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SALT LAKE CITY, June 24, 2021 buy viagra online no prescription /PRNewswire/ -- Health Catalyst, Inc. ("Health Catalyst," Nasdaq. HCAT), a leading provider of data and analytics technology and services to healthcare organizations, today announced that buy viagra online no prescription it has entered into a definitive agreement to acquire Twistle, Inc. ("Twistle"), an Albuquerque, New Mexico-based healthcare patient engagement SaaS technology company that automates patient-centered, HIPAA-compliant communication between care teams and patients to transform the patient experience, drive better care outcomes, and reduce healthcare costs. We anticipate that Twistle's leading clinical workflow and patient engagement platform, paired with the Health Catalyst population health offering, will enable a comprehensive go-to-market solution to address the population health needs buy viagra online no prescription of healthcare organizations, as well as Life Science organizations, around the globe.

Health Catalyst's cloud-based data platform, DOS™, will enhance Twistle's automation by enabling richer data-driven patient interaction. The Twistle technology also enables Health Catalyst's clinical, quality, and Life Sciences solutions, through established clinical pathways and patient communication channels."Twistle is a leading healthcare technology company committed to developing software that healthcare organizations and Life Science companies need to keep patients engaged in their healthcare," said Dan Burton, buy viagra online no prescription CEO of Health Catalyst. "Their efforts to improve patient outcomes and reduce the cost of care are deeply aligned with our mission to be the catalyst for massive, measurable, data-informed improvements. We're excited to welcome the Twistle team to Health Catalyst and look forward to working together to enable healthcare organizations to achieve the promise of population health." "Health Catalyst's acquisition of Twistle highlights our belief buy viagra online no prescription that the most promising technology in healthcare is combining AI and data with 'digital endpoints' for patient services to deliver value. Twistle creates endpoints that, in our experience, make it simple for us to interact asynchronously with patients in smarter ways, meeting them where they are digitally, and give our care teams the time to be even better at what they do best—delivering great care," said Aaron Martin, managing general partner of Providence Ventures and chief digital officer of Providence.

"Combined with Health Catalyst's data and analytics technology, we expect accelerated innovation in personalizing our outreach to patients," he added."The synergy between our cultures, values, and solutions buy viagra online no prescription will have a tremendous impact on the health and wellness of patients. Health Catalyst's patient insights can trigger personalized outreach, and the patient's unique profile will allow Twistle's communication pathways to adapt to their preferences and attributes in unprecedented ways. We are excited about the prospects of our buy viagra online no prescription joint solutions proactively engaging at-risk populations, advancing health equity, and improving patient activation in their care," said Kulmeet Singh, founder and CEO of Twistle. "We anticipate that care teams will realize even more efficiency gains as our automated outreach will be more intelligent and individualized, freeing their time to focus on patients that require intervention to stay on track with their medical plan of care."Health Catalyst expects to fund the transaction using a mix of stock and cash. The parties expect the transaction, which buy viagra online no prescription is subject to customary closing conditions, to close in early Q3 2021.

Further details regarding the acquisition will be reported on a Form 8-K filing that will be filed with the Securities and Exchange Commission today.About Health CatalystHealth Catalyst is a leading provider of data and analytics technology and services to healthcare organizations committed to being the catalyst for massive, measurable, data-informed healthcare improvement. Its customers leverage the cloud-based data platform—powered by data from more than 100 million patient records and encompassing trillions of facts—as well as its analytics software and buy viagra online no prescription professional services expertise to make data-informed decisions and realize measurable clinical, financial, and operational improvements. Health Catalyst envisions a future in which all healthcare decisions are data informed.About TwistleTwistle, a healthcare technology company founded in 2011, automates patient-centered, HIPAA-compliant communication between care teams and patients to transform the patient experience, drive better outcomes, and reduce costs. An automatic navigation (GPS) system for health, Twistle buy viagra online no prescription offers "turn-by-turn" guidance to patients as they navigate care journeys before, during, and after a care episode. Patients are engaged in their own care and follow best practices, communicate as needed with their care teams, and realize measurably better outcomes.

Twistle integrates sophisticated automation with multi-channel communication, engaging patients through secure text messaging, interactive voice response, patient portals, or the health system's digital applications.Cautionary Note Regarding Forward-Looking StatementsThis press release contains forward-looking statements relating to expectations, plans, and prospects including expectations relating to our ability to close, and the timing of the closing of, this buy viagra online no prescription transaction and the benefits that will be derived from this transaction. These forward-looking statements are based upon the current expectations and beliefs of Health Catalyst's management as of the date of this release, and are subject to certain risks and uncertainties that could cause actual results to differ materially from those described in the forward-looking statements including, without limitation, the risk of adverse and unpredictable macro-economic conditions and risks related to closing this transaction and integration of the companies. All forward-looking statements in this press release are based on information available to the Company as of the date hereof, buy viagra online no prescription and Health Catalyst disclaims any obligation to update these forward-looking statements.Media Contact:Amanda Hundtamanda.hundt@healthcatalyst.com575-491-0974 View original content to download multimedia:http://www.prnewswire.com/news-releases/health-catalyst-announces-agreement-to-acquire-twistle-301319757.htmlSOURCE Health CatalystSALT LAKE CITY, May 28, 2021 (GLOBE NEWSWIRE) -- Health Catalyst, Inc. ("Health Catalyst", Nasdaq. HCAT), a leading provider of data and analytics technology and buy viagra online no prescription services to healthcare organizations, today announced that Dan Burton, CEO, and Adam Brown, SVP of Investor Relations and FP&A, will participate in the 41st Annual William Blair Growth Stock Conference including a fireside chat on Wednesday, June 2, 2021 at 5:40 p.m.

ET. A webcast link will be buy viagra online no prescription available at https://ir.healthcatalyst.com/investor-relations. About Health Catalyst Health Catalyst is a leading provider of data and analytics technology and services to healthcare organizations committed to being the catalyst for massive, measurable, data-informed healthcare improvement. Its customers leverage the cloud-based data platform—powered by data from more than 100 million patient records and encompassing trillions of facts—as well as its analytics software and professional services expertise to make buy viagra online no prescription data-informed decisions and realize measurable clinical, financial, and operational improvements. Health Catalyst envisions a future in which all healthcare decisions are data informed.

Health Catalyst buy viagra online no prescription Investor Relations Contact. Adam BrownSenior Vice President, Investor Relations and FP&A+1 (855)-309-6800ir@healthcatalyst.com Health Catalyst Media Contact. Amanda Hundtamanda.hundt@healthcatalyst.com+1 (575) 491-0974.

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Individuals How much seroquel cost who apply for LIS through SSA and those who are deemed into LIS should receive written confirmation of their Extra Help status through viagra best price SSA. Of course, individuals who apply for LIS through SSA and are found ineligible are also entitled to a written notice and have appeal rights. Benefits of Extra Help 1) Assistance with Part D cost-sharing The Extra Help program provides a subsidy which covers most (but not all) of beneficiary’s cost sharing obligations. Extra Help beneficiaries do not have viagra best price to worry about hitting the “donut hole” – the LIS subsidy continues to cover them through the donut hole and into catastrophic coverage. Full Extra Help.

LIS beneficiaries with incomes up to 135% FPL are generally eligible for "full" Extra Help -- meaning they pay no Part D deductible, no charge for monthly premiums up to the benchmark amount, and fixed, relatively low co-pays (between $1.30 and $8.95 for 2020 depending on the person's income level and the tier category of the drug. Medicaid beneficiaries in nursing homes, waiver programs, or managed long term care have $0 co-pays) viagra best price. Full Extra Help beneficiaries who hit the catastrophic coverage limit have $0 co-pays. See current co-pay levels here. Partial Extra viagra best price Help.

Beneficiaries between 135%-150% FPL receive "partial" Extra Help, which limits the Part D deductible to $89 (2020 figure - click here for updated chart). Sets sliding scale fees for monthly premiums. And limits co-pays to 15%, until the beneficiary reaches the catastrophic coverage limit, at which point co-pays are limited to a $8.95 maximum (2020 or see current amount here) or 5% viagra best price of the drug cost, whichever is greater. 2) Facilitated enrollment into a Part D plan Extra Help recipients who aren’t already enrolled in a Part D plan and don’t want to choose one on their own will be automatically enrolled into a benchmark plan by CMS. This facilitated enrollment ensures that Extra Help recipients have Part D coverage.

However, the downside to facilitated enrollment is that the plan may not be the best “fit” for the beneficiary, if it doesn’t cover all his/her drugs, assesses a higher tier level for covered drugs than other comparable plans, and/or requires the beneficiary to go through administrative hoops like viagra best price prior authorization, quantity limits and/or step therapy. Fortunately, Extra Help recipients can always enroll in a new plan … see #3 below. 3) Continuous special enrollment period Extra Help recipients have a continuous special enrollment period, meaning that they can switch plans at any time. They are not “locked into” the annual open enrollment period (October viagra best price 15-December 7). NOTE.

This changed in 2019. Starting in 2019, those with Extra Help will no viagra best price longer have a continuous enrollment period. Instead, Extra Help recipients will be eligible to enroll no more than once per quarter for each of the first three quarters of the year. 4) No late enrollment penalty Non LIS beneficiaries generally face a premium penalty (higher monthly premium) if they delayed their enrollment into Part D, meaning that they didn’t enroll when they were initially eligible and didn’t have “creditable coverage.” Extra Help recipients do not have to worry about this problem – the late enrollment penalty provision does not apply to LIS beneficiaries. 1) For “deemed” beneficiaries (Medicaid/Medicare Savings Program recipients) viagra best price.

Extra Help status lasts at least until the end of the current calendar year, even if the individual loses their Medicaid or Medicare Savings Program coverage during that year. Individuals who receive Medicaid or a Medicare Savings Program any month between July and December keep their LIS status for the remainder of that calendar year and the following year. Getting Medicaid coverage for even just a short period of time (ie, meeting a spenddown for just one month) can help viagra best price ensure that the individual obtains Extra Help coverage for at least 6 months, and possibly as long as 18 months. TIP. People with a high spend-down who want to receive Medicaid for just one month in order to get Extra Help for 6-18 months can use past medical bills to meet their spend-down for that one month.

There are different rules for using past paid viagra best price medical bills verses past unpaid medical bills. For information see Spend down training materials. Individuals who are losing their deemed status at the end of a calendar year because they are no longer receiving Medicaid or the Medicare Savings Program should be notified in advance by SSA, and given an opportunity to file an Extra Help application through SSA. 2) For “non-deemed” beneficiaries (those who filed their viagra best price LIS applications through SSA) Non-deemed beneficiaries retain their LIS status until/unless SSA does a redetermination and finds the individual ineligible for Extra Help. There are no reporting requirements per se in the Extra Help program, but beneficiaries must respond to SSA’s redetermination request.

What to do if the Part D plan doesn't know that someone has Extra Help Sometimes there are lengthy delays between the date that someone is approved for Medicaid or a Medicare Savings Program and when that information is formally conveyed to the Part D plan by CMS. As a practical matter, this often results in beneficiaries being charged co-pays, premiums and/or viagra best price deductibles that they can't afford and shouldn't have to pay. To protect LIS beneficiaries, CMS has a "Best Available Evidence" policy which requires plans to accept alternative forms of proof of someone's LIS status and adjust the person's cost-sharing obligation accordingly. LIS beneficiaries who are being charged improperly should be sure to contact their plan and provide proof of their LIS status. If the plan still won't recognize their LIS status, the person or viagra best price their advocate should file a complaint with the CMS regional office.

The federal regulations governing the Low Income Subsidy program can be found at 42 CFR Subpart P (sections 423.771 through 423.800). Also, CMS provides detailed guidance on the LIS provisions in chapter 13 of its Medicare Prescription Drug Benefit Manual. This article was authored by the Empire Justice viagra best price Center.Medicare Savings Programs (MSPs) pay for the monthly Medicare Part B premium for low-income Medicare beneficiaries and qualify enrollees for the "Extra Help" subsidy for Part D prescription drugs. There are three separate MSP programs, the Qualified Medicare Beneficiary (QMB) Program, the Specified Low Income Medicare Beneficiary (SLMB) Program and the Qualified Individual (QI) Program, each of which is discussed below. Those in QMB receive additional subsidies for Medicare costs.

See 2019 Fact Sheet on MSP in NYS by Medicare Rights Center ENGLISH SPANISH State law viagra best price. N.Y. Soc. Serv. L.

§ 367-a(3)(a), (b), and (d). 2020 Medicare 101 Basics for New York State - 1.5 hour webinar by Eric Hausman, sponsored by NYS Office of the Aging TOPICS COVERED IN THIS ARTICLE 1. No Asset Limit 1A. Summary Chart of MSP Programs 2. Income Limits &.

Rules and Household Size 3. The Three MSP Programs - What are they and how are they Different?. 4. FOUR Special Benefits of MSP Programs. Back Door to Extra Help with Part D MSPs Automatically Waive Late Enrollment Penalties for Part B - and allow enrollment in Part B year-round outside of the short Annual Enrollment Period No Medicaid Lien on Estate to Recover Payment of Expenses Paid by MSP Food Stamps/SNAP not reduced by Decreased Medical Expenses when Enroll in MSP - at least temporarily 5.

Enrolling in an MSP - Automatic Enrollment &. Applications for People who Have Medicare What is Application Process?. 6. Enrolling in an MSP for People age 65+ who Do Not Qualify for Free Medicare Part A - the "Part A Buy-In Program" 7. What Happens After MSP Approved - How Part B Premium is Paid 8 Special Rules for QMBs - How Medicare Cost-Sharing Works 1.

NO ASSET LIMIT!. Since April 1, 2008, none of the three MSP programs have resource limits in New York -- which means many Medicare beneficiaries who might not qualify for Medicaid because of excess resources can qualify for an MSP. 1.A. SUMMARY CHART OF MSP BENEFITS QMB SLIMB QI-1 Eligibility ASSET LIMIT NO LIMIT IN NEW YORK STATE INCOME LIMIT (2020) Single Couple Single Couple Single Couple $1,064 $1,437 $1,276 $1,724 $1,436 $1,940 Federal Poverty Level 100% FPL 100 – 120% FPL 120 – 135% FPL Benefits Pays Monthly Part B premium?. YES, and also Part A premium if did not have enough work quarters and meets citizenship requirement.

See “Part A Buy-In” YES YES Pays Part A &. B deductibles &. Co-insurance YES - with limitations NO NO Retroactive to Filing of Application?. Yes - Benefits begin the month after the month of the MSP application. 18 NYCRR §360-7.8(b)(5) Yes – Retroactive to 3rd month before month of application, if eligible in prior months Yes – may be retroactive to 3rd month before month of applica-tion, but only within the current calendar year.

(No retro for January application). See GIS 07 MA 027. Can Enroll in MSP and Medicaid at Same Time?. YES YES NO!. Must choose between QI-1 and Medicaid.

