... | | |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 subject to change...
Words: 1808 - Pages: 8
...Abstract In this article, I introduce the Chinese Healthcare System. From establishment of the People's Republic of China till now, the Chinese healthcare have a lot of changes and revolutions. Due to the special social and economic structure, Chinese healthcare system is different from other countries healthcare system. This article will explain how dose Chinese healthcare system work? What problems dose it have? How can we manage those problems? Background After the establishment of the People’s Republic of China in 1949, the country was recovering from the chaos of long conflicts both internally and with Japan. As a result, Chinese health conditions had declined, with health indicators at the lowest level compared with other countries at a comparable level of development (World Bank, 2004). In this period, communist party who have the whip hand support the model of the 20th century communism ideology, and trust people should to be represented by the government, should have all production together: without the private department. Formation of the Chinese healthcare system. Therefore, since 1949, the Chinese government has gradually established a free medical care, labor insurance and cooperative medical care system as the main content of the health care system, and initially formed a socialist country's health care system. The government owned, funded, and ran all health care facilities, including large hospitals in urban areas and small township clinics in the countryside...
Words: 2606 - Pages: 11
...Health care reform in the United States has a long history. Reforms have often been proposed but have rarely been accomplished. In 2010, landmark reform was passed through two federal statutes enacted in 2010: the Patient Protection and Affordable Care Act (PPACA), signed March 23, 2010, and the Health Care and Education Reconciliation Act of 2010 , which amended the PPACA and became law on March 30, 2010. Future reforms and ideas continue to be proposed, with notable arguments including a single-payer system and a reduction in fee-for-service medical care. The PPACA includes a new agency, the Center for Medicare and Medicaid Innovation, which is intended to research reform ideas through pilot projects. ------------------------------------------------- History of national reform efforts Here is a summary of reform achievements at the national level in the United States. * 1965 President Lyndon Johnson enacted legislation that introduced Medicare, covering both hospital and general medical insurance for senior citizens paid for by a Federal employment tax over the working life of the retiree, and Medicaid permitted the Federal government to partially fund a program for the poor, with the program managed and co-financed by the individual states. * 1985 The Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) amended the Employee Retirement Income Security Act of 1974 (ERISA) to give some employees the ability to continue health insurance coverage after...
Words: 3638 - Pages: 15
...Healthcare Reform (Obama care) is a huge issue right now. The year I graduate will mark the beginning of a new Presidential Term. Public Health Policies affect more people now than decades before. Economic While there are positive changes in the economy, job creation is still weak. It can be difficult to secure a position with little to no experience. Student Loan debt and interest rates are soaring. Healthcare is becoming more about business, less about patient care. SocioCultural People are more health conscious than ever before. Baby Boomers are nearing retirement age; creating a greater need for healthcare workers. Life expectancy has drastically increased. Opportunity Due to Healthcare Reform there are overwhelming and unique opportunities for workers with experience in the field. Even with limited knowledge many are able to gain entry-level positions within Healthcare Management due to the influx and changes in care. Despite slow job creation, healthcare has remained steady. HR and “benefits” are now two separate entities at most corporations. Businesses are restructuring and hiring Benefit Analyst, Wellness Instructors etc., in an effort to educate employees about healthcare options and expenses. There is a strong influence towards “clean eating” and maintaining general health. This revolution has created diverse opportunities in healthcare. Healthcare Managers are now appearing at fitness clubs, high schools and even medical spas. Threat Healthcare Reform is also very...
