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...care financed by both public and private funding, funding can even be broken down further by each state. I have also learned that there are some very key difference when one compares different states to one another. Health insurance coverage in the United States is drastically different among socioecomimic class, race, nativity, and age. I have also learned the differences in fully and self-insured plans and the risks associated with both. Through the modules I have a much greater understanding of the PPACA act and the changes that it imposes, though it seems like in order for this act to have solid effect on the people it is designed to help, it will still need to continue to be molded and adaptive as time goes on. Not only did this course explain how healthcare is financed as a whole it went into deep discussion and thoughts on how specific programs such as Medicare and Medicaid are financed. Medicare being the United States largest health Insurance program. While Medicare provides many services and modules...
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...Patient Protection and Affordable Care Act Diana Gonzalez Perez Florida International University Introduction The Patient Protection and Affordable Care Act (PPACA) was signed into law on March 23, 2010 by President Barack Obama. The PPACA was enacted to address the lack of quality health care delivery to the 49 million uninsured Americans, a number which has grown with the slow economic growth our country is experiencing (Rattue, 2011). As part of this legislation there are ten provisions, all which are important to comprehensive healthcare reform. Each provision addresses specific functions of the current healthcare delivery system including insurance, reimbursement, medications, and taxes. In this paper, specific provisions of the PPACA will be discussed as well as the legal implications of the legislation. Provisions The PPACA has ten provisions which supply legal guidance for the health care reforms expected to take place from 2010-2014. These provisions will continue to affect the Nation as healthcare continues to evolve. Title I. The quality, affordable health care for all Americans provision includes subtitles A-F. Title I sets the basic guidelines required to implement the PPACA legislation. Subtitle A. Subtitle A sets specific guidelines to be followed by health plans including the prohibition of establishing lifetime limits or annual limits for any participant or beneficiary after January 1, 2014, but permits a restricted annual limit for plans...
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...Health Care Reform from an Economist Perspective Introduction Today there are many Americans without health insurance. This is due to the lack of financial resources they have to pay for the insurance , perhaps due to the unemployment rate and also due to those (younger generation) who choose to opt out of paying for health insurance. Many Americans live day to day hoping they will not get sick. From the results of these rates, President Obama signed the US Health Care Reform into law. The health care reform law encases benefits such as affordability, accessibility, comfort and ease for low income families worrying about going broke if they get sick, health care cost will be capped, and insurance companies will not be able to deny applicants due to pre-existing conditions. Accessibility simply means that insurers would have to expand insurance coverage to all Americans. This means eliminating pre-existing conditions that prevented people from gaining insurance coverage, insuring portability across states, mandating the purchase of insurance coverage, standardizing claims to reduce paperwork and providing benefits and cost information to American people allowing them an opportunity to choose a plan that best fit their needs (Shortell, 2009) Affordability has left uninsured and low income families helpless due to high premiums. The public option is an idea that hopes to establish competition that will drive down insurance premium costs between private insurers (Shortell...
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... Pay-for-performance programs have changed the way physicians provide care in many sectors of the health care industry. They impact reimbursement, especially in regard to Medicare and Medicaid. Pay-for-performance has effects on both the quality and efficiency of health care delivery, although its overall impact it a matter of debate. There are studies that show improvement in quality of care in some areas, and others that show no difference in outcomes. There may even be negative repercussions and ethical issues stemming from the enactment of these initiatives. The goal will be to revise and adapt the system within the evolving health care landscape in order to provide the best outcomes possible for both providers and consumers. Pay-for-performance Pay-for-performance is an incentive program defined by the Health Care Incentives Improvement Institute as, “a term that describes health-care payment systems that offer financial rewards to providers who achieve, improve, or exceed their performance on specified quality and cost measures, as well as other benchmarks” (Pay for Performance, 2012). Pay-for-performance has become a popular tool to attempt to improve quality and efficiency in health care. It is becoming more widespread with the enactment of The Patient Protection and Affordable Care Act (PPACA), as it expands pay-for-performance programs. Long-term patient indicators are very difficult to measure, so performance measurement tools concentrate on short-term goals...
