...Access to Insurance Versus Access to Care Access to Insurance Versus Access to Care and the Impact of the Affordable Care Act Tyanna Qualls Walden University Access to insurance differs from access to care because of cost. One example of my personal experience of insurance and access to care was when I had to assist my brother with his sickness battling sickle-cell anemia. My brother resided with me the last six months before he transitioned over so I witnessed firsthand the lack of quality care he received due to being underinsured. Medicaid was my brother’s only source of health insurance. His sickness prevented him from maintaining a full-time job. The full-time jobs he did hold did not offer him an affordable insurance plan due to his condition. One employer denied him coverage completely because it cost too much to insure a person who needs extensive long-term care. Pre-existing clauses prevented him from receiving necessary preventatives services. The pharmaceutical companies charged high copays for name brand medications that he needed. Medicaid drug formularies limited his access to many beneficial drugs. Lack of insurance coverage prevented him from having a primary care physician to see consistently so he frequented the ER departments at the community hospitals. Whenever he was admitted into the hospital, he had a certain amount of days they would keep him, a lot of medical services were not provided to him because of his level of benefits with Medicaid, and he was...
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...Access to Insurance Versus Access to Care October 23, 2011 Access to Insurance Versus Access to Care Access to insurance means that a person has a contract where a company will reimburse either the person or health care professional for treatment of a certain disease process or medical problem. However, one may have insurance for a condition but not be able to access care for that condition. This can arise for several reasons including physical proximity to the care being rendered, available care opportunities already being occupied by people requesting the care earlier than the next-comer, and businesses closing their doors due to costs not being reimbursed adequately for care being provided. Access to Insurance The Patient Protection and Affordable Care Act of 2010 (PPACA) as explained by Davis (2010) gives more access to insurance for United States citizens. Improved access to insurance comes from multiple rules that range from prohibiting restriction of insurance coverage to covering children of already those already covered by insurance up through age 26. Since the PPACA is based on the Massachusetts’ 2006 health care reform plan (Gruber, 2011), it is reasonable to evaluate the effects that have been experienced in Massachusetts. One thing to note is that 124,000 fewer people in Massachusetts have employer-sponsored insurance, creating an even bigger public burden, since this is a way to reduce non-salary personnel expenses (Byron, 2011). The same scenario is being...
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...Access of Care Assignment 1) What is access of care? Access to care is health care services that provide people with the best heath results. Health care equality for coverage, services and being timely for care needed. Obtaining health care has three compnents, first is gaining access, next is places where people can go to obtain the services they need and lastly is finding providers that they can establish a relationship with (Access to Health Services, 2015). Finding a provider that the patient will return to for further appointments is needed for quality care. The extent to which a population gains access also depends on financial, organisational and social or cultural barriers that limit the utilisation of services (Gulliford, et al., 2007). 2) How does service availability affect access of care? Availability for access of care determines what resources are available. This can include how many health care facilities are accessable, hours of operation, and how long it will take to connect you with the specialty you need. Also the technologies may differ due to location. Two of the components defining effective coverage do actually have a geographic dimension: availability and accessibility coverage (Modeling Physical Accessibility to Health Care and Geographic Coverage, 2015). 3) How do affordability, physical accessibility (delivery), and acceptability (quality) of services affect access of care? Accessibility: Health facilities, goods and services...
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...February 12, 2012 Arizona Governor’s Efforts to Improve Access to Health Care The Arizona Health Care Cost Containment System (AHCCCS) is the state of Arizona’s alternative to the conventional fee-for-service Medicaid system. Established in 1982, the system is built on a health maintenance organizational model (contracted providers are paid a prearranged capitation payment for services that are delivered to enrolled members) (Betlach, 2011). Eligibility into the AHCCCS program is gained through a mixture of state and federal programs, which for some, include also being qualified for a cash assistance program (for example, Supplemental Security Income (SSI)). The program operates on state, county, and federal funding to provide health care coverage to low-income families, acute and long-term care Medicaid patients, and small businesses. In essence, AHCCCS is a managed care system that allows members to choose their own providers, mainstreams clients, and emphasizes preventative services and high-quality health care (McCall, 1997). The AHCCCS program is responsible for three main areas: * Acute Care: Consists of a majority of pregnant women and children and also contains an emergency services only program for the population who does not qualify for full AHCCCS benefits due to immigration status (Kirkman-Liff, B., and Kronenfeld, J. (1994). * Arizona Long Term Care System (ALTCS): Provides long term care, acute care, case management, and behavioral health to the elderly...
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...Health Care Access Options Nicole Manske HCS 490 April 25, 2016 Professor Green Health Care Access Options There are many health care centers throughout the community that offer many different health care needs for patients. Health care organizations are found in varies places throughout the community. You can find walk-in clinics, retail clinics in grocery stores, and no appointment physician offices. These different types of health care centers impact the variety of demographics throughout the community and within the health care community. These clinics effect different generations too. Also, when you know the targeted audience of the clinic based on demographics you will find a center that best suits your needs. Along with the audience, knowing that social media networking can have a large impact on consumer choice will also help determine the best suited health care center for your needs. The Changing Landscape of Health Care Systems Health care systems will forever change. The systems must change in order to stay relevant with what the community wants and needs. The system is working towards creating affordable center for everyone to receive the care and treatment they need while also keeping the treatment affordable (Department of Health and Human Services, 2015). There are various places health care is delivered. There are many walk-in clinics that all patients in need of immediate attention to receive the help they need. These walk-in clinics are convenient...
