...of the U.S. health care system in the context of delivery, finance, management, and/or sustainability? What are the issues that prompted a need for health care reform? Support your answer with a credible data reference. Do not use a reference already used by another student. Health care reforms is one of the biggest issue for voters. With our aging population, complexity of illness and growing cost of health care, the government need a new approach to delivery of health care system. There is still a large population that are uninsured. There is mounting recognition that our country’s health system is greatly influenced by social determinants, socio-economic status, and environmental factors. The American people continue to face increase cost of health care and insurance premiums continues to increase. Per Cunningham (2010), the percentage of people with a high financial burden increased from 14.4 percent in 2001 to 19.1 percent—nearly one of five Americans—in 2006. The increase in financial burden between 2004 and 2006 (16.4%) occurred at a time when the economy was expanding. “These costs in turn impose a burden on all segments of society—the individuals who pay taxes and premiums, the governments whose budgets are strained by Medicare and Medicaid, and the businesses whose competitiveness is undermined by high health insurance rates” (Daniels & Roberts, 2008). Some evidence have indicated that Patient Center Medical Home models give better quality of care, patient...
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...Health Promotions: Primary, Secondary and Tertiary Beth Fleming Grand Canyon University April 03, 2014 For many years, health promotions and prevention has been the focus for healthcare providers, especially nurses. Health promotion seeks to improve a person or population’s health by teaching about and helps people become more aware of risky behaviors associated with different diseases. It encourages individuals to take preventative measures to prevent onset or worsening of a disease or illness. It encourages a healthier lifestyle (Edelman & Mandle, 2010). The strategy is to help people make health improvements or prevention before illness occurs. Health promotion is one way in addressing health determinants such as developing personal skills, strengthening the action of communities and providing a supportive environment for health. Health promotions help to address issues that are controllable by individuals. In redirecting illness financial burdens can be reduced keeping patients and the government from having to pay to cure the illness or disease. Nurses work in all three levels of promotion and prevention (Edelman & Mandle, 2010). Nurses teach to prevent illness, work with the specialist to help lesson further illness and work in the hospital at the bedside caring for patients that have developed a chronic illness. In many areas of the world there has been a lot of evolution in the nursing field. Nurses...
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...United States Main article: Health care reform in the United States Health care reform in the United States Healthcare reform in the US Debate over reform History Latest enacted legislation Patient Protection and Affordable Care Act (Senate bill - H.R. 3590) Health Care and Education Reconciliation Act of 2010 (H.R. 4872) preceding legislation Social Security Amendments of 1965 Emergency Medical Treatment and Active Labor Act (1986) Health Insurance Portability and Accountability Act (1996) Medicare Prescription Drug, Improvement, and Modernization Act (2003) Patient Safety and Quality Improvement Act (2005) [show] More information -------------------------------------------------------------------------------- This box: view· talk· edit See also: Patient Protection and Affordable Care Act Maximum Out-of-Pocket Premium as Percentage of Family Income (Source: CRS) In the United States, the debate regarding healthcare reform includes questions of a right to health care, access, fairness, sustainability, quality and amounts spent by government. The mixed public-private health care system in the United States is the most expensive in the world, with health care costing more per person than in any other nation, and a greater portion of gross domestic product (GDP) is spent on it than in any other United Nations member state except...
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...Timeline: History of Health Reform in the U.S. VIEW: Early 1900's 1930 – 1934 1935 – 1939 1940 - 1945 1945 - 1949 1950 - 1954 1955 - 1959 1960 – 1964 1965 – 1969 1970 - 1974 1975 – 1979 1980 - 1984 1985 - 1989 1990 – 1994 1995 - 1999 2000 – 2004 2005 – 2009 2010 1912 Teddy Roosevelt and his Progressive party endorse social insurance as part of their platform, including health insurance. 1912 National Convention of Insurance Commissioners develops first model of state law for regulating health insurance. 1915 The American Association for Labor Legislation 1912 Teddy Roosevelt and his Progressive party endorse social insurance as part of their platform, including health insurance. 1912 National Convention of Insurance Commissioners develops first model of state law for regulating health insurance. 1915 The American Association for Labor Legislation Early 1900's 1921 Women reformers persuade Congress to pass the Sheppard-Towner Act, which provided matching funds to states for prenatal and child health centers. Act expires in 1929 and is not reauthorized. (AALL) publishes a draft bill for compulsory health insurance and promotes campaigns in several states. A few states show interest, but fail to enact as U.S. enters into World War I. The idea draws initial support from the AMA, but by 1920 AMA reverses their position. 1927 Committee on the Costs of Medical Care forms to study the economic organization of medical care. Group is comprised of economists...
