...Name: Elise Perkins Phone: 773-241-**** E-mail: *********@rocketmail.com Health Status and Health Care Services in the United Kingdom with comparison to the United States HSM310 Introduction to Health Services Management Course Project Date submitted: 11/29/2015 Table of Contents Executive Summary………………………………………………………………………………………………. 3 Population and Health Status………………………………………………………………………………………………………………... 3 Demographic characteristics of population Mortality, Infant mortality data, causes of death Other data of health status Related information (such as on quality if life); analysis Availability of Health Services………………………………………………………………………………….. 4 Basic organization/general description of services institutions, providers of care Issues related to access Utilization of services (data, if available) Other related information/analysis Expenditures………………………………………………………………………………………………………. 5 How are health services paid for; any roles for the government here Data on total expenditures Other related information/analysis Macroenvironmental influences on the health care system……………………………………………… 6 Political Socioeconomic Cultural Technological/Other relevant influences Summary comments…………………………………………………………………………………………….. 7 Problems Opportunities Other related comments regarding this country's health care services Comparison to the United States: what works better, what is not working as well Concluding comments: Lessons...
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...many years with small reforms, ; we need big changes, and we need them soon. Healthcare has a long and detailed history in the United States. Since the beginning of the 20th century, it has been a major source of political debate. Both federal and state governments have made efforts in trying to take steps toward a universal health care system. Early reform poured the foundation for today’s government healthcare programs. The United States witnessed social movements that demanded access to the American dream. People who were viewed as second-class citizens banded together and demanded reform on their behalves. The largest of these movements was a demand for universal healthcare. American’s greatest issue was sickness and missing work. When working individuals missed work due to “sickness” they lost their wages. The loss of income made sickness the leading cause of poverty. Reformists saw a need for national healthcare and the campaign began. Health insurance that would protect the worker against wage loss and expenses incurred from medical treatment. In 1906, the American Association of Labor Legislation (AALL) became active in the push for national health care. They created a committee that concentrated on healthcare insurance, and in 1915 drafted a bill that gave limited coverage to the working class and to anyone that earned less than $1200 a year. This draft included sick pay, death, and maternity benefits. The proposal was meet by opposition. Although the American Medical...
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...Health Care Necessity for a Universal Health Care System in America Health care reform has recently become top priority for policy makers, and health administrators. The current health care system faces many costly problems for the uninsured/underinsured, employment-based insurance coverage, and financially burdened health service providers. Although policy makers have made many attempts to raise the number of insured, through programs such as Medicare, Medicaid, the number of uninsured Americans continues to rise. Currently 45 million American have no health insurance and children make up approximately 10 million of that number reported by the U.S. Census Bureau (8-10). The politicians and largely the medical societies, appear to be unable to decide what society’s responsibility in health care should be to those who are unable to purchase basic coverage. Surveys conducted by institutions like the Robert Wood Johnson Foundation, and the Henry J. Kaiser Family Foundation have noted that the proportion of people named the uninsured as the single most important domestic issue. Additionally, the Woods and Kaiser Foundation study concludes 55% of the participants expressed willingness to pay some level of taxes to cover the uninsured (1-4). The majority thought that the uninsured should be offered a federal funded health care package. Universal health can enhance health and well-being by promoting access to high-quality care that is cost effective, efficient, safe,...
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...Affordable Care Act deadline is quickly approaching. The bill aimed at reforming the health care industry was signed in to law on March 23, 2010. The primary focus of the law is to make healthcare services more affordable for all American Citizens. The Obama Care health insurance market place is set to open October 1, 2013. However, the U.S. Department of Health and Human Services has delayed the signing of final agreements originally set for the first of September to mid-month. With the Health Insurance Marketplace opening October 1st, insurance companies will compete as providers for individuals’ business via the Affordable Health Insurance Exchange, an online marketplace. Many health care provisions are already in affect saving on the cost of coverage, such as the rate review provision and the Medical Loss Ratio policy. The rate review provision was passed on May 19, 2011, as part of the new reform to combat insurance companies from “rate hikes”. From 2003 to 2009, reports from the Commonwealth Fund found that employers had faced an average 41% increase in premium costs, while individuals faced and average increase of 10%. 43 out of 50 states currently have a rate review process, but vary greatly in how they are performed. The U.S. Department of Health and Human Services performs reviews on those states which lack resources for adequate reviews. Another reform already in action is the Medical Loss Ratio Policy. The Medical Loss Ratio Policy requires all health insurance...
