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Then, immediately check your HR reading or, after the ride, download your data and look for the highest HR number. This is your max HR. Establishing your training zones. Having established your resting and maximum HR numbers, you're now ready to work out your training zones. While many people use . Longish rides of medium stress. Zone 3 (7. 5- 8. 2% of MHR): For development of aerobic capacity and endurance with moderate volume at very controlled intensity. Zone 4 (8. 2- 8. 9% of MHR): For simulating pace when tapering for a race. Zone 5 (8. 9- 9. 4% of MHR): For raising anaerobic threshold. Good sessions for 1. Zone 6 (9. 4- 1. 00% of MHR): For high- intensity interval training to increase maximum power and speed. Some riders find it helpful to tape their zones on their stem for easy reference. You can also program most cycle computers and running watches for your zones. Beware your average heart rate. You could complete a ride where your average heart rate is 1. Zone 2 ride. But if you look at the data you'll likely see fluctuations through the ride. Pay attention to your zones during your ride, and look at the data afterwards. Some example training sessions. As cyclists we want a lot. We want to climb hills like Alberto Contador, sprint like Mark Cavendish and have the ability to time trial like Fabian Cancellara. We’d also like our cycling to . Training using an HR monitor may not turn you into a world- beating cyclist but it will make you an in. If you're training for speci. If you just want to lose weight, cycling in the correct zones will burn fat and you’ll shed excess pounds in no time. Here are some key sessions that will make you a . Getting started: Go slower, get faster It sounds impossible but this is the basic starting point for HR training. Long Zone 1 and Zone 2 rides can be slow and boring, but they train your body to be more ef. Fletcher, who’s an exercise physiologist, is adamant that by going slow you will get faster. He has a mug on his desk emblazoned with the words . Stay in the zone and stick to it. Don’t be tempted to push it on the hills. Burn fat, save time. We all have to manage our work- life balance but don’t think that wanting to burn fat means you have to go out for . By using HIIT methods (high intensity interval training) you’ll burn far more fat and become a . Yes, it’s going to hurt but it will do you the power of good and the whole session will take less than an hour. Make sure you do a decent 1. Depending on your level of . During these all- out efforts expect to see your HR rise to 8. HR max. Give it all you have right through the 3. Do these for 6- 8 weeks and marvel at the fat you’ve lost. But don’t think that training hard means you can eat like a pig. Fletcher has a word of warning for those who think they can ignore their diet and just ride to lose weight. Become an endurance monster. Hands up if you’ve got to the last 2. That sinking feeling can be attributed to a number or factors such as going off too fast, insuf. But the main culprit is likely to be a lack of endurance, which is where targeted HR training comes in. What you need to do is LSD – no, not the mind- altering drug, but long, steady distance. By doing one session of 3- 4 hours in Zone 2 and another session of 2 hours in Zone 3 every week your endurance will come on in leaps and bounds. Add a few long intervals once your base is more established and you’ll develop both endurance and speed. Fletcher cautions those who think unfettered big miles will produce endurance no matter what. Easy does it Many of us are guilty of not knowing when to back off. We figure that if some hard training is good, more hard training is better. This can lead to all our training days being mediocre as we fatigue. The key is to make hard days very hard and easy days very easy. Make sure you have at least one rest day per week off the bike and another day that is a really slow recovery ride done in Zone 1 or even lower. Key session: 1hr . This means you will be able to ride a set distance faster as at a given heart rate. One of the most well known of such aerobic improvement tests is the Maximum Aerobic Function, or . Regular testing might also reveal any performance drop- offs that can be the early warning signs of overtraining or impending illness. Maffetone suggests planning a route that initially takes about 3. Doing it more frequently won’t realistically re. Record your times so you can chart your progress over the months. Cycling Workouts and Core Training for Everyday Cyclists! So far, a little pain, but lots of gain. The relatively short workouts are do- able during this busy time of year, and I know that they are helping me get stronger and more fit. Sources. 