Cannot have both, not even Medicaid with a spend-down. 2. INCOME LIMITS and RULES Each of the three MSP programs has different income eligibility requirements and provides different benefits. The income limits are tied to the Federal Poverty Level (FPL). 2019 FPL levels were released by NYS DOH in GIS 20 MA/02 - 2020 Federal Poverty Levels -- Attachment II and have been posted by Medicaid.gov and the National Council on Aging and are in the chart below.

NOTE. There is usually a lag in time of several weeks, or even months, from January 1st of each year until the new FPLs are release, and then before the new MSP income limits are officially implemented. During this lag period, local Medicaid offices should continue to use the previous year's FPLs AND count the person's Social Security benefit amount from the previous year - do NOT factor in the Social Security COLA (cost of living adjustment). Once the updated guidelines are released, districts will use the new FPLs and go ahead and factor in any COLA. See 2019 Fact Sheet on MSP in NYS by Medicare Rights Center ENGLISH SPANISH Income is determined by the same methodology as is used for determining in eligibility for SSI The rules for counting income for SSI-related (Aged 65+, Blind, or Disabled) Medicaid recipients, borrowed from the SSI program, apply to the MSP program, except for the new rules about counting household size for married couples.

N.Y. Soc. Serv. L. 367-a(3)(c)(2), NYS DOH 2000-ADM-7, 89-ADM-7 p.7.

Gross income is counted, although there are certain types of income that are disregarded. The most common income disregards, also known as deductions, include. (a) The first $20 of your &. Your spouse's monthly income, earned or unearned ($20 per couple max). (b) SSI EARNED INCOME DISREGARDS.

* The first $65 of monthly wages of you and your spouse, * One-half of the remaining monthly wages (after the $65 is deducted). * Other work incentives including PASS plans, impairment related work expenses (IRWEs), blind work expenses, etc. For information on these deductions, see The Medicaid Buy-In for Working People with Disabilities (MBI-WPD) and other guides in this article -- though written for the MBI-WPD, the work incentives apply to all Medicaid programs, including MSP, for people age 65+, disabled or blind. (c) monthly cost of any health insurance premiums but NOT the Part B premium, since Medicaid will now pay this premium (may deduct Medigap supplemental policies, vision, dental, or long term care insurance premiums, and the Part D premium but only to the extent the premium exceeds the Extra Help benchmark amount) (d) Food stamps not counted. You can get a more comprehensive listing of the SSI-related income disregards on the Medicaid income disregards chart.

As for all benefit programs based on financial need, it is usually advantageous to be considered a larger household, because the income limit is higher. The above chart shows that Households of TWO have a higher income limit than households of ONE. The MSP programs use the same rules as Medicaid does for the Disabled, Aged and Blind (DAB) which are borrowed from the SSI program for Medicaid recipients in the “SSI-related category.” Under these rules, a household can be only ONE or TWO. 18 NYCRR 360-4.2. See DAB Household Size Chart.

Married persons can sometimes be ONE or TWO depending on arcane rules, which can force a Medicare beneficiary to be limited to the income limit for ONE person even though his spouse who is under 65 and not disabled has no income, and is supported by the client applying for an MSP. EXAMPLE. Bob's Social Security is $1300/month. He is age 67 and has Medicare. His wife, Nancy, is age 62 and is not disabled and does not work.

Under the old rule, Bob was not eligible for an MSP because his income was above the Income limit for One, even though it was well under the Couple limit. In 2010, NYS DOH modified its rules so that all married individuals will be considered a household size of TWO. DOH GIS 10 MA 10 Medicare Savings Program Household Size, June 4, 2010. This rule for household size is an exception to the rule applying SSI budgeting rules to the MSP program. Under these rules, Bob is now eligible for an MSP.

When is One Better than Two?. Of course, there may be couples where the non-applying spouse's income is too high, and disqualifies the applying spouse from an MSP. In such cases, "spousal refusal" may be used SSL 366.3(a). (Link is to NYC HRA form, can be adapted for other counties). 3.

The Three Medicare Savings Programs - what are they and how are they different?. 1. Qualified Medicare Beneficiary (QMB). The QMB program provides the most comprehensive benefits. Available to those with incomes at or below 100% of the Federal Poverty Level (FPL), the QMB program covers virtually all Medicare cost-sharing obligations.

Part B premiums, Part A premiums, if there are any, and any and all deductibles and co-insurance. QMB coverage is not retroactive. The program’s benefits will begin the month after the month in which your client is found eligible. ** See special rules about cost-sharing for QMBs below - updated with new CMS directive issued January 2012 ** See NYC HRA QMB Recertification form ** Even if you do not have Part A automatically, because you did not have enough wages, you may be able to enroll in the Part A Buy-In Program, in which people eligible for QMB who do not otherwise have Medicare Part A may enroll, with Medicaid paying the Part A premium (Materials by the Medicare Rights Center). 2.

Specifiedl Low-Income Medicare Beneficiary (SLMB). For those with incomes between 100% and 120% FPL, the SLMB program will cover Part B premiums only. SLMB is retroactive, however, providing coverage for three months prior to the month of application, as long as your client was eligible during those months. 3. Qualified Individual (QI-1).

For those with incomes between 120% and 135% FPL, and not receiving Medicaid, the QI-1 program will cover Medicare Part B premiums only. QI-1 is also retroactive, providing coverage for three months prior to the month of application, as long as your client was eligible during those months. However, QI-1 retroactive coverage can only be provided within the current calendar year. (GIS 07 MA 027) So if you apply in January, you get no retroactive coverage. Q-I-1 recipients would be eligible for Medicaid with a spend-down, but if they want the Part B premium paid, they must choose between enrolling in QI-1 or Medicaid.

They cannot be in both. It is their choice. DOH MRG p. 19. In contrast, one may receive Medicaid and either QMB or SLIMB.

4. Four Special Benefits of MSPs (in addition to NO ASSET TEST). Benefit 1. Back Door to Medicare Part D "Extra Help" or Low Income Subsidy -- All MSP recipients are automatically enrolled in Extra Help, the subsidy that makes Part D affordable. They have no Part D deductible or doughnut hole, the premium is subsidized, and they pay very low copayments.

Once they are enrolled in Extra Help by virtue of enrollment in an MSP, they retain Extra Help for the entire calendar year, even if they lose MSP eligibility during that year. The "Full" Extra Help subsidy has the same income limit as QI-1 - 135% FPL. However, many people may be eligible for QI-1 but not Extra Help because QI-1 and the other MSPs have no asset limit. People applying to the Social Security Administration for Extra Help might be rejected for this reason. Recent (2009-10) changes to federal law called "MIPPA" requires the Social Security Administration (SSA) to share eligibility data with NYSDOH on all persons who apply for Extra Help/ the Low Income Subsidy.

Data sent to NYSDOH from SSA will enable NYSDOH to open MSP cases on many clients. The effective date of the MSP application must be the same date as the Extra Help application. Signatures will not be required from clients. In cases where the SSA data is incomplete, NYSDOH will forward what is collected to the local district for completion of an MSP application. The State implementing procedures are in DOH 2010 ADM-03.

Also see CMS "Dear State Medicaid Director" letter dated Feb. 18, 2010 Benefit 2. MSPs Automatically Waive Late Enrollment Penalties for Part B Generally one must enroll in Part B within the strict enrollment periods after turning age 65 or after 24 months of Social Security Disability. An exception is if you or your spouse are still working and insured under an employer sponsored group health plan, or if you have End Stage Renal Disease, and other factors, see this from Medicare Rights Center. If you fail to enroll within those short periods, you might have to pay higher Part B premiums for life as a Late Enrollment Penalty (LEP).

Also, you may only enroll in Part B during the Annual Enrollment Period from January 1 - March 31st each year, with Part B not effective until the following July. Enrollment in an MSP automatically eliminates such penalties... For life.. Even if one later ceases to be eligible for the MSP. AND enrolling in an MSP will automatically result in becoming enrolled in Part B if you didn't already have it and only had Part A.

See Medicare Rights Center flyer. Benefit 3. No Medicaid Lien on Estate to Recover MSP Benefits Paid Generally speaking, states may place liens on the Estates of deceased Medicaid recipients to recover the cost of Medicaid services that were provided after the recipient reached the age of 55. Since 2002, states have not been allowed to recover the cost of Medicare premiums paid under MSPs. In 2010, Congress expanded protection for MSP benefits.

Beginning on January 1, 2010, states may not place liens on the Estates of Medicaid recipients who died after January 1, 2010 to recover costs for co-insurance paid under the QMB MSP program for services rendered after January 1, 2010. The federal government made this change in order to eliminate barriers to enrollment in MSPs. See NYS DOH GIS 10-MA-008 - Medicare Savings Program Changes in Estate Recovery The GIS clarifies that a client who receives both QMB and full Medicaid is exempt from estate recovery for these Medicare cost-sharing expenses. Benefit 4. SNAP (Food Stamp) benefits not reduced despite increased income from MSP - at least temporarily Many people receive both SNAP (Food Stamp) benefits and MSP.

Income for purposes of SNAP/Food Stamps is reduced by a deduction for medical expenses, which includes payment of the Part B premium. Since approval for an MSP means that the client no longer pays for the Part B premium, his/her SNAP/Food Stamps income goes up, so their SNAP/Food Stamps go down. Here are some protections. Do these individuals have to report to their SNAP worker that their out of pocket medical costs have decreased?. And will the household see a reduction in their SNAP benefits, since the decrease in medical expenses will increase their countable income?.

The good news is that MSP households do NOT have to report the decrease in their medical expenses to the SNAP/Food Stamp office until their next SNAP/Food Stamp recertification. Even if they do report the change, or the local district finds out because the same worker is handling both the MSP and SNAP case, there should be no reduction in the household’s benefit until the next recertification. New York’s SNAP policy per administrative directive 02 ADM-07 is to “freeze” the deduction for medical expenses between certification periods. Increases in medical expenses can be budgeted at the household’s request, but NYS never decreases a household’s medical expense deduction until the next recertification. Most elderly and disabled households have 24-month SNAP certification periods.

Eventually, though, the decrease in medical expenses will need to be reported when the household recertifies for SNAP, and the household should expect to see a decrease in their monthly SNAP benefit. It is really important to stress that the loss in SNAP benefits is NOT dollar for dollar. A $100 decrease in out of pocket medical expenses would translate roughly into a $30 drop in SNAP benefits. See more info on SNAP/Food Stamp benefits by the Empire Justice Center, and on the State OTDA website. Some clients will be automatically enrolled in an MSP by the New York State Department of Health (NYSDOH) shortly after attaining eligibility for Medicare.

Others need to apply. The 2010 "MIPPA" law introduced some improvements to increase MSP enrollment. See 3rd bullet below. Also, some people who had Medicaid through the Affordable Care Act before they became eligible for Medicare have special procedures to have their Part B premium paid before they enroll in an MSP. See below.

WHO IS AUTOMATICALLY ENROLLED IN AN MSP. Clients receiving even $1.00 of Supplemental Security Income should be automatically enrolled into a Medicare Savings Program (most often QMB) under New York State’s Medicare Savings Program Buy-in Agreement with the federal government once they become eligible for Medicare. They should receive Medicare Parts A and B. Clients who are already eligible for Medicare when they apply for Medicaid should be automatically assessed for MSP eligibility when they apply for Medicaid. (NYS DOH 2000-ADM-7 and GIS 05 MA 033).

Clients who apply to the Social Security Administration for Extra Help, but are rejected, should be contacted &. Enrolled into an MSP by the Medicaid program directly under new MIPPA procedures that require data sharing. Strategy TIP. Since the Extra Help filing date will be assigned to the MSP application, it may help the client to apply online for Extra Help with the SSA, even knowing that this application will be rejected because of excess assets or other reason. SSA processes these requests quickly, and it will be routed to the State for MSP processing.

Since MSP applications take a while, at least the filing date will be retroactive. Note. The above strategy does not work as well for QMB, because the effective date of QMB is the month after the month of application. As a result, the retroactive effective date of Extra Help will be the month after the failed Extra Help application for those with QMB rather than SLMB/QI-1. Applying for MSP Directly with Local Medicaid Program.

Those who do not have Medicaid already must apply for an MSP through their local social services district. (See more in Section D. Below re those who already have Medicaid through the Affordable Care Act before they became eligible for Medicare. If you are applying for MSP only (not also Medicaid), you can use the simplified MSP application form (theDOH-4328(Rev. 8/2017-- English) (2017 Spanish version not yet available).

Either application form can be mailed in -- there is no interview requirement anymore for MSP or Medicaid. See 10 ADM-04. Applicants will need to submit proof of income, a copy of their Medicare card (front &. Back), and proof of residency/address. See the application form for other instructions.

One who is only eligible for QI-1 because of higher income may ONLY apply for an MSP, not for Medicaid too. One may not receive Medicaid and QI-1 at the same time. If someone only eligible for QI-1 wants Medicaid, s/he may enroll in and deposit excess income into a pooled Supplemental Needs Trust, to bring her countable income down to the Medicaid level, which also qualifies him or her for SLIMB or QMB instead of QI-1. Advocates in NYC can sign up for a half-day "Deputization Training" conducted by the Medicare Rights Center, at which you'll be trained and authorized to complete an MSP application and to submit it via the Medicare Rights Center, which submits it to HRA without the client having to apply in person. Enrolling in an MSP if you already have Medicaid, but just become eligible for Medicare Those who, prior to becoming enrolled in Medicare, had Medicaid through Affordable Care Act are eligible to have their Part B premiums paid by Medicaid (or the cost reimbursed) during the time it takes for them to transition to a Medicare Savings Program.

In 2018, DOH clarified that reimbursement of the Part B premium will be made regardless of whether the individual is still in a Medicaid managed care (MMC) plan. GIS 18 MA/001 Medicaid Managed Care Transition for Enrollees Gaining Medicare ( PDF) provides, "Due to efforts to transition individuals who gain Medicare eligibility and who require LTSS, individuals may not be disenrolled from MMC upon receipt of Medicare. To facilitate the transition and not disadvantage the recipient, the Medicaid program is approving reimbursement of Part B premiums for enrollees in MMC." The procedure for getting the Part B premium paid is different for those whose Medicaid was administered by the NYS of Health Exchange (Marketplace), as opposed to their local social services district. The procedure is also different for those who obtain Medicare because they turn 65, as opposed to obtaining Medicare based on disability. Either way, Medicaid recipients who transition onto Medicare should be automatically evaluated for MSP eligibility at their next Medicaid recertification.

NYS DOH 2000-ADM-7 Individuals can also affirmatively ask to be enrolled in MSP in between recertification periods. IF CLIENT HAD MEDICAID ON THE MARKETPLACE (NYS of Health Exchange) before obtaining Medicare. IF they obtain Medicare because they turn age 65, they will receive a letter from their local district asking them to "renew" Medicaid through their local district. See 2014 LCM-02. Now, their Medicaid income limit will be lower than the MAGI limits ($842/ mo reduced from $1387/month) and they now will have an asset test.

For this reason, some individuals may lose full Medicaid eligibility when they begin receiving Medicare. People over age 65 who obtain Medicare do NOT keep "Marketplace Medicaid" for 12 months (continuous eligibility) See GIS 15 MA/022 - Continuous Coverage for MAGI Individuals. Since MSP has NO ASSET limit. Some individuals may be enrolled in the MSP even if they lose Medicaid, or if they now have a Medicaid spend-down. If a Medicare/Medicaid recipient reports income that exceeds the Medicaid level, districts must evaluate the person’s eligibility for MSP.