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...Account Summary Report BUS 599 Accounting Summary Report T&T Lemonade stand consists of twin-sisters who decided to enter into a partnership by investing initial capital of $20.00 each to sell sparkling fresh, ice cold, lemonade to drink during blistering hot summer days in Florida. One of the twins, Tayshah came up with the idea and it has flourished into a prosperous adventure. They started their endeavor with a vision and determination, began from scratch, and in just short period turned their initial capital into a profitable business. This report provides information regarding the first six days of business for season one. This report consists of a journal, which provides a detail account of all financial transactions starting with day one and ending at day six, an income statement, which reports revenues and earnings, less the expenses incurred within a six-day period, and a balance sheet that explains the assets equal to liabilities plus equity. Journaling A journal gives a complete record of each transaction in one place, day to day and shows debits and credits for each transaction (Wild, Shaw, Chaippetta, 2010). Transactions started with the initial capital of $40.00 from Tayshah &Teighlor, twin sisters, owners and the total debits and credits of $406.60. This journal provides a chronological order by date totaling six-days. The journal capture revenues earned during the cash sales from the lemonade stand, debits for equipment and supplies...
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...Health Care Utilization Danjerell Burks HCS/235 July 16, 2014 Joseph Chiappetta The Affordable Care Act started changing the country’s health-care system almost from the moment it was signed into law in March 2010. It has already expanded coverage of young adults by allowing them to stay on their parents’ plans until they turn 26, outlawed lifetime limits on what insurance will cover, lowered the cost of drugs for seniors on Medicare, caused 13 million consumers to get premium rebates totaling some $1.1 billion, and expanded access to free preventive care for patients of all ages. Last summer it survived a challenge in the U.S. Supreme Court. But all that is prelude to the transformation coming in 2014, when almost all Americans will have access to affordable health insurance that covers essential care. By Oct. 1, 2013, every state will have an insurance exchange—an organized marketplace where individuals and small-business owners can select from among the entire qualified private health plans available in their area. It’s expected that most consumers will shop on their state’s marketplace online, but they can also shop by phone, through brokers, or with the personal assistance of trained helpers called Navigators. There will also be help available for consumers who don't speak English. The health care law was intended to expand the government-run health program for low-income Americans to cover up to 16 million more people with household incomes up to 133 percent...
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...Universal insurance Course Project Implementation of Universal Health Health Policy and Economics June 22, 2014 Diera Kelley DvKelley30@Gmai.com Table of Contents Executive Summary Pg. 3 Define the Problem Pg. 4 Literature Review Pg. 4 Problem Analysis Pg. 9 I. The Uninsured II. The insured Possible Solutions Pg. 11 Solution and its Implementation Pg. 17 Justification Pg.19 References Pg.21 EXECUTIVE SUMMARY: The current health care crisis is depicted to be solved by the usage of Universal Health Coverage or UHC. This defined as the process of providing quality healthcare coverage with the aspect of financial gain or hardship. Since the assembly in 2005 of the World Health Assembly several countries have...
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...|The Case For Single Payer, Universal Health Care For The United States | | | | | | | | | |Nicole Jones | |April 2011 | |HS 544 Health Policy and Economics | |Fowler | | | Table Of Contents Page Section 1: Executive Summary …………………………………………….. 3 Section 2: Introduction …………………………………………….. 4 Section 3: Literature Review ……………………………………………… 5 Section 4: Problem Analysis ……………………………………………… 10 Section 5: Solutions and Implementations ………………………………………… 17 Section 6: Justification ……………………………………………… 18 Section 7: References ……………………………………………… 20 Executive Summary Almost four decades ago, Canada and the United States had very similar health care systems. Today, they are very different. The...
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...Questioning Assumptions about Health Care Systems Executive Summary The United States Health care system is the subject of much debate. At one extreme are those who argue that Americans have the best healthcare system in the world, pointing to the freely available medical technology and state-of-the-art facilities that have become so symbolic of our system. At the other extreme are those who accuse our system of being fragmented and inefficient, pointing to the fact that the U.S. spends more on health care than any other country in the world, yet still suffers from a substantial rate of uninsured, uneven quality, and administrative waste (Sultz, 2013). A review of U.S. healthcare expenses by the Institute of Medicine revealed that thirty cents of every dollar spent on medical care is wasted, adding up to $750 billion annually (http://www.iom.edu, 2012). The Institute of Medicine report identifies six major areas of medical waste: unnecessary services; inefficient delivery of care; excess administrative costs; inflated prices; prevention failures; and fraud (http://www.iom.edu, 2012). Americans spend twice as much on health care per capita than any other country in the world. In fact, according to a series of studies by the consulting firm McKinsey & Co, the US spends more on health care than the next ten biggest spenders combined: Japan, Germany, France, China, the U.K., Italy, Canada, Brazil, Spain, and Australia (http://www.mckinsey.com, 2008) Introduction ...