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The physician and surgeon category provides links to get free reports on individual doctors. Reports may be prepared by government, accrediting bodies, employer- based purchasing coalitions, non- profit professional societies, hospital associations, insurance- related groups, for- profit corporations or other coalitions. They use different methods and report formats, and are not always easy to read. But we have tried to find the best of what is out there, and get you to it with as few steps as possible, so you can make informed decisions about your health care. Keywords: Quality, Ratings, Rankings, Report cards, Scorecards; Patient, Resident, Consumer, Member Satisfaction. Hospital quality ratings are prepared by a huge number of different organizations, which makes it difficult for the consumer to learn & compare. Most important - do not assume anything, and check more than one source. Three ideas to begin: 1. Check the first few national (all states) listings on this page, below. Check a report prepared by someone in your state - it might be more comprehensive and/or current. If you need heart care information, read a cardiac ratings report (subcategory at the top of this page), since this area is more highly developed. Compare the findings and talk it over with your doctor and, if necessary, community leaders. PS - you can learn a lot by checking reports in other states - about survival, performance, quality standards and consumer responsibilities. Check your doctor's license and any disciplinary actions at your state's official site (see category above). Instead of assuming your physician is Board- certified, verify it at the American Board of Medical Specialties (ABMS), and make sure it is in the specialty you expected. Check your physician at the American Medical Assn. Is all the information consistent with what the hospital's and clinic's websites say about the doctor? If you find any discrepancies or red- flags, then ask more questions. Compare the health insurance plans you are interested in by visiting the NCQA website to see if they are accredited, and how their quality scores compare. Visit at least one of the state- specific reports to find out what the rate of complaints is for the health plan you're interested in, what hospitals it uses, and information about quality measures. Note: Every state or regional report may be different. If your state is not listed here, see what other states make available. Even if it's not online, the data probably are collected by your state. See what AMA physicians say about working with certain health plans (link above). The Cost section of Consumer. Health. Ratings. com provides links that help you compare prices for health care services, procedures, prescription drugs and health insurance plans. Click on COMPARE cost if you want price information at specific hospitals, pharmacies, nursing facilities or health plans. Click on LEARN MORE if you want to learn about a typical approximate average cost for surgery or health care service, health insurance or dental insurance. Click on LEARN MORE - GENERAL COST of Medical Care if you want to learn about a typical approximate average cost for surgery or health care service. The LEARN MORE - HEALTH INSURANCE cost category provides links to learn about problems of the uninsured, how much average insurance premiums cost, HSAs and High Deductible Health Plans, and the difficulty in finding low cost affordable health insurance. Check the federal government's Nursing Home Compare site, and compare the star ratings (and details) for the nursing homes you're interested in. Visit your state's web site to see inspection reports and complaints on nursing homes in your county and county- wide averages. Go to Health. Insight for national rankings of nursing homes. Do the reports consistently suggest this is a nursing home to use, or to avoid? See what options you have and plan to visit the facilities you're interested in, before you decide. Research