...* Health Care Economic Issues Outline * I. Introduction A. More than 50 million uninsured in the United States (Young, 2012) B. Uninsured population is considered vulnerable population C. Uninsured use emergency department to meet their primary health care needs D. Overcrowded emergency departments require reallocation of resources * II. Effectiveness of the Current Procedures in Place * A. Federal Emergency Medical Treatment and Labor Act (EMTALA) requires hospitals * to treat every patient irrespective of the payer source B. Limited community resources forces uninsured population returning to emergency department for minor ailments C. Shrinking federal and state funding for medical assistance programs D. Current procedures do not address medical needs of the undocumented populations * E. Treating uninsured costs taxpayers more than $175 billion per year (KFF, 2008) F. Hospitals absorb more than $65 billion dollars per year in uncompensated care III. Affects of financial decision-making process A. Express/Urgent Care areas added to emergency B. PA added to Triage to treat minor health issues C. Sponsor Care Funds Created 1. Hospitals have created sponsor care programs designed to help alleviate the amount of debt created by an insured patient. The funding for sponsor care programs comes from direct donations from the community and are meant specifically for patients that are receiving...
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...Nursing shortage is featured in every magazine, health articles, newspaper, television and other forms of communications. Nursing shortage creates serious concerns not only in the field of medicine but in the consumer’s eyes. Health is considered a basic need of mankind; therefore, everyone is affected in maintaining the health status. Nurses are a major workforce in the provision of health care. Where does this discussion lead? Is there a serious threat? What happens now? Is it global? All these questions pump adrenaline to everyone who is concern about their health status. Health care organizations, specifically hospitals have significantly felt the impact of nursing shortage. Nurses are an integral part of any health care organization; and are known to the health care community as front line workers. The following outline is to discuss a health care situation such as nursing shortage in hospital settings. This outline is to provide a comprehensive overview by analyzing and evaluating the effectiveness of procedures that are in place, and recommend improvement strategies based on economic theories and concepts that support best practices. Key Players Nursing shortage is a work in itself, there is no immediate solution to the problem; therefore, nurses as the key players must be involved in the decision making occurring at every health care organization. As nurses, the sole responsibility lies upon them to establish a safe working environment, ensuring patients and nurses’...
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...Health Care Economics Issues HMO Simulation Name University of Phoenix Economics: The Financing of Health Care HCS440 instructor date Health Care Economics Issues HMO Simulation Castor Collins is a health insurance company that offers health maintenance organization (HMO) to organizations. This health insurance company was founded in 1999 in Pantome. Two organizations are trying to seek coverage for their employees and have chosen to see what Castor Collins has to offer them. The two companies are Constructit and E-editor that are seeking policies for their employees. Each one of these companies has provided the demographics, health risks and maximum premiums they are willing to pay. The insurance company has three different plans they have to offer for these two companies .Castor Collins will review the company’s information and decided which plan is best for which company to see if they will be able to meet the companies’ needs. Castor Collins will also make sure their financial liability will not be too high. The three insurance plans Castor Collins has to offer is castor standard, castor enhanced, and castor enhanced minor. The castor plan and the castor enhanced plan offer the same type of services with little price different. The biggest difference between these two plans is the castor standard plan does not cover pre-existing conditions and the castor enhanced plan does cover pre-existing conditions. The castor enhanced minor plan is different from...
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... | | |College of Natural Sciences | | |HCS/440 Version 5 | | |Economics: The Financing of Health Care | Copyright © 2010, 2007, 2005, 2004, 2002, 2000 by University of Phoenix. All rights reserved. Course Description This course provides an overview of the economics of health care. The various payers are examined, including private, state, and federal entities. Issues such as the cost effectiveness of prevention, the management of patients and their diseases, as well as the cost of treatment settings are discussed. Third party reimbursement from various sources, ranging from for-profit insurance carriers to charitable donations, are reviewed. The health care system's use of grant funding and research dollars is described. Policies Faculty and students/learners will be held responsible for understanding and adhering to all policies contained within the following two documents: • University policies: You must be logged into the student website to view this document. • Instructor policies: This document is posted in the Course Materials forum. University policies are...
