...The Evolution of Medicaid Genesis65 HCS/310 April 19, 2010 Barbara Sinacori, RN, MSN, CNRN The Evolution of Medicaid Prior to 1965, the poor elderly in the United States were left with little options when it came to accessing and paying for preventative health related services. As a result, many of the poor in the U.S. went without routine health care or treatment for known illnesses. In response to this growing issue, the Federal government, under the direction of President Lyndon B. Johnson and in conjunction with state governments, established the Medicare program on July 30, 1965 through Title XIX of the Social Security Act (Centers for Medicare and Medicaid Services, 2010). Along with passage of the Medicare Bill in 1965, Congress also passed an insurance program known as Medicaid that would provide health care insurance for various groups of disenfranchised U.S. citizens. This paper will briefly discuss the evolution of the Medicaid program and examine how Medicaid has influenced the current health care system in the United States. The ever-rising cost of health insurance has prohibited many businesses from providing health insurance to their workers, effectively leaving millions of Americans uninsured or underinsured. According to the U.S. Census Bureau (2007), “The number of people without health insurance coverage [in the U.S.] rose from 44.8 million (15.3 percent) in 2005 to 47 million (15.8 percent) in 2006.” Medicaid...
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...relation to healthcare economics. The meaning of health economics is the science that deals with the production, distribution, and consumption of good and services, or material welfare in healthcare. Because healthcare is always evolving there are some factors that have to do with the change, and those are types of medical care and technological developments in the industry. An example in the change in medical care is the quality. Now a day, people can be treated for any type of disease and as long as their insurance covers the specific service then they have a higher chance of being cured. In addition machines we have in clinics and hospitals also increase also affect health economics because most organizations always want to have the latest technology so their quality of healthcare maintains at a high level, however having this also increases their expenses. This paper will further on discuss evaluating the history of healthcare economics and its evolution along with how cash flows within the economic system Health care insurance is something that healthcare economics is based off of. Before when health care was as big issue and an actual business, people would use their own personal money to pay for treatments, services and other healthcare operations. Now a day, insurances pick up the bulk of the services and the consumer pays a copay or co-insurance, this is why cash flow in health care evolves around insurance. The flow of funds is a way of following the trail...
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...EVOLUTION OF HEALTH CARE INFORMATION SYSTEMS PAPER EVOLUTION OF HEALTH CARE INFORMATION SYSTEMS PAPER 2 THE PATIENT RELATIONSHIPS WITH HEALTH CARE TECHNOLOGY My grandfather would often share stories of the neighborhood Doctor coming to visit the family home and providing medical care or just stopping in to say hello. They were extremely thorough, knew the entire family's history and actually became a part of the family. Over the years, the Doctor's relationship has evolved from the family member/neighborhood doctor to the world of physicians make diagnosis based on the available CPT code and patient visits are conducted via tele-medical devices. Medical relationships first transitioned from the family physician to neighborhood Doctor offices, then to company doctors and now Insurance Companies who act as puppet masters for physicians. I spoke with a friend whom is a physician over the weekend and she said, Medical care is very different than what she pictured it to be. As a doctor, she is as concerned about the times outlined by insurance companies and CPT codes as she about the patient’s health. I am sure my grandfather could have never imagined this type of relationship with his family doctor. To bridge the gap between the physician patient relationship of yesterday and today, technology savvy healthcare providers are using personal digital assistants (PDA) to act as the provider memory bank. The advancement of PDAs is just one of the many revolutionary advances that...
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...what are the five most significant 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’...
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...Running Header: Economic Terms & Health care History Paper Economic Terms & Health care History Paper Dina Mayo-Jones HCS/440/ Economics: The Financing of Health care Tina Rivenbark, B.S., M.H.A. August 1, 2011 The economics of health care has been experiencing transformations throughout the course of our country’s history. The catalyst in the world of health care economics is money, . In 2010, health care costs were roughly 17.68% of the country’s gross domestic product (GDP) with a projected growth to 19.8% by 2020 (Cummins, 2011). Spurs in higher utilization, advancements in medical care, and the ever increasing population are the major contributing factors influencing such a change. This paper will look at the birth and evolution of health insurance, while diving into the microeconomics and supply versus demand aspect of healthcare. History- The Birth of Health Insurance From the bartering of the early 1800s to the development of the health care reform bill, methodologies in the funding of health care services have been forever changing with an increasing price tag. In the early part of the 20th century, the country’s knowledge of medicine began to grown and with it so did the fees associated with this knowledge. Poverty drove the need for the development of a functioning health care economic system. Labor conditions and illnesses related to immigration created an environment in which individuals could no longer predict their impending...
