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Here's why 3 rural Wisconsin hospitals are deemed 'at-risk' of closing
Three rural hospitals in Wisconsin are defined as "at-risk" of closing, according to a reputable center for health services research. The list of the rural hospitals from each state was released after U.S. senators requested the information from the center and then attached it in a letter to President Donald Trump, among others. Here are the hospitals named in Wisconsin and why they are in the limelight. A rural hospital is labeled as at risk when it meets one or both of two criteria, according to the documents: the hospital is in the top 10% Medicaid payer mix of rural hospitals across the country, and that the hospital has experienced three consecutive years of negative total margin. Here are the three hospitals deemed at-risk in Wisconsin: Holy Family Memorial MCHS Oakridge Aspirus Stanley Hospital More: Meet Dr. Dolly Paw-ton: Facility dog helps patients at Marshfield Children's Hospital The Cecil G. Sheps Center for Health Services Research is part of the University of North Carolina at Chapel Hill. The center, according to their site, seeks to improve the health of individuals, families, and populations by understanding the problems, issues, and alternatives in the design and delivery of health care services. More: Manitowoc's Aurora Medical Center earns 4th straight 'Rural and Community Health' honor U.S. Sens Edward J. Markey, Ron Wyden, Jeffrey A. Merkley, and Charles E. Schumer wrote to President Trump, Majority Leader John Thune, and Speaker of the House Mike Johnson in response to the reconciliation package that ultimately Trump signed on the Fourth of July. They sent the letter on June 12. The senators argued that the health care cuts could impact vulnerable, rural hospitals. "Enacting these drastic health care cuts that will kick millions of people off their health insurance coverage, rural hospitals will not get paid for the services they are required by law to provide to patients," authors wrote, adding that the hospitals will face "deeper financial strain that could lead to negative health outcomes for the communities they serve." More: Derrick Van Orden claims credit for Wisconsin's extra Medicaid dollars after voting to cut the program The bill, now signed into law, is projected to cut $1 trillion mostly from Medicaid and Affordable Care Act insurance plans and eliminate insurance coverage for 11.8 million people over the next decade, according to the nonpartisan Congressional Budget Office, as reported by USA Today. About one in five Wisconsinites are covered by Medicaid. Tom Ackerman covers breaking news and trending news along with general news for the Springfield State Journal-Register. He can be reached at tackerman@ This article originally appeared on State Journal-Register: Cuts to Medicaid could lead to 3 Wisconsin hospitals closing
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UnitedHealth's Quiet Profit Boost Under The Scanner
According to Bloomberg, UnitedHealth (NYSE:UNH) quietly sold stakes in its business units to generate an extra $3.3 billion in profit last year, preserving its 60-quarter streak of earnings beats, padding profits in the process. The insurer struck deals with private equity firms like Warburg Pincus and KKR that included clauses to buy back those stakes at a premium. Most of the gains showed up in the fourth quarter and slipped into its annual report with little fanfare. Warning! GuruFocus has detected 8 Warning Signs with KKR. That maneuver helped offset rising medical costs and prevented UnitedHealth from missing its first quarterly beat in over 15 years. It also highlights the lengths companies will go to meet Wall Street's expectations. Investors and regulators will be watching UnitedHealth's next results closely to see if this becomes a regular play or draws tougher scrutiny. This article first appeared on GuruFocus. Error in retrieving data Sign in to access your portfolio Error in retrieving data Error in retrieving data Error in retrieving data Error in retrieving data
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How to Start Working Out in the Morning—Even If You're Not a Morning Person
Just as the best type of exercise is the one that you actually enjoy doing, ultimately, the best time to exercise—whether that's afternoon, evening, or morning—is whenever works best with your schedule and lifestyle. Because let's be honest, figuring out how to start working out is hard enough without having to rework your entire routine. That said, if you've been wondering if there's one time of day that's best for exercising, there are some undeniable pros of working out in the morning. Surveys show that you're more likely to stick with a morning workout or exercise program than one later in the day, when you'll likely be distracted by other responsibilities or have time to come up with excuses to skip your fitness session. Research has also found that exercise can help improve mood and sense of well-being by increasing feel-good neurotransmitters like endorphins, epinephrine, norepinephrine, and dopamine. Physical activity also been shown to boost cognitive functioning like memory, attention, concentration, and learning. Needless to say, a sweat session is a great way to begin each day, especially before work or school when you want to be in top mental form. Morning workouts can also help you beat the heat of summer. And if you're participating in any type of fitness event, start times are almost always in the morning. If you want to compete at your optimal level, it's wise to get used to morning workouts. So how do you start working out in the morning without dreading it? Experts have their favorite tips for turning the morning into your preferred time of day to move. Read up and get ready to set your alarm for a few hours earlier than usual. This should be a no-brainer, but if you don't log the sleep you need, you're not going to feel like getting up in the morning, let alone tackling a morning workout. While you should shoot for seven to eight hours of sleep every night, making the switch overnight isn't easy. That's why Jonathan Jordan, a NASM certified personal trainer personal trainer and nutrition coach in San Francisco, tells his clients to add just 30 minutes at a time to their bedtime routine. So if you're usually in bed around 11 p.m., start making a conscious effort to get in bed at 10:30. "Even if you lie quietly in bed and do a little deep breathing or meditation until you fall asleep, it can help," he says. It's not just the amount of sleep you get that matters—sleep quality is important too. One rule Jordan employs with his clients: Adopt a 30- to 60-minute device blackout period before bed. During this time, abandon your use of phones, computers, and light-emitting devices. "Clients who do this [tend to] sleep better, have more energy, and report less stress, better diet, and even better digestion," he says. Also helpful for ensuring deep, uninterrupted sleep is to make your sleep environment as cool, dark, and quiet as possible. Temperature, ambient light, and ambient noise are all environmental factors that can disrupt a sound night's sleep—but that you do have some control over. How appealing does it sound to wake up (at least) an hour earlier just to work hard? Probably not much. So start small. Could you wake up 15 minutes earlier and squeeze in a quick workout (like this 15-minute stairs workout) or a round of full-body stretches? Probably. Get used to doing this for a week or two before moving your wake-up time up another 15 minutes. Repeat until you're up with enough time to log the exercise you want. Progressing slowly will help you adapt to that earlier wake-up call, says Jennie Gall, former owner of Relevé Pilates Studio in Ripon, Calif. Set out your workout clothes, sneakers, gym bag, and whatever else you need for your morning workout the night before. This is the best way to give your future self a helping hand, save some time in the morning, and avoid forgetting anything—especially if you're a little foggy when you wake up. Leaving your alarm clock next to your bed makes it all too easy to hit the snooze button. But if you place it across the room, you'll be forced to get up to turn it off. The extra benefit of doing this if your smartphone is your alarm is that keeps you far away from your phone all night. You'll sleep better. Permission granted to sip that cup of coffee or tea before exercising. Keep your serving to one 8-ounce cup and avoid tons of add-ins like cane sugar and artificial sweeteners. "In moderation, caffeine is widely recognized and safe for sipping pre-workout," Jordan says. In fact, research even suggests that caffeine can aid fitness performance. Read the original article on Real Simple