...Illegal Immigrants Pressure on Healthcare Economy Healthcare Reform Project 1 Dr. L March 7, 2016 Illegal Immigrant Pressure on Healthcare Economy Illegal immigrants are having a substantial influence on healthcare reforms and immigration standards. This creates a system that has exponential damage on the healthcare economy. A lot of the states throughout the U.S. are trying to find ways to work around this because of the economic damage that it’s causing for healthcare organizations. President Obama has met with a lot of different immigrant groups and activists searching for methods to find a middle ground. In the United States immigrants that are undocumented have zero ability to be able to obtain health insurance....
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...Planning in an Era of Health Care Reform Strategic Planning in an Era Of Health Care Reform ‘Volume to Value’ Abstract The White House and the current administration of President Obama made the passage of Health Care Reform a top priority and signed the bill into law March 23, 2010. There are two laws that make up the reform package; the first is the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act. Critics both in support and opponents claim the bills do little to alter healthcare inflation or uneven delivery of care (Ferman, 2010). The goal of the bill is to change a volume based model in to a value based business model. A comment by Moody’s Investor services exclaimed that the reform will undoubtedly require healthcare leaders to focus even more on multi-year strategies to ensure long term financial stability (Kim, Majka, & Sussman, 2011). Leaders will have to establish a long range plan that includes financial projections and goals, long range capital expenditure requirements, debt capacity, capital position analysis, capital shortfall analysis and sensitivity and risk analysis (Kim, Majka, & Sussman, 2011). There will be substantial increases in the number of newly insured that will place a tremendous amount of stress and unknown consequences on an already burdened healthcare infrastructure (Tyson, 2010). The objective of this paper will attempt to examine the implications of reform on strategic planning of health...
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...The Economics of Health Care Quality and Medical Errors Charles Andel, Stephen L. Davidow, Mark Hollander, and David A. Moreno Charles Andel, MBA, BSRT, is Manager of Radiology Quality and Compliance at Loyola University Medical Center and a graduate of Loyola University Chicago’s Quinlan School of Business MBA in Healthcare Management program. He may be reached at cjandel@lumc.edu. Stephen L. Davidow, MBA, APR, is a health care marketing and communications professional with a strong focus on quality and patient safety. He is a graduate of Loyola University Chicago’s Quinlan School of Business MBA in Healthcare Management program. He may be reached at stephen@davidowcommunciations.com or 708-284-2300. Mark Hollander, MBA, is a financial manager at the Department of Veterans Affairs and graduate of Loyola University Chicago ’s Quinlan School of Business MBA in Healthcare Management program. David A. Moreno, MBA, is a biotechnology business analyst and graduate of the Loyola University Chicago’s Quinlan School of Business MBA in Healthcare Management program. He may be reached at dmoreno1@gmail.com. Hospitals have been looking for ways to improve quality and operational efficiency and cut costs for nearly three decades, using a variety of quality improvement strategies. However, based on recent reports, approximately 200,000 Americans die from preventable medical errors including facility-acquired conditions and millions may experience errors. In 2008, medical...
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...because they didn’t have health insurance, but the Affordable Healthcare Act ,a.k.a. Obama Care, is lowering that number. How is it doing that? By providing low cost insurance to those making up to 400% of the poverty line. The Affordable Care Act was passed in 2010. It was designed to reform the health care system and reduce deficit spending. It was aimed to help those under the poverty line who couldn’t afford health insurance. It succeeded at helping the poor get the medical help they needed and best of all saved lives. Obama Care is exactly what the healthcare industry needed. My concerns with Obama Care are: Was Obama Care a good economic decision? How did Obama Care affect the health care industry?...
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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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...Health Care Reform in the US Introduction Health care reform is a general term that is used for analyzing and discussing major health care changes and provisions. Most health care reforms are typically served with the responsibility of broadening the population so that they can receive adequate health care coverage through private or public insurance companies. Also they improve quality of existing health care system and decrease the cost (Weiner & Robert, 2009). The health care reform legislation act of 2009 is a bill that was enacted in USA to direct the health care insurance providers to draft and develop regulations in implementing a comprehensive policy aimed at providing effective and cheap insurance cover to all American citizens. Though beneficial to the public, since the bill was signed into law the implementation of the act has faced numerous economic, social and political challenges. In addition, the political climate is such that real challenges appear to be emerging, including legal challenges at the state level (Farber & Blustein, 2007). Finally, polls are showing that voters are not yet on board. In fact, some voters are unaware that a health care reform bill had been passed. Therefore this paper Identifies and describes the major challenges to health care reform implementation and gives an analysis of how these challenges can be resolved. Reasons and Recommendations for Health Care Reforms There is minimal question regarding the need to restructure the America's...