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...Grading Criteria Significant Health Care Event Paper This assignment is due in Week One. |Content |Points |Points |Additional | |60 Percent |Available |Earned |Comments: | | |6 |X/6 | | |Paper discusses a significant event or aspect that has changed or affected health care today | | | | |and includes the following: | | | | |How does this significant event relate to the changes on health care? | | | | |In your opinion, has this event impacted the historical evolution of health care? If so, how?| | | | |If not, could it? | | | | |Do you personally agree with the event’s significance, based on your beliefs and values? How | | | | |so? | | | ...
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...Chapter 3 The Evolution of Health Services in the United States Learning Objectives To discover historical developments that have shaped the nature of the US health care delivery system To evaluate why the system has been resistant to national health insurance reforms To explore developments associated with the corporatization of health care To speculate on whether the era of socialized medicine has dawned in the United States “Where’s the market?” 81 26501_CH03_FINAL.indd 81 7/27/11 10:31:29 AM 82 CHAPTER 3 The Evolution of Health Services in the United States Introduction The health care delivery system of the United States evolved quite differently from the systems in Europe. American values and the social, political, and economic antecedents on which the US system is based have led to the formation of a unique system of health care delivery, as described in Chapter 1. This chapter discusses how these forces have been instrumental in shaping the current structure of medical services and how they are likely to shape its future. The evolutionary changes discussed here illustrate the American beliefs and values (discussed in Chapter 2) in action, within the context of broad social, political, and economic changes. Because social, political, and economic contexts are not static, their shifting influences lend a certain dynamism to the health care delivery system. Conversely, beliefs and values remain relatively stable over time. Consequently, in the American health care delivery...
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...The customers, health care professionals and assisting organizations are integral part of health care system of the state. Every system has important objectives or goals to deliver heath care to its people. First and foremost goal is accessibility of health care to every individual of the state equally with stated standards with respect to its quality. Another major goal is to be cost effective system for the people of the state. Below listed are important components which are important for health care to function. Finance: People purchasing health protection plans or paying for the health care facilities deliver the required finance to the system for delivering smoothly to people of state. Health Care Services: Providing health care services...
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...Evolution of Health Care: Effects of the Health Insurance Portability and Accountability Act HCS/533 AHMED JAMAL The Health Insurance Portability and Accountability Act (HIPAA) have been under a continuum since it was signed during the Clinton administration in 1996 (Schwartz, 2003). Policies have been implemented to protect patients’ privacy. What the establishment of HIPAA has enforced is that patients’ information must be protected from all unauthorized parties. Patients’ information is being stored electronically. The electronic form will protect the patient’s record from all parties involved with any change that a patient is involved with including insurance companies, employers, and health care providers (Degaspari, 2011). HIPAA has become a routine function in the health care system. Safeguards have been installed on facilities that have computers that store or have access to patient information. HIPAA’s involvement with the electronic system has improved the transmission of patient data while decreasing the number of errors which by comparison improves efficiency. Organizations must implement specific security objectives under HIPAA to be compliant. Under HIPAA standards any unauthorized exposure regardless of the circumstances to which the violation takes place is harmful to the patient. The continued changes have revisited the liability of violators which suggests any organization that is involved or responsible for such actions will be held accountable regardless...
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...Concerns over Private Health Insurance HCA: 305; The US Healthcare System Concerns over Private Health Insurance 1) A single payer system, private insurance company or US government, why is there so much resistance to this concept which is used in advanced countries? The resistance is because of economic power in the system, and who does not have the power. Yes, the governments will predictable raise taxes to pay for the growing demand for health care which people are afraid of. It is a big resistance over fear, on loss of power and money. “Vladeck, Bruce C, Rice, Thomas” (2010), wrote; As a result, it is this element of President Obama’s reform proposal led to strong opposition- by insurers, which do not want the single payer system, to compete against a public plan, and by providers who fear that growing monopsonistic power on the part of government. The United States citizens are very much resisting the new medical reforms, due to their disbelief in our governments system that they do not trust already. The citizens do not belief that the government will fairly and efficiently make these choices for the citizens. It is very hard to believe in good ethical quality of a health care program if the organizations are not a true ethical organization itself. Medical ethics as we know is focused...
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...Economic Terms and Healthcare History July 1, 2013 By: Kelsey Breeden Economics within health care has changed drastically throughout the years. With the election and now reelection of President Obama, health care economics has become very important to not only providers, but managers and even the clients. In order to better understand the economics of health care, one needs to understand the history and evolution of health care. The purpose of this paper is to explore the history and evolution of health care throughout the United States history. Starting with the 1800’s, most people had their medical care and assistance come to their home. There were very little healthcare providers, as well as medicines and treatment. People during that time period were able to just deal with being sick instead of going to the doctors and to see all kinds of specialists. These types of options were not available, and if they were to seek medical attention it was very pricey. Healthcare insurance was not offered so all payments had to be paid out of pocket, and in full. As the 1800’s progressed, there became a formation of the medical field and medical professions. Now although there was a healthcare industry on the rise, people were still not sure of the money aspect of healthcare. When the 1900’s came about, healthcare continued to expand, with the expansion came the want and need for hospitals. Hospitals became very important to everyone and access continued to...
