Essays on Medicaid

Medicare

What are the purposes of Medicare regulations other than the one mentioned above? Medicare was signed into law in 1965 with the intention of providing better healthcare to the citizen through medical insurance. It provides protection to its recipients, and it is a government program intended to provide insurance to the aged and people living with certain disabilities (Moon, 2006). It is mandated by the law to provide hospital insurance, medical insurance and cover drug prescription for its recipients. How will the federal government enforce compliance in the Medicare Advantage program? Which two other Medicare regulations do you think ...

The affordable Care Act 2015 formerly christened as Obamacare is one of the major reforms in the health sector. Obamacare seeks to expand and improve health care access to a majority of Americans by curbing costs of healthcare through taxes and regulation. The primary focus of this policy was to provide more Americans with access to health insurance, improved quality of health insurance and health care, reduce healthcare expenditure in the country and more importantly regulate the insurance industry. However, the policy has received support and opposition in equal measure. Proponents of the policy call it a monumental legislation ...

Medicare and Managed Care

The U.S. government started initiatives to make medical assistance to as many citizens as possible. This program is one such initiative by the government. Medicare is a health program under the federal government that covers individuals who are 65 years and above. It also includes younger people with various disabilities. Also, people with renal diseases that require dialysis and any other medication are covered by this program. Medicare was created in 1965, ("What is the History of Medicare? | National Academy of Social Insurance", 2017). At this time, many people above 65 had difficulties accessing health care. In essence, this ...

There is the need for seeing to it that the care which patients receive has been founded on evidence since such a move is aimed at achieving improved outcomes on the patient. In the same regard, the way a patient is assessed assists in developing the best forms of care which will adequately address all their healthcare needs. Therefore, the questions which I would ask my patients during all their visits for the purposes of providing them with individualized services will include the following.

How many times have you visited this healthcare facility?

Have you ever received some vaccination in this facility? Have you ever been vaccinated in ...

Although preventive care service provision has a general guideline, to offer evidence-based practice, the medical practitioners are under obligation to ask the patient the following questions, among others. The family history concerning particular diseases like cancer, hypertension, diabetes, and other genetic diseases. In this regards, the nursing officer would establish the susceptibility of the patient to these conditions. Diagnosing of family members with such conditions may occur along the way and, therefore, it is important the nurse gets to know about it every time the patient visits the clinic. Moreover, the nurse should ask about exercise and weight management ...

Understanding health care utilization and the underlying processes, as well as attitudes from the point of view of patients and providers, is important in today’s complex health care environment. One of the principal objectives in the management of health care utilization is the reduction of practice variation through defined parameters that seek to ensure a cost-effective use of health care resources. However, factors related to individual determinants of utilization of health care services as well as the enabling factors must be taken into consideration in the discussion of health care utilization. Looking at the case of San Antonio, ...

Introduction

Operation performance of the organization influences significantly the satisfaction of the patients and the financial progress of the hospital. Evaluations of the metrics that determine the operation performance in the healthcare are critical in determining the quality of the healthcare given by the hospital to the patients and the influence of the quality of the healthcare to the satisfaction of the sick and to the financial performance of the clinic. The leaders of the Healing hand hospital had realized value-based quality of healthcare was the key driving aspect in the healing industry. Determination of the performance of the clinic ...

Abstract

This brief essay studied the uninsured and the health care disparities they face. Essential Affordable Care Act provisions and their effects were studied. Critical factors affecting the health care of the uninsured were identified; these included race, ethnicity, income, socioeconomic status, culture, language and income. Several research studies concluded that while access to health care has improved, the quality of this care has not improved for the uninsured. Although the number of uninsured has been reduced dramatically since 2010, insurance costs continue to increase significantly. Failure of states to expand Medicaid benefits has limited uninsured patients’ health care options. ...

As a representative of my department, it would be my initial duty to oversee those who could possibly lose access to healthcare, or not seek it when concerning the repeal of ACA. With the increase of potential debt, aggressive collection tactics, and full exposure to all health costs, individuals with serious illnesses once covered by various ACA provisions will be left with nothing. In particular, individuals with preexisting conditions will often be uninsured entirely, and will often be individuals in need of care the most often. They may also qualify as a group in need of the highest quality ...

