not happen if you take fruits on an empty stomach.

There is no such thing as some fruits, like orange and lemon are acidic, because all fruits become alkaline in our body, according to Dr. Herbert Shelton who did research on this matter. If you have mastered the correct way of eating fruits, you have the Secret of beauty, longevity, health, energy, happiness and normal weight.

When you need to drink fruit juice - drink only fresh fruit juice, NOT from the cans. Don't even drink juice that has been heated up. Don't eat cooked fruits because you don't get the nutrients at all. You only get to taste. Cooking destroys all the vitamins.

But eating a whole fruit is better than drinking the juice. If you should drink the juice, drink it mouthful by mouthful slowly, because you must let it mix with your saliva before swallowing it.
You can go on a 3-day fruit fast to cleanse your body. Just eat fruits and drink fruit juice throughout the 3 days and you will be surprised when your friends tell you how radiant you look!

KIWI: Tiny but mighty. This is a good source of potassium, magnesium, vitamin E
& fiber. Its vitamin C content is twice that of an orange.

APPLE: An apple a day keeps the doctor away? Although an apple has a low vitamin C content, it has antioxidants & flavonoids which enhances the activity of vitamin C thereby helping to lower the risks of colon cancer, heart attack & stroke..

STRAWBERRY: Protective Fruit. Strawberries have the highest total antioxidant power among major fruits & protect the body from cancer-causing, blood vessel-clogging free radicals.

ORANGE : Sweetest medicine. Taking 2-4 oranges a day may help keep colds away, lower cholesterol, prevent & dissolve kidney stones as well as lessens the risk of colon cancer.

WATERMELON: Coolest thirst quencher. Composed of 92% water, it is also packed with a giant dose of glutathione, which helps boost our immune system. They are also a key source of lycopene - the cancer fighting oxidant. Other nutrients found in watermelon are vitamin C & Potassium.

GUAVA & PAPAYA: Top awards for vitamin C. They are the clear winners for their high vitamin C content. Guava is also rich in fiber, which helps prevent constipation. Papaya is rich in carotene; this is good for your eyes.

Drinking Cold water after a meal = Cancer! Can u believe this??
For those who like to drink cold water, this article is applicable to you. It is nice to have a cup of cold drink after a meal. However, the cold water will solidify the oily stuff that you have just consumed. It will slow down the digestion. Once this 'sludge' reacts with the acid, it will break down and be absorbed by the intestine faster than the solid food. It will line the intestine. Very soon, this will turn into fats and lead to cancer. It is best to drink hot soup or warm water after a meal.

6 Top Concentration Killers

Straying from the task at hand? Here's how to regain your focus.

By Jen Uscher
WebMD Feature

Reviewed by Laura J. Martin, MD

Unanswered emails are clogging your inbox, you’re wondering when you’ll find time to pick up the dry cleaning, and your brain is foggy from too little sleep.

It’s not surprising you have such a hard time tackling the projects at work and at home that demand your full attention.

To help you concentrate, experts say you first need to identify what's derailing you. Here are six common concentration wreckers and what you can do about them.

1. Multitasking

“Multitaskers might feel like they’re getting more done, but it almost always takes longer to multitask than to devote your attention to one thing at a time,” says psychologist Lucy Jo Palladino, PhD, author of Find Your Focus Zone: An Effective New Plan to Defeat Distraction and Overload.

We lose time shifting between tasks. In a 2001 study published in the Journal of Experimental Psychology: Human Perception and Performance, researchers from the University of Michigan and the Federal Aviation Administration did tests in which people solved math problems or classified geometric objects. The researchers found that people lost time when they switched between tasks. And when the tasks were more complex or unfamiliar, they took even more time to switch tasks.

The key, Palladino tells WebMD, is be choosy about when you multitask. It’s OK to talk on the phone while you’re folding the laundry, for example, but not while you’re working on a difficult or high-priority task - say, proofreading a report.

2. Boredom

Dull tasks can sap your ability to focus and make you more vulnerable to distractions.

