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Thu, Nov 20, 2008 -- 8:00 PM
Health Dialogues: Health Advocacy
Navigating the health care system challenges a family in the best of times. But, what if your family isn't around, or doesn't have the time to monitor your care? That's where the growing business of patient advocacy steps in, providing competent oversight to prevent medical mistakes and even save lives. Join the November edition of Health Dialogues as we discuss the growing trend of patient advocacy.
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Host: Rachael Myrow
Different Types of Patient Advocacy
We explore the various types of patient advocacy, including non-profit, for-profit and government-run. We also hear from people who've had problems with their health care, and talk with the head of the leading non-profit patient assistance organization in the country.
Guests:
- Nancy Davenport Ennis, co-founder, CEO and president of Patient Advocate Foundation, a non-profit whose mission is to eliminate obstacles to access for quality health care
Extended patient testimonial interviews
Kim Kutcher - Dana Point, CA. Kim's back pain got so bad that she was unable to get up from the couch or pick up her children. The pain only got worse, and Kim (a registered nurse) and her doctor decided that she needed disc replacement surgery ? a relatively new procedure here in the United States. Still, it's FDA approved, and Kim figured she'd be able to get coverage from her provider. She set a date for the surgery, but the provider kept saying no. Eventually, the insurance provider approved the surgery... but then refused to pay for it.
Merry Selk - Albany, CA. For the past 15 years or so, Merry has had knee problems. Shoe inserts would temporarily relieve the pain, but after a while, her knee would hurt again and she would need a higher insert. Merry's knee eventually deteriorated to point where she needed surgery. 13 months, two insurance providers, two general practitioners, four physical therapists and three surgeons later, Merry got her knee fixed.
Maha Soudah - San Francisco, CA. Maha needed to purchase an individual heath care policy. So, she filled out an application and sent it in. Maha figured her clean bill of health would be enough for quick approval for the $750/month plan. But she ran into a roadblock when the insurance provider saw that her doctor had once given her some blood pressure pills to try out.
Different Types of Patient Advocacy
The Cost of Patient Advocacy
As patients are asked to get more involved in their own health care, there is a growing trend of for-profit patient advocacy businesses. These companies act as hired guns to challenge an insurer's denial of treatment or billing disputes.
The Cost of Patient Advocacy
The Industry Weighs In
We talk with representatives of both the health advocacy and health insurance industries about their business. The reality is that insurance does not cover everything -- even if patients want it to -- and the overwhelming majority of consumers do not have problems with their insurers.
Guests:
- Chris Ohman, president and CEO of the California Association of Health Plans, a statewide trade association representing 40 public and private health care plans that provide coverage to more than 21 million Californians
- Dr. Abbie Leibowitz, co-founder, chief medical officer and EVP of Health Advocate, Inc, the nation's leading health care advocacy and assistance company
The Industry Weighs In
The HMO Help Line
Did you know the State of California will help you resolve an issue with your health insurer? We talk with the head of the Department of Managed Health Care, which runs a health care help center that reviews cases brought to it by the public.
Guests:
- Cindy Ehnes, director of the California Department of Managed Health Care
The HMO Help Line
Innovations in Health Care -- Self-Advocacy and Health 2.0
In our continuing coverage of innovations in thinking about and dealing with health care, we talk with a major player in Health 2.0 -- a social media health movement.
Guests:
- Amy Tenderich, health and diabetes consultant, writer and founder of the blog DiabetesMine.com
Innovations in Health Care -- Self-Advocacy and Health 2.0
Thu, Oct 23, 2008 -- 8:00 PM
Health Dialogues: Health Care for All?
With the 2008 presidential election just around the corner, it's time to review the progress of universal health care. What do competing Democratic and Republican plans really mean? And what's happening with Governor Schwarzenegger's plan for universal health care coverage at the state level? We'll also take a look at San Francisco's pilot program called "Healthy San Francisco," a new safety net for the city's estimated 82,000 uninsured residents.
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Host: Scott Shafer
Barack Obama's Plan for Health Reform
Guests:
- E. Richard Brown, PhD, director of the UCLA Center for Health Policy Research and an adviser to Senator Obama's presidential campaign on health care issues
John McCain's Plan for Health Reform
Guests:
- John Graham, M.B.A., director of Health Care Studies at the Pacific Research Institute, a free-market think tank based in San Francisco
Non-Partisan Analysis of the Obama and McCain Health Plans
Guests:
- Larry Levitt, vice president of the Henry J. Kaiser Family Foundation and editor in chief of Kaisernetwork.org
Santa Clara Family Health
Healthy San Francisco
We look at San Francisco's plan to provide access to health care -- not insurance -- to its uninsured residents.
The State of Health Care Reform in California
Guests:
- Marian Mulkey, M.P.H., M.P.P., senior program officer for the California Healthcare Foundation's Market and Policy Monitor Program, promoting greater transparency and accountability in California's health care system
Proposition 4 and Parental Notification
Guests:
- Dolores Meehan, volunteer spokeswoman for Yes on Proposition 4
Thu, Sep 18, 2008 -- 8:00 PM
Health Dialogues: Back to School, Childhood Nutrition
It's time for kids to go back to school, but what are they eating? The foods children consume now can adversely affect their future health, particularly their risk of developing obesity, diabetes, and heart disease. The September edition of Health Dialogues examines childhood nutrition in the busy home, in the cafeteria and in the lunchbox.
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Host: Scott Shafer
Balboa High School, San Francisco
Health Dialogues takes a trip to San Francisco's Balboa High School, where students and administrators are taking healthy eating habits seriously.
Guests:
- Corrie Fong, Student, Balboa High School
- Dana Woldow, Co-chair of the student nutrition and physical activity committee for the San Francisco Unified School District.
- Gisell Jimenez, Student, Balboa High School
- Kristal Davila, Student, Balboa High School
- Nancy Doan, Student, Balboa High School
- Patricia Gray, Principal of Balboa High School, San Francisco.
- Sylvia Brookback, Student, Balboa High School
Junk Food and Soda Bans in L.A. Public Schools
Reporter Sarah Varney takes a look at the Los Angeles Unified School District, the first in the nation to ban soda sales on campus, and the challenges other school districts will likely face when following suit.
Diabesity
An interview with Dr. Francine Kaufman, MD, author of "Diabesity:A Doctor and Her Patients on the Front Lines of the Obesity-Diabetes Epidemic."
Guests:
- Dr. Francine Kaufman, MD, director of the Center for Diabetes at Children's Hospital in Los Angeles.
School Garden Trip
The State Department of Education estimates that half of California's public schools have school gardens that teach kids about the value of fresh produce. Reporter Rori Gallagher visits one of those gardens at Redwood City's John Gill Elementary School.
Food Policy Legistation
Public policy is an obvious way to try and affect our kids' eating habits. But does it work? Health Dialogues speaks with a food policy advocate to find out.
Guests:
- Matt Sharp, Senior advocate at California Food Policy Advocates.
News Segment: Sports4Kids
Health Dialogues talks with Sports4Kids, a non-profit organization based in Oakland that considers organized playground activity an important part of kids' health.
Guests:
- Jill Violet, president and founder, Sports4Kids.
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