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...Immigration Reform Is Imperative John Doe University of Good Times Almost 350,000 immigrants sneak into the United States illegally each year. Typically these people immigrate to the United States in hopes of finding employment to support their families. Once here, about 70% of them will obtain employment. The jobs that illegal immigrants occupy are the lower end jobs, which hurt unemployment rates especially for the lower class. Illegal Immigrants costs the United States about 113 billion each year. These costs are spread out over our education system, medical care, judicial system, and more. The information presented in this research paper will address the seriousness of this issue. Illegal immigration has a negative impact on the United States in many ways. Immigrants have entered our country illegally and stolen millions of jobs, crippled a struggling education system, manipulated welfare programs, and drastically raised crime rates. Without immigration reform, the crippling effects of illegal immigrants will break this country. With illegal immigrants willing to work for less pay and in poor work conditions, they negatively impact employment rates. Illegal-immigration has a negative impact on the available jobs for U.S. citizens. People often protest that the illegal immigrants do the jobs that Americans don’t want to do. However, that is not the case. They are able to work for low wages and in poor conditions, where citizens must follow minimum wage...
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...the impacting the Medicare, Medicare patient services and employees. Most of the people in the island think that the Affordable Care Act is giving more security and help to address the existing disparities in the healthcare system. With the new Patient Protection & Affordable Care Act, the insurance companies can no longer drop the coverage if one becomes sick, bill individual into bankruptcy because of an annual or lifetime limit, and they will not be able to discriminate against anyone with a pre existing condition. Most of the Medicare and Medicaid community suffers do to the imbalance in our healthcare system this situation affects the quality of care and places a financial strain on the government, individuals and families, employers and employees, and public and private providers. Most of the Medicare beneficiaries have to enroll in the MA program to help them to succeed and receive the adequate treatments without MA to help the disadvantaged seniors on the island, Puerto Rico's elderly citizens will be forced to turn to Mi Salud in larger numbers. Although Mi Salud is scheduled to receive an average of $690 million annually during the next five years, the widening deficit in MA funding is likely to create a net negative impact on federal funding for healthcare in Puerto Rico. The Health care Policies and Issues Ethical concerns and issues The Affordable Care Act (ACA) policies are intended to give patients more access to health care without any restrictions as...
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...Pay-for-Performance HCS/531 January 28, 2013 Jody Sklar Pay-for-Performance Emergence of Pay-for-Performance In 2000, the Institute of Medicine (IOM) released the report “To Err is Human: Building a Safer Health System.” The report catalyzed the attention of health care stakeholder groups in the nation (Stafford, 2000). The research provided a comprehensive, detailed account of health care errors and preventable deaths costing billions of unnecessary dollars in a health care system already spiraling out of control. The IOM recommended that Congress create a Center for Patient Safety within the Agency for Health Care Research and Quality for the purpose of designing a safer health care delivery system. Fifteen months after releasing the patient safety report, the IOM released “Crossing the Quality Chasm.” The report framed underlying reform necessary in the current health care delivery system to ensure patient safety. The framework sought to hold providers accountability for the quality of care they deliver. The introduction of the pay for performance (P4P) as opposed to the prior fee for service and prospective reimbursement guidelines induces delivery of care based upon performance measures. Broadly defined pay-for- performance includes any type of performance-based provider payment arrangements, including those that target performance on cost measures (U.S. Department of Health & Human Services, 2006) Reimbursement Pay-for-performance, synonymous...
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...California’s Illegal Immigration Almost all American’s are immigrants to this country, at some point illegal. After so many years of this country being taken over and developed, the history of where the people came from remains in textbooks and with the history majors. Now many states of this nation are again being captivated with illegal immigrants. The state of California is getting hit hard with the pouring of immigrants legal and illegal. “The best estimates suggest that California was home to about 2.8 million illegal immigrants in 2006”. California also has the highest population of immigrants in the nation (Johnson par.1). “Historically, immigrants have moved into the state to become major elements of the labor force, often taking jobs that others found undesirable. Agricultural work, piecemeal garment production, and day construction are among areas of the economy that have been filled by immigrants” (Gerston 2). The flow of illegal immigrates to California started since the states birth in 1850, with an on flow of people from Asia and Mexico. It wasn’t till the end of World War II that the on flow of illegal immigrants would start to take labor and benefits from the state (Gerston 3). Then from the mid 1960’s to mid 80’s an illegal immigration boom accorded. A program called the Bracero Program was made to supply steady cheap labor to agricultural growers in California (Nadadur 1040). This boom set a course to a population explosion of undocumented workers and...