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...Grandcanyon university | Health Care Access Paper | Professor Barri Mallin | | Sheila Ford | 12/16/2012 | | The purpose of this paper is to inform you of a proposal that the Governor of Texas has proposed to the state, on how he feel about the health care reform. I will be talking about how the governor thinks by” issuing top-down mandates on a break-neck timetable is a surefire way to make things worse”. The health care reform legislation currently being considered not only poses a serious threat to patients and providers, but will also cost Texas taxpayers tens of billions of dollars. I will be explaining how the governor feels that President Obama’s plan will cause harm to the health care system,” by increasing taxes and escalate medical price inflation and add more than $285 billion to the deficit over the next 10 years”. “Gov. Perry: Federal Health Care Proposals to Cost Texans Tens of Billions of Dollars Tuesday, August 18, 2009 • Austin, Texas • Press Release Share” “Gov. Rick Perry today emphasized the importance of state developed health care reform rather than the costly, expansive, one-size-fits-all mandates being considered by the federal government. The governor spoke at a press conference announcing the results of a study about federal health care proposals conducted by the Texas Public Policy Foundation (TPPF)”. “It’s clear Washington has no interest in allowing states to develop their own tailored solutions to problems that affect...
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...Health Care Access Options Lawanda Collins HCS/490 Health Care Consumer-Trends and Marketing July 14, 2014 Instructor: Lance Danko Med Now is a walk in urgent care facility in Evans Ga. They offer an array of services to the public from immunizations to non-trauma emergency care. Their target audience in their marketing campaign is geared toward everyday care and issues. Their marketing techniques are geared toward a patient centered, family first, professional approach. Although their marketing techniques are viable; there are some things that can be done differently to reach a broader audience. Their target audience within the community are people in need of immediate care or services. Their audience is identified with the first paragraph of their welcome statement, “When you're not feeling well, the last thing you want to do is wait hours in a crowded waiting room not knowing when you will be seen. What do you do when your doctor's office is closed and you need medical attention? The all new MedNow Urgent Care Center at the corner of Columbia and Bel Air Roads provides a fast, affordable alternative when you need urgent care” (http://www.mednowurgentcare.net). This opening Statement clarifies exactly what services to expect from the organization. Their marketing strategy is very simple; to educate. Although it is simple, is it effective? Their web resource is very detailed providing information on the services they provide, Staff accreditations, location...
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...A common goal in any healthcare organization is to provide quality healthcare to patients while maintaining well-coordinated cooperation amongst healthcare professionals. Whether in a hospital setting, a long-term care facility or an outpatient clinic, the need for interdisciplinary teamwork remains an important asset for the profit of all involved. This paper will discuss the interactions of allied health specialties as it relates to physician assistant and health information manager. The author will also address the function of the above specialties, their impact on the Nuclear Medicine Technologist and on the patient. Furthermore, possibilities that may involve cross-training for the positions and any potential coverage issues will be tackled. Health information management (HIM) is the practice of obtaining, analyzing, and protecting digital and traditional medical information crucial to supplying quality patient care (Association of Schools of Allied Health Professions, n.d.). Health information managers guarantee patients’ health records are comprehensive, precise, and protected, yet readily accessible for healthcare providers when required. A physician assistant, on the other hand, is a licensed, highly experienced health care practitioner who provides a wide array of diagnostic, therapeutic, and preventive services as assigned by a physician. During a typical workday at the author’s facility, constant interaction is carried out amongst the health information manager...
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...Access to Healthcare in the United States Many would argue that here, in the United States, we have the best healthcare in the world. We benefit from the most up to date medical technologies, medications, and services. People come from every corner of the world to take advantage of our top notch physicians and facilities. One would questin is this reputation warranted, and if so, at what cost? These costs rank us among the highest of industrialized nations (Lundy, 2010). Does this high expenditure equate to better outcomes? According to the National Scorecard on US Health System Performance (2008), the US received a 65 out of 100 possible points. Compared with 19 other industrialized nations, the US came in last place in preventable mortality. Preventable mortality means just that, deaths which could have been prevented if “timely and effective care” could have been provided (The Commonwealth Fund on a High Performance Health System, 2008). In 2000, the World Health Organization performed their first ever comparison of the health systems of the world. They reviewed 191 different countries and ranked them on numerous parameters, the United States ranked 37th for overall health system performance (WHO, 2000). Is it that our healthcare system is truly that poor, or is it that our care is only excellent for those patients who can actually afford it? A universal healthcare system would not only provide healthcare for all, it could also decrease our healthcare spending and potentially...