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...U.S. Healthcare System The U.S. healthcare system undergoes certain changes and reforms in the modern society, and there is an increasing need for health care reforms in the modern society due to the increasing costs on healthcare, the high rate of various diseases in the community decreasing the quality of the national health on a regular basis. The modern U.S. health care system is not very effective in the context of delivery, finance, management, and/or sustainability, and this is the major reason to imply certain changes and reforms in this field promoting its efficacy and success in the market. People living in the modern society should feel valued and important in the healthcare system receiving the needed assistance and support in a timely manner not depending on their health and economic status. Bar-Yam (2006) stated that “efforts to implement cost controls and industrial efficiency that are appropriate for repetitive tasks but not high-complexity tasks lead to poor quality of care” (p. 459). Thus, health care reforms will help to improve the quality of care increasing the efficiency of the U.S. health care system in the modern society inspiring much confidence, stability and security on the part of the patients. The U.S. health care system is overwhelmed with the inefficiencies and problems affecting the quality of care provided for the general population. The greater number of reforms in this field will change the situation for better applying the new and innovative...
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...Preventive Care Veronica Lee Regis College HP-622-01-11FA, Economics of Health Care December 4, 2011 Is There a Real Cost Savings with Preventive Care? Introduction: On March 23, 2010, President Obama signed the Patient Protection and Affordable Care Act (PPACA) into law, which creates health insurance reforms that will transform healthcare over the next four years. The PPACA will ensure that all Americans have access to quality, affordable health care and will create the transformation with the health care system necessary to contain costs (The Patient Protection). One of those health insurance reforms started on September 23, 2010, which will provide free preventive care. The PPACA will eliminate co-pays and deductibles for recommended preventive care, including preventive care for women, provide individuals with the information they need to make healthy decisions, improve education on disease prevention and public health, and invest in a national prevention and public health strategy (The Patient Protection). There are some exceptions to the law for grandfathered insurance plans. This preventive services provision applies only to people enrolled in job-related health plans or individual health insurance policies created after March 23, 2010 (Preventive Care). This law is supposed to improve quality healthcare and lower costs for patients. This paper will discuss what effect the new law may have on the United States healthcare system. What is Preventive Care? The...
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...Health Care in India, Ireland, South Korea, and United States Global Health Abstract The World Health Organization (WHO) defines universal health coverage as everyone having access to needed health services without the financial hardship that can follow (WHO, 2013). Health care should be accessible to all citizens, appropriately funded, provided by trained professionals, and affordable to all citizens. Health care changes from country to country in multiple aspects including: cost, availability, and private health care verses socialized health care. The cost of health care and government assisted health programs can take a big toll on the overall spending and reliability of a countries health system. Each country has their own strengths and concerns in regards to their health system. There is not one health system that will work for every country because every country has a different government organization, differences among the population, and other country wide concerns that impact the country as a whole. India is the seventh largest country located in South Asia populating about 1.2 billion people. It is roughly one third the size of the United States and the capital New Delhi still resides the majority of the population, housing about 22 million people (CIA, 2013). India does not have a universal health care system in place, although the government is working on a plan (Luthra, 2012). India has government funded public hospitals and private hospital...
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...Health Care Issues The most important issue in the future of healthcare in the U.S. is whether the Affordable Care Act is a step in the right direction to control rising healthcare costs and to provide all Americans access to health insurance. There are many other costs associated with healthcare in America. There are costs in losses of production and costs that could have been avoided if preventive healthcare had been more readily available. Another facet of the issue is whether Obamacare can give all Americans access to health care without compromising the quality of health care in the U.S. Another goal of the Affordable Care Act is to uphold quality health care in Americans without costing more to obtain it. In other words it needs to be looked at if penalties incurred will cost Americans more overall then the out-of-pocket costs in current health care system. The other major concern which is raised due to being a real issue in other health care systems is “being put on waiting lists for health care”. Will health care reform, under the new laws, be provided efficiently without waiting in line? Facts As of March 2010, 16.3% of Americans have no insurance coverage, 55.3% of Americans covered by employee provided insurance and 9.8% had to direct purchase insurance. The remaining Americans are covered under government insurance (Medicare or Medicaid). The average spending on health care per American is currently at $7,290. Despite this fact the U.S. ranks poorly...
