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Senator Crapo asks questions to determine how much Medicare spending will be cut under the current health care proposal being considered by the Senate Finance Committee. He also comments during debate on an amendment that would add a public option, or government-run health care, to the legislation. |
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senatorcrapo
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| Time: 10:05 | More in News & Politics |
Comments on Public Option and Medicare Cuts
Medicare News, Video
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Sep 292009
AARP: Kathleen Sebelius on Cutting Medicare
Medicare News, Video
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Sep 282009
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Medicare cuts don't mean benefits cuts. Sebelius explains. www.aarp.org/tv |
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AARPMedia
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| Time: 03:11 | More in News & Politics |
Coherence Between Cortical and Muscular Activities After Subcortical Stroke
Stroke, Syndicated
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Sep 282009
Stroke, Vol. 32, No. 11. (1 November 2001), pp. 2597-2601.
Background and Purpose---- Functional connection between the motor cortex and muscle can be measured by electroencephalogram-electromyogram (EEG-EMG) coherence. To evaluate the functional connection to muscle between contralateral and ipsilateral motor cortices after pyramidal tract lesions, we investigated 6 patients with chronic subcortical stroke. Methods---- High-resolution EEG and EMG of the hand, forearm, and biceps muscles were recorded during 3 tonic contraction tasks: (1) elbow flexion, (2) wrist extension, and (3) power grip. To evaluate the cortical control of EMG, EEG-EMG coherence was computed. Results---- EEG-EMG coherence was localized over the contralateral sensorimotor area in all circumstances, and there was no significant coherence at the ipsilateral side. EEG-EMG coherence was significantly smaller on the affected side for the hand and forearm muscles but not for the biceps muscle. Conclusions---- All direct functional connections to muscle after recovered subcortical stroke come from the contralateral motor cortex. The different effects of the lesion on the proximal and distal muscles appear to be associated with the strength of the corticospinal pathway. 10.1161/hs1101.098764
Tatsuya Mima, Keiichiro Toma, Benjamin Koshy, Mark Hallett
Background and Purpose---- Functional connection between the motor cortex and muscle can be measured by electroencephalogram-electromyogram (EEG-EMG) coherence. To evaluate the functional connection to muscle between contralateral and ipsilateral motor cortices after pyramidal tract lesions, we investigated 6 patients with chronic subcortical stroke. Methods---- High-resolution EEG and EMG of the hand, forearm, and biceps muscles were recorded during 3 tonic contraction tasks: (1) elbow flexion, (2) wrist extension, and (3) power grip. To evaluate the cortical control of EMG, EEG-EMG coherence was computed. Results---- EEG-EMG coherence was localized over the contralateral sensorimotor area in all circumstances, and there was no significant coherence at the ipsilateral side. EEG-EMG coherence was significantly smaller on the affected side for the hand and forearm muscles but not for the biceps muscle. Conclusions---- All direct functional connections to muscle after recovered subcortical stroke come from the contralateral motor cortex. The different effects of the lesion on the proximal and distal muscles appear to be associated with the strength of the corticospinal pathway. 10.1161/hs1101.098764
Tatsuya Mima, Keiichiro Toma, Benjamin Koshy, Mark Hallett
Predicting hospital choice for rural Medicare beneficiaries: the role of severity of illness.
Medicare News, Syndicated
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Sep 232009
Health services research, Vol. 26, No. 5. (December 1991), pp. 583-612.
Previous research has confirmed that desirable hospital attributes as well as increased distance, or travel time, have an impact on hospital choice. These studies have become increasingly sophisticated in modeling choice. This study adds to the existing literature by estimating the effect of both hospital and individual characteristics on hospital choice, using McFadden's conditional logit model. Some patient characteristics have not previously been accounted for in this type of analysis. In particular, the effect of a patient's complexity of illness (as measured by Disease Staging) on the choice of hospital is taken into account. The data consist of over 12,000 Medicare discharges in three overlapping rural market areas during 1986. The hospital choice set was aggregated into seven groups of urban and rural hospitals. Results indicate that rural Medicare beneficiaries tend to choose hospitals with a large scope of service and with teaching activity over those with a lower scope of service and no teaching activity, holding other factors constant. Distance is a deterrent to hospital choice, especially for older Medicare beneficiaries. The more complex cases tend to choose larger urban and rural hospitals over small rural hospitals more often than less complex cases do.
EK Adams, R Houchens, GE Wright, J Robbins
Previous research has confirmed that desirable hospital attributes as well as increased distance, or travel time, have an impact on hospital choice. These studies have become increasingly sophisticated in modeling choice. This study adds to the existing literature by estimating the effect of both hospital and individual characteristics on hospital choice, using McFadden's conditional logit model. Some patient characteristics have not previously been accounted for in this type of analysis. In particular, the effect of a patient's complexity of illness (as measured by Disease Staging) on the choice of hospital is taken into account. The data consist of over 12,000 Medicare discharges in three overlapping rural market areas during 1986. The hospital choice set was aggregated into seven groups of urban and rural hospitals. Results indicate that rural Medicare beneficiaries tend to choose hospitals with a large scope of service and with teaching activity over those with a lower scope of service and no teaching activity, holding other factors constant. Distance is a deterrent to hospital choice, especially for older Medicare beneficiaries. The more complex cases tend to choose larger urban and rural hospitals over small rural hospitals more often than less complex cases do.
EK Adams, R Houchens, GE Wright, J Robbins
Sep 232009
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Shawn Bishop, staffer on Capitol Hill, confirms the CBO analysis that says that $113 billion in cuts to the Medicare Advantage program will result in reduced benefits for its enrollees. Two points to remember: 1. 25% of people on Medicare buy MA plans for the express purpose of gaining better coverage and more benefits; 2. There are an additional $400 billion in proposed "savings" coming at the expense of Medicare in general over 10 years. That represents about 9% of Medicare outlays in that period. |
From:
CQblogger
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| Time: 01:26 | More in News & Politics |
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