08 OHIP/ADM-4 ​If you became eligible for Medicare based on disability and you are UNDER AGE 65, you are entitled to keep MAGI Medicaid for 12 months from the month it was last authorized, even if you now have income normally above the MAGI limit, and even though you now have Medicare. This is called Continuous Eligibility. EXAMPLE. Sam, age 60, was last authorized for Medicaid on the Marketplace in June 2016. He became enrolled in Medicare based on disability in August 2016, and started receiving Social Security in the same month (he won a hearing approving Social Security disability benefits retroactively, after first being denied disability).

Even though his Social Security is too high, he can keep Medicaid for 12 months beginning June 2016. Sam has to pay for his Part B premium - it is deducted from his Social Security check. He may call the Marketplace and request a refund. This will continue until the end of his 12 months of continues MAGI Medicaid eligibility. He will be reimbursed regardless of whether he is in a Medicaid managed care plan.

See GIS 18 MA/001 Medicaid Managed Care Transition for Enrollees Gaining Medicare (PDF) When that ends, he will renew Medicaid and apply for MSP with his local district. Individuals who are eligible for Medicaid with a spenddown can opt whether or not to receive MSP. (Medicaid Reference Guide (MRG) p. 19). Obtaining MSP may increase their spenddown.

MIPPA - Outreach by Social Security Administration -- Under MIPPA, the SSA sends a form letter to people who may be eligible for a Medicare Savings Program or Extra Help (Low Income Subsidy - LIS) that they may apply. The letters are. · Beneficiary has Extra Help (LIS), but not MSP · Beneficiary has no Extra Help (LIS) or MSP 6. Enrolling in MSP for People Age 65+ who do Not have Free Medicare Part A - the "Part A Buy-In Program" Seniors WITHOUT MEDICARE PART A or B -- They may be able to enroll in the Part A Buy-In program, in which people eligible for QMB who are age 65+ who do not otherwise have Medicare Part A may enroll in Part A, with Medicaid paying the Part A premium. See Step-by-Step Guide by the Medicare Rights Center).

This guide explains the various steps in "conditionally enrolling" in Part A at the SSA office, which must be done before applying for QMB at the Medicaid office, which will then pay the Part A premium. See also GIS 04 MA/013. In June, 2018, the SSA revised the POMS manual procedures for the Part A Buy-In to to address inconsistencies and confusion in SSA field offices and help smooth the path for QMB enrollment. The procedures are in the POMS Section HI 00801.140 "Premium-Free Part A Enrollments for Qualified Medicare BenefiIaries." It includes important clarifications, such as. SSA Field Offices should explain the QMB program and conditional enrollment process if an individual lacks premium-free Part A and appears to meet QMB requirements.

SSA field offices can add notes to the “Remarks” section of the application and provide a screen shot to the individual so the individual can provide proof of conditional Part A enrollment when applying for QMB through the state Medicaid program. Beneficiaries are allowed to complete the conditional application even if they owe Medicare premiums. In Part A Buy-in states like NYS, SSA should process conditional applications on a rolling basis (without regard to enrollment periods), even if the application coincides with the General Enrollment Period. (The General Enrollment Period is from Jan 1 to March 31st every year, in which anyone eligible may enroll in Medicare Part A or Part B to be effective on July 1st). 7.

What happens after the MSP approval - How is Part B premium paid For all three MSP programs, the Medicaid program is now responsible for paying the Part B premiums, even though the MSP enrollee is not necessarily a recipient of Medicaid. The local Medicaid office (DSS/HRA) transmits the MSP approval to the NYS Department of Health – that information gets shared w/ SSA and CMS SSA stops deducting the Part B premiums out of the beneficiary’s Social Security check. SSA also refunds any amounts owed to the recipient. (Note. This process can take awhile!.

!. !. ) CMS “deems” the MSP recipient eligible for Part D Extra Help/ Low Income Subsidy (LIS). ​Can the MSP be retroactive like Medicaid, back to 3 months before the application?. ​The answer is different for the 3 MSP programs.

QMB -No Retroactive Eligibility – Benefits begin the month after the month of the MSP application. 18 NYCRR § 360-7.8(b)(5) SLIMB - YES - Retroactive Eligibility up to 3 months before the application, if was eligible This means applicant may be reimbursed for the 3 months of Part B benefits prior to the month of application. QI-1 - YES up to 3 months but only in the same calendar year. No retroactive eligibility to the previous year. 7.

QMBs -Special Rules on Cost-Sharing. QMB is the only MSP program which pays not only the Part B premium, but also the Medicare co-insurance.

See more below about how receiving Medicaid just for one month can qualify you for Full buy viagra online no prescription Extra Help for up to 18 months. 2) by enrolling in a Medicare Savings Program. The Medicare Savings Program includes the Qualified Medicare Beneficiary (QMB) program, which covers beneficiaries up to 100% FPL.

Specified Low-Income buy viagra online no prescription Medicare Beneficiary (SLIMB), for those between 100-120%. And the Qualified Individual (QI-1) program, for individuals between 120-135% FPL. There are no resource tests in New York's Medicare Savings Program.) The New York State Department of Health posts the Medicare Savings Program income guidelines on their website.

Just like buy viagra online no prescription Medicaid, Medicare Savings Program recipients are deemed into LIS and don't need to apply through SSA. For more information see this article. 3) by applying for Extra Help through the Social Security Administration.

The Extra Help income limits are 150% FPL and there is an asset buy viagra online no prescription test. SSA lists the income and resource limits for Extra Help on their website, where you can also file an application online and get more information about the program. You can also find out information about Extra Help in many different languages.

See Medicare Rights Center chart on Extra Help Income and Asset buy viagra online no prescription Limits - updated annually You can apply for Extra Help and MSP at the same time through SSA. SSA will forward your Extra Help application data to the New York State Department of Health, who will use that data to assess your eligibility for MSP. Individuals who apply for LIS through SSA and those who are deemed into LIS should receive written confirmation of their Extra Help status through SSA.

Of course, individuals who apply for LIS through SSA and are found ineligible are also entitled to a written notice and have appeal rights buy viagra online no prescription. Benefits of Extra Help 1) Assistance with Part D cost-sharing The Extra Help program provides a subsidy which covers most (but not all) of beneficiary’s cost sharing obligations. Extra Help beneficiaries do not have to worry about hitting the “donut hole” – the LIS subsidy continues to cover them through the donut hole and into catastrophic coverage.

Full Extra buy viagra online no prescription Help. LIS beneficiaries with incomes up to 135% FPL are generally eligible for "full" Extra Help -- meaning they pay no Part D deductible, no charge for monthly premiums up to the benchmark amount, and fixed, relatively low co-pays (between $1.30 and $8.95 for 2020 depending on the person's income level and the tier category of the drug. Medicaid beneficiaries in nursing homes, waiver programs, or managed long term care have $0 co-pays).

Full Extra buy viagra online no prescription Help beneficiaries who hit the catastrophic coverage limit have $0 co-pays. See current co-pay levels here. Partial Extra Help.

Beneficiaries between 135%-150% FPL receive "partial" Extra Help, which limits the buy viagra online no prescription Part D deductible to $89 (2020 figure - click here for updated chart). Sets sliding scale fees for monthly premiums. And limits co-pays to 15%, until the beneficiary reaches the catastrophic coverage limit, at which point co-pays are limited to a $8.95 maximum (2020 or see current amount here) or 5% of the drug cost, whichever is greater.

2) Facilitated enrollment into a Part D plan Extra Help recipients who aren’t already enrolled in a Part D plan and don’t want to choose one buy viagra online no prescription on their own will be automatically enrolled into a benchmark plan by CMS. This facilitated enrollment ensures that Extra Help recipients have Part D coverage. However, the downside to facilitated enrollment is that the plan may not be the best “fit” for the beneficiary, if it doesn’t cover all his/her drugs, assesses a higher tier level for covered drugs than other comparable plans, and/or requires the beneficiary to go through administrative hoops like prior authorization, quantity limits and/or step therapy.

Fortunately, Extra Help recipients can always enroll in a new plan … see #3 below buy viagra online no prescription. 3) Continuous special enrollment period Extra Help recipients have a continuous special enrollment period, meaning that they can switch plans at any time. They are not “locked into” the annual open enrollment period (October 15-December 7).

NOTE buy viagra online no prescription. This changed in 2019. Starting in 2019, those with Extra Help will no longer have a continuous enrollment period.

Instead, Extra buy viagra online no prescription Help recipients will be eligible to enroll no more than once per quarter for each of the first three quarters of the year. 4) No late enrollment penalty Non LIS beneficiaries generally face a premium penalty (higher monthly premium) if they delayed their enrollment into Part D, meaning that they didn’t enroll when they were initially eligible and didn’t have “creditable coverage.” Extra Help recipients do not have to worry about this problem – the late enrollment penalty provision does not apply to LIS beneficiaries. 1) For “deemed” beneficiaries (Medicaid/Medicare Savings Program recipients).

Extra Help status lasts at least until the end of the current calendar buy viagra online no prescription year, even if the individual loses their Medicaid or Medicare Savings Program coverage during that year. Individuals who receive Medicaid or a Medicare Savings Program any month between July and December keep their LIS status for the remainder of that calendar year and the following year. Getting Medicaid coverage for even just a short period of time (ie, meeting a spenddown for just one month) can help ensure that the individual obtains Extra Help coverage for at least 6 months, and possibly as long as 18 months.

TIP buy viagra online no prescription. People with a high spend-down who want to receive Medicaid for just one month in order to get Extra Help for 6-18 months can use past medical bills to meet their spend-down for that one month. There are different rules for using past paid medical bills verses past unpaid medical bills.

For information see Spend buy viagra online no prescription down training materials. Individuals who are losing their deemed status at the end of a calendar year because they are no longer receiving Medicaid or the Medicare Savings Program should be notified in advance by SSA, and given an opportunity to file an Extra Help application through SSA. 2) For “non-deemed” beneficiaries (those who filed their LIS applications through SSA) Non-deemed beneficiaries retain their LIS status until/unless SSA does a redetermination and finds the individual ineligible for Extra Help.

There are no reporting requirements per se in the Extra Help program, but beneficiaries must buy viagra online no prescription respond to SSA’s redetermination request. What to do if the Part D plan doesn't know that someone has Extra Help Sometimes there are lengthy delays between the date that someone is approved for Medicaid or a Medicare Savings Program and when that information is formally conveyed to the Part D plan by CMS. As a practical matter, this often results in beneficiaries being charged co-pays, premiums and/or deductibles that they can't afford and shouldn't have to pay.

To protect LIS beneficiaries, CMS has a "Best Available Evidence" policy which requires plans to accept alternative forms of proof buy viagra online no prescription of someone's LIS status and adjust the person's cost-sharing obligation accordingly. LIS beneficiaries who are being charged improperly should be sure to contact their plan and provide proof of their LIS status. If the plan still won't recognize their LIS status, the person or their advocate should file a complaint with the CMS regional office.

The federal regulations governing the Low Income Subsidy program can be found at 42 CFR Subpart P (sections 423.771 buy viagra online no prescription through 423.800). Also, CMS provides detailed guidance on the LIS provisions in chapter 13 of its Medicare Prescription Drug Benefit Manual. This article was authored by the Empire Justice Center.Medicare Savings Programs (MSPs) pay for the monthly Medicare Part B premium for low-income Medicare beneficiaries and qualify enrollees for the "Extra Help" subsidy for Part D prescription drugs.

There are three separate MSP programs, the Qualified Medicare Beneficiary (QMB) Program, the Specified Low Income Medicare Beneficiary (SLMB) Program and buy viagra online no prescription the Qualified Individual (QI) Program, each of which is discussed below. Those in QMB receive additional subsidies for Medicare costs. See 2019 Fact Sheet on MSP in NYS by Medicare Rights Center ENGLISH SPANISH State law.

N.Y buy viagra online no prescription. Soc. Serv.

L. § 367-a(3)(a), (b), and (d). 2020 Medicare 101 Basics for New York State - 1.5 hour webinar by Eric Hausman, sponsored by NYS Office of the Aging TOPICS COVERED IN THIS ARTICLE 1.

No Asset Limit 1A. Summary Chart of MSP Programs 2. Income Limits &.

Rules and Household Size 3. The Three MSP Programs - What are they and how are they Different?. 4.

FOUR Special Benefits of MSP Programs. Back Door to Extra Help with Part D MSPs Automatically Waive Late Enrollment Penalties for Part B - and allow enrollment in Part B year-round outside of the short Annual Enrollment Period No Medicaid Lien on Estate to Recover Payment of Expenses Paid by MSP Food Stamps/SNAP not reduced by Decreased Medical Expenses when Enroll in MSP - at least temporarily 5. Enrolling in an MSP - Automatic Enrollment &.

Applications for People who Have Medicare What is Application Process?. 6. Enrolling in an MSP for People age 65+ who Do Not Qualify for Free Medicare Part A - the "Part A Buy-In Program" 7.

What Happens After MSP Approved - How Part B Premium is Paid 8 Special Rules for QMBs - How Medicare Cost-Sharing Works 1. NO ASSET LIMIT!. Since April 1, 2008, none of the three MSP programs have resource limits in New York -- which means many Medicare beneficiaries who might not qualify for Medicaid because of excess resources can qualify for an MSP.

1.A. SUMMARY CHART OF MSP BENEFITS QMB SLIMB QI-1 Eligibility ASSET LIMIT NO LIMIT IN NEW YORK STATE INCOME LIMIT (2020) Single Couple Single Couple Single Couple $1,064 $1,437 $1,276 $1,724 $1,436 $1,940 Federal Poverty Level 100% FPL 100 – 120% FPL 120 – 135% FPL Benefits Pays Monthly Part B premium?. YES, and also Part A premium if did not have enough work quarters and meets citizenship requirement.

See “Part A Buy-In” YES YES Pays Part A &. B deductibles &. Co-insurance YES - with limitations NO NO Retroactive to Filing of Application?.

Yes - Benefits begin the month after the month of the MSP application. 18 NYCRR §360-7.8(b)(5) Yes – Retroactive to 3rd month before month of application, if eligible in prior months Yes – may be retroactive to 3rd month before month of applica-tion, but only within the current calendar year. (No retro for January application).

See GIS 07 MA 027. Can Enroll in MSP and Medicaid at Same Time?. YES YES NO!.

Must choose between QI-1 and Medicaid. Cannot have both, not even Medicaid with a spend-down. 2.

INCOME LIMITS and RULES Each of the three MSP programs has different income eligibility requirements and provides different benefits. The income limits are tied to the Federal Poverty Level (FPL). 2019 FPL levels were released by NYS DOH in GIS 20 MA/02 - 2020 Federal Poverty Levels -- Attachment II and have been posted by Medicaid.gov and the National Council on Aging and are in the chart below.

