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 HelloReturn to index of stories... |
Hello. I'm Richard Ager. Welcome to NH Outlook. |
| Preshow #1 Return to index of stories... |
In this edition. the hidden costs of health care. A new study reveals the impact of cost shifting on New Hampshire patients, hospitals and insurers. |
| Preshow #2 Return to index of stories... |
Plus, prepare to step back in time at Portsmouth's music hall jubilee. Performances of the past for today's audiences. |
| Preshow #3 Return to index of stories... |
And much later, a death in the family. The short life of a UNH student hits close to home here at New Hampshire Public Television. |
| Intro Cost Shifting Return to index of stories... |
A new study of New Hampshire health care finds that private payers are paying a hidden tax when they use hospitals. The New Hampshire Center for Public Policy Studies report found that hospitals are making up for inadequate payments from Medicare and Medicaid by charging other hospital users more money. We'll discuss the report in just a moment. But first, to give you an idea of how cost shifting works, producer Phil Vaughn visited a hospital in Laconia. 125-130 |
| Cost Shifting Return to index of stories... |
Shots of ER Narr 1 - This is the emergency room at LRG Healthcare in Laconia. Some of the patients treated here will not pay for the services they receive. They can't because they don't have the means. Henry 735 "If you show up at an ER, hospitals and physicians are obligated to provide a certain level of service for you." Narr 2 - Henry Lipman works two floors above the ER at LRGHealthcare. He's the hospital's Chief Financial Officer. He knows how much patients pay to get better here and what they don't. Henry 1012 "When someone pays their bill, they think they're paying the whole amount, but in fact, they're often not." Narr 3 - That's because along with the patients who can't pay, there's Medicare and Medicaid. Neither of these programs reimburse hospitals enough to cover their costs. Henry 1138 "The government doesn't want to pay any more than it costs at a federal level and at state level they pay for people that would pay nothing. So they're trying to strike some reasonable balance but as costs rise to terms of salaries, insurance, heating oil, that difference is growing and growing." Narr 4 - The result is cost-shifting. That's how hospitals recover some of their losses from government programs and charity care. They charge private insurance carriers, self-insured businesses and individuals a little extra. In NH last year, that little extra amounted to $200 million dollars according to the NH Center for Public Policy Studies. Henry 855 "The cost shifting that is occurring out there is something that government - both federal and state levels has accelerated by way of the budget crisis that we face." Narr 5 - Medicare and Medicaid reimbursements to hospitals have fallen behind the increasing costs of treating patients enrolled in the programs. A 2002 audit report for LRGHealthcare shows it lost 4.5 million dollars. Henry 2310 - "In the short term, there are needs that like to help the community with but can't. And it's more than the people who lack resources that we're talking about is core needs, how soon can we replace a CAT scan for example. 2355 "We fortunately have not had to compromise like in other parts of the country but what I'm saying is that we're coming dangerously close. We can't keep running year after year in the red." Narr 6 - While cost-shifting may be necessary for some hospitals to stay afloat, the practice may be slowly perpetuating the problem of the rising numbers of uninsured in NH. Henry 2437/3300 "What were seeing now is people have larger insurance payments and larger deductibles - employers are paying more for health insurance and so is the employee. In one of our hospitals we've seen a 50% increase in the number of people paying themselves. That indicates that more companies have stopped offering coverage or offer less generous coverage." Narr 7 - For NH Outlook, I'm Phil Vaughn. |
| Intro Health Summit Return to index of stories... |
According to the report employers, insurers and patients are not aware of the extent of the problem. And this new information is needed to make better choices about health care policy and finance. Those in attendance at a Health Care Summit on Thursday agreed. |
| Intro Music Hall Return to index of stories... |
127 years ago the theater that stood on the site of the current Portsmouth Music Hall burned to the ground. It was rebuilt 2 years later and now is celebrating its 125th Anniversary with a Jubilee celebration on Saturday and Sunday. Chip Neal has the story. |
| Music Hall Return to index of stories... |