There is the need for healthcare facilities and the professionals working in such facilities to be aware of the safety and quality issues which affect the wellbeing of patients. The core objective of such a move is to ensure that patients are able to emerge with desirable outcomes and that possible readmission cases, high morbidity and high mortality cases are reduced. In this regard, therefore, it is essential that hospitals take into account the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) measures which will oversee an improvement in the safety and quality of services which patients receive ...

Current Health Policy Debate regarding the Affordable Care Act

Introduction The health policy debate regarding ObamaCare focuses on the interest of average U.S citizens. The Affordable Care Act offers protection and benefits to all United States’ citizens regardless of their economic status and social lifestyle. The ACA seeks to reduce the insurance premiums to ensure the majority of average American families are covered. The law seeks to ensure 30 million of 44 million Americans without insurance get access to health coverage (ObamaCare, 2015). The government through the health insurance marketplaces, employers and Medicaid would ensure more Americans obtains health insurance coverage. The health law focuses on low-income Americans ...

The centers for Medicare and Medicaid define an accountable care organization as a group of medical professionals and hospitals, whose aim is to share medical and financial responsibilities for coordinated care to patients (McCarthy, 2013). The team members unite to provide harmonized and high eminence care to the Medicare patients, who visit the medical institutions. The coordinated care that is provided assists in ensuring that patients, particularly the chronically ill patients, have access to timely and quality care. Additionally, it helps in preventing medical errors from occurring as well as reducing pointless replication of services. If the ACO programs ...

Business Plan Development

The expanded role for nurses as recommended by the Institute of Medicine (IOM) report has enabled the nurses to pursue independent practice and therefore practice o the full extent of their knowledge and education. Most of the states have in recent times reviewed their respective scope of practice for nurses to reflect these new roles for nurses at least to help reduce the burden that has been previously placed on physicians and nurses (Kraus, & DuBois, 2016). The urge to own independent practice settings has been growing within the profession but nurses have had a challenge in ensuring the long ...

The United States health care structure

The United States of America health care system has different features that make it unique among other industrialized nations. The U.S. health care structure created many controversies from health care stakeholders because it lacked uniformity. Americans lacked universal health care coverage before the enactment of the Affordable Care Act (ACA) in 2010. Currently, the U.S. health care structure functions under four major categories namely: Illness prevention; health promotion and maintenance; rehabilitation and long-term care; and diagnosis and treatment (Black & Chitty, 2014). All four functions play different roles in improving health and well-being of Americans in all states and from ...

HITECH legislation and its primary goals

Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 forms part of a stimulus package that was approved as law in order to champion the use of EHR (electronic health records). Electronic health records possess the capacity to transform the health care sector from a largely paper based sector to reliance on clinical information and other sources of information in assisting the providers to deliver higher levels of quality care to patients (Beasley and Sinsky, 2014). At its core, HITECH has five primary objectives. First, HITECH seeks to augment quality, the safety, efficacy of health care ...

Insurance for Arab women migrants v their counterparts in their homelands

In the United States, Arab migrant women are part of an immigrant population from the Middle Eastern and North African (MENA) regions. Health insurance coverage for this group depends on their legal and income statuses. In essence, several thousand have gained coverage under the now threatened Affordable Care Act, with others covered under Medicare, Medicaid, or alternative sources of private insurance. This group majorly comprises of current U.S citizens of Arab origin (Amer & Awad, 2015). However, non-citizen Arab women migrants fall under the 21 percent uninsured residents. These individuals include both undocumented and legally present Arab immigrants. In essence, ...

Introduction

Vermont, Minnesota and Colorado have introduced transformative healthcare payment and delivery system reforms. The three regions have introduced deliberate measures to coordinate the healthcare insurance providers and health facilities to improve disease prevention and management. The reforms in the regions have the aims to lower the basic costs and enhance the desired healthcare results. The healthcare models in Colorado and Minnesota have introduced transformative, accountability and transparent approaches for the patients under the Medicaid program. On the other hand, Vermont has introduced the multi-payer programs with the objective of a consolidated healthcare financial system. This article focuses on the ...

