...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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...Evolution of Services and Programs For as long as humans have existed, there has been elderly care. By nature, we are a caring species. The means of the care provided for the elderly population has evolved tremendously within the last fifty years. The twentieth century has been a record era for the elderly population. Within the last fifty years, programs and services have been established to provide many means for older adults. To care for older adults, many programs and services have gone above and beyond to provide as much as possible for older adults to remain happy and healthy throughout their later years. In 1965, Medicaid and Medicare were established as part of the Social Security Act (Administration for Community Living, n.d.). When the Medicare law was passed, large nursing homes based on medical models were built. These facilities included nursing stations and routine care that was given until the patient passed away. In the 1980s, Congress was brought to the attention of abuse and neglect in nursing homes. To stop this from happening, the Omnibus Budget Reconciliation Act of 1987 was declared. This stated that residents in nursing homes deserve a home where they can live for the rest of their lives like individuals. At this time, social, spiritual, emotional, occupational, recreational and cultural needs were introduced as needs to the elderly residents. Today, the elderly population is growing rapidly as the Baby Boom generation enters their older...
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...Chapter 1 Evolution of Human REsouRcE managEmEnt and Human REsouRcE infoRmation systEms The Role of InfoRmaTIon Technology Mohan ThiTe, Michael J. Kavanagh, and RichaRd d. Johnson EDITORS’ NOTE The purpose of this chapter is to provide an introduction to the fields of human resource management (HRM) and information technology (IT) and to the combination of these two fields into human resource information systems (HRIS). The history of the field of HRM and the impact of computer technology on HRM will be covered, as well as the advent of using a human resource information system and the subsequent effects on both HR and IT professionals. The different types of HR activities will be discussed as well as the different types of information systems used in HRIS. A central focus of this chapter is the use in managerial decision making of results and reports from an HRIS. The development of the HRIS field has been seen to have a significant impact on the emergence of strategic human resource management (Strategic HRM), as is discussed in this chapter. This first chapter will lay the groundwork for the remainder of this book, and, consequently, it is important to understand thoroughly the concepts and ideas it presents. This chapter contains definitions for a number of terms in common use in the HRM, IT, and HRIS fields. (Note that a glossary defining these terms is also provided at the back of this book.) The central themes 2 Chapter 1 Evolution of Human Resource Management...
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...the last century mass media has gone through major developments of evolutions. These developments consist of the transformation of electronic, digital which has now taken over the modern day media. However this evolution really not limited to the developments mentioned above. For example, handwriting book gave way to printed books, letters gradually gave way to emails, twitter and so on. With the introduction of the printing press passed on to the middle class at a cheaper rate. This in turn mobilized the rise of industrial revolution, aided capitalism and shaped the culture of consumers in the 20th century. “With the revolution in the in industry came the rise of the middle class and the elite business class of owners and managers who acquired the kind of influence formerly held by the mobility of the clergy……..”,(Campbell, R. Martin, C. and Fabio, B,(2012). Media and Culture. As these major developments of evolutions occurred it also had it’s for share of influence on the American culture both positive and negative. For instance, the radio being one of the first modes of wireless communication gave people the hearing power to listen to the news, sports, current affairs, music and other entertaining programs. The evolution of the television gave people the sight invention of watching their programs. This helped the American consumer to have the opportunity to see and listen to whatever channels or programs airing, today almost every household in America has television. Media...
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...virus is interesting because of its ability to attach itself to other programs and cause them to become viruses as well. There are two spellings for the plural of virus; 'virusses', and 'viruses'. We use the one found in Webster's 3rd International Unabridged Dictionary Given the wide spread use of sharing in current computer systems, the threat of a virus carrying a Trojan horse [Anderson72] [Linde75] is significant. Although a considerable amount of work has been done in implementing policies to protect from the illicit dissemination of information [Bell73] [Denning82], and many systems have been implemented to provide protection from this sort of attack [McCauley79] [Popek79] [Gold79] [Landwehr83], little work has been done in the area of keeping information entering an area from causing damage [Lampson73] [Biba77]. There are many types of information paths possible in systems, some legitimate and authorized, and others that may be covert [Lampson73], the most commonly ignored one being through the user. We will ignore covert information paths throughout this paper. The general facilities exist for providing provably correct protection schemes [Feiertag79], but they depend on a security policy that is effective against the types of attacks being carried out. Even some quite simple protection systems cannot be proven 'safe' [Harrison76]. Protection from denial of services requires the detection of halting programs which is well known to be undecidable [Garey79]. The problem of precisely...