Music Hall See some of Play rehearsal Chip VO one of the innovative elements of THE MUSIC HALL'S Jubilee celebration is a restaging of the two plays that ran opening night back in 1878 See some of the play Well, the first one, "John Wopps", or from information I received, is a farce, and it's like, I think it's a Victorian version of the "Honeymooners", really. It's about John Wops, as a policeman, or a peeler as they call him, who likes to eat, and of course Victorian-London policeman were never allowed to eat on duty. So, a lot of the humor stems from the fact that he gets himself into trouble, because he's always eating. And then there's the whole mixup of he thinks his wife is having an affair, but it turns out it's her brother, and the neighbor thinks that he's having an affair with his wife. It's kind of typical, just a lot of fun, a lot of physical comedy. |
| Web Pointer Return to index of stories... |
For more information on this weekend's music hall jubilee and other stories in this program, connect with us on-line at nhptv.org and tell us what's on your mind. You can also find links to resources used in this broadcast. |
| Tomorrow Return to index of stories... |
On the next New Hampshire Outlook - journalists from around the state discuss the week's top stories. |
| Frid Death Return to index of stories... |
Finally, we have some very sad news to report. New Hampshire Public Television has lost a member of the family. Nicholas Frid was the son of NHPTV CEO and General Manager Peter Frid. The 18 year old University of New Hampshire first year student died this morning of an apparent cardiac arrest. Nicholas was a member of the UNH novice crew team. He was warming up for crew practice at Mendum's pond when he collapsed. An autopsy will determine the exact cause of his death. |
| Intro Nicholas Return to index of stories... |
This is a particularly difficult story for us to tell. Nick was known and loved by many here at New Hampshire Public Television as well as the Oyster River community. |
| Nicholas Frid Return to index of stories... |
Track: Nick Frid's was a life well begun. Born in Juneau, Alaska, he came with his family to New Hampshire 8 years ago, when his father Peter became General Manager at NHPTV. Nick was the second of three sons - and a joy to his family. Bite: Frank Windsor tape 00:01:45 He had a very dry sense of humor. He was shy, but not in a shy way and when you got to know him, he was just this bundle of energy and joy and enthusiasm. Track: Nick Frid loved doing many different things and finding adventure where he could, including a trip to Russia where he lived with a Russian family. Soundup: Home video 13:41:12 Italy video - "High on Life"…"We're leaving Vicenza." Track: He joined the NH Youth Chorus and toured Italy with them. The tour's highlight: a performance at the Vatican. Nick commented on one of the drawbacks. Bite: Home video 13:42:00 "Before going on this trip, we had to sign…kinda sucks." 42:14 Track: News of his death hit hard at Oyster River High School, where Nick graduated earlier this year. Still, many had fond memories to share. Lou Mroz recalls Nick… Bite: Oyster River tape ….always having a smile on his face. Perhaps being more mature than the average senior. And I remember him expressing an interest in becoming a vet and as a result of that, his oral presentation was on pet psychology and he just did a great job. You know, I mean he had a fire burning in him and you knew, you knew that whatever he did he would be very successful. Track: One of Nick's greatest successes was in the sport of rowing. As a freshman at UN, he had become a member of the UNH Men's crew. BITE: Coach Cathey tape 19:00 "AS THE YEARS GO ON…HOW WILL THEY REMEMBER HIM? I hope they honor his enjoyment of life and waking up every morning with a smile and working as well as he could. he had a great sense of pride and responsibility and that's what he hoped to carry on.19:37 Soundup: ID Raw tape 5 04:38:03 All right….NH Public Television, keeping you in mind. Track: At NH Public Television, Nick Frid was more than Peter's son - he was a friendly face for our viewers. Bite: Frank Windsor tape 05:22 I don't think that anybody who ever crossed his path will ever forget him. You just won't be able to forget him, no matter how short or how long you were with him., he just made that impression on you. Track: Nicholas Gordon Frid loved life. |
| Goodnight Return to index of stories... |
Good night. |
| Tonight 10:00 Return to index of stories... |
Tonight on New Hampshire Outlook. It's our Friday Edition as journalists from around the state discuss the weeks top stories Join us tonight at 10:00. |
| Tag Music Hall Return to index of stories... |
That celebration happens Saturday and Sunday at the Portsmouth Music Hall for more information go to their web site at www.themusichall.org. |
| key: Health / Healthcare Return to index of stories... |
