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Hidalgo County Herald
Lordsburg, New Mexico
December 19, 2014     Hidalgo County Herald
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December 19, 2014

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6 HIDALGO COUNTY HERALD FRIDAY, DECEMBER 19, 2014 Five things to know about signing up NM receives $1,999,988 to develop plan to for health care coverage for 2015 improve health care accessibility, affordability Submitted by US DEPT of value based payment methodolo- six previous round one Model By BOB MOOSlSouthwest pub- lic affairs officer for the U•S. Cen- ters for Medicat'e & Medicaid Ser- vices If you don't have health in- surance through your job or a government program like Medi- care or Medicaid, you'll want to read on. You have until Feb. 15 to shop for health care coverage for 2015 through the federal health insurance marketplace or your state's exchange. The marketplace's open en- rollment period got off to a strong start in mid-November, with tens of thousands of people now sign- ing up every day. Here are five things to know about it: This is comprehensive health insurance, with benefits similar to what many employers offer their workers. Insurance protects you from unexpected medical expenses. With it, you'll have peace of mind. Without it, you'd bear the full brunt of any bills• Fixing a broken leg can cost you up to $7,500• A three-day stay in the hospital runs, on average, $30,000. The health plans sold through the marketplace cover a broad range of medical services, including emergency care, hos- pital stays, doctor visits and pre- scription drugs• Insurers can't deny you cov- erage, or charge you higher pre- miums, because you have a pre- existing medical condition such as diabetes or high blood pres- sure. The price you pay for insur- ance is based only on where you live, how old you are and whether you smoke. Even if you signed up dur- ing the marketplace's first enroll- ment period a year ago, you'll want to update your personal in- formation and shop around again -to make sure you get the best deal. It's true that you'll be auto- matically re-enrolled in your cur- rent health plan if you do noth- ing. But you could end up cheat- ing yourself. The plan that was your best choice for 2014 may not be for 2015. It may be chang- ing its befiefits, its cost sharing or its network of hospitals and doctors. You also may have more choices• Nationally, there are 25 percent more health plans than last year. The increased competi- tion among insurers is reining in prices in many cases• If you don't compare all your options for 2015, you could miss out on a plan that would save you money. It's also important to review your application from last year and update any personal informa- tion that's changed. If you've had a drop in income, for example, that could boost any financial help you're receiving for your premiums or out-of-pocket costs• Look beyond the monthly premiums in comparing health plans• Some plans have lower pre- miums but charge you more out- of-pocket when you require care. Other plans charge higher premi- ums but cover more of your medi- cal expenses. You'll need to de- cide how you want to balance your premium costs with your out-of-pocket costs. The easiest way to compare health plans available in your area, along with their estimated cost, is to use's new "window-shopping" feature. Even before completing an appli- cation, you can browse plans by entering your ZIP code, house- hold income and family size. Check whether you qualify for financial assistance. About 85 percent of the people who enrolled in a market- place plan a year ago received tax credits that made their premiums more affordable. Nearly seven in 10 consumers who qualified for help paid $100 or less per month for their coverage• Almost half got covered for $50 or less per month. If you're new to the market- place this year, you can find out whether you're eligible for a tax credit by visiting and creating an application with your most up-to-date income in- formation. This year's application has been shortened and simpli- fied for most people. Ask for help in enrolling if you need it. The website is running much more smoothly this year. But if you're not com- puter-savvy, don't fret. Call the marketplace assistance center at 1-800-318-2596 and speak with a trained counselor• Local orga- nizations are also available to help. For a list of groups in your community that can provide in- person assistance, visit! The deadline for enrolling in a health plan is Feb. 15. Cover- age begins on Jan. 1 for those who sign up by Dec. 15. Don't delay• Once this open enrollment period is over, your next chance to buy insurance and apply for help may not come for another year. Nome 212 E• Motel Drive Suite B Lordsbutg. NM 88045 $40 pm year Address City, Stote, Zip A gift leiter can be sent to recipient if requested Fast Approval Build Your Credit Checking Account Needed No Hassles Call Us Today! Apply in person on call ohe0dl 6ENTRY FI.NANGE 716 S. Main Street * L0rdsburg, NM Call today/ 575-542- HEALTH & HUMAN SERVICES New Mexico will receive up to$1,999,988 to design health care payment and service deliv- ery models that will improve health care quality and lower costs, Secretary of Health and Human Services Sylvia M. Burwell announced today. Nationwide, 28 states, three territories and the District of Co- lumbia will receive over $665 million in Affordable Care Act funding to design and test health care payment and service deliv- ery models that will improve health care quality and lower costs• Together with awards re- leased in early 2013, over half of states (34 states and 3 territories and the District of Columbia), representing nearly two thirds of the population are participating in comprehensive state-based in- novation in health system trans- formation. "We are committed to partnering with New Mexico to advance the goals we all share: better