...Assignment 7.1: Children’s Health Insurance Program Jennifer Heuring Maryville University Dr. Jean Gordon NURS602 Assignment 5.1: Children’s Health Insurance Program Introduction It is of vital importance for Americans to have the ability to access health care to maintain health and wellness. Many disease processes are modifiable and even avoidable but the lack of proper access to healthcare can heighten the risk of people’s ability to reach their full potential in life. This issue ranges from older adults to newborn children. According to the Children’s Defense Fund (n.d.), 7.2 million children under the age of 19 remained uninsured in 2012. That is 1 out of every 11 of our children. The pediatric population does not have the ability or choice to change the circumstances that their life has handed them. The Children’s Health Insurance Program (CHIP) seeks to provide health insurance to uninsured children. Working cooperatively between the federal government and individual state governments, SCHIP provides an alternative to families whose wages are too high to qualify for Medicaid yet too low to make private coverage affordable. The Children's Health Insurance Program (CHIP) was created by the Balanced Budget Act of 1997, enacted Title XXI of the Social Security Act. It has allocated about $20 billion over 10 years to assist states insure low-income children. Problem definition Research has found that people within the United States...
Words: 1432 - Pages: 6
...Health care policy goals toward the society are delivery and financing of health care services. Health policy generally clarifies the movements occupied by governments---local, state, and national---to improve the society's health. It is a policy that stays focus more on discussing the health needs on majority of the population. The United States of America is the foremost spender on health care than any other country on earth (policy almanac, 2010). For a number of years, health care expenditures grew at a far more rapid rate than the Gross Domestic Product (GDP), using majority of the country‘s capitals. The cost of health care and the determination to control the intensification in spending is a major conflict. The upsurge in cost and spending of health care affects many policies as well as the consumer, physicians, government, children, and senior citizens. The focal focus is based on the first three phases of how the procedure works with Medicare/SCHIP. Policies are dynamic. There are three interconnected phases of health care policy making: the formulation stage, legislative stage, and implementation stage. These three important organized stages occur in the process in order to convert a topic such as Medicaid, into a policy. To begin, the formulation stage is a planning cycle by stating a theory. It is the main and frequently most challenging stage in obtaining proper decision methods. The obligation of this stage is to set priorities, set objectives and goals, define...
Words: 1584 - Pages: 7
...unsustainable growth in health care costs, there is general agreement on the need to eliminate unnecessary spending in health care--and among the leading candidates are fraud and abuse. Despite ongoing, concerted efforts, making meaningful inroads has not been easy."Fraud" refers to illegal activities in which someone gets something of value without having to pay for it or earn it, such as kickbacks or billing for services that were not provided. "Abuse" occurs when a provider or supplier bends rules or doesn't follow good medical practices, resulting in unnecessary costs or improper payments. Examples include the over-use of services or the providing of unnecessary tests. (Another area, "waste," refers to health care that is not effective, and will be the subject of a separate Health Policy Brief.)Endowed with new powers under the Affordable Care Act and the Small Business Jobs Act of 2010, the Centers for Medicare and Medicaid Services (CMS) has been adopting new tools to curb fraud and abuse in the Medicare and Medicaid programs. The new approach amounts to a paradigm shift from the earlier model, in which CMS paid providers first, then sought to chase down fraud and abuse after the fact--a process known as "pay and chase."This policy brief focuses on eliminating fraud and abuse in Medicare and Medicaid and explores the challenges involved in putting the new tools into place. | What's the background? | The true annual cost of fraud and abuse in health care is not known. In...