published in Journal of the American College of Surgeons (Jan. US News and Health. Grades' best hospitals lists and compared mortality (survival rates) for patients having heart bypass, valve repair or abdominal aortic aneurysm (AAA) repair surgery. They found hospital volume may be as good a predictor of hospital quality as the best hospital lists for cardiac care. Common health topics are in this category. Many have related hospital, health insurance plan or medical group comparison ratings in the Ratings section of our directory. Health problems like heart disease, cancer and lung conditions, stroke, pneumonia, joint problems, neonates in distress, cost trillions in hospital charges each year, in addition to family sorrow. Learn what you can do to prevent and reduce the incidence and costs of health problems. Help your family and community live better. Federal Government shows patient safety rates for Hospital Acquired Conditions (HAC), such as Catheter- associated Urinary Tract Infection (CAUTI), hospital falls, foreign object left in after surgery, manifestations of poor glycemic control (signs of uncontrolled blood sugar), the most severe pressure ulcers (bedsores) and vascular catheter- associated infections. If hospitals follow proper procedures, patients are less likely to get these conditions. Dates are not easy to find, but they will be the most current available. Updated 2. 01. 3. Compare quality ratings for HMOs and PPO health insurance plans. Aetna, Anthem Blue Cross, Cigna, Humana, Kaiser, United - they're all here. Star ratings and number of enrollees shown for accredited commercial, Medicare and Medicaid plans. NCQA (National Committee for Quality Assurance) is a private nonprofit organization that sets standards for quality of care and service that health plans provide to their members. NCQA Accreditation is a nationally recognized seal of approval. Updated 2. 01. 6. List of Accredited Chest Pain Centers - some with PCI (percutaneous cardiac intervention). Must meet emergency department requirements and standards for timely diagnosis and treatment. List is interactive by state or type of accreditation. Shows location of each hospital. Provided by the nonprofit Society of Cardiovascular Patient Care (SCPC). The AMA (American Medical Association) has provided this set of links to each state to check your physician's licensure information. The all- in- one place is convenient, except that you may have to read through extra screens, or have difficulty finding your doctor. There are over 6. MDs) and doctors of osteopathic medicine (DOs). Use this site if your state's Medical Board is not yet listed at Consumer Health Ratings, or if you enjoy browsing. Find average prices (mean charge) for about 8. Average colonoscopy & biopsy price was $2. GI endoscopy $3. 13. D& C $6. 36. 6; arthroscopy $8. Consumers will need to adjust the 2. Overall average was $6. AHRQ Statistical Brief # 8. US population) published February 2. ABMS is a highly- regarded, not- for- profit organization comprising 2. Healthcare M& A Transactionsfor the valuation and strategic options available. Sector: Pharmacy Benefit Management United. Health. has agreed to buy Catamaran in a transaction worth approximately. Optum. Rx). The merger will allow the combined. Claflin will gain even greater reach with its government. For the immediate future, both companies. Sector: Pharmacy Discount. Fred’s, has agreed to acquire Reeves- Sain Drug Store. TN- based specialty and retail pharmacy, for approximately $6. The. transaction includes Entrust. Rx, which will provide Fred’s with access to. Sector: Pharmacy PBM Catamaran. Healthcare Solutions from Brazos Private Equity. The transaction will improve Catamaran’s medical. Sector: Pharmacy. PBM Optum. Rx and. Catamaran Corporation . Optum. Rx is United. Health Group’s. . The agreement. calls for the acquisition of Catamaran’s outstanding common stock for $6. The transaction is expected to close during the fourth. Catamaran shareholders’ approval, regulatory. The combination. diversifies Optum. Rx’s customer and business mix, while accelerating its. The acquisition is. United. Health Group’s net earnings in the area of. United. Health Group plans to finance the acquisition. The company affirmed its $6. This combination is expected to create a dynamic competitor in. PBM market by combining the strengths of Catamaran’s