...Today’s health care market is growing compared to where it used to be when the economy was at an all time low. Providers, health care facilities, insurance companies, and patients have all had to take a different approach in health care. The demand for health care is stronger because it is being made a prominent issue is politics and society. Society is speaking up and politicians are being forced to address their concerns. Health Care is a debatable issue that will take a lot of dedication and communication to truly help resolve. Leaders of the health care market should address prices, incomes, and insurance rates to justly assess the demand for health care. All of these issues directly relate to consumers and the demand for health care. To get a better understanding of how the health care market is growing, the needs of society must be addressed. Compare and contrast your personal health care choices with other members of your community and determine your relative contribution to the demand for health care (Please provide specific examples). A key component in health care is research. Research involves planning, organizing, statistics, and evaluating different options. There are many measures that could affect someone’s personal choice for the demand of health care. Some measures are income, family size, insurance carriers, health conditions, and prices. All of these would be determinants of my decision for health care. Increased prices and coinsurance rates reduce...
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...affordable health care under the updated health insurance reform legislation passed by the House. "The Affordable Health Care for America Act or H.R. 3962, blends and updates the three versions of previous bills passed by the House committees. "(Kruger, M. 2010) This bill is expected to ease the out-of-control costs of health insurance, introduce competition into the health care marketplace that will help maintain coverage affordability, protect people’s choices of doctors and health plans, and guarantee all Americans access to quality, consistent , affordable health care. The Association of American Medical Colleges stated in a Mar. 21, 2010 article; "we have taken the first step towards truly transforming health care in this country. This historic vote by the House of Representatives sets into motion long-overdue efforts to cover 32 million uninsured Americans and to assure their access to high-quality care. The nation's medical schools and teaching hospitals have expressed their full support for this bill to President Obama, and now stand ready to work with the administration and Congress to carry out these significant changes to our health care delivery system." (AAMC, 2010) The health care reform bill creates a shared responsibility for health care among individuals, employers and the government to ensure that all Americans have affordable essential health benefits. Two of the key components, and possibly the most debated or criticized of the Affordable Health Care for America...
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...Review Questions 1. What are diagnostics? How is this related to the health sciences? Diagnostics is, essentially, figuring out what is wrong with a patient. This is related to the health sciences in that patients do not always know what is ailing them. It is the health care professional’s responsibility to take care of and diagnose the patient. 2. What is trepanation? Why was this used? Trepanation is the ancient practice of drilling holes into the head in order to relieve cranial pressure. This procedure dates back to as early as 7000 BCE. It was used in an attempt to relieve pressure inside of the skull due to illnesses such as epilepsy, migraines, and the swelling of the brain. 3. Describe three ways that healthcare is funded. There are several ways in which that health care is funded. These methods include private funding, government funding, and public funding. Private funding is paid for by outofpocket payments, generally with assistance from an insurance company. Government funding is paid for by the taxpayer, and is offered to individuals who cannot afford their own insurance. Finally, public funding is paid for in donations. Public hospitals do not seek a profit beyond that of basic maintenance. Profits are made solely through donations. 4. What are private healthcare sites? What are their characteristics? Private health care sites are characterised by their method of payment. At private health care sites, you are required to pay for your treatment through outofpocket payments or ...
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...Health Care Spending By: Davida McKnight HCS/440 Pranab Root February 16, 2015 Health Care Spending In today’s society the purpose of our nation’s health care practices has shifted from supplying and meeting the medical needs of patients to the supply and demand of fee-for-service care. Our growing health care crisis is the results of medical organizations working with third party payers and private insurance sectors focusing more on the assets of funding instead of the quality of care for patients. As a result the rising cost of health care is continuously huge issue affecting our economy making it difficult for many Americans to live comfortably within our economy less known afford insurance services. The quality of care is not a priority of many health care professionals but the necessity of meeting quantity over volume is the mission of many health care groups. Health care organizations has lost their dedication for healing and helping patients to avoiding and profiting patient volumes. The trending rates of inflation, increased health insurance coverage, demographics, provider merging, technology and the lack of health provider-patient care ratios are enormous contributors as well affecting our nation’s health care spending. The National Health Care Expenditure The National Health Expenditure Accounts (NHEA) are the official estimates of total health care spending in the United States. Dating back to 1960, the NHEA measures annual U.S. expenditures for health...