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...Health Care Reform from an Economist Perspective Managerial Economics 2/28/2013 Introduction Today there are many Americans without health insurance. This is due to the lack of financial resources they have to pay for the insurance , perhaps due to the unemployment rate and also due to those (younger generation) who choose to opt out of paying for health insurance. Many Americans live day to day hoping they will not get sick. From the results of these rates, President Obama signed the US Health Care Reform into law. The health care reform law encases benefits such as affordability, accessibility, comfort and ease for low income families worrying about going broke if they get sick, health care cost will be capped, and insurance companies will not be able to deny applicants due to pre-existing conditions. Accessibility simply means that insurers would have to expand insurance coverage to all Americans. This means eliminating pre-existing conditions that prevented people from gaining insurance coverage, insuring portability across states, mandating the purchase of insurance coverage, standardizing claims to reduce paperwork and providing benefits and cost information to American people allowing them an opportunity to choose a plan that best fit their needs (Shortell, 2009) Affordability has left uninsured and low income families helpless due to high premiums. The public option is an idea that hopes to establish competition that will drive down insurance premium...
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...Running 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...
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...percent of the population have to rely on outside sources, such as benefit health care from an employer or from government programs, such as Medicare and Medicaid. As compared to other nations, our society has people that are more overweight, live under more stress, and are less in physical activity. Additionally, our healthcare system underperforms compared to with other nations in critical areas such as, access, quality and efficiency (Davis). How did our system get this way? Why are we paying so much while other nations not so much? A history of major events - The U.S. healthcare system is trying to evolve with modern times; however, as time goes on, our current situation becomes more apparent: * In the 1950s, the price of hospital care was growing; however, more attention was diverted to the war in Korea. Many legislative proposals were made, but none could not be agreed on. * In the 1960s, hospital care expenses doubled, and despite over 700 insurance companies selling health insurance, a large percentage of the population could not afford it. During this time, Medicare and Medicaid were signed into law. * In the 1970s, as Health Maintenance Organizations (HMOs) begin to take form, healthcare cost continue to escalate, partially due to unforeseen high Medicare costs, coupled with rapid inflation in the economy. * Medicare shifted to payment by diagnosis (DRG) instead of by treatment only in the 1980s....
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...The Impact of the Affordable Care Act on Businesses Sadie Boyd Webster University FINC 5000 Abstract This research paper was created to bring a better understanding on how the Patient Protection and Affordable Care Act affect business, government, and average American. Small business owners have historically had a much harder time providing themselves and their employees with insurance due to rising health insurance costs; meanwhile bigger businesses remain largely unaffected due to the leverage buying large group health plans gives them. This problem has only gotten more severe in the past decade. Today, almost half of America's uninsured are small business owners, employees or their dependents. There are around 44 million Americans who currently are unable to get health insurance. The Patient Protection and Affordable Care Act (PPACA,) signed into law by President Barack Obama on March 23, 2010. Several rationales were offered in support of this legislation, including that it would lead to the creation of jobs and the reduction of the federal budget deficit. Everyone is affected by this health care in one way or another. The Patient Protection and Affordable Care Act Consistent with respected economists‟ forecasts, the health care law contains a number of provisions that will eliminate jobs, reduce hours and wages, and limit future job creation. Specifically, the law: * Penalizes employers for failing to offer coverage deemed acceptable by the government; ...