Abstract

The United States is currently embroiled in a debate on how healthcare should be structured. The Republicans have sworn to repeal the Affordable Care Act. On the other hand, more than 33 million people are not able to afford basic healthcare services, do not have medical covers, and most of them do not have proper employment (Atun, De Andrade, Almeida, Cotlear, Dmytraczenko, Frenz, & De Paula, 2015). Additionally, most middle-income earners cannot afford proper health insurance or afford to pay health care costs off their pockets. Essentially, this is best demonstrated by the high number of bankruptcies filed due to ...

Introduction

Unexpected medical expenses are very common, and they are frustrating when they happen. These medical requirements have to be met, and this necessitates the need to have an insurance cover. The US federal government offers health insurance programs called Medicare and Medicaid that cater for the financial burden for aged and poor citizens respectively (Rowland & Lyons, 1996). A hospital that accepts Medicare or Medicaid as pay sources is very sensitive to its clients. Furthermore, a hospital should satisfy its customers fully and reduce the cost of medical services for them (Rowland & Lyons, 1996). This paper analyzes quality initiatives that ...

Abstract

Numerous attempts to reform health care in the United States on the federal level have been made since the 1930s, but differences between each state represent a significant barrier to every previous federal health care reform. In 2010, the Affordable Care Act (ACA) was signed into law, but the current implementation and effects of the law are not the same across different states. The purpose of this paper is to compare and contrast the effects of the health care reform in California and Florida, as well as the positions of the two states. It was found that the insurance ...

The two main objectives of a healthcare delivery system are to provide healthcare for anybody who needs it, as well as to deliver quality care at a price patients can afford to pay. Countries around the world have a different position on how to deliver these two main objectives. For example, Canada has true universal healthcare. Citizens pay higher taxes in order to afford this healthcare, but in return if an individual is hurt, sick, mental ill, becomes pregnant, needs a dentist, or just has a chest cold, almost all of the expenses are covered at a very reasonable ...

The Affordable Care Act (ACA) affects employment-based insurance in various ways as it influences employer decisions about health benefits. Although companies will continue to uphold the ACA Act, many employees will end up paying most of the insurance costs since companies will make changes that suit them. For instance, many employers claim to have made changes in 2015 in anticipation of the high-cost plan tax. In this regard, companies will increase deductibles, do away with covered services, eliminate tax-preferred savings accounts such as Health Savings Accounts, cancel all higher-cost health insurance options, and use cheap provider networks (Nordal, 2012). ...

Introduction

The expansion of Medicaid is considered a key component of Obamacare (Affordable Care Act) that focused on providing healthcare coverage to millions of uninsured Americans (Buettgens, Holahan, and Recht, 2015). Some of the low-income earners and poor people who do not have health insurance in the U.S. live in Texas. Medicaid is administered or run by individual states and the federal government. Individuals who enroll for Medicaid benefit by not paying premiums for healthcare coverage. The state hospitals are using about $5.5 billion annually for treating uninsured people. The uncompensated healthcare costs are, therefore, covered by insurance premiums and ...

Policy Analysis: Issue of Health Disparities in Alaska Natives and American Indians

Health disparities among Alaska Natives and American Indians (AI/ANs) have been reported since the initial contact that occurred nearly 500 years in the past. Moreover, the disparities are common in every age and across a wide spectrum of various disease categories (Sarche & Spicer, 2008). Accordingly, AI/ANs endure persistent health disparities that include health status decline, barriers to essential health services, and high uninsured rates. The group also experiences a lower status of health in comparison to other Americans (Frizzell, 2016). The disproportionate burden of disease and reduced life expectancy in AI/ANs can be attributed to cultural differences, discrimination in ...

According to current population reports, 28.5 million of the United States population remained uninsured. Of the 34 member states of the Organization for Economic Co-operation and Development (OECD), the United States, Poland, ad Greece are the only countries without a universal healthcare system. In many of the cases, advocates for the right to health care often argue that no individual in the developed countries like the United States ought to go without a health insurance. In their arguments, they admit that a right to health care would halt medical bankruptcies, enhance public health, and reduce the general costs of ...