NEW HAMPSHIRE OUTLOOK Air Date/Time: 10/02/03 22:00 HOST: Richard Ager Length: 16:00 minutes In this edition of New Hampshire Outlook, NHPTV's nightly news magazine, the hidden costs of health care. A new study reveals the impact of cost shifting on New Hampshire patients, hospitals and insurers. Plus, prepare to step back in time at Portsmouth's music hall jubilee. Performances of the past for today's audiences. And much later, a death in the family. The short life of a UNH student hits close to home here at New Hampshire Public Television. A new study of New Hampshire health care finds that private payers are paying a hidden tax when they use hospitals. The New Hampshire Center for Public Policy Studies report found that hospitals are making up for inadequate payments from Medicare and Medicaid by charging other hospital users more money We'll discuss the report in just a moment. But first, to give you an idea of how cost shifting works, producer Phil Vaughn visited a hospital in Laconia. According to the report employers, insurers and patients are not aware of the extent of the problem. And this new information is needed to make better choices about health care policy and finance. Those in attendance at a Health Care Summit on Thursday agreed. Joining us in studio the author of the report, Doug Hall. Doug co-executive director of the New Hampshire Center for Public Policy Studies and Kathy Bizarro the executive vice president of the New Hampshire Hospital Association PRODUCER/REPORTER:Phil Vaughn, Richard Ager NAME OF PARTICIPANTS: Henry Lipman\CFO, LRGHealthcare, Tom Clairmont \CEO, LRG Healthcare, Rep. Rogers Johnson\House Majority Whip, Doug Hall\NH Ctr for Public Policy Studies, Kathy Bizarro\NH Hospital Association |
| key: Consumer Return to index of stories... |
NEW HAMPSHIRE OUTLOOK Air Date/Time: 10/02/03 22:00 HOST: Richard Ager Length: 16:00 minutes In this edition of New Hampshire Outlook, NHPTV's nightly news magazine, the hidden costs of health care. A new study reveals the impact of cost shifting on New Hampshire patients, hospitals and insurers. Plus, prepare to step back in time at Portsmouth's music hall jubilee. Performances of the past for today's audiences. And much later, a death in the family. The short life of a UNH student hits close to home here at New Hampshire Public Television. A new study of New Hampshire health care finds that private payers are paying a hidden tax when they use hospitals. The New Hampshire Center for Public Policy Studies report found that hospitals are making up for inadequate payments from Medicare and Medicaid by charging other hospital users more money We'll discuss the report in just a moment. But first, to give you an idea of how cost shifting works, producer Phil Vaughn visited a hospital in Laconia. According to the report employers, insurers and patients are not aware of the extent of the problem. And this new information is needed to make better choices about health care policy and finance. Those in attendance at a Health Care Summit on Thursday agreed. Joining us in studio the author of the report, Doug Hall. Doug co-executive director of the New Hampshire Center for Public Policy Studies and Kathy Bizarro the executive vice president of the New Hampshire Hospital Association PRODUCER/REPORTER:Phil Vaughn, Richard Ager NAME OF PARTICIPANTS: Henry Lipman\CFO, LRGHealthcare, Tom Clairmont \CEO, LRG Healthcare, Rep. Rogers Johnson\House Majority Whip, Doug Hall\NH Ctr for Public Policy Studies, Kathy Bizarro\NH Hospital Association |
| key: Culture / Arts Return to index of stories... |
NEW HAMPSHIRE OUTLOOK Air Date/Time: 10/02/03 22:00 HOST: Richard Ager Length: 6:00 minutes In this edition of New Hampshire Outlook, NHPTV's nightly news magazine, the hidden costs of health care. A new study reveals the impact of cost shifting on New Hampshire patients, hospitals and insurers. Plus, prepare to step back in time at Portsmouth's music hall jubilee. Performances of the past for today's audiences. And much later, a death in the family. The short life of a UNH student hits close to home here at New Hampshire Public Television. 127 years ago the theater that stood on the site of the current Portsmouth Music Hall burned to the ground. It was rebuilt 2 years later and now is celebrating its 125th Anniversary with a Jubilee celebration on Saturday and Sunday. Chip Neal has the story. PRODUCER/REPORTER:Chip Neal, NAME OF PARTICIPANTS:Genevieve Aichele\Director,Steve Bornstein\Actor, Trevor Bartlett\Music Hall Historian,Jane Forde\Artistic Director |
| key: History Return to index of stories... |
NEW HAMPSHIRE OUTLOOK Air Date/Time: 10/02/03 22:00 HOST: Richard Ager Length: 6:00 minutes In this edition of New Hampshire Outlook, NHPTV's nightly news magazine, the hidden costs of health care. A new study reveals the impact of cost shifting on New Hampshire patients, hospitals and insurers. Plus, prepare to step back in time at Portsmouth's music hall jubilee. Performances of the past for today's audiences. And much later, a death in the family. The short life of a UNH student hits close to home here at New Hampshire Public Television. 127 years ago the theater that stood on the site of the current Portsmouth Music Hall burned to the ground. It was rebuilt 2 years later and now is celebrating its 125th Anniversary with a Jubilee celebration on Saturday and Sunday. Chip Neal has the story. PRODUCER/REPORTER:Chip Neal, NAME OF PARTICIPANTS:Genevieve Aichele\Director,Steve Bornstein\Actor, Trevor Bartlett\Music Hall Historian,Jane Forde\Artistic Director |
| key: Education Return to index of stories... |