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...Dr. David Tataw Healthcare Economics February 2, 2015 The economics of health care field studies demand and supply of health care resources, that is, allocation of the resources, within a given health care system. The health care system is defined as “the organizational arrangements and processes through which a society makes choices concerning the production, consumption, and distribution of health care services.”6 Because health care resources are limited, each society has to make decisions in terms of the distribution, consumption, and production of these services. A key factor that shapes the delivery of health care in any health care system is the evolving system for financing and reimbursement for health care services. The types of services delivered and the organizational approaches to delivering services are heavily influenced by how health care is paid for. In this paper I will discuss some values of healthcare professionals understand the discipline of health economics, the importance of considering the complex nature of health and healthcare when examining the economic principles, and the main potential benefits of learning about health economics. In the health care market, patients or consumers, health care providers or producers, and third-party payers are three major players. According to the principles of economic theory, consumers or patients on the demand side seek to maximize their utility or satisfaction, which is largely determined by...
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...Jennings Term Comparison Paper In the world of Health Care, the economics are included as a part of plenty of choices we have to make. A group, a business, an organization and of course individuals chooses the way to use resources. Health Care and Economics are connected, only because economics plays a role in professional health care activities daily. Resources allocations are the only way that its recognized. An organization like health care has to have a method on how they will use there resources to their advantage. The economics of health care are able to combine the terms cost, quality, and resources. Resources are any source of aid or support. So a physical thing or special type of component has a boundary are availability considered resources. People use resources to help them live in their daily lives. Resources could be special support groups that can help people such as natural resources and human resources. There are times when the resources that we need are factors of production. Meaning the resources are something we need to bring forth or forward in order for it to work. Looking into the health care organizations, it bring forward something and it brings the natural resources to the table that is being used because the resources are being limited. Some organizations resources are needed. So the research and findings are the one that’s appropriate to use. Health care resources are used to help take care of people like me and you that’s why the resources have...
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...Health Care Industry Lauretta Montgomery HCS/449 July 31, 2013 Kelli Haynes Health Care In today’s health care, change is persistent, pervasive, and constant. Clear and critical understanding of change theory and the stages of change is vital for leaders to have an effective plan to manage the changes occurring in the world of health care. Leaders must utilize change agent skills to initiate commitment to move forward with positive change. Leaders must also have an understanding that resistance is a normal outcome of any change set forth. The important skill a leader must possess is to effectively manage energy from the resistance and use it as a stimulant to create the change required (Sullivan & Decker, 2005). This philosophy will come in handy as this country braces to undergo critical changes set into action by the Obama Care Health Care Reform bill that is currently shaping and set to take place as we move closer to its implementation in 2014. This reform is proof of the looming affects that factors such as health care policy can have over health care delivery and that change is the only constant in health care. The objective of this essay is to address: how health care has changed in the last 10 years, my opinion of what I think will be the biggest change in health care in the next 10 years, the role I plan to have in the health care industry, how my perception of health care has changed over the course of this program, and to address what financial and...
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...Current and Future Economic Issues Impacting Healthcare Sector S. Ruff Dr. Merle Point-Johnson HAS 510 June 15, 2015 Abstract Not unpredictably, the increases in health care spending and the share of GDP dedicated to health care have raised up concerns about the negative influence of health care cost inflation on the U.S. economy. In an era of global economic markets, these concerns are reinforced by the status of the U.S. as a spending outlier among competing nations. The major concern is that rapid increases in health care spending can affect major economic indicators such per capita GDP, employment and inflation. The effects are likely to occur across all sectors of the economy, governments, businesses and households as all these interrelated sectors play an important role in the delivery, financing and consumption of health care in the US. Yet, the view that rapidly rising health care costs harms the U.S. economy is not without nonconformists, and some projecting economists opinion increases in health spending as having a neutral, or perhaps even a positive, economic effect. Pauly (2003) has contended that increasing health care expenditure naturally consequences in rapid growth in the health care and associated sectors, and in employment and incomes for workers in those sectors. Particularly, health care firms are largely U.S. owned. A related argument is that as total per capita GDP rises, consumers may choose...