NOTE. There is usually a lag in time of several weeks, or even months, from January 1st of each year until the new FPLs are release, and then before the new MSP income limits are officially implemented. During this lag period, local Medicaid offices should continue to use the previous year's FPLs AND count the person's Social Security benefit amount from the previous year - do NOT factor in the Social Security COLA (cost of living adjustment).

Once the updated guidelines are released, districts will use the new FPLs and go ahead and factor in any COLA. See 2019 Fact Sheet on MSP in NYS by Medicare Rights Center ENGLISH SPANISH Income is determined by the same methodology as is used for determining in eligibility for SSI The rules for counting income for SSI-related (Aged 65+, Blind, or Disabled) Medicaid recipients, borrowed from the SSI program, apply to the MSP program, except for the new rules about counting household size for married couples. N.Y.

367-a(3)(c)(2), NYS DOH 2000-ADM-7, 89-ADM-7 p.7. Gross income is counted, although there are certain types of income that are disregarded. The most common income disregards, also known as deductions, include.

(a) The first $20 of your &. Your spouse's monthly income, earned or unearned ($20 per couple max). (b) SSI EARNED INCOME DISREGARDS.

* The first $65 of monthly wages of you and your spouse, * One-half of the remaining monthly wages (after the $65 is deducted). * Other work incentives including PASS plans, impairment related work expenses (IRWEs), blind work expenses, etc. For information on these deductions, see The Medicaid Buy-In for Working People with Disabilities (MBI-WPD) and other guides in this article -- though written for the MBI-WPD, the work incentives apply to all Medicaid programs, including MSP, for people age 65+, disabled or blind.

(c) monthly cost of any health insurance premiums but NOT the Part B premium, since Medicaid will now pay this premium (may deduct Medigap supplemental policies, vision, dental, or long term care insurance premiums, and the Part D premium but only to the extent the premium exceeds the Extra Help benchmark amount) (d) Food stamps not counted. You can get a more comprehensive listing of the SSI-related income disregards on the Medicaid income disregards chart. As for all benefit programs based on financial need, it is usually advantageous to be considered a larger household, because the income limit is higher.

The above chart shows that Households of TWO have a higher income limit than households of ONE. The MSP programs use the same rules as Medicaid does for the Disabled, Aged and Blind (DAB) which are borrowed from the SSI program for Medicaid recipients in the “SSI-related category.” Under these rules, a household can be only ONE or TWO. 18 NYCRR 360-4.2.

See DAB Household Size Chart. Married persons can sometimes be ONE or TWO depending on arcane rules, which can force a Medicare beneficiary to be limited to the income limit for ONE person even though his spouse who is under 65 and not disabled has no income, and is supported by the client applying for an MSP. EXAMPLE.

Bob's Social Security is $1300/month. He is age 67 and has Medicare. His wife, Nancy, is age 62 and is not disabled and does not work.

Under the old rule, Bob was not eligible for an MSP because his income was above the Income limit for One, even though it was well under the Couple limit. In 2010, NYS DOH modified its rules so that all married individuals will be considered a household size of TWO. DOH GIS 10 MA 10 Medicare Savings Program Household Size, June 4, 2010.

This rule for household size is an exception to the rule applying SSI budgeting rules to the MSP program. Under these rules, Bob is now eligible for an MSP. When is One Better than Two?.

Of course, there may be couples where the non-applying spouse's income is too high, and disqualifies the applying spouse from an MSP. In such cases, "spousal refusal" may be used SSL 366.3(a). (Link is to NYC HRA form, can be adapted for other counties).

3. The Three Medicare Savings Programs - what are they and how are they different?. 1.

Qualified Medicare Beneficiary (QMB). The QMB program provides the most comprehensive benefits. Available to those with incomes at or below 100% of the Federal Poverty Level (FPL), the QMB program covers virtually all Medicare cost-sharing obligations.

Part B premiums, Part A premiums, if there are any, and any and all deductibles and co-insurance. QMB coverage is not retroactive. The program’s benefits will begin the month after the month in which your client is found eligible.

** See special rules about cost-sharing for QMBs below - updated with new CMS directive issued January 2012 ** See NYC HRA QMB Recertification form ** Even if you do not have Part A automatically, because you did not have enough wages, you may be able to enroll in the Part A Buy-In Program, in which people eligible for QMB who do not otherwise have Medicare Part A may enroll, with Medicaid paying the Part A premium (Materials by the Medicare Rights Center). 2. Specifiedl Low-Income Medicare Beneficiary (SLMB).

For those with incomes between 100% and 120% FPL, the SLMB program will cover Part B premiums only. SLMB is retroactive, however, providing coverage for three months prior to the month of application, as long as your client was eligible during those months. 3.

Qualified Individual (QI-1). For those with incomes between 120% and 135% FPL, and not receiving Medicaid, the QI-1 program will cover Medicare Part B premiums only. QI-1 is also retroactive, providing coverage for three months prior to the month of application, as long as your client was eligible during those months.

However, QI-1 retroactive coverage can only be provided within the current calendar year. (GIS 07 MA 027) So if you apply in January, you get no retroactive coverage. Q-I-1 recipients would be eligible for Medicaid with a spend-down, but if they want the Part B premium paid, they must choose between enrolling in QI-1 or Medicaid.

They cannot be in both. It is their choice. DOH MRG p.

19. In contrast, one may receive Medicaid and either QMB or SLIMB. 4.

Four Special Benefits of MSPs (in addition to NO ASSET TEST). Benefit 1. Back Door to Medicare Part D "Extra Help" or Low Income Subsidy -- All MSP recipients are automatically enrolled in Extra Help, the subsidy that makes Part D affordable.

They have no Part D deductible or doughnut hole, the premium is subsidized, and they pay very low copayments. Once they are enrolled in Extra Help by virtue of enrollment in an MSP, they retain Extra Help for the entire calendar year, even if they lose MSP eligibility during that year. The "Full" Extra Help subsidy has the same income limit as QI-1 - 135% FPL.

However, many people may be eligible for QI-1 but not Extra Help because QI-1 and the other MSPs have no asset limit. People applying to the Social Security Administration for Extra Help might be rejected for this reason. Recent (2009-10) changes to federal law called "MIPPA" requires the Social Security Administration (SSA) to share eligibility data with NYSDOH on all persons who apply for Extra Help/ the Low Income Subsidy.

Data sent to NYSDOH from SSA will enable NYSDOH to open MSP cases on many clients. The effective date of the MSP application must be the same date as the Extra Help application. Signatures will not be required from clients.

In cases where the SSA data is incomplete, NYSDOH will forward what is collected to the local district for completion of an MSP application. The State implementing procedures are in DOH 2010 ADM-03. Also see CMS "Dear State Medicaid Director" letter dated Feb.

18, 2010 Benefit 2. MSPs Automatically Waive Late Enrollment Penalties for Part B Generally one must enroll in Part B within the strict enrollment periods after turning age 65 or after 24 months of Social Security Disability. An exception is if you or your spouse are still working and insured under an employer sponsored group health plan, or if you have End Stage Renal Disease, and other factors, see this from Medicare Rights Center.

If you fail to enroll within those short periods, you might have to pay higher Part B premiums for life as a Late Enrollment Penalty (LEP). Also, you may only enroll in Part B during the Annual Enrollment Period from January 1 - March 31st each year, with Part B not effective until the following July. Enrollment in an MSP automatically eliminates such penalties...

For life.. Even if one later ceases to be eligible for the MSP. AND enrolling in an MSP will automatically result in becoming enrolled in Part B if you didn't already have it and only had Part A.

See Medicare Rights Center flyer. Benefit 3. No Medicaid Lien on Estate to Recover MSP Benefits Paid Generally speaking, states may place liens on the Estates of deceased Medicaid recipients to recover the cost of Medicaid services that were provided after the recipient reached the age of 55.

Since 2002, states have not been allowed to recover the cost of Medicare premiums paid under MSPs. In 2010, Congress expanded protection for MSP benefits. Beginning on January 1, 2010, states may not place liens on the Estates of Medicaid recipients who died after January 1, 2010 to recover costs for co-insurance paid under the QMB MSP program for services rendered after January 1, 2010.

The federal government made this change in order to eliminate barriers to enrollment in MSPs. See NYS DOH GIS 10-MA-008 - Medicare Savings Program Changes in Estate Recovery The GIS clarifies that a client who receives both QMB and full Medicaid is exempt from estate recovery for these Medicare cost-sharing expenses. Benefit 4.

SNAP (Food Stamp) benefits not reduced despite increased income from MSP - at least temporarily Many people receive both SNAP (Food Stamp) benefits and MSP. Income for purposes of SNAP/Food Stamps is reduced by a deduction for medical expenses, which includes payment of the Part B premium. Since approval for an MSP means that the client no longer pays for the Part B premium, his/her SNAP/Food Stamps income goes up, so their SNAP/Food Stamps go down.

Here are some protections. Do these individuals have to report to their SNAP worker that their out of pocket medical costs have decreased?. And will the household see a reduction in their SNAP benefits, since the decrease in medical expenses will increase their countable income?.

The good news is that MSP households do NOT have to report the decrease in their medical expenses to the SNAP/Food Stamp office until their next SNAP/Food Stamp recertification. Even if they do report the change, or the local district finds out because the same worker is handling both the MSP and SNAP case, there should be no reduction in the household’s benefit until the next recertification. New York’s SNAP policy per administrative directive 02 ADM-07 is to “freeze” the deduction for medical expenses between certification periods.

Increases in medical expenses can be budgeted at the household’s request, but NYS never decreases a household’s medical expense deduction until the next recertification. Most elderly and disabled households have 24-month SNAP certification periods. Eventually, though, the decrease in medical expenses will need to be reported when the household recertifies for SNAP, and the household should expect to see a decrease in their monthly SNAP benefit.

It is really important to stress that the loss in SNAP benefits is NOT dollar for dollar. A $100 decrease in out of pocket medical expenses would translate roughly into a $30 drop in SNAP benefits. See more info on SNAP/Food Stamp benefits by the Empire Justice Center, and on the State OTDA website.

Some clients will be automatically enrolled in an MSP by the New York State Department of Health (NYSDOH) shortly after attaining eligibility for Medicare. Others need to apply. The 2010 "MIPPA" law introduced some improvements to increase MSP enrollment.

See 3rd bullet below. Also, some people who had Medicaid through the Affordable Care Act before they became eligible for Medicare have special procedures to have their Part B premium paid before they enroll in an MSP. See below.

WHO IS AUTOMATICALLY ENROLLED IN AN MSP. Clients receiving even $1.00 of Supplemental Security Income should be automatically enrolled into a Medicare Savings Program (most often QMB) under New York State’s Medicare Savings Program Buy-in Agreement with the federal government once they become eligible for Medicare. They should receive Medicare Parts A and B.

Clients who are already eligible for Medicare when they apply for Medicaid should be automatically assessed for MSP eligibility when they apply for Medicaid. (NYS DOH 2000-ADM-7 and GIS 05 MA 033). Clients who apply to the Social Security Administration for Extra Help, but are rejected, should be contacted &.

Enrolled into an MSP by the Medicaid program directly under new MIPPA procedures that require data sharing. Strategy TIP. Since the Extra Help filing date will be assigned to the MSP application, it may help the client to apply online for Extra Help with the SSA, even knowing that this application will be rejected because of excess assets or other reason.

SSA processes these requests quickly, and it will be routed to the State for MSP processing. Since MSP applications take a while, at least the filing date will be retroactive. Note.

The above strategy does not work as well for QMB, because the effective date of QMB is the month after the month of application. As a result, the retroactive effective date of Extra Help will be the month after the failed Extra Help application for those with QMB rather than SLMB/QI-1. Applying for MSP Directly with Local Medicaid Program.

Those who do not have Medicaid already must apply for an MSP through their local social services district. (See more in Section D. Below re those who already have Medicaid through the Affordable Care Act before they became eligible for Medicare.

If you are applying for MSP only (not also Medicaid), you can use the simplified MSP application form (theDOH-4328(Rev. 8/2017-- English) (2017 Spanish version not yet available). Either application form can be mailed in -- there is no interview requirement anymore for MSP or Medicaid.

See 10 ADM-04. Applicants will need to submit proof of income, a copy of their Medicare card (front &. Back), and proof of residency/address.

See the application form for other instructions. One who is only eligible for QI-1 because of higher income may ONLY apply for an MSP, not for Medicaid too. One may not receive Medicaid and QI-1 at the same time.

If someone only eligible for QI-1 wants Medicaid, s/he may enroll in and deposit excess income into a pooled Supplemental Needs Trust, to bring her countable income down to the Medicaid level, which also qualifies him or her for SLIMB or QMB instead of QI-1. Advocates in NYC can sign up for a half-day "Deputization Training" conducted by the Medicare Rights Center, at which you'll be trained and authorized to complete an MSP application and to submit it via the Medicare Rights Center, which submits it to HRA without the client having to apply in person. Enrolling in an MSP if you already have Medicaid, but just become eligible for Medicare Those who, prior to becoming enrolled in Medicare, had Medicaid through Affordable Care Act are eligible to have their Part B premiums paid by Medicaid (or the cost reimbursed) during the time it takes for them to transition to a Medicare Savings Program.

In 2018, DOH clarified that reimbursement of the Part B premium will be made regardless of whether the individual is still in a Medicaid managed care (MMC) plan. GIS 18 MA/001 Medicaid Managed Care Transition for Enrollees Gaining Medicare ( PDF) provides, "Due to efforts to transition individuals who gain Medicare eligibility and who require LTSS, individuals may not be disenrolled from MMC upon receipt of Medicare. To facilitate the transition and not disadvantage the recipient, the Medicaid program is approving reimbursement of Part B premiums for enrollees in MMC." The procedure for getting the Part B premium paid is different for those whose Medicaid was administered by the NYS of Health Exchange (Marketplace), as opposed to their local social services district.

The procedure is also different for those who obtain Medicare because they turn 65, as opposed to obtaining Medicare based on disability. Either way, Medicaid recipients who transition onto Medicare should be automatically evaluated for MSP eligibility at their next Medicaid recertification. NYS DOH 2000-ADM-7 Individuals can also affirmatively ask to be enrolled in MSP in between recertification periods.

IF CLIENT HAD MEDICAID ON THE MARKETPLACE (NYS of Health Exchange) before obtaining Medicare. IF they obtain Medicare because they turn age 65, they will receive a letter from their local district asking them to "renew" Medicaid through their local district. See 2014 LCM-02.

Now, their Medicaid income limit will be lower than the MAGI limits ($842/ mo reduced from $1387/month) and they now will have an asset test. For this reason, some individuals may lose full Medicaid eligibility when they begin receiving Medicare. People over age 65 who obtain Medicare do NOT keep "Marketplace Medicaid" for 12 months (continuous eligibility) See GIS 15 MA/022 - Continuous Coverage for MAGI Individuals.

Since MSP has NO ASSET limit. Some individuals may be enrolled in the MSP even if they lose Medicaid, or if they now have a Medicaid spend-down. If a Medicare/Medicaid recipient reports income that exceeds the Medicaid level, districts must evaluate the person’s eligibility for MSP.