“When you’re bored, almost anything else can be more attractive than what you’re doing,” says Gordon Logan, PhD, a psychology professor at Vanderbilt University.

Logan's tip: Give yourself little rewards, like a coffee or a favorite snack, for staying on task for a specific period of time.

“When a colleague of mine had to review a complex grant proposal, she rewarded herself with a chocolate-covered raisin each time she finished reading a page,” Logan says.

It’s also good to schedule breaks -- to take a 10-minute walk outside, for example -- so you’ll have something to looking forward to and a chance to recharge.

Boredom is one case when multitasking may work in your favor.

“Multitasking is often a help when you’re doing something so boring that you’re understimulated,” Palladino says.

If you’re having a hard time focusing on washing the dishes or filing your receipts, for instance, listening to the radio or texting a friend at the same time may keep you motivated.

3. Mental Distractions

When you’re worrying about money, trying to remember if you took your vitamins, and replaying a conversation in your head that didn’t go as planned, it's hard to settle down and stay focused on a project you’re trying to complete.

Those types of distractions -- the ones that are in your head -- “have a lot of power over us,” says Michael J. Baime, MD, clinical associate professor of medicine at the University of Pennsylvania School of Medicine and director of the Penn Program for Mindfulness.

One way to let go of these nagging thoughts is to quickly write them down. Add items to your to-do list, for instance, or vent your frustrations in a journal entry.

If you’re stressed about a certain problem, find a time to talk about it with someone you trust. “If you have a supportive, active listener, it can help drain away some of the tension that is bouncing around in your head,” says Daniel Kegan, PhD, JD, an organizational psychologist.

Meditation can also help.

“When you’re meditating, you learn to manage distracting thoughts so they don’t compel your attention so strongly. You discover how to refocus the attention and take it back and place it where you want it,” Baime tells WebMD.

In a 2007 study, Baime's team found that people who took an eight-week meditation course improved their ability to focus their attention.

To learn the basic techniques of meditation - such as focusing on the sensation of breathing and then transferring that focus to other sensations in the body -- Baime recommends taking an eight-week mindfulness-based stress reduction class, either in person or online.

4. Electronic Interruptions

“It’s easy to fall into aiding and abetting in your own distraction by checking your email all the time,” Kegan says. “If you’re trying to concentrate, you can lose your train of thought every time you hear ‘You’ve got mail’.”

We often feel like we need to respond to an email, text, instant message, or voice mail as soon as it’s received. But Palladino suggests drawing some lines so you’re not letting technology control you.

Carve out blocks of time when you can focus on your work without electronic interruptions. Try checking your email at set times each day (rather than constantly), and close your email program the rest of the time.

It may also help to change location. Take your laptop to a spot where you know you won’t have wireless access to the Web for a few hours, for example.

5. Fatigue

Many studies show that loss of sleep impairs attention, short-term memory, and other mental functions. “Your attention falls apart when you’re sleep deprived,” Baime says. Sleep needs vary, but most adults do best with 7-9 hours of nightly sleep. Getting at least seven hours of sleep will go a long way toward improving your focus during the day.

Also, try scheduling tasks that need more concentration during the times of day when you’re feeling the most alert. “Pay attention to your own biorhythms,” Kegan says, “and learn which times of day you work best.”

6. Drug Side Effects and Other Medical Issues

If your concentration problems hamper your ability to function at work or at home, or if you’re also noticing a physical symptom like weight gain or insomnia, tell your doctor. Poor concentration can stem from conditions such as ADHD, sleep apnea, depression, anemia, or thyroid disease. Certain medications, such as those used to treat depression, epilepsy, or influenza (flu) infections, may cause concentration difficulties as a side effect, as well.

Lack of sleep linked to early death: study

source: Yahoo! News

LONDON (AFP) – People who get less than six hours sleep per night have an increased risk of dying prematurely, researchers said on Wednesday.

Those who slumbered for less than that amount of time were 12 percent more likely to die early, though researchers also found a link between sleeping more than nine hours and premature death.

"If you sleep little, you can develop diabetes, obesity, hypertension and high cholesterol," Francesco Cappuccio, who led research on the subject at Britain's University of Warwick, told AFP.