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...Economic Tools and Concepts Wesley Hill HCS/522 Health Care Economics University of Phoenix Introduction Current health care issues in the United States use economic tools and concepts to understand and explain how to improve quality and minimize cost. Although there are many issues facing health care, one area of focus is a nursing shortage in health care facilities. Three economic tools that will be focused on in this essay are choice and opportunity cost, supply and demand, and marginal analysis. Registered nurses (RN) are the largest group of health care professionals in the United States, strengthening the entire health care delivery system (Caron, 2004). It is important to understand the effects that a nursing shortage has on the economy and the health care system. Choice and Opportunity Cost Choice and opportunity costs are two of the most important concepts in economics. There is never an endless amount of resources, supplies, or even time so choices must be made on a daily basis. The choices that must be made in health care organizations are how to spend their limited income in the best way. The term best can be hard to define when dealing in terms of buying or spending. Health care organizations must consider what choice will give the most satisfaction or maximize gain. Wiseman explains opportunity costs as being, “…any good, including service, is the satisfaction or benefit foregone in not being able to use the resources involved to obtain some...
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...Health Care Issues in the United States HSA 500 Health Services Organization Management January 22, 2012 1. Explain how health is affected by behaviors, economics, and social structure. Health is affected by economic and social problems that are facing the United States today. Health insurance and medical care is still rising and impacting several Americans. However, the United States is becoming the worst health care systems in the world. The United States does not spend money effectively when it comes to healthcare. Health is affected by the social and economics in individual’s daily lives. The social and economic is built on commingled efforts for an individual and cultural and social standards. However, people tend to be the healthiest and keeping the faith and trusting their families and people in their communities with their health. Public health behaviors are the most important components of welfare and public health. Behavioral determinants are the most leading causes of death such as, stroke, cancer, chronic diseases and dietary behaviors. Elevating and comprehending health behavior are vital to public health. Social structure and economic can influence behaviors and choices that improve health that will offer a variety of choices to improve health. 2. Describe the three stages of medical technology development. The three stages of medical technology development are diffusion, adoption, and utilization of the product development, approval, and distribution...
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...2011 Economic Terms and Health Care History Health care economics has gone through many changes over the years. With all of the changes health care organizations have had to adjust their financial strategies as well as their organizational strategies. The economy has had a lot to do with all of these changes. Healthcare organizations have so many demands put on them. Some of the changes that have occurred are due to the advances in medicine such as diagnostic, procedures and pharmaceutical. Insurance Payments over the years have changed. It used to be that you had health insurance and your bills would get paid over the years the payment system has changed and more and more is coming from the patient’s pocket. In this paper the focus will be these key terms supply and demand, microeconomics, microeconomics and elasticity. The issue is not how to fill or reuse empty beds. In this changing environment, hospitals and health systems must focus on streamlining and simplifying operational processes, facilitating case management, promoting the least costly setting for care delivery, and optimizing resource sharing among departments. When hospitals have addressed these issues, then solutions to the “bed problem” will be obvious.Cynthia Hayward, 1996(Marcinko, 2007). Division of economics focused on evaluating scarcity in health care systems in different economies. ("Health Economics", 2012). The currents state of our economy is a prime example. Health economics seeks to identify...