08 OHIP/ADM-4 ​If you became eligible for Medicare based on disability and you are UNDER AGE 65, you are entitled to keep MAGI Medicaid for 12 months from the month it was last authorized, even if you now have income normally above the MAGI limit, and even though you now have Medicare. This is called Continuous Eligibility. EXAMPLE.

Sam, age 60, was last authorized for Medicaid on the Marketplace in June 2016. He became enrolled in Medicare based on disability in August 2016, and started receiving Social Security in the same month (he won a hearing approving Social Security disability benefits retroactively, after first being denied disability). Even though his Social Security is too high, he can keep Medicaid for 12 months beginning June 2016.

Sam has to pay for his Part B premium - it is deducted from his Social Security check. He may call the Marketplace and request a refund. This will continue until the end of his 12 months of continues MAGI Medicaid eligibility.

He will be reimbursed regardless of whether he is in a Medicaid managed care plan. See GIS 18 MA/001 Medicaid Managed Care Transition for Enrollees Gaining Medicare (PDF) When that ends, he will renew Medicaid and apply for MSP with his local district. Individuals who are eligible for Medicaid with a spenddown can opt whether or not to receive MSP.

(Medicaid Reference Guide (MRG) p. 19). Obtaining MSP may increase their spenddown.

MIPPA - Outreach by Social Security Administration -- Under MIPPA, the SSA sends a form letter to people who may be eligible for a Medicare Savings Program or Extra Help (Low Income Subsidy - LIS) that they may apply. The letters are. · Beneficiary has Extra Help (LIS), but not MSP · Beneficiary has no Extra Help (LIS) or MSP 6.

Enrolling in MSP for People Age 65+ who do Not have Free Medicare Part A - the "Part A Buy-In Program" Seniors WITHOUT MEDICARE PART A or B -- They may be able to enroll in the Part A Buy-In program, in which people eligible for QMB who are age 65+ who do not otherwise have Medicare Part A may enroll in Part A, with Medicaid paying the Part A premium. See Step-by-Step Guide by the Medicare Rights Center). This guide explains the various steps in "conditionally enrolling" in Part A at the SSA office, which must be done before applying for QMB at the Medicaid office, which will then pay the Part A premium.

See also GIS 04 MA/013. In June, 2018, the SSA revised the POMS manual procedures for the Part A Buy-In to to address inconsistencies and confusion in SSA field offices and help smooth the path for QMB enrollment. The procedures are in the POMS Section HI 00801.140 "Premium-Free Part A Enrollments for Qualified Medicare BenefiIaries." It includes important clarifications, such as.

SSA Field Offices should explain the QMB program and conditional enrollment process if an individual lacks premium-free Part A and appears to meet QMB requirements. SSA field offices can add notes to the “Remarks” section of the application and provide a screen shot to the individual so the individual can provide proof of conditional Part A enrollment when applying for QMB through the state Medicaid program. Beneficiaries are allowed to complete the conditional application even if they owe Medicare premiums.

In Part A Buy-in states like NYS, SSA should process conditional applications on a rolling basis (without regard to enrollment periods), even if the application coincides with the General Enrollment Period. (The General Enrollment Period is from Jan 1 to March 31st every year, in which anyone eligible may enroll in Medicare Part A or Part B to be effective on July 1st). 7.

What happens after the MSP approval - How is Part B premium paid For all three MSP programs, the Medicaid program is now responsible for paying the Part B premiums, even though the MSP enrollee is not necessarily a recipient of Medicaid. The local Medicaid office (DSS/HRA) transmits the MSP approval to the NYS Department of Health – that information gets shared w/ SSA and CMS SSA stops deducting the Part B premiums out of the beneficiary’s Social Security check. SSA also refunds any amounts owed to the recipient.

What side effects may I notice from Viagra?

Side effects that you should report to your doctor or health care professional as soon as possible:

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

This list may not describe all possible side effects. Call your doctor for medical advice about side effects.

Does viagra expire

Healthcare staff have never played such a fundamental role as they have now in does viagra expire the throes of a global health crisis. They have been critical does viagra expire in providing resilient and holistic patient-centred care, which has highlighted the value in preparing the healthcare workforce for rapid transformational change. One, which is the shift to community-based care, is currently experiencing exponential growth and acceptance globally.

From this, a more patient-centred healthcare landscape is emerging, making it vital that staff and patients are educated does viagra expire and supported to engage fully in the digital adoption of out of hospital care.Dr Osama ElHassan is a health informatics specialist at Dubai Health Authority. He is also concurrently the vice president of the UAE Health Informatics Society and a co-founder &. Coordinator of the GCC Taskforce on Workforce does viagra expire Development in Digital Healthcare (ZIMAM), where he is at the forefront of driving digital healthcare workforce initiatives and workshops in the GCC region and is an impassioned advocate for workforce development for the younger population."ZIMAM is a non-for-profit initiative that was established in 2016 by a number of highly recognised eHealth professionals and educators across the GCC countries," explains Dr ElHassan."Some of the co-founders were representing also key eHealth professionals' associations such as SAHI, SHIMA and EHIS.

ZIMAM's vision is to achieve a sustainable digital health ecosystem in which local eHealth workforce is empowered and taking the lead."Dr ElHassan will be speaking at the session, 'Extending Health and Care beyond Hospital Walls. Preparing clinicians does viagra expire &. Patients for Community-Based Care', at the HIMSS &.

Health 2.0 Middle East Conference on 2 does viagra expire December. Supporting community-based careA range of new digital platforms and tools have been put in place in the GCC and MENA regions to support the uptake of community-based care across the continuum. ElHassan discusses how the does viagra expire landscape of community-based care has adapted during erectile dysfunction treatment.

"I think that the viagra was an eye-opener on the importance of digital does viagra expire transformation and digital workforce to maximise the healthcare outcomes of community-based care."We will witness a prevalence of consumer and patient-driven digital healthcare solutions that integrate seamlessly with core healthcare systems via streamlined GUIs and standardise open APIs to provide compostable and diversified healthcare services."For clinicians to be best prepared for the shift, ElHassan suggests. "We should start to embed clinical informatics and information competencies with medical schools' curricula and provide certification programs for the current workforce that expedite upskilling and cross-skilling."GCC healthcare workforce initiativesLooking specifically at the Gulf countries, the Kingdom of Saudi Arabia is set to pave the way for digital transformation through its national Vision 2030 project, primarily by enabling the culture of innovation in the work environment.On the national strategies currently being rolled-out in the Saudi digital health industry, ElHassan said. "I witnessed with admiration the great work done by CCHI in preparing the next generation of Saudi does viagra expire Medical Coders through a fruitful partnership with key players in the RCM market in addition to local and international HIM professionals' associations." "I can't also ignore the great initiative that SCHCS is contemplating in collaboration with a group of top eHealth educators and professionals to develop the Saudi Health Informatics competency-based framework," adds ElHassan.Across the globe, many countries are fast-tracking digital transformation as a national priority, as it continues to play a fundamental role in shaping the way governments are adapting to new opportunities and models of healthcare.According to a Deloitte report on national transformation in the Middle East, GCC countries are making the move to build on international best practice and leverage opportunities to transform into digital models, setting a strong example for the delivery of innovative services.

"The workforce development initiatives in the Kingdom are actually setting examples for other countries, especially in the MENA and GCC regions," concedes ElHassan."Notwithstanding the great achievements in recent years on empowering young and highly educated talents in general and females in particular to steer the remarkable digital health transformation wave, the current status of non-for-profit workforce development initiatives, still leaves rooms for improvements."I think that we should learn from interesting international experiments such as the NHS Digital Academy in the UK and the certification programs developed by HISA in Australia."You can find out more about the HIMSS &. Health 2.0 Middle East Conference and learn more about the latest news and does viagra expire developments from the event here.Today the UK government has announced the awardees of the Turing AI Acceleration Fellowships. The 15 Fellows, whose projects encompass a spectrum of AI innovations across science and engineering, will benefit from £20 million of government funding in a bid to “equip the next generation of Alan Turings with the tools that will keep the UK at the forefront of this remarkable technological innovation,” says Science Minister Amanda Solloway.WHY IT MATTERS HIMSS20 Digital Learn on-demand, earn credit, find products and solutions.

Get Started >> does viagra expire. The Fellowships are intended to provide elected Fellows with the necessary resources to accelerate the research and development of their innovative AI projects, in order to scale market uptake, address some of today’s most pressing challenges and cement the UK’s position as a world-leader in AI.The scheme is funded jointly by Engineering and Physical Sciences Research Council (EPSRC) on behalf of UK Research and Innovation (UKRI), The Alan Turing Institute, Department for Business, Energy and Industrial Strategy (BEIS) and the Office for Artificial Intelligence.The 15 Fellows will be funded for five years and will join the five Turing AI Fellows that were announced in 2019 and the winners of the Turing AI World-Leading Researcher Fellowships, to be announced in 2021. They include Prof does viagra expire.

Christopher Yao, who will use a combination of AI and genomics to anticipate the development of cancers before they are fully formed, potentially informing personalised care plans and enabling earlier and more effective treatment.The full list of Fellows is as follows. Professor Damien Coyle, University of Ulster – AI for Intelligent Neurotechnology and does viagra expire Human-Machine SymbiosisDr Jeff Dalton, University of Glasgow – Neural Conversational Information Seeking AssistantDr Theo Damoulas, University of Warwick – Machine Learning Foundations of Digital TwinsProfessor Aldo Faisal, Imperial College – Reinforcement Learning for HealthcareProfessor Yulan He, University of Warwick – Event-Centric Framework for Natural Language UnderstandingDr Jose Miguel Hernandez Lobato, University of Cambridge – Machine Learning for Molecular DesignDr Antonio Hurtado, University of Strathclyde – PHOTONics for Ultrafast Artificial IntelligenceDr Per Lehre, University of Birmingham – Rigorous Time-Complexity Analysis of Co-evolutionary AlgorithmsProfessor Giovanni Montana, University of Warwick – Advancing Multi-Agent Deep Reinforcement Learning for Sequential Decision Making in Real-World ApplicationsDr Christopher Nemeth, Lancaster University. Probabilistic Algorithms for Scalable and Computable Approaches to Learning (PASCAL)Dr Raul Santos-Rodriguez, University of Bristol - Interactive Annotations in AIDr Sebastian Stein, University of Southampton – Citizen-Centric AI SystemsDr Ivan Tyukin, University of Leicester – Adaptive, Robust and Resilient AI Systems for the FuturEDr Adrian Weller, University of Cambridge - Trustworthy Machine LearningProfessor Christopher Yau, The University of Manchester – clinAIcan – Developing Clinical Applications of Artificial Intelligence for CancerTHE LARGER TRENDThis new round of investment follows the UK government’s recent commitment to supporting and progressing AI skills and research, including courses to train the next generation of AI frontrunners.

It is part of a wider scheme of R&D support.It is does viagra expire in keeping with the increased support of AI in healthcare. Research has shown that, as erectile dysfunction treatment pushed AI more into the mainstream, the health industry has more confidence in does viagra expire it as an investment opportunity and has predicted it will be more readily adopted moving forward.ON THE RECORDEPSRC Executive Chair Professor Dame Lynn Gladden said. €œThe Turing AI Acceleration Fellowships will support some of our leading researchers to progress their careers and develop ground-breaking AI technologies with societal impact.

By enhancing collaboration between academia and industry and does viagra expire accelerating these transformative technologies they will help to maintain and build on the UK’s position as a world leader in AI.” Professor Yau commented. "I am very excited to have been awarded this Fellowship which will enable me to conduct ground-breaking research at the intersection of genomics and artificial intelligence. Genomics will yield unprecedented amounts of data which necessitate the use does viagra expire of AI for their interpretation.

I will be developing novel clinical information systems to provide cancer patients and clinicians with the very best genomics-guided personalised care to improve treatment effectiveness and survival rates. I am especially pleased to be working with a range of project partners, including Ovarian Cancer Action, to ensure that my research is conducted in partnership with patients."PHARMACEUTICAL STRATEGY FOR EUROPE ANNOUNCED The European Commission has adopted a Pharmaceutical Strategy for Europe to ensure patients have access to innovative and cost-effective medicines in the ever-changing healthcare landscape.The strategy aims to support the capacity and sustainability of the EU's pharmaceutical needs in times of crisis, through robust supply chains.As part of ensuring that the EU's pharmaceutical does viagra expire policy continues to serve public health through scientific and commercial transformations, it will aim to also support patient-centred innovations and accommodate digital and technological change. Amongst the flagship actions of the strategy, the creation of a robust digital infrastructure, including a proposal for a European Health Data Space (target date for a proposal.

2021), was does viagra expire highlighted as an area of focus.NORTH WEST TRUSTS TO PIONEER NEW APPROACH TO STAFFING An NHS temporary staffing initiative led by St Helens and Knowsley Teaching Hospitals NHS trust, will see the creation of a North West Doctors in Training Collaborative Staff Bank.The new bank will enable up to 35 trusts in the region to reduce reliance on agencies and instead broadcast shifts to the 5,500 clinical trainees already working within the North West’s network of hospitals. These clinicians will be able to e-passport their credentials between participating trusts, enabling staff to be rapidly redeployed in line with need.The Collaborative Staff Bank will act as a secondary bank for participating hospitals, allowing them to broadcast shifts they’ve been unable to fill through their own primary hospital bank. This additional ‘staffing safety net’ will help does viagra expire reduce spend on external locum agencies and minimise the administrative burden for NHS teams and clinicians.TARA DONNELLY CONFIRMED AS NHSX CHIEF DIGITAL OFFICER Following an external recruitment process, Tara Donnelly has been confirmed as NHX's chief digital officer.Following the departure of Juliet Bauer, Donnelly was appointed as interim chief digital officer (CDO) at NHS England in January 2019.The role then moved across to NHSX, where she helped set it up in April 2019 and has since led the adoption and scale of innovation in health and care.In an email confirming her appointment, seen by Digital Health News, NHSX chief executive Matthew Gould said Donnelly is “leading to drive remote monitoring has the potential to be genuinely transformative”.

RSCI AND BD EXPAND PAEDIATRIC SURGERY IN MALAWIThe RCSI Institute of Global Surgery and global medical technology company, BD (Becton, Dickinson and Company) (BD) announced KidSURG, a joint initiative aimed at improving paediatric surgical services across Southern Malawi.Created in collaboration with Malawian paediatric surgeon, Professor Eric Borgstein, the KidSURG initiative will develop a paediatric surgical network in Southern Malawi, to expand surgical access to 8 million children.The KidSURG initiative will train healthcare workers to deliver pre-referral care for complex paediatric surgical patients, and deliver safe surgery for some of the most common surgical procedures needed by children.BD has donated $500K (€419K) in cash and surgical products to support the initiative.SUPERDRUG LAUNCHES MENTAL HEALTH SERVICE APPUK health and beauty retailer, Superdrug has announced the launch of a doctor-led mental health consultation app with the aim of helping people receive access to mental health support. MindCare from Superdrug Online Doctor offers people video consultation where they can confidentially discuss their mental health and a doctor can help guide them to support does viagra expire that matches their needs. Through the app consultation, the doctor is able to suggest therapies that will help with a person’s condition such as Cognitive Behavioural Therapy (CBT), as well as providing private referrals if needed.In the app, Superdrug is also signposting to two emotional support charities, Shout and Samaritans, to provide free support for anyone who is struggling to cope.ALCIDION EXPANDS PARTNERSHIP WITH NEXTGATE TO UK MARKET Australian smart health tech provider, Alcidion has announced an expansion of its reseller agreement with NextGate to does viagra expire include the UK and Ireland.Following a successful two-year relationship which started in 2018, this agreement has now been extended to also include the UK and Ireland.The expansion of the agreement to the UK and Ireland will further strengthen Alcidion’s ability to support NHS trusts, health boards and region-wide integrated care systems.The news follows the Alcidion’s formal launch this summer of its Miya Precision product as the first smart clinical asset for the NHS.