The study, conducted with the Federico II University in Naples, Italy, aggregated decade-long studies from around the world involving more than 1.3 million people and found "unequivocal evidence of the direct link" between lack of sleep and premature death.

"We think that the relation between little sleep and illness is due to a series of hormonal and metabolical mechanisms," Cappuccio said.

The findings of the study were published in the Sleep journal.

Cappuccio believes the duration of sleep is a public health issue and should be considered as a behavioural risk factor by doctors.

"Society pushes us to sleep less and less," Cappuccio said, adding that about 20 percent of the population in the United States and Britain sleeps less than five hours.

Sleeping less than six hours is "more common amongst full-time workers, suggesting that it may be due to societal pressures for longer working hours and more shift work"

The study also found a link between sleeping more than nine hours per night and premature death, but Cappuccio said oversleeping is more likely to be an effect of illness, rather than a cause.

"Doctors never ask how much one sleeps, but that could be an indicator that something is wrong," said Cappuccio, who heads the Sleep, Health and Society Programme at the University of Warwick.

Research showed no adverse effects for those sleeping between six and eight hours per day.

Big Handbags Could Mean Big Medical Woes

A friend of mine brought up this article, which he found through a blog entry. After some searching on the net, I found that this Marie Claire article came out in 2008. Nevertheless, the same concerns brought up in the article are now more prominent today - with gadgets becoming more and more portable with every version released.

Recently I have been trying to de-clutter my life, largely being unsuccessful. I am still on a quest to be able to bring everything with me, without the accompanying weight. I encourage everyone to go on the same quest, especially given the new reflected in this review:

Today's woman is often "super-woman" -- mom, partner, business person, host, friend, and more. She isn't leading the life of yester-year. Her life, like her purse, is over-crowded and full. And she "needs" and "wants" a large purse.

Designers conscious of this have turned out some amazing oversized bags and have turned them into the "it" bag.

In general, what makes these bags weigh a lot is the thickness of the leather, the hardware, and even the interior pockets' lining. These are things to watch out for when purchasing a bag. One of the drawbacks about the designer bags is that many of the more expensive ones have more ornate detailing or thicker leather, and so are considerably heavier.

Celebrities have grabbed hold of the trend. Take Nicole Richie, for instance: Half the time, you're not sure who's bigger or weighs more -- her or her bag!

Since large handbags are fashionable, with bargain brands and expensive labels alike offering the bulky bags, and since they're roomy, they can tempt women to carry along those extra sneakers to walk on a lunch break, an umbrella in case of a sudden shower, or even a stock of snacks or a bottle of water.

But, says Coles, just because the space is there doesn't mean women really need to use all of it.

Trouble is -- a cool accessory is turning into muscle mayhem.

Many women are complaining of neck, shoulder and back pain. Physical therapists claim an aggravated neck or shoulder can lead to upper-back problems, from which pain can be felt long after the purse is back on the coat rack. The pain can be felt, they explain, while playing sports, exercising, or even working at the computer.

Other symptoms that your bag is too heavy and creating problems could include tingling fingers and headaches.

Experts suggest avoiding bags that weigh more than three pounds, and say the ideal bag should weigh two pounds, total -- yes -- total! That doesn't seem possible, partially because most of the new, fashionable bags weigh more than three pounds empty!

The absolute maximum should be no more than 10 percent of your body weight, experts emphasize which would mean, for instance, a maximum of 13 pounds if you weigh 130 pounds.

If you have to follow the trend, Coles say, try to buy a big bag, made from light material. Also, experts say to try exercising and stretching your neck throughout the day. Try to avoid overloading your bag. You don't need your entire kitchen sink with you! And try to change the shoulder on which you carry your big bag every ten-to-15 minutes if you're walking around.

Brain Foods That Help You Concentrate

One of the recent updates from WebMD featured an article about food that can help you concentrate better.  The list is worth trying, as it combines many of the recommended good food in many diets, and a few that are not.

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Ginseng, Fish, Berries, or Caffeine?