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...Health Care Reform Part I Health care spending in the United States is among the highest of industrialized nations (Health Policy Education, 2011). Health care reform found its roots in the 1900s when just prior to that physicians were caring for hospitalized patients without charge. Today it is a main political issue tipping the scales toward a presidential election. Team C chose this topic because of the serious nature and as future managers, leaders in health care administration; a greater understanding is required. This team seeks to discuss three major points in regard to health care spending, such as unnecessary spending, options if health care reforms fail, and ongoing coverage for ongoing care as it relates to macroeconomics and also propose three solutions identified within the research, respectively, information technology, influence of pricing and allocation of services, and prevention. Background Health care expenses in the United States were in excess of $2.3 trillion in 2008. Accounting for three times as much spent in 1990 and eight times that spent in 1980. According to Kaiseredu.org (2010),”This equated to $7,681 per resident and accounted for 16.2% of the nation’s Gross Domestic Product (GDP)” (Background). Below is a graph taken from Kaiser.EDU.org, which depicts how dollars were spent in regard to health care 2008. Today health care costs account for 16% of the nation’s GDP. On an individual basis, per capita, the cost is twice that of other major...
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...AP Photo/LisA BiLLings Confronting America’s Childhood Obesity Epidemic How the Health Care Reform Law Will Help Prevent and Reduce Obesity Ellen-Marie Whelan, Lesley Russell, and Sonia Sekhar May 2010 w w w.americanprogress.org Confronting America’s Childhood Obesity Epidemic How the Health Care Reform Law Will Help Prevent and Reduce Obesity Ellen-Marie Whelan, Lesley Russell, and Sonia Sekhar May 2010 Contents 1 Fast Facts on Childhood Obesity 3 Introduction and summary 6 Provisions included in the Patient Protection and Affordable Care Act that address childhood obesity 6 Childhood Obesity Demonstration Project 7 Nutrition labeling 7 Community Transformation Grants 9 Broader measures in the Patient Protection and Affordable Care Act to tackle childhood obesity 9 Prevention and public health 15 Primary care and coordination 18 Community-based Care 20 Maternal and child health 22 Research: Doing what works in obesity prevention 23 Data provisions that will help with tracking and providing improved outcomes to measure obesity prevention 25 What else is needed? 27 Beyond health care 29 Conclusion 30 Appendix: The White House Childhood Obesity Initiative 32 Endnotes 34 About the authors Fast Facts on Childhood Obesity Our nation’s children today are on track to have a lower life expectancy than their parents The obesity epidemic poses serious health problems for children including cardiovascular disease,...
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...Obamacare Health Policy Anthony E Davis POL201: American National Government Ginger Devine November 25, 2013 Analysis of Obamacare Health Policy One of the most crucial issues of today is the issue of health insurance and availability of quality health services to all residents of the U.S. This paper will analyze the Obamacare Healthcare Policy-highlighting its core elements, health care problem solution, and the policies history. Also it will evaluate the pros and cons using different perspectives in debate. Let’s begin with the elements of Obamacare. The Patient Protection and Affordable Care Act (PPACA), also called Obamacare or the Affordable Care Act, is a United States federal statute signed into law by President Barack Obama on March 23, 2010 (ObamaCare Summary: A Summary of Obama's Health Care Reform, 2013). Since the establishment of Medicaid and Medicare of 1965, Obamacare is one of the most significant expansions from the government and administrative overhaul of the U.S healthcare system. The purpose of the Patient Protection and Affordable Care Act is to raise the rate of health coverage of Americans, to modernize the delivery of health care services, and to reduce the overall costs of health care. This is to be done by restricting certain insurance company practices and providing tax credits and subsidies for individuals and businesses. Prior to the approval of the Obamacare Policy, the American health care industry was in deep calamity. Around 50...