Introduction

Laurel Ridge Health Care Organization is a chain of nursing homes and medical facilities that specialize in providing quality health care for their clients. The organization is reputed as a leader in quality health care provision. The facilities that are provided by this health organization aim at maintaining perfection when it comes to health care. The facility has a large panel of qualified medical personnel, who work around the clock to provide the best medical care to their clientele. They have a high staffing rate that is the quest for a provision of quality health care. Currently, they have ...

The article, named as “The continued need for independent research on prescription drugs” by John F Hoadley talks about the cost pressure being faced by public and purchasers of the private sector in relation to prescription medications. It also discusses the debates over the policies framed by Medicaid and Medicare in regards to the drug benefits covered by them. The cost of Pharmaceutical goods is summing up to huge amounts, and is growing at a rapid pace; it is one of the most worrisome areas for the federal health policy makers. In the last few years, the United States ...

Gap in Care Quality during the Discharge Process for Care Coordination for Patients with Chronic Illnesses

Patients in the United States who experience long-term illnesses may change from one health care setting to another. They might move from home to a hospital, to an assisted living facility, or to other types of residential care. The coordination of care for patients with chronic illnesses is reliant on the abilities of health care providers to interact effectively in order to provide optimum outcomes (NTCC, 2010). In order to determine the best possible option for the patient, care coordinators must accurately assess the patient’s condition, reach a consensus on prognosis, evaluate possible resources, and develop and initiate ...

Medicaid is one of the major funding agencies for healthcare in the US which delivers health coverage to people with low incomes (Medicaid, n.d.). The Medicaid program was redesigned as per the instructions of Governor Andrew M. Cuomo on January 5, 2011 to address the deficit of budget (Department of Health, n.d.-b). A team was crafted in order to redesign the Medicaid program by the governor with the objective of developing a budget proposal for the first year and develop a reform plan. The key stakeholders of Medicaid were engaged to figure out the possible changes in the way ...

Introduction

President Obama enacted the Affordable Care Act as a United States Federal statute in 2010. Together with the amendment to the reconciliation bill, it promised to expand health insurance to all citizens at a reasonable cost. PPACA defines the health care as neither the right nor privilege of people but it states that citizens, however, do have a right to “affordable” healthcare, which it tries to achieve through a partnership between the market and the government. The ACA is a result of an evolution of government-funded plans such as Medicare and Medicaid as well as statutes such as HIPAA, ...

The idea of Medicaid expansion was initially received by the common American population with mixed reviews. Some thought it was a great idea, and wondered why nobody had thought of it sooner. Others thought it was a terribly idea, and wondered why people did not get a job and pay for their own insurance. The proposal was made with the common, impoverished American in mind. The expansion was federally funded, likely to coerce as many states as possibly into expanding Medicaid for their populations. In states that adopted it, the expansion offers healthcare to all men, women, and children ...

The core values St. Leo’s represents is applicable to the debate surrounding the ACA. St. Leo represents and firmly believes in community and integrity. The ACA is reportedly designed to provide for the welfare of the community, meaning Americans at large. The issue surrounding the ACA is that many say the provisions lack integrity due to various different reasons. Regardless of these issues, integrity is often defined as doing the right thing, even when no one is watching. World leaders and policy makers have a responsibility to maintain integrity to benefit the communities in which they live, whether ...

Compare Insurance Plans by States

Compare Insurance Plans by State Description of the Scenario After servicing in the military for many years, an elderly war veteran decides to spend his remaining years at home with his family. However, because of his age and the nature of his previous job, he is likely to face some of the health problems that may require frequent medication. Nevertheless, he may not be able to afford the high cost of medication because he is no longer on active payroll, which significantly reduced his level of income. Therefore, the elderly man needs a cheaper insurance plan that can cover ...

The ACA establishes a relative decrease in healthcare costs for some, improve access to healthcare for others, and an improvement of quality of care. While many are impacted by these stipulations, perhaps none are more affected than the elderly. Medicaid is expanding in many states, as well as nationally at a rapid pace thanks to the Act. For example, the Act’s Title III asserts that today’s healthcare system is ensuring Medicaid’s dedication to future generations, and it is doing so by expanding on the state level, as well as the federal level. It is able to ...