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...Healing of America and Delivering Health Care in America Shahab Vaziri James Madison University In chapters nine through the appendix of The Healing of America by T.R. Reid, it is illustrated about the advanced endeavors, which Reid goes on, to find out about the ins and outs of foreign health care policies and how the United States can borrow ideas, even if the country is a suffering third-world country. Chapter nine is entitled out of pocked because it has the theme of people in foreign countries attempting to buy insurance in any manner that involves cash without any entitlement or responsibility after the fact. Many poor foreign nations in Africa and South Asia are heavily reliant on the out-of-pocket model that deals with paying for care with currency, and if that is not available then “potatoes or pottery or dairy products or babysitting services or whatever he can scratch up” will work (Reid, 2010 A). Although America does have insurance plans for people to buy into, the extremely poor people use the out-of-pocket model and are more likely to get sick and stay sick without insurance. The same holds true for countries with out-of-pocket polices, according to Shi and Singh; they have the “least resources and the greatest health burden” (Shi and Singh, 2015 A). This illustrates that Reid and Shi and Singh agree upon the fact that being poor and sick in a developing country is more detrimental than being sick in America without health insurance. This becomes more evident...
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...Policy Analysis Paper The fate of uninsured Veterans: A policy Analysis University of Mississippi Medical Center School of Nursing Define the problem and assemble the evidence Too many Veterans in the United States lack health insurance and are ineligible to receive care provided by the Veteran’s Health Administration. According to American Community Survey (ACS) conducted in 2010, one in 10 of the nation’s 12.5 million veterans under the age of 65 is uninsured. A veteran is defined by federal law as any person who served for any length of time in any military service branch. Contrary to the presumption of most, not all veterans qualify for free healthcare through the Department of Veteran Affairs. The Veterans Health Administration (VHA) operates as a branch of the Department of Veterans Affairs and is the largest health system in the nation. It is recognized for its commitment to providing high-quality population specific healthcare. The VHA also works closely with academic medical centers across the nation. Haley and Kenney (2012) identify eligibility for health care provided by the VHA as being on veteran status, service-connected disabilities and income level. Other factors include demographic location and cost sharing requirements. Health insurance coverage for veterans as with other groups of nonelderly adults has heavy dependence on access to employer sponsored insurance (ESI) and the costs of obtaining it. It must also be considered that the majority of states...
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...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 produce better health outcomes. High quality and less expensive healthcare can be achieved with a universal healthcare model. In fact, the United States is the only industrialized nation that does not have universal healthcare. France, the United Kingdom, and Canada are but a few of the countries which view healthcare as a right, not a privilege. How can these nations afford healthcare...
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...Executive Summary The United States continues to 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...
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...Analysis of Bill: Universal Healthcare Act The purpose of this analysis is to discuss the impact bill HB0942, Illinois Universal Healthcare Act, will have on the healthcare system in Illinois. This bill will allow easy healthcare access to all individuals living within the state. While there are many positives that can result from this new bill, there are also unintended consequences that could arise that must be taken into consideration. Many groups currently oppose the bill, yet others offer full support and hope to see it in action soon. Funding is a major issue since all citizens of Illinois will be covered by the plan. There are specific provisions included within HB0942 which range from medical services to long term care to job placement for anyone affected. Overview of the Problem Today, many Illinoisans are facing an enormous problem: the rising cost of healthcare. Currently, our state’s medical care cost, as of all America, is outrageously expensive while the quality of care is inadequate compared to other countries around the world. Using the latest statistics by the Physicians for a National Health Program Illinois (PNHP), approximately 1.8 million of the 13 million citizens of Illinois are lacking healthcare coverage ("A Single-Payer Statewide," 2013). It is very clear that the system the state is currently using is not working. For this reason, a new bill is in the process of being passed. The rising cost and lack of access to healthcare is causing...
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...Universal healthcare coverage in Indonesia One year on January 2015 Written and produced by www.eiu.com/healthcare an Economist Intelligence Unit business healthcare Universal healthcare coverage in Indonesia— One year on Contents Abbreviations 5 Introduction 6 Indonesia’s version of Universal Healthcare: What is the JKN? What about the KIS? 8 Challenges with Indonesia’s version of Universal Healthcare 12 Teething problems—A short-term affair? 12 Balancing the budget—Fiscal sustainability 13 Chronic undersupply—Another barrier to providing truly comprehensive services 15 How should the healthcare industry prepare in the short to medium term? 17 Healthcare service providers: Pockets of opportunity 17 Med-tech and pharma: Spotting opportunities and tailoring product offerings 19 © The Economist Intelligence Unit Limited 2015 1 Universal healthcare coverage in Indonesia— One year on Foreword Ivy Teh, Managing Director at Clearstate, an Economist Intelligence Unit business. 2014 marked a watershed year for Indonesia, the world’s fourth populous country, with the election of the popular reformist politician, Mr. Joko Widodo, as its president. The year also saw the rollout of the long-delayed universal healthcare scheme (UHC). Indonesia intends to phase-in the world’s largest single player health care insurance program from 2014 to 2019, reaching universal coverage for all Indonesians...
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