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...Access to Care Project Lane Community College William Bennett Scott Dawson Shana Perkins Assigned scenario: Summer is a 15 year old sophomore at South Eugene High School. She is 5 months pregnant. She lives at home with her parents in a home near the corner of Potter Street and 21st Avenue. Summer and her boyfriend would like to keep the baby. Summer’s boyfriend Jake is talking about moving into Summer’s parents’ house but Summer’s parents are not so sure that they want Jake living with them. a. What prenatal resources are available to Summer? b. How much will prenatal care cost? c. Is it likely that Summer’s prenatal care and the baby’s medical care be covered by her parents’ standard medical insurance policy? What criteria, if any need to be met? d. What post-partum resources are available to facilitate Jake’ & Summer’s parenting skills? e. Summer would like to transfer to Churchill High School to participate in their child care program. What bus route will Summer need to take to get from her parents’ home to Churchill High School? NOTE* Our group identified local medical coverage networks including Peacehealth, Oregon Medical Group (OMG) and Private Payer. We chose to gather data from OMG and assumed the insurance coverage of the parents covers services on an approved provider list limiting her to the OMG network. Questions: Community resources available to teen parents are numerous and qualification is based on availability...
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...United States has a health care system that reflects the values, beliefs and cultural norms of its society. The ideals of capitalism, free enterprise and the desire to be involved in cutting edge medicine and technology are all inherent characteristics that have been critical in the development of the current health care system. These foundational characteristics, however, have also created a health care crisis resulting in increased cost for health care, inequities in access to health care and a fragmented infrastructure. One of the major problems with the United States health care system is cost. The United States spent over 3 trillion dollars on health care in 2014 (Martin, Hartman, Benson, Catlin, & National Health Expenditure Accounts...
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...Health Care Access Options Kayla Moore HCS/490 Health Care Consumer – Trends and Marketing February 15, 2016 Danny Crawley Health Care Access Options In today’s society people want everything done right away, never wanting to wait and this includes their health care. Since people are wanting and needing care right away there is a need for more urgent care clinics. An urgent care clinic is a walk in clinic that is focused on the delivery of ambulatory care that is in a medical facility outside of an emergency room. An urgent care is meant to treat medical illnesses and issues that require immediate care but not enough so that an emergency room is required. Around the Perris, California area there are several urgent care locations, all of which take different types of health insurance. Since there are certain areas in which more people may need government assistance there is more of a chance there will be a certain genre of people who are using those urgent care centers where others may only take private insurance. The different locations of the urgent care facilities have also influenced the way the facilities are trying to bring awareness; some may use more social media while others may prefer a mailer. Going over different statistics will give a clearer understanding of which areas may need to change the way they are trying to get their name out there. Changes in urgent care Urgent care facilities have not been around for a very long time but due to the locations...
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...television commercials, advertisements in magazines and newspapers, social media to include Facebook, Twitter, and YouTube. They also offer an app for those will smartphones. When using the www.google.com search engine to look up retail clinic, CVC Minute Clinic is the first website on the list. The CVS Minute Clinic has been successful, since they started out in 2000 as QuickMedx in the Minneapolis-St. Paul area, they have grown to over 800 clinics nationwide, and will open 150 new clinics over the next year. Walk-In Clinic Impact Urgent Care is serving the city of San Antonio from two locations, one in the far north central and then one in far northeast. They are open daily from 8 am to 8 pm, offering walk-in treatment for non-life threating injuries and illnesses. They also have a concussion clinic, where they will screen athletes can obtain a baseline screening. The clinic also offers occupational medical services. Impact Urgent care target patients who need to be seen and can’t wait for an appointment to open up with their family practitioner, but is not having a life threating medical emergency. They also offer patients the convince of checking in online and calling the patient to come into the clinic when it is their turn to be seen. They advertise through the social media platforms...
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...system of health care, as well as its delivery is far disparate compared to those of other countries. Unique in every single aspect, the United States is unmatched. Access to health care in the United States is complex. The overall political climate of the United States; including the interest groups, laws and regulations, and the president and Congress are all key factors in access to health care. Now the question remains; what makes a nation? People, are ultimately the backbone of a country. Because of them a country has an economy, culture, defense, education and government. It is the government’s responsibility to...
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...The truth behind the access to a health insurance and health care Mary Ramirez Gonza The truth behind the access to a health insurance and health care Summary of a personal experience Access to health services is often related to having a health insurance. In most of cases both terms go hand in hand, however, this does not always happen in that way. Five years ago, my mother suffered a myocardial infarction. It was an unexpected situation for my family, especially for me. My mother was only 54 years, and the doctors did not ensure her survival. Several weeks after my mother miraculously recovered, the cardiologist who treated her recommended the realization of a catheterization to place a stent in the affected artery. My mother had a Puerto Rico’s government health insurance, a public health insurance designed for people with limited economic resources. When the paperwork for the realization of catheterization began, they were delayed two weeks due to lack of interventional cardiologists. My whole family was worried, and the cardiologist who treated my mother too, because these procedures were necessary to prevent a future heart attack. Unfortunately, several days after my mother leaved the hospital, she returned to an emergency room with a strong chest pain. After that, the procedures were performed. Thankfully, my mother was successfully recovered. This is an example that having health insurance does not ensure access to health services. Unfortunately, many...
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