HAMPSHIRE COUNTY COUNCIL SELECTS SERVELEC Hampshire County Council has selected Servelec's Mosaic case management software, for children’s social care. In addition, the Council will use Servelec’s Conexes, a cloud-based interoperability platform, to enable Mosaic to interface with other systems.Hampshire County Council stated they wanted a children’s social care case management system that does viagra expire was "flexible, adaptable and forward-looking."Mosaic’s intuitive workflow means social workers are guided through the necessary processes, helping to ensure they are equipped to flag issues and make the right decisions for children at the right time.Social workers will also be able to get a joined-up view of each young person’s situation and their environment because Conexes will enable Mosaic to talk to other systems to pull together key information.Saudi Arabia’s International Medical Center (IMC) has become the latest healthcare entity in the Middle East &. North Africa (MENA) region to adopt InterSystems TrakCare.

The multidisciplinary healthcare provider – known as the first does viagra expire member of the Mayo Clinic Care Network in the Kingdom – will implement the TrakCare electronic medical record (EMR) system in its Jeddah hospital and clinics. They include IMC Hospital, Petro Rabigh Clinic, The First Clinic, Tadawi Center, and First Scan.“Today, most private healthcare organisations are looking at adopting the latest healthcare technology solutions because they know that this investment will help them to provide safer, faster, and more efficient care,” said InterSystems regional managing director, Michel Amous. €œAs a leading private hospital in Saudi, IMC is paving the way for does viagra expire more private hospitals in the Kingdom to adopt cloud-hosted EMR solutions such as TrakCare as a service which will empower them to achieve their goals without making major capital expenditures.”Ali Abi Raad, country manager for the Middle East and India at InterSystems added.

€œWe are expanding our footprint across Saudi Arabia and by way of this strategic partnership. We are excited to support IMC, the nation’s leading private hospital, in building a robust healthcare information system for advanced care delivery and does viagra expire enhanced patient experience.” HIMSS20 Digital Learn on-demand, earn credit, find products and solutions. Get Started >>.

THE LARGER CONTEXTElaborating does viagra expire on the reason for adopting the EMR system, IMC’s chief information officer, Muhammad Siddiqui stated that “TrakCare in IMC will integrate all our clinical, administrative and financial data within the same application. Especially the comprehensive Revenue Cycle Management module which will prove to be a game changer in automating many operational processes.”He continued. €œAlso, our decision is to ensure that all standard workflows are incorporated which shall complement does viagra expire the current and all future regulatory compliance requirements for IMC.

Recently, awarded with CHIMEs most wired hospital, scoring a whopping level 9 is a feather in the cap for IMC as we are the only hospital outside the US does viagra expire to have achieved this feat. €œChoosing TrakCare will further complement IMC and will help achieve further healthcare accreditations like HIMSS stage 7.”In a statement, IMC added that its partnership with InterSystems underpins the company’s “commitment to align with the Saudi Vision 2030 and provide world class healthcare services to patients through tech innovations and digitisation.” Additionally, it stated that it has become the first healthcare provider in the Kingdom to implement TrakCare’s cloud-hosted version.Meanwhile, InterSystems has revealed that TrakCare has recently optimised user experience by adding a mobile, touchscreen-enabled user interface, as well as “other enhancements”.ON THE RECORD“IMC is entering into a strategic partnership with InterSystems which will strike a perfect balance between the core human traits like empathy, mercy, teamwork, with technology advancements. This will enhance the patient care abilities of does viagra expire our farmers and greatly improve the patient experience,” said Walid Fitahi, CEO and chairman of IMC.

€œThe strategic decision to have a distributed environment hosting EMR for IMC would be a benchmark supporting the Kingdom's cloud-first strategy. Overall, we are happy to be partnering with InterSystems.”Khalid Alem, deputy CEO does viagra expire of IMC added. €œThe partnership with InterSystems, a Tier1, Best in KLAS awarded EMR, serves as a significant milestone and is aligned with our strategic mission of providing global standard of care to IMC patients while enhancing both caregivers’ and patients’ experience.”Other MENA healthcare providers to sign an agreement with InterSystems this year include the UAE’s Pure Health and Medcare Hospitals.InterSystems will have a presence at the inaugural HIMSS &.

Health 2.0 Middle East Digital Event 2020, running 29 November to 2 December 2020.Like the rest of the world during the viagra, healthcare organisations in Saudi Arabia are no longer centralised, but are now spread across remote work settings, making does viagra expire them vulnerable to varied threats from unsuitable hardware and non-firewalled systems. This has been in tandem with Saudi Arabia's national strategy for digital transformation that has incorporated five-year goals for which three executive plans were drawn from 2006 until 2022, with digital health as one of its core components. Although strategies have been put in place to launch and fortify technologies such as user data collection, augmented does viagra expire reality and telehealth, questions around adequate protection for evolving cybersecurity threats posed to these technologies has certainly become a needed conversation in the current climate.

Dr Saif Abed, founding partner and director of cybersecurity advisory services at AbedGraham explains how he thinks Saudia Arabia's strong investment in digitalisation has raised awareness around cyber-attacks. "Any time a significant investment is made to accelerate digital transformation you have to consider both benefits and risks does viagra expire associated with it. The strong track record of investment across the Middle East has clearly been successful when it comes to enhancing digital maturity and this now places the region in a strong position to make investments across people, processes and technology that can preserve patient safety and clinical services."At a time when the rest of the world is suffering from terrible cyber-attacks on healthcare and life sciences facilities, the Middle East has a strong foundation to counter this moving forward through increased awareness and action."Dr Abed will be moderating the 'Cybersecurity and Incident Response Masterclass' at the HIMSS &.

Health 2.0 Middle East Conference on 1 December.Global cybersecurity lessonsLooking globally at other regions and countries, there has been a does viagra expire rise in cyber-attacks since the viagra began, particularly in healthcare, with ransomware attacks targeting hospitals and research facilities. According to a statement issued by global technology company Acronis, cybercriminals “will target the government agencies, healthcare facilities and medical professionals treating patients during the erectile dysfunction treatment crisis,” after it found a surge in ransomware detections in Europe by up to seven per cent in the last week of February 2020, followed by a does viagra expire 10% increase the week after.Global attitudes and action towards cybersecurity prevention has highlighted areas we can learn from in regards to successful approaches to cyber-attacks. "Globally, we must always be learning from one other irrespective of the region since we all have the same goal of preventing patient harm."Particularly interesting areas that I think the Middle East is in a position to learn more about, based on developments in the US and UK, include how to address medical IoT security and clinical risk analysis respectively," explains Abed."There are many emerging regulations, advisory statements and technologies in the market that are addressing medical IoT which the Middle East can act on.

In terms of clinical risk analysis of network threats and vulnerabilities, this is an exciting does viagra expire emerging area that can turbocharge risk management for CISOs, CIOs and CMIOs across their organisations," adds Abed.Digital maturity outgrowing security maturity The rapid growth of digital maturity outgrowing security maturity during the viagra has also been an area of concern for many healthcare organisations. "This is something I coined in a graphic I call the’ Healthcare Maturity Paradox’," said Abed."Essentially, when digital maturity increases it’s normally not matched by an equal investment in security maturity and the gaps between these two areas, or lines on a chart, is what makes healthcare organisations attractive targets for attackers. I call that the ‘Attacker’s Arbitrage Opportunity’."The best way to address this is to always ensure that as part of an investment in a digital project that there is a baseline risk assessment conducted that captures clinical, organisational, financial and reputational damage risks and that investments are made based on this in people, processes and technology to preserve the security posture of a digital transformation initiative."Resources and raising awarenessMultiple resources are now available not just for technical members of the team but other staff members across the healthcare organisations to prevent ransomware attacks and to raise awareness around does viagra expire the topic.

"We’re fortunate today to have more resources than ever before when it comes to cybersecurity," notes Abed. "HIMSS of does viagra expire course provides a treasure trove of resources in this area. There are also a range of agencies that such as the EU Cybersecurity Agency, MITRE and the FDA that provide great information that is increasingly accessible at a non-technical level.

Other than that the best resource is often does viagra expire your peer group so regional meetings and conferences are a great way to raise awareness and share best practice."Furthermore, as awareness and education on the topic grows, cybersecurity in healthcare will also need to consequently evolve. "Firstly, healthcare organisations over time are going to have greater transparency of what’s on their network, because you can’t control what you don’t know about."Secondly, cybersecurity will stop being a technical subject and instead will be seen through the lens of patient safety and measurable business outcomes. That means more proactive and constructive engagement with non-technical senior stakeholders," concludes Abed.You can find out more about the does viagra expire HIMSS &.

Health 2.0 Middle East Conference and learn more about the latest news and developments from the event here..

Healthcare staff have never played such a fundamental how to get viagra samples role as they have now in the throes of a global health buy viagra online no prescription crisis. They have been critical in providing resilient and buy viagra online no prescription holistic patient-centred care, which has highlighted the value in preparing the healthcare workforce for rapid transformational change. One, which is the shift to community-based care, is currently experiencing exponential growth and acceptance globally. From this, a more patient-centred healthcare landscape is emerging, making it vital that staff and patients are educated and supported to engage fully in the digital adoption of out of hospital buy viagra online no prescription care.Dr Osama ElHassan is a health informatics specialist at Dubai Health Authority. He is also concurrently the vice president of the UAE Health Informatics Society and a co-founder &.

Coordinator of the GCC Taskforce on Workforce Development in Digital Healthcare (ZIMAM), where he is at the forefront of driving digital healthcare workforce initiatives and workshops in the GCC region and is an impassioned advocate for workforce development for the younger population."ZIMAM is a non-for-profit initiative that was established in 2016 by a number of highly recognised eHealth professionals and educators across the GCC countries," explains Dr ElHassan."Some of the co-founders were buy viagra online no prescription representing also key eHealth professionals' associations such as SAHI, SHIMA and EHIS. ZIMAM's vision is to achieve a sustainable digital health ecosystem in which local eHealth workforce is empowered and taking the lead."Dr ElHassan will be speaking at the session, 'Extending Health and Care beyond Hospital Walls. Preparing clinicians buy viagra online no prescription &. Patients for Community-Based Care', at the HIMSS &. Health 2.0 Middle East buy viagra online no prescription Conference on 2 December.

Supporting community-based careA range of new digital platforms and tools have been put in place in the GCC and MENA regions to support the uptake of community-based care across the continuum. ElHassan discusses buy viagra online no prescription how the landscape of community-based care has adapted during erectile dysfunction treatment. "I think that the viagra was an eye-opener on the importance of digital transformation and digital workforce to maximise the healthcare outcomes of community-based care."We will witness a prevalence of consumer and patient-driven buy viagra online no prescription digital healthcare solutions that integrate seamlessly with core healthcare systems via streamlined GUIs and standardise open APIs to provide compostable and diversified healthcare services."For clinicians to be best prepared for the shift, ElHassan suggests. "We should start to embed clinical informatics and information competencies with medical schools' curricula and provide certification programs for the current workforce that expedite upskilling and cross-skilling."GCC healthcare workforce initiativesLooking specifically at the Gulf countries, the Kingdom of Saudi Arabia is set to pave the way for digital transformation through its national Vision 2030 project, primarily by enabling the culture of innovation in the work environment.On the national strategies currently being rolled-out in the Saudi digital health industry, ElHassan said. "I witnessed with admiration the great work done by CCHI in preparing the next generation of Saudi Medical Coders through a fruitful partnership with key players in the RCM market in addition to local and international HIM professionals' associations." "I can't also ignore the great initiative that SCHCS is contemplating in collaboration with a group of top eHealth educators and professionals to develop the Saudi Health Informatics competency-based framework," adds ElHassan.Across the globe, many countries are fast-tracking digital transformation as a national priority, as it continues to play a fundamental role in shaping the way governments are adapting to new opportunities and models of healthcare.According to a Deloitte report on national transformation in the Middle East, GCC countries are making the move to build on international best practice and leverage opportunities to transform buy viagra online no prescription into digital models, setting a strong example for the delivery of innovative services.

"The workforce development initiatives in the Kingdom are actually setting examples for other countries, especially in the MENA and GCC regions," concedes ElHassan."Notwithstanding the great achievements in recent years on empowering young and highly educated talents in general and females in particular to steer the remarkable digital health transformation wave, the current status of non-for-profit workforce development initiatives, still leaves rooms for improvements."I think that we should learn from interesting international experiments such as the NHS Digital Academy in the UK and the certification programs developed by HISA in Australia."You can find out more about the HIMSS &. Health 2.0 Middle East Conference and learn more about the latest buy viagra online no prescription news and developments from the event here.Today the UK government has announced the awardees of the Turing AI Acceleration Fellowships. The 15 Fellows, whose projects encompass a spectrum of AI innovations across science and engineering, will benefit from £20 million of government funding in a bid to “equip the next generation of Alan Turings with the tools that will keep the UK at the forefront of this remarkable technological innovation,” says Science Minister Amanda Solloway.WHY IT MATTERS HIMSS20 Digital Learn on-demand, earn credit, find products and solutions. Get Started buy viagra online no prescription >>. The Fellowships are intended to provide elected Fellows with the necessary resources to accelerate the research and development of their innovative AI projects, in order to scale market uptake, address some of today’s most pressing challenges and cement the UK’s position as a world-leader in AI.The scheme is funded jointly by Engineering and Physical Sciences Research Council (EPSRC) on behalf of UK Research and Innovation (UKRI), The Alan Turing Institute, Department for Business, Energy and Industrial Strategy (BEIS) and the Office for Artificial Intelligence.The 15 Fellows will be funded for five years and will join the five Turing AI Fellows that were announced in 2019 and the winners of the Turing AI World-Leading Researcher Fellowships, to be announced in 2021.