Words: 815 - Pages: 4
...and clinical excellence of INTEGRIS Health. Data for this audit was obtained through interviews with various members of the INTEGRIS Health leadership team including Chris Hammes, COO; Ed Heinen, VP Strategy; and Hardy Watkins, VP Marketing and Corporate Communications. Additional material was obtained through reviewing information provided in the official INTEGRIS Health system strategic plan for 2013 and the INTEGRIS Health website, www.integrisok.com. INTEGRIS Health is Oklahoma’s largest health care organization and is known for providing a wide range of high quality health care services; It is a not-for-profit, non-stock ownership health care system. It is consistently ranked among the top health care systems in the United States. INTEGRIS Baptist Medical Center, the flagship hospital for INTEGRIS, was recently named by US News & World Report Oklahoma’s #1 hospital. The overall satisfaction with this organization is very positive in both the community and among its employees. The positive reputation and transparency of INTEGRIS have made it a reliable source of care for the communities it serves. INTEGRIS relies on its vision, Most Trusted Name in Health Care to continue to work toward a higher level of excellence and accountability to its customers. A 19-member board of directors enables the organization to construct and execute its goals in order to provide better care. INTEGRIS had been involved in many recent projects that will enable it to be more innovative...
Words: 3061 - Pages: 13
...SYSTEM REFORM HS543 Health Services Finance Summer Term 2012 Instructor: Mary Black Course Project Outline U.S. Healthcare System Reform Submitted By Project Outline This project will explore the current state or our healthcare and where it is predicted to cost us in the future. We will also examine the overall health programs and how the uninsured will affect the system entirely. Universal healthcare would alleviate the financial burden on some of the population and provide access to almost all of the country's population; however, this system will cost more. Funding the program will be discussed as well as the taxes and other funding that will help pay for the coverage. Likewise, how this will affect hospitals and healthcare providers. Topic: U.S Healthcare System Reform Outline I. Abstract II. Introduce the Issue (Background) A. An analysis of our current healthcare system 1. A history of major events 2. Impact to healthcare organizations III. Defining the problem A. Political disagreements B. The increase of expenses IV. Literature Review A. Is U.S. Healthcare deteriorating? B. Effects on the profitability of local hospitals V. Analyze the Problem A. Raising insurance premiums B. The uninsured VI. Possible Solutions A. French Healthcare system B. A public option VII. Implementation Plan A. Financing VIII. Justification A. Access of care B. Quality of care C. ...
Words: 3425 - Pages: 14
...SDO Project (08/1501/94) Changing Management Cultures and Organisational Performance in the NHS (OC2) Research Report Produced for the National Institute for Health Research Service Delivery and Organisation programme April 2010 prepared by: Russell Mannion (University of Birmingham), Huw Davies (University of Dundee & St Andrews), Stephen Harrison (University of Manchester), Frederick Konteh (University of York), Ian Greener (University of Durham), Ruth McDonald (University of Nottingham), George Dowswell (University of Birmingham), Kieran Walshe (University of Manchester), Naomi Fulop (King’s College, London), Rhiannon Walters (King’s College, London), Rowena Jacobs (University of York), Paula Hyde (University of Manchester) Address for correspondence: Professor Russell Mannion Health Services Management Centre University of Birmingham Park House 40 Edgbaston Park Road Birmingham B15 2RT Queen’s Printer and Controller of HMSO 2010 1 SDO Project (08/1501/94) Contents Acknowledgements ....................................................8 1 Introduction .......................................................9 1.1 Aims and objectives of the study ..................................... 9 1.2 Research design and project overview .............................10 1.3 Structure of the report ..................................................11 2 Policy and Organisational Culture in the NHS: An Overview ..........................................................
Words: 92083 - Pages: 369
...Washington (CNN) -- It was the government's fault, contractors on the problem-plagued website for President Barack Obama's signature health care reforms told a congressional hearing on Thursday. In more than four hours of testimony before the House Energy and Commerce Committee, officials of companies hired to create the HealthCare.gov website cited a lack of testing on the full system and last-minute changes by the federal agency overseeing the online enrollment system. Angry exchanges between Republicans who oppose Obamacare and Democrats defending it erupted repeatedly, while the contractors insisted their work went fine even though the software buckled when the system went online on October 1. Complaints about logging in, lengthy delays, incorrect information relayed to insurance companies and other problems have fueled continued GOP attacks on the 2010 Affordable Care Act that was upheld by the Supreme Court last year. The White House and administration officials say the enrollment problems are being fixed. On Thursday, the Centers for Medicaid and Medicare Services (CMS) that oversees the new programs under the health care reforms said almost 700,000 applications have been submitted online on either the federal or state websites. State success in Obamacare program While the applications don't mean that many people have fully enrolled for health insurance under the new system, the figure represents a significant increase in those who have been able to start the process in...