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...Implications of Health Economics Concepts for health Care Marcus Bright Strayer University Health Economics HSA 510 Dr. Jeff Kaluyu October 27, 2014 Abstract Income Inequality and Rising Health-Care Costs in the United States shows that health costs are the biggest driver of income inequality. This reason has made health care economics to go through multiple renovations leading from money which is the substance of health care economics and that has become vital to economists, policymakers, researchers, and organizational leaders. Today, most employers pay their workers a combination of wages and benefits, the most important of which is health coverage. This too has caused employer’s to hold back on salary increases to keep total compensation costs to cover the high cost of health insurance increases. In health care economics, the gross domestic product (GDP) is of paramount importance and in evaluation of, there is a remarkable rise in the GDP from 5.2% in the 1960’s to 16.2% in 2008, and an anticipation of 19% or more by 2019. It is based on those ongoing increases that this paper will reflect on the concepts that have impacted the world of health care economics in the US. Health Care Professionals and Understanding the Discipline of Health Economics The economics of health care methodologies for funding have continuously been changing since the 1800s. This started with the founding of the American Medical Association in 1847, which promoted scientific...
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...Implications of Health Economic Concepts for Health Care Melissa James Strayer University Dr. Wanda Allen Health Economics – HSA 510 February 1, 2015 Assignment # 1 Implication of Health Economic Concepts for Health Care Assess the value of healthcare professionals and decision makers understanding the discipline of health economics. Healthcare is getting gradually complex around the world. The need for technological development, economic support, demographics changes and the study of diseases are shifting at a fast speed. There had been numerous labors in describing collective capabilities and values within the healthcare organizations. It is necessary for learning and training programs to be regulated based on the needs of the humanities they support. Therefore, the institutions that are designing and delivering those activities must take responsibility for the products they manufacture for the use of the society. Hence, Academic institutions that are in charge of educating healthcare professionals together with their various stakeholders must interact in collaboration to create actual and proficient strategies that will promote suitable culture in the healthcare systems. Current medical education process has its origins in the European institutions of higher learning that customarily cherished academic freedom, sovereignty and self-regulating exploration...
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...on how health issues are different in these countries and some of the economic ramifications. Explanation of Key Term According to Satterlee (2009), a developed nation is a nation that has great wealth and resources, as well as the knowledge to properly manage its resources to take care of the well-being of its people (p. 87). The per capita of a developed country is typically higher than less developed countries. This notion, along with other economic issues, has been used to classify countries as developed by the World Bank, the International Monetary Fund, and the United Nations. These organizations have also classified whether a country is considering developing. There are several key differences between all three that one will need to delve into much more. Major Article Summary The article I chose to focus on the most was about the oral health care systems in both developing and developed countries. Kandelman and others wrote (2012), while it is known that there are marked differences in structure and scope of health systems between countries across the world, the common purpose is improving health. The factors that account for such differences are influenced in part by the economic and human resources available (para 3). This shows that there are many economic and social issues when it comes to health care. There must be a balance between the function of the health staff and the economic overflow that comes with the services. When it comes to oral health, the main...
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...Running head: Health Care Issues in the United States Health Care Issues in the United States Strayer University Winter 2010 Explain how health is affected by behaviors, economics and social questions? As we see in the world today, people’s health are affected by several things such as behavior, economics and social issues. Health or unhealthy living, are caused by certain behaviors which may be considered risky. Let’s take a look at what some people may consider risky behavior; driving reckless, using illicit drugs and or abusing alcohol. These types of behaviors are on the high end. On a less dramatic level, there are some behaviors such as tobacco use unbalanced nutrition along with a lack of physical activities will affect your health. It is known that when you have poor behaviors in any of the above mentioned health areas, can cause or lead to major health diseases which will ultimately lead to death. When looking at the health concerns among people in the United States and other countries in the world today, there are two other areas which have a profound effect on our health. The areas are economic situations and social issues. Our societal and economic statuses have become critical regarding health concerns and problems. For instance, some individuals and most third world countries with little or no income have very poor health. This is mainly due the ability to obtain or maintain health insurance because...
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