care, smarter spending, and, ultimately, healthier people," said Secretary Sylvia Mathews Burwell. "We're seeing states do some very innovative things when it comes to improving the ways we deliver care, pay provid- ers, and distribute information. These funds will support states in integrating and coordinating the many elements of health care - including Medicaid, Medicare, public health, and private health care delivery systems - to the benefit of patients, businesses, and taxpayers alike" State Innovation Model funds will support states in plan- ning or implementing a custom- ized, fully developed proposal capable of creating statewide health transformation. Examples initiatives include: • Improving primary care through patient centered medical homes, building upon current Ac- countable Care Organization models or integrating primary care and behavioral health ser- vices. • Providing technical assis- tance and data to health care pro- viders and payers that are work- ing to advance models of inte- grated, team-based care, or tran- sition to value-based payment models. • Creating unified quality measure score cards that health care payers and providers can use to align quality improvement and gies• • Expanding the adoption of health information technology to improve patient care. • Fostering partnerships be- tween public, behavioral, and pri- mary health care providers. • Strengthening the health care workforce through educa- tional programs, inter-profes- sional training, primary care resi- dencies and community health worker training. This week's awards include both states that are designing plans and strategies for statewide innovation and states that are tak- ing the next step from designing to testing and implementing com- prehensive statewide health trans- formation plans. Nearly $43 million in State Innovation Model Design Awards will support 17 states, including New Mexico, three territories, and the District of Columbia to cre- ate and refine proposals for com- prehensive health care transfor- mation• Over $622 million in State Innovation Model Test Awards will support eleven states - Colo- rado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee and Washington - in implement- ing their State Health Care Inno- vation Plans. These states join Test awardees: Arkansas, Maine, Massachusetts, Minnesota, Or- egon, and Vermont. States will engage a broad group of stakeholders including -health care providers and sys- tems, long-term service and sup- port providers, commercial pay- ers, state hospital and medical associations, tribal communities and consumer advocacy organi- zations. Transformation efforts supported by this initiative must Improve health, improve care and lower costs for Medicare, Medic- aid, and Children's Health Insur- ance Program (CHIP) beneficia- ries. In addition, CMS will iden- tify best practices among state- led transformations that are po- tentially scalable to all states• The State Innovation Mod- els initiative is one part of an overall effort to help lower costs and improve care through the Af- fordable Care Act. Initiatives like Accountable Care Organizations, the Partnership for Patients and others have helped reduce hospi- tal readmissions in Medicare by nearly 8 percent between 2007 and 2013 - translating into 150,000 fewer readmissions - and quality improvements have re- suited in saving 50,000 lives and $12 billion in health spending from 2010 to 2013, according to preliminary estimates. Amercare picking up hospice services for GRMC Courtesy submission Ambercare has acquired Gila Regional Medical Center's Home Health and Hospice provider numbers, both located in Silver City, NM. "We are excited to work with Gila Regional Mediclal Center in this transfer of services," said Mary Merrell. Effective (insert date here), Ambercare will work closely with Gila Regional Medi- cal Center to serve the residents of the counties in Hidago, Grants, Luna, and Silver City. Gila Regional Medical Cen- ter will remain active in Silver City, New Mexico. "We are committed to work- ing closely with area hospitals and providers to ensure high quality-continuity of care," said Dan Otero, COO of Gila Regional Medical Center. Ambercare is an employee- owned and operated company, founded by Michael and Mary Call today to order your i 00Co00idQ en00e00pieve We also have a large selection of holiday gifts. We encourage you to thop at home this holiday season! Merrell, over 20 years ago. Ambercare provides a full range of care and services, including; home health care, hospice, per- sonal care services, physical, oc- cupational and respiratory therapy, and durable medical equipment and supplies. Ambercare currently serves many communities in New Mexico• Ambercare locations in- clude: Albuquerque, Belen, Deming, Espanola, Gallup, Grants, Las Cruces, Las Vegas, Raton, Santa Fe, Socorro, and Truth or Consequences. In addi- tion, Ambercare believes that ev- eryone deserves a high standard of care, so when the need arises Ambercare will offer their ser- vices to additional communities in need. For more information on Ambercare please visit or call toll free at 1•877•861.0060. p=*4 t, .. "" + ?00zllli, i.Z" t,,+,./,. ,,+,,,,./ Ask us about our Lordsburg! layaway program 214 E. MOrEl= DRIVE IN LORDSBURG 5 4 2- 8 8 8 0 .... ONLY -rILL X-MAS 11ffiltdffi jgPS I!t Ioeat;H at; GOrlIOP lalq;, SBUEOdO'S mOP 18PilOt, Ifgll9'S Lil[gOP St;M, FiB DOllar, ngpa, 61 GhgrPo & gggtd'g l:mneo HELP! The Hidalgo County TFT program is still short about $400. To donate contact Christy or drop off donations at lhe Hidalgo County Herald or any donation jar in the county. To D,oebo×es at Dollar Ge0ed, Comer Mart, :ra [an., 5auceclo's 5uer Market, post Office, Local churches, Abeu FbcaI Their  . Hidalgo Count Courthouse We reed ., umvrapped toys- espeoially for ¢emage boys! Toys will be distributed by Do::. 18 Santa's Elves will call the number of the forms For more information, ca]] Christy at 520-507-0455