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...Health Care Service Corporation Market Department To: Denise A Bujak, Vice President From: Market Research Assistant Subject: Summary Report-Information about Health Care Date: 28 June, 2011 The purpose of this memo is to summarize three popular writer’s views regarding the U.S. health-care system. Chris Farrell, Steve Forbes, and Greg Nelson analyze the current market trends and offer us their methods to improve the economy of the health insurance industry. Summary In general, there are some flaws in the U.S. health-care. All three writers point out different ways to fix it. In their passages, the main point of distinction involves government intervention in the market. Farrell prefers the universal coverage on health-care, claiming that government intervention will promote the economy in the short-term. In contrast, Forbes hopes through macro-control to adjust the current insurance market. Nelson supports government intervention as a means to cut administration cost and help the health-care system run well. Discussion In their discussions, they hope health-care reform can speed up U.S. economic recovery and help most people are insured. For our company, I think we need to know more information about the U.S. health-care reform which is good for us to make a right direction in a long term. Now, we are starting to share their opinions. Chris Farrell adopts the health care reform, because he...
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...------------------------------------------------- Health for life An AHA Advocacy Issue June 4, 2014 By: Dwayne Mathis HSM-541 Portia Bonnett, Instructor June 4, 2014 By: Dwayne Mathis HSM-541 Portia Bonnett, Instructor The U.S. government, healthcare systems, hospitals, and communities have placed a large emphasis on health reform in this country. Yet the problems with our healthcare system are well documented. Chronic illness, such as cancer and heart disease, is growing at an alarming rate. The quality of health services and delivery are not where they need to be. For the American population to be able to enjoy optimal health, they must have access to high quality health care services and they must learn to be proactive in establishing health living habits. “Health For Life” is an advocacy issue of the American Hospital Association (AHA) which focuses on the need for better health and better health care. This paper will discuss why this topic is an issue, problems associated with this issue, and its impact on the U.S. health care system. It will also discuss AHA initiatives and offer a recommendation to help resolve this issue. The “Health For Life” initiative offers a framework for health reform in America. The building blocks of this framework are a focus on wellness; coverage for all, paid for by all; best information; highest quality care; and most efficient, affordable care. These blocks tell the story of why this is an advocacy issue to begin with...
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...Health Care Reform for Children Valerie L. Briner HCAD 620 Professor Schutz Abstract Advancing toward universal health care has the possibility to improve access to care and better the health and wellbeing of uninsured children. This paper will discuss children and what medical coverage they may have and how healthcare reform should help get almost all children some type of healthcare. Currently, if a child is not covered under private insurance, Medicaid and CHIP can assist in covering the vulnerable groups, mostly because they are likely to be poor, belong to racial or ethnic minority groups or who have chronic health care problems. While both public and private insurance fail in meeting the needs of children, public coverage has been more persuasive than private coverage at providing managed health care to low-income children. Ideally health care reform could cause certain steps to promote the emotional, cognitive, and physical health of children, enable them to maximize their full potential. Such a focus would create application to such policy changes that could define solutions for failures in the current system and decrease discrepancy in access, quality, and outcomes. Healthcare Reform for Children The plan is set in place to overhaul the nation’s health care system. The goals of the health care reform proposals include moving the nation toward universal coverage, improving quality of care, and slowing the rate of...