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...affordable health care under the updated health insurance reform legislation passed by the House. "The Affordable Health Care for America Act or H.R. 3962, blends and updates the three versions of previous bills passed by the House committees. "(Kruger, M. 2010) This bill is expected to ease the out-of-control costs of health insurance, introduce competition into the health care marketplace that will help maintain coverage affordability, protect people’s choices of doctors and health plans, and guarantee all Americans access to quality, consistent , affordable health care. The Association of American Medical Colleges stated in a Mar. 21, 2010 article; "we have taken the first step towards truly transforming health care in this country. This historic vote by the House of Representatives sets into motion long-overdue efforts to cover 32 million uninsured Americans and to assure their access to high-quality care. The nation's medical schools and teaching hospitals have expressed their full support for this bill to President Obama, and now stand ready to work with the administration and Congress to carry out these significant changes to our health care delivery system." (AAMC, 2010) The health care reform bill creates a shared responsibility for health care among individuals, employers and the government to ensure that all Americans have affordable essential health benefits. Two of the key components, and possibly the most debated or criticized of the Affordable Health Care for America...
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...Health Care Utilization Kerisha Graham University of Phoenix Ms. Delores Usea HCS 235 August 3, 2013 Health care reform in the United States is a sizzling topic and the source of legislation meant to make health care available to Americans. The recent presidential elections have been platforms used to promote health care reform yet no one can agree on what the resolution will be. In this paper I will discuss ways in which recent health care reform measures have expanded or inhibited access to health care. This paper will also discuss how changes to access may lead to influences in utilization. Concepts of what universal health care may be and how current care reflects or contrasts with this will be discussed. Everyone including the government at all levels, insurance companies, the business community, and the general public agrees that the US system of health care is in trouble. Reason being is that both the delivery of health care and the financing systems are unproductive, tremendously complicated and unjust. There are thousands, better yet millions of Americans estimating range from 39 million to 45 million that have no health insurance at all; and the millions that do have insurance have inadequate coverage. Health care costs are simply spiraling out of control; whereas benefits for those with health insurance are becoming more restricted. Different businesses and organizations are finding that their health plan costs are increasing too quickly; the average...
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...Issue description: “The social organisation of health care, concerns the way a particular society organises. funds, and utilises its health services. A central focus on the dominant role of the medical profession, which has significantly shaped health policy and health funding to benefit its own interests” (Germov 2009, pg 18-19 para 5) Doctors who support the medical profession for private health insurance benefit by maximising their profits with the “No Gap” incentive that private health insurance offers to their clients, Doctors are being encouraged to charge more then the scheduled fee however based on the marxism theory only those who can afford private health insurance benefit from such services. Low income workers are limited to health care options due to the rise in household bills, making private health insurance difficult to afford. In private health doctors are able to charge their patients their own fee for services/medical consultations etc. Medicare will pay 75% which is known as the “schedule fee” , private health insurance will cover the 25% gap. However the AMA actually encourage doctors to charge more then schedule fee, allowing the doctors to make profit by those who can afford to pay for these consultations. Until recently private health insurance companies were restricted by law to cover the “gap” fee making the patient having to pay the 25% out of pocket. Now every health fund must offer at least one “no gap” or “known gap” policy. Gap cover is only...
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... Nationalized Models & Country Comparisons Chart Antonio P. DeOrtentiis Grand Canyon University: HLT 205 August 25, 2012 The Italian National Health System, established in 1978, is the primary provider of health insurance to all Italians. It is a decentralized model, most of which is being administered at the regional level. It provides low or no cost health care to all European Union citizens; it provides inpatient treatment which covers primary care visits, diagnostic testing, drugs and medications, surgeries during hospitalizations, out-patient treatments, pediatricians, dental treatments and other specialists. Private insurance is available and sometimes offered by employers, about 35 percent of Italians use private health care. The government covers the cost of all primary care and inpatient treatment, while drugs and advanced tests require co-payments of up to 30 percent. Children and the elderly do make these payments. You must have health insurance if you want to live in Italy. The government gets the resources to pay for this system from taxes collected at a national level combined with taxes collected at the regional sectors, the doctors and other medical care provider’s work for both the private and public sectors, where they received their payments from. If receiving public health insurance you sign up and you choose a doctor. Doctors will not have more than 1,500 patients. If you do not like your Doctor you can always switch to another; but that...