Words: 3233 - Pages: 13
...Associate Level Material Appendix A: U.S Health Care Timeline Use the following timeline or create a timeline of your own with eight major events, including the four provided below, from the last 50 years. You may change the dates in the box to match the dates of your events. Include the following in your timeline: Medicare and Medicaid HIPAA of 1996 State Children’s Health Insurance Program (SCHIP) Prospective Payment System (PPS) 1955 | In 1955 the then Indian Health Services took a new shape as it was taken away from Department of Interior. It was handed over to H.H.S. I learned from ihs.gov that in the past tribal Indians had to submit their land to get health services from US government. The Indian population could get healthy services and this is how their mortality rate decreased. When the services were reassigned to H.H.S. the Indians got more rights to get health services. | 1965 | Medicare and Medicaid came into being on July 30, 1965 as the Social Security Act got revised by the then President L. B. Johnson. The new healthcare programs are federal in type and are mainly for people of 65 and above. People below 65 may be covered if they have some particular disabilities. With these programs people with low or no income get care and | 1971 | The National Cancer Act Law was enacted by President R. Nixon. This law came as governmental war to overcome cancer. If our government paid no attention to this issue, scientists and doctors could not continue their...
Words: 661 - Pages: 3
...Associate Level Material Appendix A: U.S Health Care Timeline Use the following timeline or create a timeline of your own with eight major events, including the four provided below, from the last 50 years. You may change the dates in the box to match the dates of your events. Include the following in your timeline: • Medicare and Medicaid • HIPPA of 1996 • State Children’s Health Insurance Program (SCHIP) • Prospective Payment System (PPS) |1953 |The department of Health Education and Welfare was the forerunner of the Department of| |1954 |Health and Human Services, and it was established under President Eisenhower. | | |This is when President Eisenhower, as a strong advocate of private Health insurance | | |signs the Internal Revenue Act. | |1964 |The Economic Opportunity Act was signed by President Johnson as part of his | |1965 |administration”s “War on Poverty, a series of legislative efforts to address high | | |levels of unemployment and poverty. | | |Under the auspices of this “Great Society” reforms, President Johnson signs...
Words: 384 - Pages: 2
...Material Appendix A: U.S Health Care Timeline Use the following timeline or create a timeline of your own with eight major events, including the four provided below, from the last 50 years. You may change the dates in the box to match the dates of your events. Include the following in your timeline: • Medicare and Medicaid • HIPPA of 1996 • State Children’s Health Insurance Program (SCHIP) • Prospective Payment System (PPS) |1960 |Prospective Payment System (PPS)- The mid-1960's brought about the view that access to| | |good quality health care could be provided for the U.S., regardless of ability to | | |pay. The PPS is a means to determine insurance payments for Medicaid plans. It is a | | |Medicare system that pays hospitals a set amount for covered diagnostic or treatment | | |services offered under Medicaid. | |1965 | | | | | | |Medicare and Medicaid- Medicaid is a federal program that provides insurance for low| | ...
Words: 654 - Pages: 3
...Associate Level Material Appendix A: U.S. Health Care Timeline Use the following timeline or create a timeline of your own with eight major events, including the four provided below, from the last 50 years. Provide details on these events to help explain why they are important in the health care timeline. You may change the dates in the box to match the dates of your events. Include the following in your timeline (the other four events are up to you!): • Medicare and Medicaid • HIPPA of 1996 • State Children’s Health Insurance Program (SCHIP) • Prospective Payment System (PPS) |1960 |Propective Payment System – 1960 | | |This system was created to set standard rates based off you insurance also to avoid | | |over paying doctors and hospitals Making sure that test and procedures are needed for | | |diagnoisis and treatments. | | | | | | | | |Medicare and Medicaid - July 30, 1965 ...
Words: 501 - Pages: 3
...October 27, 2013 EXERCISE 40 Questions to be Graded 1. According to the “Introduction,” what categories were reported to be statistically significant? The introductory paragraph of the article shows that the three groups in income, working status, and education, health status of the adult and child, and the utilization of health care are statistically significant. 2. In Table 1, is the No. In household reported as statistically significant among the three groups (uninsured, Medicaid, and privately insured)? Provide a rationale for your answer. The results in table 1 suggest that the number of households with a magnitude of 3.79 is statistically insignificant. The reason behind this is that there is no sign mentioned on the magnitude. This means that the significant value for this magnitude would be greater than the level of significance mentioned in the article. 3. Should the null hypothesis for Marital Status (%) be rejected? Provide a rationale for your answer. The result in table 1 suggests that the null hypothesis for the Martial status should be rejected. As the magnitude of X2 i.e. 3.79 is insignificant. Insignificant results indicate that the null hypotheses are supported or accepted. 4. How many null hypotheses were rejected in the Salsberry (2003) study? Provide a rationale for your answer. Six of the overall null hypotheses were rejected since six X2 values were significant, as indicated in Table 1. Significant results indicate that the...