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...Health care reform in the United States has a long history. Reforms have often been proposed but have rarely been accomplished. In 2010, landmark reform was passed through two federal statutes enacted in 2010: the Patient Protection and Affordable Care Act (PPACA), signed March 23, 2010, and the Health Care and Education Reconciliation Act of 2010 , which amended the PPACA and became law on March 30, 2010. Future reforms and ideas continue to be proposed, with notable arguments including a single-payer system and a reduction in fee-for-service medical care. The PPACA includes a new agency, the Center for Medicare and Medicaid Innovation, which is intended to research reform ideas through pilot projects. ------------------------------------------------- History of national reform efforts Here is a summary of reform achievements at the national level in the United States. * 1965 President Lyndon Johnson enacted legislation that introduced Medicare, covering both hospital and general medical insurance for senior citizens paid for by a Federal employment tax over the working life of the retiree, and Medicaid permitted the Federal government to partially fund a program for the poor, with the program managed and co-financed by the individual states. * 1985 The Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) amended the Employee Retirement Income Security Act of 1974 (ERISA) to give some employees the ability to continue health insurance coverage after...
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...spend significantly more on health care than any country in the world; however, even though with this statistic the United States has a lot of uninsured and does not have the healthiest citizens. The lack of universal healthcare coverage in the United States has been a forefront issue. With the overwhelming amount of uninsured Americans and the past unsuccessful efforts of health care reform, the possibility of universal health care seemed to be very unlikely. The new healthcare reform bill that was recently passed under Obama’s administration anticipates covering 30 more million of the uninsured (Riegelman, 2010). However, this bill does not offer universal healthcare. While excellent medical care is available in the United States, the rising cost and the U.S. health care delivery system present many challenges for the consumer and lawmakers. This paper addresses four dimensions that are pivotal to the successes and failures of the system: cost, efficiency, quality. The cost of the U.S. health care system is higher than any country in the world. Its efficiency is also under heavy scrutiny. If it were not an emergency most physicians would require insurance verification. Therefore, patients would be delayed of treatment. Moreover, The healthcare system in the U.S. should be redesigned in terms of prevention rather than treatment when people are already sick. Insurance should not go higher for people that have pre-existing conditions or with more health risks. Prevention and portability...
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...Head: U.S. HEALTHCARE SYSTEM REFORM HS543 Health Services Finance Summer Term 2012 Instructor: Mary Black Course Project Outline U.S. Healthcare System Reform Submitted By Project Outline This project will explore the current state or our healthcare and where it is predicted to cost us in the future. We will also examine the overall health programs and how the uninsured will affect the system entirely. Universal healthcare would alleviate the financial burden on some of the population and provide access to almost all of the country's population; however, this system will cost more. Funding the program will be discussed as well as the taxes and other funding that will help pay for the coverage. Likewise, how this will affect hospitals and healthcare providers. Topic: U.S Healthcare System Reform Outline I. Abstract II. Introduce the Issue (Background) A. An analysis of our current healthcare system 1. A history of major events 2. Impact to healthcare organizations III. Defining the problem A. Political disagreements B. The increase of expenses IV. Literature Review A. Is U.S. Healthcare deteriorating? B. Effects on the profitability of local hospitals V. Analyze the Problem A. Raising insurance premiums B. The uninsured VI. Possible Solutions A. French Healthcare system B. A public option VII. Implementation Plan A. Financing VIII. Justification A. Access of care B....
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...Top Through Healthcare Reform Chelsea Secoolish Microeconomics BU224 December 2, 2012 The main objective of a market economy is to reach efficiency. Market failure is defined as “the individual pursuit of self-interest which makes society worse off, or, an inefficient market”, (Krugman, Wells, 2009). Misallocated resources, unnecessary medical care, and for-profit insurance companies all play a part in America’s failing healthcare system. As one of the most technologically advanced countries in the world with plentiful resources to boot, 40 to 50 million uninsured citizens are unacceptable (Boseley, 2012). Our government needs to step in and reform the system, but exactly how to accomplish this task has become a national issue. In addition to the debate of adopting a national healthcare system (Obamacare,) reforming the Medical Liability System, or MLS, could very well be the answer to providing healthcare for each and every United States citizen. Optimizing promising practices, ensuring patient safety, and reducing healthcare costs are all ways to effectively bring our country back up to speed in what should be a rewarding and lucrative experience for both patients and their physicians. With the United States ranking 37th out of 191countries total in terms of health care, it is not surprising that there are millions of Americans uninsured, but even more alarming is the fact that there are 38 million people in the with inadequate health care coverage (pbs.org)....
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