They include buy viagra online no prescription Prof. Christopher Yao, who will use a combination of AI and genomics to anticipate the development of cancers before they are fully formed, potentially informing personalised care plans and enabling earlier and more effective treatment.The full list of Fellows is as follows. Professor Damien Coyle, University of Ulster – AI for Intelligent Neurotechnology and Human-Machine SymbiosisDr Jeff Dalton, University of Glasgow – Neural Conversational Information Seeking AssistantDr Theo Damoulas, University of Warwick – Machine Learning Foundations of Digital TwinsProfessor Aldo Faisal, Imperial College – Reinforcement Learning for HealthcareProfessor Yulan He, University of Warwick – Event-Centric Framework for Natural Language UnderstandingDr Jose Miguel Hernandez Lobato, University of Cambridge – Machine Learning for Molecular DesignDr Antonio Hurtado, University of Strathclyde – PHOTONics for Ultrafast Artificial IntelligenceDr Per Lehre, University of Birmingham – Rigorous Time-Complexity Analysis of Co-evolutionary AlgorithmsProfessor Giovanni Montana, University of Warwick – Advancing Multi-Agent Deep Reinforcement Learning for Sequential Decision Making in Real-World ApplicationsDr Christopher Nemeth, Lancaster University buy viagra online no prescription. Probabilistic Algorithms for Scalable and Computable Approaches to Learning (PASCAL)Dr Raul Santos-Rodriguez, University of Bristol - Interactive Annotations in AIDr Sebastian Stein, University of Southampton – Citizen-Centric AI SystemsDr Ivan Tyukin, University of Leicester – Adaptive, Robust and Resilient AI Systems for the FuturEDr Adrian Weller, University of Cambridge - Trustworthy Machine LearningProfessor Christopher Yau, The University of Manchester – clinAIcan – Developing Clinical Applications of Artificial Intelligence for CancerTHE LARGER TRENDThis new round of investment follows the UK government’s recent commitment to supporting and progressing AI skills and research, including courses to train the next generation of AI frontrunners. It is part of a buy viagra online no prescription wider scheme of R&D support.It is in keeping with the increased support of AI in healthcare.

Research has shown that, as erectile dysfunction treatment pushed AI more into the mainstream, the health industry has more confidence in it as an investment buy viagra online no prescription opportunity and has predicted it will be more readily adopted moving forward.ON THE RECORDEPSRC Executive Chair Professor Dame Lynn Gladden said. €œThe Turing AI Acceleration Fellowships will support some of our leading researchers to progress their careers and develop ground-breaking AI technologies with societal impact. By enhancing collaboration between academia and industry buy viagra online no prescription and accelerating these transformative technologies they will help to maintain and build on the UK’s position as a world leader in AI.” Professor Yau commented. "I am very excited to have been awarded this Fellowship which will enable me to conduct ground-breaking research at the intersection of genomics and artificial intelligence. Genomics will yield unprecedented amounts of data which necessitate the use of AI for buy viagra online no prescription their interpretation.

I will be developing novel clinical information systems to provide cancer patients and clinicians with the very best genomics-guided personalised care to improve treatment effectiveness and survival rates. I am especially pleased to be working with a range buy viagra online no prescription of project partners, including Ovarian Cancer Action, to ensure that my research is conducted in partnership with patients."PHARMACEUTICAL STRATEGY FOR EUROPE ANNOUNCED The European Commission has adopted a Pharmaceutical Strategy for Europe to ensure patients have access to innovative and cost-effective medicines in the ever-changing healthcare landscape.The strategy aims to support the capacity and sustainability of the EU's pharmaceutical needs in times of crisis, through robust supply chains.As part of ensuring that the EU's pharmaceutical policy continues to serve public health through scientific and commercial transformations, it will aim to also support patient-centred innovations and accommodate digital and technological change. Amongst the flagship actions of the strategy, the creation of a robust digital infrastructure, including a proposal for a European Health Data Space (target date for a proposal. 2021), was highlighted as an area buy viagra online no prescription of focus.NORTH WEST TRUSTS TO PIONEER NEW APPROACH TO STAFFING An NHS temporary staffing initiative led by St Helens and Knowsley Teaching Hospitals NHS trust, will see the creation of a North West Doctors in Training Collaborative Staff Bank.The new bank will enable up to 35 trusts in the region to reduce reliance on agencies and instead broadcast shifts to the 5,500 clinical trainees already working within the North West’s network of hospitals. These clinicians will be able to e-passport their credentials between participating trusts, enabling staff to be rapidly redeployed in line with need.The Collaborative Staff Bank will act as a secondary bank for participating hospitals, allowing them to broadcast shifts they’ve been unable to fill through their own primary hospital bank.

This additional ‘staffing safety net’ will help reduce spend on external locum agencies and minimise the administrative burden for NHS teams and clinicians.TARA DONNELLY CONFIRMED AS NHSX CHIEF DIGITAL OFFICER Following an external recruitment process, Tara Donnelly has been confirmed as NHX's chief digital officer.Following the departure of Juliet Bauer, Donnelly was appointed as interim chief digital officer (CDO) at NHS England in January 2019.The role then moved across to NHSX, where she helped set it up in buy viagra online no prescription April 2019 and has since led the adoption and scale of innovation in health and care.In an email confirming her appointment, seen by Digital Health News, NHSX chief executive Matthew Gould said Donnelly is “leading to drive remote monitoring has the potential to be genuinely transformative”. RSCI AND BD EXPAND PAEDIATRIC SURGERY IN MALAWIThe RCSI Institute of Global Surgery and global medical technology company, BD (Becton, Dickinson and Company) (BD) announced KidSURG, a joint initiative aimed at improving paediatric surgical services across Southern Malawi.Created in collaboration with Malawian paediatric surgeon, Professor Eric Borgstein, the KidSURG initiative will develop a paediatric surgical network in Southern Malawi, to expand surgical access to 8 million children.The KidSURG initiative will train healthcare workers to deliver pre-referral care for complex paediatric surgical patients, and deliver safe surgery for some of the most common surgical procedures needed by children.BD has donated $500K (€419K) in cash and surgical products to support the initiative.SUPERDRUG LAUNCHES MENTAL HEALTH SERVICE APPUK health and beauty retailer, Superdrug has announced the launch of a doctor-led mental health consultation app with the aim of helping people receive access to mental health support. MindCare from Superdrug Online Doctor offers people video consultation where buy viagra online no prescription they can confidentially discuss their mental health and a doctor can help guide them to support that matches their needs. Through the app consultation, the doctor is able to suggest therapies that will help with a person’s condition such as Cognitive Behavioural Therapy (CBT), as well as providing private referrals if needed.In the app, Superdrug is also signposting to two emotional support charities, Shout and Samaritans, to provide free support for anyone who is struggling to cope.ALCIDION EXPANDS PARTNERSHIP WITH NEXTGATE TO UK buy viagra online no prescription MARKET Australian smart health tech provider, Alcidion has announced an expansion of its reseller agreement with NextGate to include the UK and Ireland.Following a successful two-year relationship which started in 2018, this agreement has now been extended to also include the UK and Ireland.The expansion of the agreement to the UK and Ireland will further strengthen Alcidion’s ability to support NHS trusts, health boards and region-wide integrated care systems.The news follows the Alcidion’s formal launch this summer of its Miya Precision product as the first smart clinical asset for the NHS. HAMPSHIRE COUNTY COUNCIL SELECTS SERVELEC Hampshire County Council has selected Servelec's Mosaic case management software, for children’s social care.

In addition, the Council will use Servelec’s Conexes, a cloud-based interoperability platform, to enable Mosaic to interface with other systems.Hampshire County Council stated they wanted a children’s social care case management system that was "flexible, adaptable and forward-looking."Mosaic’s intuitive workflow means social workers are guided through the necessary processes, helping to ensure they are equipped to flag issues and make the right decisions for children at the right time.Social workers will also be able to get buy viagra online no prescription a joined-up view of each young person’s situation and their environment because Conexes will enable Mosaic to talk to other systems to pull together key information.Saudi Arabia’s International Medical Center (IMC) has become the latest healthcare entity in the Middle East &. North Africa (MENA) region to adopt InterSystems TrakCare. The multidisciplinary healthcare provider – known as the first member of the Mayo Clinic Care buy viagra online no prescription Network in the Kingdom – will implement the TrakCare electronic medical record (EMR) system in its Jeddah hospital and clinics. They include IMC Hospital, Petro Rabigh Clinic, The First Clinic, Tadawi Center, and First Scan.“Today, most private healthcare organisations are looking at adopting the latest healthcare technology solutions because they know that this investment will help them to provide safer, faster, and more efficient care,” said InterSystems regional managing director, Michel Amous. €œAs a leading private hospital in Saudi, IMC is paving the way for more private hospitals in the Kingdom to adopt cloud-hosted EMR solutions such as TrakCare as a service which will empower them to achieve their goals without making major capital expenditures.”Ali Abi Raad, country manager buy viagra online no prescription for the Middle East and India at InterSystems added.

€œWe are expanding our footprint across Saudi Arabia and by way of this strategic partnership. We are excited to support IMC, the nation’s leading private hospital, in building a robust healthcare information system for advanced care delivery and enhanced patient experience.” HIMSS20 Digital buy viagra online no prescription Learn on-demand, earn credit, find products and solutions. Get Started >>. THE LARGER CONTEXTElaborating on the reason for adopting the EMR system, IMC’s chief information officer, Muhammad Siddiqui stated buy viagra online no prescription that “TrakCare in IMC will integrate all our clinical, administrative and financial data within the same application. Especially the comprehensive Revenue Cycle Management module which will prove to be a game changer in automating many operational processes.”He continued.

€œAlso, our buy viagra online no prescription decision is to ensure that all standard workflows are incorporated which shall complement the current and all future regulatory compliance requirements for IMC. Recently, awarded with CHIMEs most wired hospital, scoring a buy viagra online no prescription whopping level 9 is a feather in the cap for IMC as we are the only hospital outside the US to have achieved this feat. €œChoosing TrakCare will further complement IMC and will help achieve further healthcare accreditations like HIMSS stage 7.”In a statement, IMC added that its partnership with InterSystems underpins the company’s “commitment to align with the Saudi Vision 2030 and provide world class healthcare services to patients through tech innovations and digitisation.” Additionally, it stated that it has become the first healthcare provider in the Kingdom to implement TrakCare’s cloud-hosted version.Meanwhile, InterSystems has revealed that TrakCare has recently optimised user experience by adding a mobile, touchscreen-enabled user interface, as well as “other enhancements”.ON THE RECORD“IMC is entering into a strategic partnership with InterSystems which will strike a perfect balance between the core human traits like empathy, mercy, teamwork, with technology advancements. This will enhance the patient care abilities of our farmers and buy viagra online no prescription greatly improve the patient experience,” said Walid Fitahi, CEO and chairman of IMC. €œThe strategic decision to have a distributed environment hosting EMR for IMC would be a benchmark supporting the Kingdom's cloud-first strategy.

Overall, we are happy to be partnering with InterSystems.”Khalid Alem, deputy CEO of IMC buy viagra online no prescription added. €œThe partnership with InterSystems, a Tier1, Best in KLAS awarded EMR, serves as a significant milestone and is aligned with our strategic mission of providing global standard of care to IMC patients while enhancing both caregivers’ and patients’ experience.”Other MENA healthcare providers to sign an agreement with InterSystems this year include the UAE’s Pure Health and Medcare Hospitals.InterSystems will have a presence at the inaugural HIMSS &. Health 2.0 Middle East Digital Event 2020, running 29 November to 2 December 2020.Like the rest of the world during the viagra, healthcare organisations in Saudi Arabia are no longer centralised, but are now spread across remote work settings, making them vulnerable to varied threats from unsuitable hardware and buy viagra online no prescription non-firewalled systems. This has been in tandem with Saudi Arabia's national strategy for digital transformation that has incorporated five-year goals for which three executive plans were drawn from 2006 until 2022, with digital health as one of its core components. Although strategies have been put in place to launch and fortify technologies such as user data collection, augmented reality and telehealth, questions around adequate protection for evolving cybersecurity threats posed to these technologies buy viagra online no prescription has certainly become a needed conversation in the current climate.

Dr Saif Abed, founding partner and director of cybersecurity advisory services at AbedGraham explains how he thinks Saudia Arabia's strong investment in digitalisation has raised awareness around cyber-attacks. "Any time a significant investment buy viagra online no prescription is made to accelerate digital transformation you have to consider both benefits and risks associated with it. The strong track record of investment across the Middle East has clearly been successful when it comes to enhancing digital maturity and this now places the region in a strong position to make investments across people, processes and technology that can preserve patient safety and clinical services."At a time when the rest of the world is suffering from terrible cyber-attacks on healthcare and life sciences facilities, the Middle East has a strong foundation to counter this moving forward through increased awareness and action."Dr Abed will be moderating the 'Cybersecurity and Incident Response Masterclass' at the HIMSS &. Health 2.0 Middle East Conference on 1 December.Global cybersecurity lessonsLooking buy viagra online no prescription globally at other regions and countries, there has been a rise in cyber-attacks since the viagra began, particularly in healthcare, with ransomware attacks targeting hospitals and research facilities. According to a statement issued by global technology company Acronis, cybercriminals “will target the government agencies, healthcare facilities and medical professionals treating patients during the erectile dysfunction treatment crisis,” after it found a surge in ransomware detections in Europe by up to seven per cent in the last week of February 2020, followed by a 10% increase the week after.Global attitudes and action towards cybersecurity prevention has highlighted areas we can learn from in regards to successful approaches to cyber-attacks buy viagra online no prescription.

"Globally, we must always be learning from one other irrespective of the region since we all have the same goal of preventing patient harm."Particularly interesting areas that I think the Middle East is in a position to learn more about, based on developments in the US and UK, include how to address medical IoT security and clinical risk analysis respectively," explains Abed."There are many emerging regulations, advisory statements and technologies in the market that are addressing medical IoT which the Middle East can act on. In terms of clinical risk analysis of network threats and vulnerabilities, this is an exciting emerging area that can turbocharge risk management for CISOs, CIOs and CMIOs across their organisations," adds buy viagra online no prescription Abed.Digital maturity outgrowing security maturity The rapid growth of digital maturity outgrowing security maturity during the viagra has also been an area of concern for many healthcare organisations. "This is something I coined in a graphic I call the’ Healthcare Maturity Paradox’," said Abed."Essentially, when digital maturity increases it’s normally not matched by an equal investment in security maturity and the gaps between these two areas, or lines on a chart, is what makes healthcare organisations attractive targets for attackers. I call that the ‘Attacker’s Arbitrage Opportunity’."The best way to address this is to always ensure that as part of an investment in a digital project that there is a baseline risk assessment conducted that captures clinical, organisational, buy viagra online no prescription financial and reputational damage risks and that investments are made based on this in people, processes and technology to preserve the security posture of a digital transformation initiative."Resources and raising awarenessMultiple resources are now available not just for technical members of the team but other staff members across the healthcare organisations to prevent ransomware attacks and to raise awareness around the topic. "We’re fortunate today to have more resources than ever before when it comes to cybersecurity," notes Abed.