Words: 549 - Pages: 3
...An example of social construction is money. In reference to my topic of social welfare, I will talk about social welfare spending. Social welfare spending deals with programs that support low income households. These programs include health initiatives such as Medicaid and state child health insurance programs (SCHIP); cash assistance programs such as Aid to Families with Dependent Children (AFDC) or cash payments under AFDC’s replacement, Temporary Assistance for Needy Families (TANF); and a wide variety of other service programs providing child care, foster care, low-income energy assistance, services to the homeless and those funded by the Social Services Block Grant (SSBG). I believe that states of less fiscal capacity spent less per capita spend less on social welfare than states of higher fiscal capacity. Medicaid for example spending grew rapidly among all states in the late 1980s and early 1990s, even after controlling for the high rates of inflation in health care services. But the strongest growth occurred among the poorest states, probably a consequence in part of federal Medicaid expansions in eligible populations, services, and special funding for health care providers during those years. A flurry of policymaking around AFDC waivers and TANF cash assistance occurred in these and many other states in the middle and late 1990s. By 2003, however, TANF and its policies drew little attention from legislators in these six states and changes in earned income...
Words: 379 - Pages: 2
...Vulnerable Populations Vulnerable populations are groups of people not well integrated into the health care system because of ethnic, cultural, economic, geographic, or health characteristics. As a result those individuals are in danger of not acquiring medical care there by creating a potential threat to their health. Examples of vulnerable populations include racial and ethnic minorities, elderly, underinsured or uninsured, psychiatric population, immigrants, children, and people with disabilities or multiple chronic conditions (Urban Institute, 2010). To demonstrate an understanding of the impact vulnerable populations have on the United States health care system, it is important to focus on one particular population, e.g., children. It is important to discuss a description of children demographics, explain why children are classified as vulnerable, what influence does this have on America’s health care, and finally to perform an analysis of how stakeholders are affected by this population. Demographics Gender mix. According to the 2010 census, there were 74.2 million children in the United States, 1.9 million more than in 2000, a number that is anticipated to increase to 87.8 million by 2030. There were approximately equal numbers of children in three age groups: 0–5 (25.5 million), 6–11 (25.0 million), and 12–17 (25.1 million) in 2010 (The United States Census, 2010) Children made up 24% of the population in 2010, down from the “baby boom” (1964). The population of...
Words: 1542 - Pages: 7
...Health Utilization and Finance Melissa Dorn Organization Systems and Quality Leadership Western Governors University The United States and the United Kingdom have a lot of systems that are operated the same, such as their legislature and government operations, but the one difference is how they offer healthcare. The US healthcare system is an almost fully private system and the UK healthcare system is socialized. One may ask well what does this mean exactly. And the answer is that in the UK everyone has access to healthcare no matter how poor or rich they may be. The insurance is paid through taxation. In the US, the insurance is mostly private, which means that a person will have to pay for insurance premiums out of their pocket. The quality of the insurance will depend on the type of plan that a person is paying for and there could be high out of pocket expenses. In the US healthcare isn’t guaranteed by the government like in other industrialized nations. In the US the government doesn’t control most insurance systems or how they operate. People in the US who do have healthcare coverage are covered either by private insurance or a public health care system. A lot of unemployed individuals don’t have any coverage at all. Medicare, Medicaid, Children’s Health Insurance Program and the Veteran Affairs program are considered public health care systems. For some of these government programs, individuals may still be responsible for a premium depending on income. The...