industry- leading. Optum. Sector: Medical. Supply Infu. System Holdings Inc. Madison Heights, MI), through a subsidiary, closed the acquisition of. Ciscura Holding Company Inc. Alpharetta, GA) and its subsidiaries. Ciscura is a privately held. Southeastern regional provider of ambulatory infusion pumps and services to. It was the result of the previous merger of. Ciscura Infusion Services and Triad Medical Supply. Litho of. America provides services for treatment of kidney stones and benign. Texas. and Oklahoma. Sector: Health. Services Team. Health Inc (Knoxville, TN) acquired. Ruby Crest Emergency Medicine (Elko, NV), which manages and. Northeastern Nevada Regional Hospital. Elko, NV). The clinicians Ruby Crest provides to Northeastern serve more. Team. Health has more than 1. Sector: Medical. Device Globus Medical Inc (Audubon, PA). Branch Medical Group Inc. Eagleville, PA), a third- party manufacturer of high- precision medical. Under the terms of the agreement Globus agreed to pay $5. BMG on a cash- free. Closing is expected to occur in March 2. Sector: Medical Supply. Pfizer Inc (New York, NY) and Hospira Inc. Lake Forest, IL) entered into a definitive merger agreement under which. Pfizer will acquire Hospira for $9. The boards of directors of both. The combination will add a. Pfizer’s GEP business. The acquisition expands Axela. Care’s network in. Southeast and increases its number of pharmacies to 3. Terms. of the transaction have not been disclosed. Sector: Infusion Pharmacy Amerita. Phar. Merica Corporation, has acquired. Coastal Pharmaceutical Services, dba Infusion. Rx. Infusion. Rx is a. Southern California, offering a full range of home infusion and. It serves patients in their homes, doctors’ offices, and. No transaction terms have been announced. Sector: Medical Device. BD (Becton, Dickinson and Company) (Franklin Lakes, NJ). Care. Fusion Corporation (San. Diego, CA) pursuant to the terms of the previously announced agreement from. October 5, 2. 01. Care. Fusion is now a wholly owned subsidiary of BD. As a. result of the completion of the acquisition, Care. Fusion shares will cease. NYSE. Beginning in the second half. FY 2. 01. 5, BD will report a new Medical segment structure, which will. Care. Fusion. Sector: Pharmacy Omaha, NE- based. Kohll’s Pharmacy has acquired Wagey Drug Company, which is. Lincoln, NE. Wagey Drug is a retail community pharmacy. Salveo manages approximately $4. FL headquarters, as well as its NY (Echo. Salveo Specialty Pharmacy) and CA (Mission Road Pharmacy) operations. Sector: Medical Device. Medovex Corp (Atlanta, GA) closed the acquisition of. Streamline Inc (Minneapolis, MN). According to the company. Medovex will combine Streamline's expertise in patient safety- oriented. Sector: Pharmacy PBM. United. Health Group (Minnetonka, MN) announced that its. Optum. Rx (Costa Mesa, CA), signed an agreement. Catamaran Corporation (Lisle, IL). The transaction is expected to close in Q4. Catamaran shareholders’ approval, regulatory approvals, and. United. Health Group plans to finance the. Upon closing. Mark Thierer, Catamaran’s chairman and CEO, will serve as CEO of. Optum. Rx and Timothy Wicks, the current CEO of Optum. Rx, will. become president. Jeff Park, who currently serves Catamaran. EVP of operations, will become the COO for Optum. Rx. Jeffrey. Grosklags, currently the CFO of Optum. Rx, will continue in that. Sector: Medical. Device Orthofix International NV. Lewisville, TX,) entered into an option agreement that provides the company. Neura Inc (Baltimore. MD), a maker of portable, non- invasive Transcranial Magnetic Stimulation. TMS) devices for the treatment of migraine headache. In May 2. 01. 4, e. Neura. received FDA (Silver Spring, MD) 5. Spring. TMS migraine treatment device. In consideration for the option to. Neura, Orthofix has agreed to provide a $1. Spring. TMS in the U. S. If. the option to purchase e. Neura is exercised, Orthofix will pay $6. Neura will repay to Orthofix the unpaid principal. In addition, Orthofix may make future milestone and. Neura. Sector: Medical Device. Pyrexar Medical (Salt Lake City, UT) began operations. Perseon. (Salt Lake City, UT), formerly BSD Medical (Salt. Lake City, UT). The acquisition included substantially all hyperthermia. The company. also named Mark Falkowski as CEO. Sector: Health Services. Specialty. Care (Nashville, TN) completed its previously. Pro. Nerve (Nashville, TN), an. IONM) company. This broadens the range of. Specialty. Care offers that help ensure patient. The combined organization will. IONM procedures annually at hospitals in 4. Sector: Medical Supply. Medtronic plc (Dublin, Ireland) acquired Diabeter. The Netherlands), an independent diabetes clinic and research center. Diabeter will operate as part of the. Diabetes Services & Solutions business unit but maintain its professional. Medtronic and Diabeter will further develop and expand Diabeter's. Terms of the acquisition were not disclosed. Sector: Medical. Records/IT Gennius, a prominent healthcare software provider. Quality Systems. Sector: Pharmacy Madison Dearborn Partners, LLC (MDP). Walgreen Co. The Company is. The financial terms of the. Sector: Healthcare IT Audax Group, Inc. Audax’ investment will fund continued growth. The financial terms of the deal. Sector: Medical Device Shore Capital Partners, LLC (Shore). Summit. Medical, Inc. Summit has been a leading medical device. Shore will enhance operations and drive an. Company. The financial terms of the deal. Sector: Health. Services J. H. Whitney & Co.. LLC has announced it has acquired Pediatric Services Holding Corporation. Pediatric Services of America, Inc. PSA Healthcare is a home healthcare company that provides. The financial. terms of the deal were not released. Sector: PBM Rite Aid. Corp. Terms of the. Camp Hill, Pa.- based Rite Aid to pay $1. Envision, which is owned by TPG Capital LP. Rite. Aid will issue about 2. The company, according to. Rite Aid, should generate 2. Ebitda of between $1. Rite Aid, which operates 4,5. District of Columbia, said the purchase would. At CVS, the. benefits management business enjoys higher margins than the retail unit. Sector: Hospice. Hospice Compassus, a local network of palliative care programs, has. Life Choice Hospital, a Pennsylvania hospice company. We. look forward to our continued partnership with CIT. The acquisition expands Axela. Care’s national. home IV therapy network into the Southeast and follows Axela. Care’s recent. acquisition of Advanced Care, a home IV therapy company in the New York- New. Jersey metro area. The Ambient acquisition. Axela. Care's number of intravenous solutions pharmacies to 3. Local pharmacies increase responsiveness to acute infusion. The boards of directors of both companies have unanimously approved. The combination will add a growing revenue stream and a platform. Pfizer’s GEP business. The transaction is subject to. Hospira’s shareholders, and is expected to. Sector: Sector: Healthcare. Healthcare Group Purchasing $5. Billion Spend Giants To Merge VHA Inc. Irving, TX) and UHC (Chicago, IL) signed an agreement to combine. Financial terms of the deal were not disclosed. The. combined company will serve more than 5,2. Sector: Specialty Pharmacy. New. Spring Capital announced that it has successfully exited Salveo. Specialty Pharmacy, Inc. The exit. was a result of the previously announced transaction with Catamaran. Corporation. Since the initial investment in 2. Salveo has been able. A robust geographical footprint, intense commitment to. Company to capitalize on the dramatic increase in individuals with chronic. As a result, the Company grew revenue from $5. Murphy, General. Partner of New. Spring Capital and former Board Member of Salveo stated, . We are pleased to have been. CEO, Jeff Freedman and COO, Chuck Brown as well as the. Salveo management team. The Company's vision was executed flawlessly. Limited Partners. We believe. Salveo will be a great complement to Catamaran and will continue on its. The entire Salveo team is excited about the. Salveo will acquire, integrate and grow select. With its initial acquisition of Echo Specialty Pharmacy Services. New York, Salveo currently serves over 6,5. Sector: Pharmacy. Amerita Inc. (Irvine, CA), a wholly owned subsidiary of Phar. Merica Corporation. Louisville, KY), completed the acquisition of Coastal. Pharmaceutical Services Corporation (Oxnard, CA), dba Infusion. Rx. Financial terms of the transaction were not. The. company serves patients in their homes, doctors’ offices, and other. We will remain. disciplined and opportunistic in our pursuit of acquisitions to drive. May Kuo Barry, a founder of Infusion. |
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December 2016
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