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...The NHS is the biggest organisation in Europe in terms of the number of people it employs. At the top level of the structure is the Department of Health (DOH) the government department which makes decisions on the future direction of the NHS and secures funding. Further down the structure are Strategic Health Authorities (SHA’s) which oversee services on regional basis. At local level Primary Care Trusts (PCT’s) are responsible for assessing the needs of people in their area, commissioning the appropriate services and monitoring General Practitioners (GP’s). Actual delivery of services are carried out by Primary Care services (GP’s, Dentists, Opticians, pharmacists , NHS walk in centres) and Secondary Care Services ( Acute Hospitals, mental hospitals and ambulance trusts). The NHS operates on a purchaser/ provider split. On the purchasing side money from the taxpayer goes to the Department of Health which then allocates the money to the local purchasers who are the PCT’s and GP’s. These purchasers then purchase services on behalf of patients from NHS Trust providers and private sector providers. The NHS is currently undergoing major changes including * Practice Based Commissioning. This...
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...Affordable Care Act PPA 601 Foundations of Public Administration Timothy Smith December 20, 2015 If an individual needs emergency medical care, the first place that most would seek treatment is through the emergency room at the closest hospital. Even if that individual does not have any medical insurance, they know that they can and will receive treatment if they go to the emergency room instead of going to the doctor’s office. The reason that individuals can count on this serves is because of the many women and men in Congress that have spent many hours making public policies around health care that showcase how providers will attend to their patients. Public policy is the way that the government maintains order and also how the government addresses the needs of its supporters through actions that are outlined by its constitution. That definition seems vague because public policy is not a concrete thing but rather it is a term that is used to describe a plethora of laws, mandates, or guidelines that are founded through a political process. There are many types of public policies because policies are put in place to address the needs of individuals and those policies are divided into different categories as they relate to society. For example, health policy includes not only insurance but also includes all policies that are related to the heath of a certain group. When the AIDS epidemic came about in the early 1980’s, governments from all over the world had to initiate...
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...how pricing works, and the real value of things they buy. The big question remains, is the medical field ready for this? Several factors are involved in price transparency beyond the basic disclosure of pricing. This includes knowledge about the availability of a product, as this can influence value, and the location of a product, which can also impact the overall price. Using this system buyers can compare options offered by several sellers, picking the seller with the best price, location and availability. Likewise, sellers can keep up with the market, the can stay aware of the going rate, and see how their competitors are pricing their products. One of the most challenging things amongst hospitals and most health systems across the Country is proving the information that patients, payers and employers need in order to make educated purchasing decisions. Some hospitals in the United States provide calculators so that patients can estimate an out of pocket cost of any upcoming procedures. Other hospitals offer an all- inclusive service price if patients pay up front. The services included will consist of physician visits, hospital visits, and ancillary prices for more than 250 procedures. University of Utah Health Care post the physicians...
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...EXECUTIVE SUMMARY The Marcus Island healthcare system is characterized as socialized medicine where all residents have access to primary care, pharmaceuticals and diagnostic testing. While residents have access to care, they are responsible for a small portion of the payment at the time of service, and in some cases, those who are willing to pay a premium are afforded better access to services. While patients themselves believe their healthcare is either adequate or good, there are several aspects of the Marcus Island healthcare system that suggest care could be better. Specially, Marcus Island’s health care system has been running increasing budget deficits for the past five years. The health care system lacks access to comprehensive services including preventive care and screenings, mental health, dental service, and specialty care. Long wait times for appointments are an issue, as well as continuity of care between providers. Furthermore, there is no system in place to track quality of care indicators. An overhaul of the health care system is needed, including improvements in budgeting and increasing access to the full range of comprehensive health services. In addition, implementation of an electronic health records system would allow for greater continuity of care, improved efficiencies in services, and tracking of quality indicators. DEMOGRAPHICS Demographics: Marcus Island has thirty million residents; the population is growing. Family size is generally...
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...budget estimate of 4.6%. Third, given the current volatile political scenario, the government has to project a pro-common man image. Budget 2012-13 appears to be a realistic budget, balancing the objectives of financial prudence, GDP growth and populist measures. Most of the policies put forth in this budget were along expected lines. And, the initial response from the stock market supports the same. Fiscal prudence The finance minister clearly outlined measures the government is taking to increase its revenues, including increasing the service tax rate to the pre-stimulus level of 12%, increasing excise duty to 12% and setting a disinvestment target of Rs. 30,000 crore for the year. This budget’s big idea was the introduction of systems to enhance the simplification of tax laws, increase tax net coverage, increase compliance and reduce tax litigations. However, this year’s budget did not shed much light on how the government plans to rein in expenditures. Apart from a brief mention on better targeting through mobile platforms, there was no mention of fuel and fertilizer based subsidy reductions. GDP Growth Policies The steps taken to promote infrastructure development...
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