Words: 1930 - Pages: 8
...Children's Health Children's Health The health of children sets the foundation for a nation’s destiny. The health of a child has long term implications on nation’s health. Health is the most important thing that a human being can possess that is why the proverb says Health is Wealth. Everyone desires to be free from disease and disability and every child need to be physically and mentally healthy to study well. Investing in children's health has many benefits, including improved development, improved school performance, and long-term savings in health care costs. Healthy children have more opportunities to succeed in schools and are more likely to become healthy, productive adults. Nurses are frontline powerful authority figures in assessing the health issues, finding out the major contributing factors related to the issues, and educating the children about healthy life style to improving the health and well-being. The objective of children’s health is to ensure that appropriate programs and resources are in place to provide prompt effective assistance to preserve and improve the health of the future generation. Health Assessment Good health is a matter of great concern, and keeping children healthy is vital for proper growth and development. Children are one of our nation’s most precious resources and children are going to be our future leaders. Therefore, giving them better education and better health care are key components in succeeding in their life and improving...
Words: 1257 - Pages: 6
...Health Policy Political Competence Political Competence Senior executives from a variety of organizations are often called to testify about health policy issues. It is in the organization’s best interest if these executives are both politically competent and good corporate citizens. As long as the organizations executives are politically competent and good corporate citizens, whatever statement the corporate representative gives has to be creditable. This means that the representative has to have good ethics, uphold good community responsibility and must show the same level of respect. Although confusing, health policies are the orientation to the health facility by addressing the problems that can be changed. Issues must be identified and executives have to understand the problem and be guided by a model when resolving the issue. Senior executives have to participate in the political process and understand the rules of politics. Excellent executives are able to guild people through excellent ideas and they can generate great results. They must be willing to take action and create the change that is needed, employees need to feel secure and political competence allows them to move forward. In general terms, what knowledge, skills, and individual behaviors must an executive have to politically competent and to be good corporate citizens? The individual must present themselves in a high standard of honesty, have excellent communication skills and most important have...
Words: 1630 - Pages: 7
...Health Care Reform for Children Valerie L. Briner HCAD 620 Professor Schutz Abstract Advancing toward universal health care has the possibility to improve access to care and better the health and wellbeing of uninsured children. This paper will discuss children and what medical coverage they may have and how healthcare reform should help get almost all children some type of healthcare. Currently, if a child is not covered under private insurance, Medicaid and CHIP can assist in covering the vulnerable groups, mostly because they are likely to be poor, belong to racial or ethnic minority groups or who have chronic health care problems. While both public and private insurance fail in meeting the needs of children, public coverage has been more persuasive than private coverage at providing managed health care to low-income children. Ideally health care reform could cause certain steps to promote the emotional, cognitive, and physical health of children, enable them to maximize their full potential. Such a focus would create application to such policy changes that could define solutions for failures in the current system and decrease discrepancy in access, quality, and outcomes. Healthcare Reform for Children The plan is set in place to overhaul the nation’s health care system. The goals of the health care reform proposals include moving the nation toward universal coverage, improving quality of care, and slowing the rate of...
Words: 3586 - Pages: 15
...Oregon’s Outline for Health Care Access “We have now just enshrined, as soon as I sign this bill, the core principle that everybody should have some basic security when it comes to their healthcare”. Barack Obama Here in Oregon we have the Oregon health plan (OHP) this is our state’s Medicaid program. Our Governor John A. Kitzhaber MD was an Emergency room doctor before going into public service and becoming the governor of Oregon. So he knows first hand the need for accessible health care here in Oregon. Although, we do have the Oregon health plan set in place, it did have some serious problem with accessibly and coverage. Then with the help of other of Oregon’s governors our Oregon health plan, started to grow and succeed into a better deliver system of a public health care access point. Oregon has made remarkable progress when it comes to health care access for local children through the Oregon healthy kids program, which is a feed off program from the Oregon health plan (OHP). The Oregon health authority with the help of Frist Governor Kulongoski then Governor Kitzhaber, Oregonians have made sure that kids in our state have full access to the health care they need when they need it. However, over the next few years the Oregon health authority’s next step along with Governor Kitzhaber is to not only work into the Affordable care Act, but to expand our Medicaid program, to extend health care access to cover everyone below 133% of the federal poverty line (Kliff, 2013)...
Words: 1385 - Pages: 6
