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Health Care Economics Issues Outline

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Submitted By Gr8man001
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* Health Care Economic Issues Outline * I. Introduction A. More than 50 million uninsured in the United States (Young, 2012) B. Uninsured population is considered vulnerable population

C. Uninsured use emergency department to meet their primary health care needs

D. Overcrowded emergency departments require reallocation of resources * II. Effectiveness of the Current Procedures in Place * A. Federal Emergency Medical Treatment and Labor Act (EMTALA) requires hospitals * to treat every patient irrespective of the payer source

B. Limited community resources forces uninsured population returning to emergency department for minor ailments

C. Shrinking federal and state funding for medical assistance programs

D. Current procedures do not address medical needs of the undocumented populations * E. Treating uninsured costs taxpayers more than $175 billion per year (KFF, 2008)

F. Hospitals absorb more than $65 billion dollars per year in uncompensated care

III. Affects of financial decision-making process A. Express/Urgent Care areas added to emergency B. PA added to Triage to treat minor health issues C. Sponsor Care Funds Created
1. Hospitals have created sponsor care programs designed to help alleviate the amount of debt created by an insured patient. The funding for sponsor care programs comes from direct donations from the community and are meant specifically for patients that are receiving services for uninsured. These programs are provided through the hospital doctor's government agencies and are awarded based on eligibility of the patient. These programs may cover a portion of the bill or the entire bill. The important aspect of these programs is that they are coming from donations and not out of the organization's pocket (CHOMP, 2011). D. Self-Pay Discount 1. The

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