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...Week 5 Case Study HSM 544 Healthcare Industry The American health care industry is one of the nation's largest and most profitable industries (Healthcare, 2011). The American healthcare industry "has consistently increased its share of GDP from only 7.2% in 1970 to more than 16.0% in 2008" and that figure is still growing (Van Horn, 2010). It is also one of the few American industries that is expected to grow in the next few decades. In fact, the healthcare industry in America is expected to generate 3.2 million new jobs through the year 2018, which is more than any other American industry (Healthcare, 2011). This industry includes everything "from small-town private practices of physicians who employ only one medical assistant to busy inner-city hospitals that provide thousands of diverse jobs" (Healthcare, 2011). It includes things such as doctors' offices, phlebotomy laboratories, research laboratories, outpatient care centers, nursing homes, residential care facilities, clinics of all sizes, and large hospitals (Healthcare, 2011). It is not only a large industry, but a very broad one with many potential investment opportunities and many potential risks. Government and Healthcare The role of government in the healthcare industry is a topic that leads to very active and divisive debate. People are either of greater government involvement or deeply opposed to any government involvement. Currently, healthcare remains an industry with a high degree of regulation, in terms...
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...Abstract Whether you are an economists or the average consumer, Health Care costs and spending seems to always be a hot topic. From my initial research I found that Health Care costs are steadily rising both in the private and public sectors. From what I have read I believe some sort of Health Care reform is required. There are vast numbers of people suffering and even dying because the cost of Health Care is too expensive. Unfortunately people skip doctor appointments and ignore ailments, just because they cannot afford it and it some cases people are paying the ultimate price. I’d like to look a little deeper into the Pros and Cons of Private and Public Healthcare and delve a little into some of the Health Care reform Bills that are in play or will be implemented in the near future. Specifically I want to look at Obamacare, as I hear it in the news, but do not know what impacts it has to the economy, good or bad. List of Figures Figure 1 6 Figure 2 6 Figure 3 7 Figure 4 7 Health Care Reform In recent years, a fair amount of attention has been geared towards Health Care. There has been a number of Economists that have voiced concern that rising health care spending could hurt the economy and lower employment. A December 2004 survey of CEOs found that employee health care costs are the greatest cost concern of America’s business leaders. (via aspe.hhs.gov). Due to the ever rising cost of healthcare, I found that approximately 53 Million...
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...BEO2401: Risk Management and Insurance Major Assignment A historical analysis of health insurance in Australia Due Date: 22/5/13 Class: Wednesday 11pm tute Jeremy Fung 3897865 Kwin Trieu 3795138 Tamimuddin Saadzadah 3854247 Zaker Hussaini 3887002 Executive Summary The aim of this report is to analysis and review the Australian Health Care System, We have had a look at the history of the healthcare system in Australia and how it started out in 1901 after the formation of the commonwealth government and the Constitution and the power sharing of the responsibilities and control of the health sector between the federal and state government. The report also analyses the dual private and public health care system, which is the Medicare and the Private Health Insurance (PHI) options for Australian Citizen. The other are that we have reviewed is the legislations related to the health Insurance sector and why is the government so keen in keeping the Private Health Insurance capacity high and what are the benefits of the PHI for the government and the health industry finance. Table of Contents Introduction 1 Australian Health Care System 2 1.1Health Insurance (History) AND Recent Changes in Private Health Insurance 2 1.2 Medicare and the Decline of Private Health Insurance (PHI) Challenge for the Government 3 1.3The role of Private Health Insurance in Australian Healthcare...