NEW HAMPSHIRE OUTLOOK Air Date/Time: 10/02/03 22:00 HOST: Richard Ager Length: 3:00 minutes In this edition of New Hampshire Outlook, NHPTV's nightly news magazine, the hidden costs of health care. A new study reveals the impact of cost shifting on New Hampshire patients, hospitals and insurers. Plus, prepare to step back in time at Portsmouth's music hall jubilee. Performances of the past for today's audiences. And much later, a death in the family. The short life of a UNH student hits close to home here at New Hampshire Public Television. This is a particularly difficult story for us to tell. Nick was known and loved by many here at New Hampshire Public Television as well as the Oyster River community. PRODUCER/REPORTER:Richard Ager, NAME OF PARTICIPANTS:Frank Windsor \Family Friend,Lou Mroz\Psychology Teacher, Oyster River HS,Pete Cathey\UNH Crew - Head Coach |
| key: Family / Marriage Return to index of stories... |
NEW HAMPSHIRE OUTLOOK Air Date/Time: 10/02/03 22:00 HOST: Richard Ager Length: 3:00 minutes In this edition of New Hampshire Outlook, NHPTV's nightly news magazine, the hidden costs of health care. A new study reveals the impact of cost shifting on New Hampshire patients, hospitals and insurers. Plus, prepare to step back in time at Portsmouth's music hall jubilee. Performances of the past for today's audiences. And much later, a death in the family. The short life of a UNH student hits close to home here at New Hampshire Public Television. This is a particularly difficult story for us to tell. Nick was known and loved by many here at New Hampshire Public Television as well as the Oyster River community. PRODUCER/REPORTER:Richard Ager, NAME OF PARTICIPANTS:Frank Windsor \Family Friend,Lou Mroz\Psychology Teacher, Oyster River HS,Pete Cathey\UNH Crew - Head Coach |
| key: Youth Return to index of stories... |
NEW HAMPSHIRE OUTLOOK Air Date/Time: 10/02/03 22:00 HOST: Richard Ager Length: 3:00 minutes In this edition of New Hampshire Outlook, NHPTV's nightly news magazine, the hidden costs of health care. A new study reveals the impact of cost shifting on New Hampshire patients, hospitals and insurers. Plus, prepare to step back in time at Portsmouth's music hall jubilee. Performances of the past for today's audiences. And much later, a death in the family. The short life of a UNH student hits close to home here at New Hampshire Public Television. This is a particularly difficult story for us to tell. Nick was known and loved by many here at New Hampshire Public Television as well as the Oyster River community. PRODUCER/REPORTER:Richard Ager, NAME OF PARTICIPANTS:Frank Windsor \Family Friend,Lou Mroz\Psychology Teacher, Oyster River HS,Pete Cathey\UNH Crew - Head Coach |
| WEB PROMO Return to index of stories... |
Tonight on New Hampshire Outlook. . Tonight at 10pm on New Hampshire Public Television. |
| Coach Return to index of stories... |
Coach: "We arrived at practice and the freshman were doing a warmup run. I came across Nick with some of his teammates, one of which was an emt. I asked what was going on, what was happening. he looked dizzy, faint, the ambulance corp member was part of the team. we dialed 911. He had irregular hearbeat, breathing. And about a minute before the ambulance arrived, the emt started giving Nick CPR. the ambulance arrived and took it from there." 15:32 15:40 Richard: "was this a time of strenous exercise?" 15:42 Coach. "No, it was not which was why we were for a variety of reasons we were in shock. He's done much more. He's a fit perfect specimen of an 18 year old in all aspects of what it means to be an 18 year old healthy kid. And there was apparently the cardiologists best guess was that it was some sort of congentital defect but they'll find out more about it." 16:30 16:27 Richard: "It's got to be every coaches worst nightmare." 16:27 Coach "You know, you don't think about it. you're dealing with people who have passed physicals are in the prime of their health. usually your biggest concern is making sure people are studying. injury is very uncommon. 17:00 We are having a meeting tonight to deal with it as a team. We will talk. There's a grieving process. a memorial. 17:40 what's your fondest memoray of Nick. You've known him for some time." 17:47 I've known him since 8th grade. Primarily what I liked about Nick.he was following in my footsteps. to row and major in biology. I was seeing in him what I'd gone through. I will miss that aspect of him. There's a deep affection for him. I liked him. I liked his family. There was a tie there for numerous reasons. 18:40 What did he bring to the team? 18:41 "A great sense of humor. persistence. very likable. responsible. He brought everything to the team you would want in a team and a leader. He provided the foundation that any successful team needs. out: 18:58 19:00 "As the year goes on and How will they remember him\\ I hope they honor his enjoyment of life and waking up every morning with a smile and working as well as he could. he had a great sense of pride and responsibility and that's what he hoped to carry on.19:37 |
| website Return to index of stories... |
For information on our program, and links to our guests and interviews, visit our web site at nhptv.org. You can see and hear streaming video of our broadcasts. We want to know what's on your mind. Join our discussion forum and tell us what you're thinking. If you have a story idea or comment on our program, click the feedback button. Or, call us at 800-639-2721. |