"HIMSS of course provides a treasure buy viagra online no prescription trove of resources in this area. There are also a range of agencies that such as the EU Cybersecurity Agency, MITRE and the FDA that provide great information that is increasingly accessible at a non-technical level. Other than that the best resource is often your peer group so regional meetings and conferences are a great way to raise awareness buy viagra online no prescription and share best practice."Furthermore, as awareness and education on the topic grows, cybersecurity in healthcare will also need to consequently evolve. "Firstly, healthcare organisations over time are going to have greater transparency of what’s on their network, because you can’t control what you don’t know about."Secondly, cybersecurity will stop being a technical subject and instead will be seen through the lens of patient safety and measurable business outcomes. That means more proactive and constructive engagement with non-technical senior stakeholders," concludes Abed.You buy viagra online no prescription can find out more about the HIMSS &.

Health 2.0 Middle East Conference and learn more about the latest news and developments from the event here..

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While loss is difficult during any time, this holiday viagra porn season is especially difficult given other losses people are experiencing due to the viagra like the loss of a job, change in residence, changes in close Kamagra oral jelly buy relationships or negative changes in one’s financial status. Additional challenges presented by societal unrest and the state of the economy also have the potential for making coping difficult.“Any change involving loss includes a grieving process,” said Michelle Lucchesi, M.A., L.L.P., therapist, MidMichigan Medical Center – Gratiot, Psychiatric viagra porn Partial Hospitalization Program. €œThere is a process of grief through which one progresses, though it has many variations. If the viagra porn grief process is acknowledged and prepared for, healthy grieving can take place even during the holiday season.”Usually the grief process begins with a period of shock. This is especially true when the loss is sudden and unexpected.

During this viagra porn stage a person may experience denial, outbursts or numbness. It is one’s minds saying ‘I can’t believe this happened.’Once the reality of the loss is recognized, a protest stage follows. During this stage one may experience strong emotions of anger or guilt but also physical symptoms like viagra porn nausea, loss of appetite, weakness or exhaustion. Social symptoms like withdrawal can also occur. During this stage, viagra porn one’s mind and body says ‘I don’t like that this happened!.

€™ To get through this stage in a healthy way, memories and pain must be allowed to be experienced and acknowledged which can be very difficult. Many people resist this stage.After the protest stage, one advances to disorganization viagra porn then reorganization when learning how to live with and adapt to the change occurs. Common during these stages are confusion, depression, restlessness and apathy before eventually beginning to explore new patterns of behavior, new interests and new skills.The last, welcomed stage is recovery when one becomes able to reconnect with those around them and invest energy into viagra porn relationships and activities again. At this stage, planning for the future returns.“Whatever stage of grief one is experiencing, there is often additional anxiety over how to cope with or “get through” the holidays,” adds Lucchesi. €œThis may be especially true if family has decided to forego a viagra porn large gathering for safety reasons.

Being alone for the holidays may feel like a relief for some grieving people, but presents certain risks as far as becoming stuck in one of the stages of the grieving process.” Here are some ideas for coping with grief during the holidays. Phone a friend or plan safe, viagra porn individual visits. It’s always safe to use the phone and with proper precautions, individual visits are less risky. When feeling lonely and missing the loved viagra porn one lost, one should pick up the phone and call a close friend or family to talk through their feelings. Perhaps even make a point of calling those one may have seen at the larger holiday gatherings in years past.

Get out viagra porn of the house. Even if it takes extra effort, get out of the house for safe activities such as taking a drive or walk. Be sure viagra porn to follow social distancing recommendation and get the fresh air and exercise that helps reduce feelings of isolation.Tell the story. It’s helpful to reminisce about the person viagra porn who is no longer present. Share a video or phone call and tell about a favorite memory or experience shared.

This can also be done by journaling or writing a letter.See a need - meet a viagra porn need. Honor the person by making a donation to a special cause or agency in their name. Perform special acts of kindness or send notes or letters to friends who may be in need viagra porn of encouragement, dedicating the acts to the loved one’s memory. When safe to do so, volunteer. Cry.

Giving oneself permission to cry, to physically grieve the loss of the loved one helps continue moving the grieving process along and assists in avoiding bottling up feelings. It also permits others an opportunity to share in the grieving process.Make the most of the moment. Stay focused on the “here and now.” It is okay to smile while living in a moment and showing enjoyment in the occasion.Laugh as much as possible. Just as permission to cry is appropriate during grief, so is permission to laugh. Even if forced, laughing has physical benefits such as aerobic workout for the diaphragm, increased oxygen intake, belly muscle relaxation, reduction of stress hormones, blood pressure and pain through the release of endorphins.Acknowledge the loss.

Do something special for remembrance. There may be a special candle, a personalized tree ornament, setting a place at the table or putting photos in special places throughout the home.Strike a balance. Grief is a balance between being in the past and being in the present. Allow time for both, to remember and then to move forward into a new chapter of life. Say no.

If feeling overwhelmed by the responsibilities of buying gifts, mailing cards and family obligations, it is acceptable to say “no thank you”, especially when concerned about safety issues. When limits are being tested by holiday stress, take a step back and reprioritize.Seek professional help. Having a neutral person who is not emotionally involved to talk to, such as a counselor or therapist, can be very beneficial. A professional will provide various coping strategies to help get through the holiday season and beyond. This may be in the form of outpatient counseling or, for more serious needs, intensive day programs.

The PHP program accepts voluntary self-referrals, community or physician referral. Those interested in referral information or details on insurance coverage may call the Psychiatric Partial Hospitalization program at (989) 466-3253. Those interested in more information on MidMichigan’s comprehensive behavioral health programs may visit www.midmichigan.org/mentalhealth.Adapted by Michelle Lucchesi, M.A., L.L.P. From an article by Elizabeth Christiansen, L.M.S.W.Jeffrey Holmes, M.D. Receiving the first erectile dysfunction treatment at MidMichigan Medical Center - Gratiot.Thursday marked a milestone, a new chapter of hope, when the erectile dysfunction treatment was delivered to MidMichigan Medical Center – Gratiot.

The treatment was transported to Gratiot Thursday morning by members of MidMichigan Health’s vaccination team. The Gratiot treatments were 54 of 2,925 doses of the Pfizer treatment that were received at MidMichigan Medical Center – Midland by UPS truck on Wednesday morning.The first Gratiot team member to receive the treatment was Family Medicine Physician Jeffrey Holmes, M.D. When asked what receiving the treatment meant to him, he stated, “When I told my family about my appointment for getting the treatment, I was surprised how thrilled they were. My 30 year old daughter cried out of relief. They all recognize the toll this viagra has taken from all who have worked so hard to keep patients alive, as well as me personally.”Dr.

Holmes continued, “It has been my honor to have been of service to my community during this viagra, and it is the crisis for our century to arise and meet this challenge. I’ve had the opportunity to actually make a huge difference to my patients, and our office has helped lead the community in fighting this disease. This treatment provides protection for me, my family and my staff to meet that hope. Winston Churchill, addressing parliament after Allied success, said that ‘it wasn’t the beginning of the end, but maybe the end of the beginning.’ I hope for the former, but am concerned it may be only the latter if we as a country do not fully vaccinate. We need to do it not for ourselves, but vaccinate for our friends, our neighbors, our country.”Following Dr.

Holmes’ vaccination, additional employees and providers received the treatment. The clinic was just one of several held at MidMichigan’s Medical Center locations in Alpena, Clare, Gladwin, Midland, Mt. Pleasant and West Branch. Those first receiving the treatment will include employees from the health system’s Emergency Departments, ICU, EMS, medical and erectile dysfunction treatment floors. In the coming weeks additional employee groups will be vaccinated based on the health system’s prioritization process.“Our biggest goal with the treatment is to encourage as many people to receive the treatment so that we can help to end this viagra,” said Lydia Watson, M.D., chief medical officer and senior vice president, MidMichigan Health.

€œWe believe in the treatment and the science behind it. We encourage our communities to educate themselves about the treatment and how it will help us to fight erectile dysfunction treatment. We recommend getting the treatment when it is offered to you.”Those interested in learning more about the erectile dysfunction treatment may visit www.midmichigan.org/erectile dysfunction treatmenttreatment..

While loss is difficult during any time, this holiday season is especially difficult given other losses people are experiencing due buy viagra online no prescription to the viagra like the loss of a job, change in residence, changes in close relationships or negative changes in one’s financial status. Additional challenges presented by societal unrest and the state buy viagra online no prescription of the economy also have the potential for making coping difficult.“Any change involving loss includes a grieving process,” said Michelle Lucchesi, M.A., L.L.P., therapist, MidMichigan Medical Center – Gratiot, Psychiatric Partial Hospitalization Program. €œThere is a process of grief through which one progresses, though it has many variations. If the grief process is acknowledged and prepared for, healthy grieving can take place even during the holiday season.”Usually the grief process begins with buy viagra online no prescription a period of shock. This is especially true when the loss is sudden and unexpected.

During this buy viagra online no prescription stage a person may experience denial, outbursts or numbness. It is one’s minds saying ‘I can’t believe this happened.’Once the reality of the loss is recognized, a protest stage follows. During this stage one may experience strong emotions of anger or guilt but buy viagra online no prescription also physical symptoms like nausea, loss of appetite, weakness or exhaustion. Social symptoms like withdrawal can also occur. During this stage, one’s mind buy viagra online no prescription and body says ‘I don’t like that this happened!.

€™ To get through this stage in a healthy way, memories and pain must be allowed to be experienced and acknowledged which can be very difficult. Many people resist this buy viagra online no prescription stage.After the protest stage, one advances to disorganization then reorganization when learning how to live with and adapt to the change occurs. Common during these stages are confusion, depression, restlessness and apathy before eventually beginning to explore new patterns of behavior, new interests and new skills.The last, welcomed stage is buy viagra online no prescription recovery when one becomes able to reconnect with those around them and invest energy into relationships and activities again. At this stage, planning for the future returns.“Whatever stage of grief one is experiencing, there is often additional anxiety over how to cope with or “get through” the holidays,” adds Lucchesi. €œThis may be especially true if family buy viagra online no prescription has decided to forego a large gathering for safety reasons.

Being alone for the holidays may feel like a relief for some grieving people, but presents certain risks as far as becoming stuck in one of the stages of the grieving process.” Here are some ideas for coping with grief during the holidays. Phone a friend or buy viagra online no prescription plan safe, individual visits. It’s always safe to use the phone and with proper precautions, individual visits are less risky. When feeling lonely and buy viagra online no prescription missing the loved one lost, one should pick up the phone and call a close friend or family to talk through their feelings. Perhaps even make a point of calling those one may have seen at the larger holiday gatherings in years past.

Get out buy viagra online no prescription of the house. Even if it takes extra effort, get out of the house for safe activities such as taking a drive or walk. Be sure to follow social distancing recommendation and get the fresh air and exercise that helps reduce feelings buy viagra online no prescription of isolation.Tell the story. It’s helpful to reminisce about the person who is no longer buy viagra online no prescription present. Share a video or phone call and tell about a favorite memory or experience shared.

This can also be done by journaling or writing a letter.See a need buy viagra online no prescription - meet a need. Honor the person by making a donation to a special cause or agency in their name. Perform special acts of buy viagra online no prescription kindness or send notes or letters to friends who may be in need of encouragement, dedicating the acts to the loved one’s memory. When safe to do so, volunteer. Cry.

Giving oneself permission to cry, to physically grieve the loss of the loved one helps continue moving the grieving process along and assists in avoiding bottling up feelings. It also permits others an opportunity to share in the grieving process.Make the most of the moment. Stay focused on the “here and now.” It is okay to smile while living in a moment and showing enjoyment in the occasion.Laugh as much as possible. Just as permission to cry is appropriate during grief, so is permission to laugh. Even if forced, laughing has physical benefits such as aerobic workout for the diaphragm, increased oxygen intake, belly muscle relaxation, reduction of stress hormones, blood pressure and pain through the release of endorphins.Acknowledge the loss.

Do something special for remembrance. There may be a special candle, a personalized tree ornament, setting a place at the table or putting photos in special places throughout the home.Strike a balance. Grief is a balance between being in the past and being in the present. Allow time for both, to remember and then to move forward into a new chapter of life. Say no.

If feeling overwhelmed by the responsibilities of buying gifts, mailing cards and family obligations, it is acceptable to say “no thank you”, especially when concerned about safety issues. When limits are being tested by holiday stress, take a step back and reprioritize.Seek professional help. Having a neutral person who is not emotionally involved to talk to, such as a counselor or therapist, can be very beneficial. A professional will provide various coping strategies to help get through the holiday season and beyond. This may be in the form of outpatient counseling or, for more serious needs, intensive day programs.

The PHP program accepts voluntary self-referrals, community or physician referral. Those interested in referral information or details on insurance coverage may call the Psychiatric Partial Hospitalization program at (989) 466-3253. Those interested in more information on MidMichigan’s comprehensive behavioral health programs may visit www.midmichigan.org/mentalhealth.Adapted by Michelle Lucchesi, M.A., L.L.P. From an article by Elizabeth Christiansen, L.M.S.W.Jeffrey Holmes, M.D. Receiving the first erectile dysfunction treatment at MidMichigan Medical Center - Gratiot.Thursday marked a milestone, a new chapter of hope, when the erectile dysfunction treatment was delivered to MidMichigan Medical Center – Gratiot.

The treatment was transported to Gratiot Thursday morning by members of MidMichigan Health’s vaccination team. The Gratiot treatments were 54 of 2,925 doses of the Pfizer treatment that were received at MidMichigan Medical Center – Midland by UPS truck on Wednesday morning.The first Gratiot team member to receive the treatment was Family Medicine Physician Jeffrey Holmes, M.D. When asked what receiving the treatment meant to him, he stated, “When I told my family about my appointment for getting the treatment, I was surprised how thrilled they were. My 30 year old daughter cried out of relief. They all recognize the toll this viagra has taken from all who have worked so hard to keep patients alive, as well as me personally.”Dr.

Holmes continued, “It has been my honor to have been of service to my community during this viagra, and it is the crisis for our century to arise and meet this challenge. I’ve had the opportunity to actually make a huge difference to my patients, and our office has helped lead the community in fighting this disease. This treatment provides protection for me, my family and my staff to meet that hope. Winston Churchill, addressing parliament after Allied success, said that ‘it wasn’t the beginning of the end, but maybe the end of the beginning.’ I hope for the former, but am concerned it may be only the latter if we as a country do not fully vaccinate. We need to do it not for ourselves, but vaccinate for our friends, our neighbors, our country.”Following Dr.

Holmes’ vaccination, additional employees and providers received the treatment. The clinic was just one of several held at MidMichigan’s Medical Center locations in Alpena, Clare, Gladwin, Midland, Mt. Pleasant and West Branch. Those first receiving the treatment will include employees from the health system’s Emergency Departments, ICU, EMS, medical and erectile dysfunction treatment floors. In the coming weeks additional employee groups will be vaccinated based on the health system’s prioritization process.“Our biggest goal with the treatment is to encourage as many people to receive the treatment so that we can help to end this viagra,” said Lydia Watson, M.D., chief medical officer and senior vice president, MidMichigan Health.

€œWe believe in the treatment and the science behind it. We encourage our communities to educate themselves about the treatment and how it will help us to fight erectile dysfunction treatment. We recommend getting the treatment when it is offered to you.”Those interested in learning more about the erectile dysfunction treatment may visit www.midmichigan.org/erectile dysfunction treatmenttreatment..