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... HEALTH INSURANCE Mrs.S.Gnana Sugirtham, Lecturer, Department of Commerce, Avinashilingam Institute for Home Science and Higher Education for Women, Coimbatore – 641 043. Email ID:sugistephen@gmail.com. Introduction Over the last 50 years India has achieved a lot in terms of health improvement. But still India is way behind many fast developing countries such as China, Vietnam and Sri Lanka in health indicators (Satia et al 1999). In case of government funded health care system, the quality and access of services has always remained major concern. A very rapidly growing private health market has developed in India. This private sector bridges most of the gaps between what government offers and what people need. However, with proliferation of various health care technologies and general price rise, the cost of care has also become very expensive and unaffordable to large segment of population. The government and people have started exploring various health financing options to manage problems arising out of growing set of complexities of private sector growth, increasing cost of care and changing epidemiological pattern of diseases. The new economic policy and liberalization process followed by the Government of India since 1991 paved the way for privatization of insurance sector in the country. Health insurance, which remained highly underdeveloped and a less significant segment of the product portfolios of the nationalized insurance companies in India,...
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...The U.S. Health Care System Yusara Millan Phoenix University HCS/531 Kenneth Feldiman February 20, 2012 The U.S. Health Care System Today’s health care system is a constant focus of debate those who argue about the American system been the best health care system in the world but there is also the part that argues that the U.S. waste more in health care system than any other nation in earth and yet many Americans have not insurance coverage. The intention of this paper is to search the health care system of the U.S and identify as well as understand the structure of the health U.S. health care system. According to Chua, K. (2006) the United States has a very distinctive health care system; it is not like any other health care system in the world. The US health care system consists of private and public insurers in which the private component dominates the public component. Public Health Insurance Medicare is a federal program that covers disabled individuals as well as over 65 individuals, which is funding by federal income taxes, payroll tax shared by employers and individual premiums. According to Chua, K. (2006) the benefits of Medicare Part A covers all the hospital services, the Part B covers the physician services, and Part D offers prescription drug benefits. The Medicare Part C refers to Medicare Advantage, which is HMO’s that control Medicare benefits (Chua, K.2006). According to Chua, K. (2006) there is many breaches in the Medicare coverage, which...
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...developments in the evolution of the health care in the United States 5 most significant developments in the evolution of the health care in the United States: **Medical care was relatively inexpensive in the early part of the 20th century although there were attempts by progressive reformers to protect workers [ against both wage loss and medical costs beginning around 1915. At that time, people were more concerned about loss of pay when they were ill; so “sickness funds” were established to provide insurance against lost wages. **The Great Depression that ended the 20s brought multiple changes. An historic change was the Social Security Act, which was passed in 1935. However, a push within the Roosevelt administration to include health insurance was defeated by internal government conflicts over priorities. **In November 1945, President Truman, noting that 40 percent of the population still lacked access to adequate health facilities, addressed Congress and proposed a new national health care program, known as the Murray-Wagner- Dingell bill. It met opposition from labor as well as the American Medical Association, and, following the outbreak of the Korean War, Truman was forced to abandon it. **By 1958, almost 75 percent of U.S. citizens were covered by some form of private insurance, and the medical profession had been able to avoid the government intervention and nationalized insurance they had feared since early in the century. Doctors’ concerns from the beginning had been the...
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...market justice and social justice, explain how the two principles complement each other and in what way they conflict in delivery of health care in the United States. Secondly, I will discuss how health care is rationed in the market justice and social justice systems. Finally, I will discuss the types of health insurance that is based on market justice and social justice principles. The Concepts of Market Justice and Social Justice The concept of market justice can be described as a distributional principle according to which health care is most equitably distributed through the market forces of supply and demand, rather than government interventions. The concept of social justice can be best described as a distribution principle, according to which health care is most equitably distributed by a government-run national health care program and is minimally affected by market forces. How Market Justice and Social Justice Ration Health Care Market justice and social justice distribution principles both compliment and conflict in the U.S. system of health care delivery. Market justice ascribes the fair distribution of health care to the market forces in a free economy including medical services distributed based on people’s willingness and ability to pay. The principle of market justice places the responsibility for the fair distribution of health care on the market forces in a free economy. Medical care and its benefits are distributed on the basis of people’s willingness and...
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