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...Health Care System Evolution Paper: Managed Care HCS/310 March 12, 2012 Shannon Packard Health Care System Evolution Paper: Managed Care The evolution of the heath care delivery system in the United States has led to the Managed care initiative. “Managed Care emerged at the early 20th century when the United States lacked private and public health insurance” (Rodwin,p. 653, 2010). Managed Care is defined as “any arrangement in which an organization, such as an HMO, another type of Doctor-Hospital network, or an insurance company, act as an intermediate between the person receiving care and the physician (“managed care,” n.d.). Managed care has influenced the current health care system many times over including spurring the creation of HMOs and PPOs. Managed care grew significantly partly in response to physicians and other health care providers charging more and more for services provided in a competition to control the medical market (Rodwin, 2010). These physicians had a serious conflict in interest between trying to sell medical services, in an effort to charge more, and doing what was in the best medical interest for the patient. Managed care has brought about significant change in the way the health care delivery system is handled. Often times, now, a doctor is reimbursed for what is considered, medically necessary, based on a patient’s diagnosis and the normal course of treatment for that diagnosis. They are also reimbursed at a pre-determined rate...
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...Health Care System Evolution From the Medicare/Medicaid focus, I will attempt to break this down from the evolution of the old to the influence of the current or present systems. I would further consider the old concepts of supply and demand. Health care is no different. In early health care delivery, there was not much demand because there was not much known. In many instances, patients weren't as educated about healthcare and illnesses to know where to go to seek care. This is evident by the people using home remedies and other alternatives that prevented them from going to the doctor. Research was not available as much to the average patients or their families to educate them about the risk of not receiving treatment for certain conditions. When looking at doctors, they use to be just local folks who happened to be doctors, and they treated many conditions in their local offices without needing to file on Medicare/Medicaid. The people were their neighbors and the doctor and patients knew each other personally. Cost was not associated with this type of care. It was like doing a favor for neighbors and friends. Tools and supplies doctors used back then were less expensive. To make a long story short, there was not much patient care demand nor was there much cost. So there was not as much for Medicare/Medicaid to pay for. Finally, the people running Medicare and Medicaid trusted doctors more. If the doctor it stated it was needed, neither Medicare nor Medicaid...
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...Healthcare History Health Care History The United States health care system is currently getting ready to evolve tremendously through the organization, management structure, and payment structures. The economic component in health care is very important to understand in order to structure it successfully. This papers discusses the evolution of economics in the health care system and the structure of health care funding timeline. History and Evolution Health care economics presents an information framework were efficiency and equity goals are pursued. Furthermore, economics establishes a framework by maximizing benefits using resources at hand. Kenneth Arrow, the person responsible for mentioning the idea of health economics as a discipline, wrote an article titled “Uncertainty and the Welfare Economies of Medical Care” in 1963. The article discusses how the medical care industry benefits society compared to the “norm”. Furthermore, Mr. Arrow wrote about the significance of supply and demand. Arrow discussed that the average person has the characteristic of only seeking medical care when they are suffering from a critical injury or illness. Its not common for the average person to receive routine medical services on a regular basis. As Mr. Arrows discussed supply condition, he quoted “Entry to the health care profession is controlled by licensing. Licensing manages the supply which consequently increases the cost of medical care”. Medical care...
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...Significant Health Care Event Health care has been impact on a lot of significant events all the way through. These events have helped change and shape health care in efforts to improve it and to fit with the current needs to the population. Some of the influences include society, culture, finance, religion, politics, technology, health trends, the environment and population (Shi & Singh, 2009). This paper will discuss a significant event that has changed or affected health care today, explain how the historical evolution of health care was impacted, and assess the significant event based on personal beliefs and values. The significant event relate to the changes on health care are: 1. In 1939, a group health insurance as an employee benefit launched. They were exempted for paying the premium from federal taxes. The group health insurance progressed and set the mark. People were exempted from paying the taxes. 2. In 1965, the foundation of Medicare and Medicaid. For the very first time in United States, government took the responsibility to pay the health care bills for senior citizens and poor people. Government has now entered in the health insurance business. 3. The HMO (Health Maintenance Organization) Act of 1973 initiates as a managed care rescue to increasing the health care cost. It works only for short period. 4. The PPACA (Patient Protection & Affordable Care Act) of 2010, the goals of this act are increasing the quality and affordability of health care. We do...
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