The patient Protection and Affordable Care Act was a legislation that was enacted by president barrack Obama on March 2010.According to Pulcini (2013), the health bill was established by the US government so as improve the access to affordable and quality healthcare in the United States. The bill has been critical in reducing the government’s expenditure in the health sector through the development of public-private participation. Also, the expansion of the Medicaid mandate has been of great significance in enhancing the access to quality care services.

Advantages

A study by Smith (2014) portends that the Affordable Act has been ...

1. Goals of the Physician Quality Reporting System (PQRS) The physician quality reporting system is an effective tool that helps the physicians in order to evaluate and measure the processes of health care, the structure of the organization and the perceptions of the patients. The goal of this system is to provide the high-quality health care. Some of the most crucial goals of PQRS include timely care to the patients, patient-centered, effective and efficient. a. Advantages and disadvantages of the PQRS program

Advantages

In case of the reporting through the claims, it requires only 20 unique Medicare patients In case ...

Introduction

The two types of healthcare system in the United States are Medicare and Medicaid. These two are however very different. Nevertheless, a person can qualify and also receive coverage for both healthcare systems. However, one needs to meet different requirements so as to be eligible for each program. Being qualified for one program does not mean that one is qualified for the other.

Medicare

The Medicare healthcare system was created with the purpose of dealing with the high medical costs which are faced by the elderly citizens in comparison with the rest of the population. It focuses on the elderly ...

Introduction

The healthcare system in Australia is termed as one of the most successful in the world when it comes to the delivery of good healthcare. Additionally, the health outcomes, as well as the control of costs by the system, are remarkably effective as stated by Hall (2015). Such achievements have however been achieved through the interaction of the public and private financial backing, public and private provision of services, and the sharing of key duties between the federal as well as the state governments (Hall, 2015). In the US, no single system of health insurance covers the nation. Health ...

Abstract

In healthcare financial management, health insurance contributes in determining the healthcare services. The fee schedule provides a list of charges reimbursed for service providers and suppliers. Center for Medicare services, CMS, uses the fee schedule to determine the facilities and non-facility in healthcare provisions. Physicians, ambulance and medical equipment services among others help in the determination of the fee schedule by Medicare Physician Fee Structure (MPFS). The study focuses on CPT code 99214-office visit as the reference in the service delivery by the center of Medicare services. The Medicare and Medicaid rates are essential in determination the fee schedule. ...

(Author, Department, University,

Corresponding Address and email)

Long-term care is usually required for those people, who have chronic illness and/or disabilities, thereby requiring personal care assistance for long period of time. This long-term care not only includes health-care services but also requires assistance in personal care and activities such as dressing, eating, bathing, walking, and transferring (Housing Bureau for Seniors, 2015). This paper deals with the information about the care required by older people and integration of long-term care services in a cost-effective and attainable manner.

Percentage of older people requiring long-term care

Older people require not only formal care at home but also require long-term care either at home ...

As an aspiring IT consultant, I have studied the weak links within the Medicaid system, and I have come up with the conclusion that one of the most frustrating things about Medicaid is the slow processes involved. In my opinion, I believe that the citizens of the United States who have subscribed into this health program deserve the best from the program. My knowledge in computer science has made it easy for me to come up with a solution which I think will serve to benefit both the government, healthcare providers and the citizens of this great country. As ...

The Affordable Care Act (ACA) was incorporated in the year 2010 in order to transform the healthcare services in such manner that it enhances the healthcare outcomes in the country. It is also focused on reducing the cost of healthcare while ensuring that the healthcare services are made available by means of effective availability and distribution. The quality of healthcare system has been objectified to be increased under the prevalence of ACA, whereas the rate of uninsured citizens is also emphasized so that the effective distribution of the healthcare services can be implied (Gable, 2011). The population in the ...

A health system entails all programs, institutions, resources, procedures and personnel that are used by a country to meet the health needs of its citizens. The essence of a health system is to promote and restore the health of the population (WHO, 2014). Furthermore, an efficient health care system is always committed to the provision of quality care services to the citizens. According to Amce (2014), health systems vary from country to country. However, we have common elements like training of the physicians, robust funding, policies, health informatics and medical logistics. According to Kalisch (2014), the Australian health system ...