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...” most people immediately think of just hardware and software. However, there is more to it than just those two. In fact, the most important and often most-ignored component is that of services. Integrating all three components forces a business to think in terms of the value of the whole and not just the parts. Including all three components in any discussion of IT infrastructure truly fits the cliché that the whole is greater than the sum of its parts. Defining IT Infrastructure If you define a firm’s IT infrastructure in terms of technology you limit the discussion to the hardware and software components. By broadening the definition to that of service-based, you are then bringing into the discussion the services generated by the first two components. Also, you are including the persware element that we discussed in Chapter 1. As technology advances the types of hardware and software available, it becomes more critical for the firm to focus on the services that a firm can provide to its customers, suppliers, employees, and business partners. To round out the list of IT infrastructure components you need to add the following services to computing hardware and software: • Computing services: Provide platforms that ensure a coherent digital environment • Telecommunications services: Determine appropriate data, voice, and video that connect employees, customers, and...
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... |ic| |] | |] | | |Newsletter Summary | | | |The key to organizational success What is core to your contracting function? Resourcing - the alternatives and why you should care Contracting excellence with technology | | | |Crossing the contractual chasm: using contract management automation to improve organizational relationships The evolution of procurement: How CPOs can drive real | | | |competitive advantage, � la Darwin Training and development for competitive advantage - best-in-class practices From the front line... | | | |[pic] | | | | | | | |[pic] ...
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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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...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 was relatively expensive in the 1970’s; in fact, the rates were...
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...here by God, and then you have those that believe we got here through what many of have learn as evolution; this is we got here based on what scientific evidence has left behind for scientist have found. This reading will simply explain the following premises: the nature of science evolution and paleoanthropolgy, and the views of Christians. Using Karl Popper’s method of disconfirming I will explain how I feel science, “The use of evidence to construct testable explanations and predictions of natural phenomena, as well as the knowledge generated through this process,” (NAS, 2008)) and religion, “The service and worship of God or the supernatural; commitment or devotion to religious faith or observance (“Religion”), do not conflict. From apelike ancestors, human evolution is the process of change by which people originated from ("Introduction to Human Evolution | The Smithsonian Institution's Human Origins Program",). Based on Merriam-Webster 11th ed., “Evolution is the historical development of a biological group; and a theory that the various types of animals and plants have their origin in other preexisting types and that the distinguishable difference are due to modifications in successive generations. Evolution forms vary from animal, plant and human evolution; scientific evidence shows that we as humans are primates, evolving from apes, chimpanzees, and gorillas (Evolution,) Evidence has shown us that scientists go about their work by showing concern with the natural...
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... May 23, 2012 Dr. Keisha Pou Industrial Organizational Psychology Paper In the 21st century various companies in the United States and internationally have used Industrial Organizational Psychology (I/O) in the workplace. For example, AT&T use extrinsic rewards programs to motivate their sales representative to increase sell volumes at each mobility center. Kaiser Permanente also has extrinsic rewards if the departments in the faculties have a high score in customer service they receive an expenses paid vacation to an exotic island in the Bahamas or Caribbean. In this paper the author will identify the evolution of Industrial/Organizational psychology, the difference of Industrial/Organizational psychology and other disciples of psychology, the use of Industrial/Organizational psychology in companies, and the role of Industrial/Organizational psychology in research and statistics. The evolution of Industrial/Organizational Psychology According to Spector (2008), the evolution of I/O psychology begins in the twentieth century, which started in the late 1800s. The two psychologists responsible for I/O psychology is Hugo Munsterberg and Walter Dill Scott both of these men were both professors and scientist and the two men began applying psychology theories to organizations. Franks Winslow Taylor an engineer...