Listen to the buzz about foods and dietary supplements and you'll believe they can do everything from sharpen focus and concentration, to enhance memory, attention span, and brain function.

But do they really work? There's no denying that as we age chronologically, our body ages right along with us. The good news is that you can increase your chances of maintaining a healthy brain -- if you add "smart" foods and beverages to your diet.

Caffeine Can Make You More Alert

There's no magic bullet to boost IQ or make you smarter -- but certain substances, like caffeine, can energize and help you focus and concentrate. Found in coffee, chocolate, energy drinks, and some medications, caffeine gives you that unmistakable wake-up buzz -- though the effects are short term. And more is often less: Overdo it on caffeine and it can make you jittery and uncomfortable.

Sugar Can Enhance Alertness

Sugar is your brain's preferred fuel source -- not table sugar, but glucose, which your body metabolizes from the sugars and carbohydrates you eat. That's why a glass of something sweet to drink can offer a short-term boost to memory, thinking processes, and mental ability.

Consume too much, however, and memory can be impaired -- along with the rest of you. Go easy on the sugar so it can enhance memory, without packing on the pounds.

Protein & Brain Function Connection

One of the great benefits of protein is that it generally makes you feel satisfied longer than carbohydrates and fats. Eating a diet rich in lean and low-fat protein is good for weight loss and overall health -- though it’s hard to draw a connection with brain function.

Fish Really is Brain Food

A protein source associated with a great brain boost is fish -- rich in omega 3 fatty acids, essential for brain function and development. These healthy fats have amazing brain power: higher dietary omega 3 fatty acids are linked to lower dementia and stroke risks; slower mental decline; and may play a vital role in enhancing memory, especially as we get older.

For brain and heart health, eat two servings of fish weekly.

Add a Daily Dose of Nuts and Chocolate

Nuts and seeds are good sources of the antioxidant vitamin E, which is associated with less cognitive decline as you age. Dark chocolate also has powerful antioxidant properties, and contains natural stimulants like caffeine, which can enhance focus and concentration.

Enjoy up to an ounce a day of nuts and dark chocolate to provide all the benefits you need without excess calories, fat, or sugar.

Add Avocados and Whole Grains

Every organ in the body depends on blood flow, especially the heart and brain. Eating whole grains and fruits like avocados can reduce the risk of cardiovascular disease and enhance blood flow, offering a simple, tasty way to fire up brain cells.

Whole grains, like popcorn and whole wheat, also contribute dietary fiber and vitamin E, while avocados have fat -- but a good-for-you, monounsaturated fat that contributes to healthy blood flow.

Blueberries Are Super Nutritious

Research in animals shows that blueberries help protect the brain from oxidative stress and may reduce the effects of age-related conditions such as Alzheimer's disease or dementia. Studies also show that diets rich in blueberries significantly improved both the learning capacity and motor skills of aging rats, making them mentally equivalent to much younger rats.

Benefits of a Healthy Diet

It may sound trite but it's true: If your diet lacks essential nutrients, it can decrease your ability to concentrate. Eating too much or too little can also interfere with your ability to focus. A heavy meal may make you feel lethargic, while too few calories can result in distracting hunger pangs.

Benefit your brain: Strive for a well-balanced diet chock full of a wide variety of healthy, wholesome foods.

Vitamins, Minerals, and Supplements?

Store shelves groan with supplements claiming to boost health. Although many of the reports on the brain-boosting power of supplements like vitamins B, C, E, beta-carotene, and magnesium are promising, they’re inconclusive.

Researchers are cautiously optimistic about ginseng, gingko, or vitamin, mineral, and herb combinations and their impact on the brain.

A daily multivitamin is OK, but check with your doctor before taking other supplements.

Get Ready for a Big Day

Want to power up your ability to concentrate? Start with a meal of 100% fruit juice, a whole grain bagel with salmon, and a cup of coffee. In addition to eating a well-balanced meal, experts also advise:

• Get a good night's sleep.


• Exercise to help sharpen thinking.


• Meditate to clear thinking and relax.