Australia and the USA have different health care systems whose aim is to promote good health of the citizens in the respective countries. Each of the countries has elaborate public and private health care systems managed by the governments, private health insurance companies, individuals, and other organizations. This essay aims at comparing the health care systems in the two countries with an objective to achieve an informed stance on the issue. The Australian health structure is composed of both the private and public players. The system has an explicit financing control to enhance regulation of the essential service. Further, ...

Introduction

The health care provision differs worldwide. Most industrialized countries offer universal health care except for the United States. A great challenge arises in health provision because of the costs needed and the different cultural, social, economic, and political situations. The alarming state of U.S. health care has triggered business leaders, policymakers, as well as health experts to seek for methods to restructure a system that was in an incomparable crisis. As can be recalled, in 1994, the government participated in a huge conflict over the restructuring of the healthcare system. The U.S. health care is very costly. Hence, the ...

Introduction

This paper will examine Affordable Care Act (ACA), which aims at improving healthcare accessibility. The ACA is a federal policy, which solves the issues of health provision by subsidizing health insurance. Consequently, it expands insurance coverage and lowers the costs of healthcare (Rosenbaum, 2011). The policy directs insurance firms to offer standard minimum charges to applicants despite their pre-existing conditions.

Social issue tackled by the ACA

Problem to be solved The ACA addresses the issues of healthcare provision by lowering the costs and improving access to medical services. Low-income earners have access to better healthcare which enhances the quality of life. Also, the policy reduces ...

Interview with Tianda Childs

AAdvantage inc (Arc Human Services), Beaverfalls, pa, HMR and developmentally retardation disabled Who, what, when, where the interviews were conducted A telephonic interview is one of the best secondary research methods to assess and obtain information for scientific research. A telephonic interview was scheduled with Ms. Tianda Childs. She has been working as a Health Administrator at AADvantage Inc. which is a human employment services agency. The office is based in Beaverfalls, PA. The interview was conducted on 24 July 2016 at 7:00 pm. The questionnaire was prepared prior to the interview and a primary research was conducted in ...

Trends in Healthcare Costs

Over the last three decades, the healthcare sector has grown rapidly. This has been necessitated by a growing population and their increasing demand for healthcare as well as the increasing complexity of illnesses presented within the healthcare sector. On the other hand, he globalization issues have also necessitated that the healthcare adapts to the needs of a more diverse population and hence growth (Kaiser Family Foundation, 2016). This growth has been tremendous and there is no doubt that the costs of care have been affected significantly. In the 1970s, the cost per individual was estimated at $356 but this ...

For this assignment, I have chosen to review the information presented in the report titled, The Role of Medicaid Managed Care in Health Delivery System Innovation. Managed health plans can offer protection against financial and health risk. Patients who are enrolled into different health plan policies are motivated to seek managed care as it does not require ‘out of pocket payment’ and the payment is done by a third party. However, quite contrary to what is expected, many practitioners do not identify a managed system of care with the expected health care delivery reform. There is an excessive control ...

Introduction

The nursing profession is one of the chief cornerstones of health care delivery worldwide. The role that nurses play in delivering heath care to populations cannot be overemphasized, which makes the profession such an integral part of the medical sector. One of the basic tenets of the nursing profession is that it comprises an integrated approach to various nursing models that work to ensure the effectiveness of the professionals while ensuring patient safety. This paper explores the models and their importance to the overall health care delivery system. Specifically, it reviews journal articles that examine both the synergy and ...

“Attitudes of hospital leaders toward publicly reported measures of health care quality” was chosen because it dealt with the attitudes of leaders of American hospitals about the hospital quality measures found on the Centers for Medicare & Medicaid Services’ Hospital Compare website. The researchers particularly sought to assess whether there is a relationship between hospital leaders’ attitudes toward quality improvement measures and hospital performance. The research contained in this paper corresponds to one of the current trends in health care quality, specifically the importance of making health care quality measures publicly available and transparent. First, the researchers highlighted the importance ...