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...State Insurance Exchanges as Catalysts to America’s Health Revolution HSC-536 W-Credit Saud Al Busmait (C060-797-64) 4/30/2012 The Patient Protection and Affordable Care Act (PPACA) and the Health Care and Education Reconciliation Act signed into law on March 23rd 2010 are both essential portions of American legislation, as well as wildly misunderstood in their entirety. Personally, and from recent academic experience, I meant that to sound exactly as the previous sentence expressed. Prior to actually introducing the main topic of this paper, being the ACA’s health insurance exchanges, and beginning to write, I honestly found myself experiencing writers block. This was so strange as there is an endless amount of very straightforward information available on the topic. I realized that the problem was rather interesting. I felt the need to first express my opinions of the ACA on a simpler note, purely writing what I really felt and believed about it as the thoughts flowed. I now realize why that was so. I believe that it was my newfound understanding and strong, honest support for the act that I had to sell, to at least a sufficient degree, to whomever may read this college student’s paper. This “sufficient degree” of mine is a fair understanding of the long-term, national importance that the ACA’s provisions may serve, ultimately through the efficiency of health insurance exchanges. The national importance being served is exponentially expanding medical care to the U.S...
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...topic addresses the following learning objectives: * Recognize the impact of attitudes, values, and expectations about aging. * Describe how the RN’s personal beliefs and values may impact the care of older adults. * Articulate the concept of individualized care as the standard of practice with older adults, considering the right care, at the right time, in the right place and by the right provider of care. * Define Baby Boomers * What are the five racial groups listed in your text? * How would you perform discharge teaching to an Hispanic patient * Apply effective and respectful communication strategies in the care of older adults and their families. * List some of the changes of aging that could affect therapeutic communication * Note the ways to communicate or assist a patient with disabilities such as hearing deficits, vision impairments, or aphasia and dysarthria. Be familiar with the types of hearing devices. How should you address the older adult during therapeutic communication? * Know the abbreviations or acronyms, such as AAC. Know which hearing aids cover the widest range of hearing loss. See the box on Types of Hearing Aids in chapter 5. Both hearing aids and AAC will be mentioned again in Chapter 16. * Make sure you understand what patients could benefit from the use of the AAC. * Understand what things can occur to make it difficult to...
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...right place and by the right provider of care. * Define Baby Boomers (those born from 1946–1964) reach retirement age (as of 2011) A large group of people born between 1946 and 1964, in the time after the Second World War. * What are the five racial groups listed in your text? African American, American Indian/Alaskan Native, Native Hawaiian/Pacific Islander/Asian, Hispanic, White * How would you perform discharge teaching to an Hispanic patient Teach the family as well because more than likely, pt is going home and family is his/her primary caregivers. * Apply effective and respectful communication strategies in the care of older adults and their families. * List some of the changes of aging that could affect therapeutic communication * TABLE 4-1 Normal and Pathological Changes and Their Impact on Communication pg80 * Note the ways to communicate or assist a patient with disabilities such as hearing deficits, vision impairments, or aphasia and dysarthria. Be familiar with the types of hearing devices. How should...
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...CIS500 Information Systems for Decision-Making Term Paper - Information Technology Strategic Plan April 12, 2015 1. Write an introductory statement of the company including but not limited to the type of the company, the location, the industry in which it competes, and the organizational vision and mission that encompasses the nature of the company. Being the largest not-for-profit Catholic healthcare system serving the Delaware Valley, Mercy Health System is part of Trinity Health and sponsored by Catholic Health Ministries. Their mission is to serve in the spirit of the Gospel, which means serving the entire community with compassion and healing presence while addressing the diverse factors that impact the health needs of the whole person. Even though they treat people from all walks of life, they have a special concern for the poor and disadvantaged. The goal of Mercy Health System is to be recognized as the leader in improving the health of the community and everyone they serve. Currently, they employ approximately 6,500 caring, highly skilled personnel who are focused on creating positive patient-care. Mercy Health System is a diverse, integrated system that embodies: Four Hospitals acute care hospitals: | Mercy Fitzgerald Hospital | A 213-bed teaching hospital in Delaware County and Southwest Philadelphia | | Mercy Philadelphia Hospital | A 268-bed community teaching hospital serving the needs of West and Southwest Philadelphia communities | |...
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