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...central Pennsylvania, but in October 2004 when the local school board proposed a slight alteration to the high school biology curriculum a fault line erupted between those who think of intelligent design as science and something that should be taught alongside evolution, and those who think of it as religion disguised as science. As a science teacher myself, I was very interested in this subject, and how school districts nationwide are pushing initiatives recently to put intelligent design in their biology classes. These school districts are struggling with the dilemma of whether or not to teach creationism as an alternative view to evolution theory. If, as many scientific creationists believe, God's message is important in defining the content, aims, and conditions of educational practice, then creationism does belong in the classroom. However, those who propose that creationism is not science, and that "creation science" is a misnomer, are opposed to the intervention of religion into the public educational program; after all, public educational programs should be separate from concerns of the church. The Scientific Argument against Intelligent Design “Evolution has three core, defining elements, life forms change over time; they all descended from one or a few common ancestors; and natural selection produces these effects” (Slack 2007). But what exactly is Intelligent Design? Intelligent Design is a recent theory proposed...
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...15 minutes, allowing accountants to be more creative”1. When I first used this worksheet back in 1986, I immediately sensed the effect that it would have in my work. In particular, I had that same sensation when another important moment for my practice came about which was the wide-spread use of personal computers - the PCs. At that time, a computer was assigned to me at my job and with it, I was able to perform a series of analyses that complemented the reports issued at that time by an AS 400 from IBM. I even became an expert in Lotus 123 and was given the opportunity to give courses on this program. But this was not only a change at a personal level. Agnes Ann Pepe pointed out that “towards the ending of the twentieth century, the accounting profession began to take on a whole new look. Computers and accounting software has changed the industry completely. With programs such as Microsoft Excel, the accountant is enabled electronic worksheets. With the use of these technologies, the CPA can make statistic analyses, financial forecasts and calculations with great...
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...“Evolution of Silos and the Subsequent Impact on Organizational Behavior". Managing People in Organizations Word Count: - 3,488 Executive Summary This paper focuses on how culture has impacts the evolution of silos, their subsequent impact on organizational behavior and outcomes for the institution if they are not eliminated. In a competitive environment it is imperative that organizations be as effective and efficient as possible. When departments exist in silos this hinders cross functionality and synergy due to lack of communication and common goals. This in turn has a negative impact organizational behavior and culture. This report examines University Y a Federal third level Education Institution in the Country X which specializes in providing tertiary education for female Nationals using an American Curriculum. It specifically looks at the evolution of silos within the Finance and Administration units which support the academic mission. There are seven of these units they include Finance, Human Resources, Campus Services, Campus Physical Development, Marketing and Publications, Contracts and Procurement and Computing Services. In addition to exploring how organizational culture influenced the evolution of these silos, it examines the impact of the unique culture of the COUNTRY X and finally what role the leader played in the sustaining of these silos, showing that leadership and culture are closely aligned. It examines the challenge of applying...
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...Evolution of Community and Public Health Nursing. Jessica Pham Date: May 26, 2016 Instructor: Diane Schlicke University of Phoenix Material Evolution of Community and Public Health Nursing Identify a minimum of three major events (or influences) in the evolution of community and public health nursing and describe how each event led to advancement of the field. For each event, describe the following: • Key health issues at the time • Perspectives and goals of community and public health nursing • Roles and functions of community and public health nursing • Community and public health partnerships at the time |Event or Influence: | |Key health issues |Key health issues and maternal deaths: Poor health care in rural Appalachian mountains. Increased number of | | |child due to lack of care and services. | |Perspective/goals |In 1925 Mary Breckenridge started the Frontier Nursing Services. The goal was to provide obstetrics to the | | |people who lived in rural settlement areas. | |Role/functions |She went to train...
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