Health care system of England and the US healthcare system

The health facilities to the citizens provided in U.S. and England are vast. However, there exists a big discrepancy in terms of social insurance. Over the years, England is considered as an association for human services while in the U.S., it is privatized. The total cost of 47.5 million is incurred through heavy wellbeing protection premiums in the U.S (Mahar, 2006). There are more terrible situations in case of psychological wellness and substance utilization issue. Due to more assuring enactments made, people are wondering about the perfect scenario in case of human services. While comparing U.S. and England, the ...

Medicare and Medicaid

The current paper aims to discuss the prevalence of Medicare and Medicaid and enlighten the influence of Affordable Care Act (ACA) in the hospital system of the United States. Medicare offers the healthcare insurance to the individuals who are aged 65 years or more and have provided their services to country. Medicare also provides financial assistance to the young individuals with disabilities or chronic diseases. The program was originally initiated in accordance with the legislation of Medical Care Act in the year 1956 in order to provide financial assistance in healthcare services to the military personnel (Chan et al., ...

HCA 302. Health Care Organization

Introduction Health care systems are essential in providing security to nation-states world-over, which goes beyond health issues; entire economies depend on such vital system for security. One only has to imagine the devastation of a population by an infectious disease such as HIV/AIDS. Despite having some similarities, health systems vary from one country to the other. Notably, nations design as well as develop their health systems in line with their needs as well as the available resources. The United States and Canada share a border, and thus there is a natural inclination to compare the two health care regimes. ...

Introduction

Each patient that is in need of care have varying needs. Similarly, there are also patients with varying preferences. This means that while the standard health care provided by a health institution may readily satisfy the needs of a patient, there are bound to be shortcomings for some patients. This is because in terms of health care, one strategy does not fit all. This is the same reason why there patients with the same illnesses, but undergo different treatment options. Furthermore, the hospitals should likewise be able to provide the health needs of their patients to the best of ...

Abstract

Undeniably, the major objective of most organizations is to achieve business growth. Since the business environment has increasingly become competitive, the need to set strategic growth objectives has become essential. Thus, strategic management is needed in all business organizations to facilitate the setting and realization of their goals. The profitability of most companies coupled with the ease of market entry is one of the main causes of increased competition in the market for various products and services. Entrepreneurs identify the weaknesses of an organization in terms of production, delivery, and provision of essential services and improve on these areas ...

Introduction

The prevalence of Affordable Care Act (ACA) has reduced the healthcare cost and has extended the eligibility of Medicaid for 32 million Americans. The effect of Medicaid on the healthcare of elderly remains hindered due to the lack of access to care, whereas its effect on the healthcare outcomes have remained optimum and children (Fairman et al., 2011). The combined objective of Medicaid in accordance with the Affordable Care Act incorporates the provision of healthcare services to the low-income parents, children, pregnant women and disabled individuals and hence, the healthcare services for the nondisabled adults are not addressed by ...

Influence of Cost on the U.S Healthcare System

Influence of Cost on the U.S Healthcare System

Introduction

In the United States, the health care system is incorporated by private sector, public sector and non-profit organizations. It has been inferred that the United States has incorporated the highest spending on healthcare per capita with the 17.2 percent of its GDP in the year 2011, which is also the highest in the world. It eventually indicates the inclination of the United States towards enhancing the wellbeing of its citizens by means of providing the effective means of healthcare services (Grol et al., 2013). The current paper enlightens the effect on ...

Introduction

Healthcare is an integral part of a nation’s well-being. Despite its importance, there has been an increasing trend in the costs of health care. With the current high national debt, health care reimbursement should be part of the equation ("Healthcare Reimbursement | Knowledge Hub | athenahealth", 2016). The policy makers, physicians, and patients are well aware of the steps they need to take to reduce the costs of health care by considering health insurance plans. The insurance policies enable the doctors and other health practitioners to provide quality and efficient health care to the people. Health insurance payers are provided ...

The full implementation of the Affordable Care Act (ACA) happened in 2014, introducing health insurance reforms and fresh health coverage options in Pennsylvania, California and other regions in the United States. Before the Affordable Care Act, under a waiver, California made several initiatives to expand the state’s Medicaid program – Medi-Cal – and made plans to restructure the health care delivery system within its safety net. Within the first two years after the ACA went into full effect, Medi-Cal, together with Covered California, which is the state’s health insurance Marketplace, facilitated the health coverage of millions of California residents. ...