Words: 1536 - Pages: 7
...Outcomes Measurement and Data Management Project: Hospital Readmissions Charmein Garner and Celeste Thomas Loyola University New Orleans Outcomes Management Project Defined Issue or Problem of Interest The selected problem of interest is hospital readmissions after being discharged from hospitals/medical facilities. Several patients enter the hospital and soon after discharge are catapulted back into the seemingly revolving doors of the hospital. Readmission rates affect all areas of healthcare. Center for Medicare and Medicaid (CMS) has targeted readmissions as a guideline of poor quality of care. Engaging patients during their inpatient admission as they transition to alternate levels of care may reduce readmission by 50% (Service, 2008). The intent of this proposed paper is to take a look at hospital readmissions rates in correlation with the patient being elderly and having a diagnosis of heart failure and assess what can be done to positively change these statistics, which increase the quality of care we as healthcare professionals provide to our patients. A Rationale for Selecting the Issue or Problem of Interest Hospital readmissions can occur throughout the patient’s transition through the healthcare system. Many times readmissions occur among those who are frail and have chronic conditions. Readmissions account for approximate 18% of Medicare patients, of this 13%, are suspected to be avoidable and are directly linked to poor quality. Quality is...
Words: 1562 - Pages: 7
...China, whose population estimate for 2010 was 1,330,141,295, has a growth rate of 0.5%, a birth rate: 12.1/1000, an infant mortality rate of 16.5/1000, with an average life expectancy of 74.5 years. Prior to my research, I had some knowledge of the problem of overpopulation in China. Even the elders of China were exceeding the normal range. One source states, “As a result [of the overpopulation] China’s 60+ populations will increase dramatically – from 200 million in 2015 to over 300 million by 2030.” (<http://www.china-mike.com/chinese-culture/society/china-population-growth-crisis/>) To better understand the population of China, in comparison to the whole world, (http://www.prb.org...) states that China now has a life expectancy at birth “increasing by two-thirds from 40.8 to 71.5 between 1955 and 2005.” Adding on, “The country already has about 102 million elderly (those ages 65 and over), or over one-fifth of the world's elderly population and the percentage of elderly in China is projected to triple from 8 percent to 24 percent between 2006 and 2050, to a total number of 322 million. Before vigorous research which will include availability and access to healthcare, technological influences, political and cultural economic issues and providers available, I sought it necessary to complete background information on the country…just to get a better understanding of the country of China. “The dramatic fertility decline and improved longevity over the past two decades are causing...
Words: 2249 - Pages: 9
...prepare for it today.”Malcolm X I am completely convinced that master's in public health will be the beginning of what I think is going to be a history making journey and exceptional education experience for myself. There has never been a better time to join the field of public health which is collaborative, innovative, visionary, dynamic, compelling and integrated. The greatest tribulation in modern public health is we have all the disease out there that is not being addressed publicly. From east to west across the globe, ranging from malaria, diarrhea to diabetes and coronary artery disease we know we can prevent, yet we do not exactly know how to prevent it. As a physician I have the knowledge and understanding of disease prevention and yet historically like most physicians have just been focused on treatment. I want to be an analyst so as to step back and answer the questions. Get actively involved in research, be part of the health care providers who know the most cost effective kind of health investments that can be made in a particular locality. Health care being an industry, hospitals are now inclined towards having a 5 star rating in every aspect, may it be ED, inpatient stay or outpatient...
Words: 459 - Pages: 2
...Social Science a Medicine 54 (2002) 1255–1266 Health sector reform and public sector health worker motivation: a conceptual framework Lynne Miller Francoa,*, Sara Bennettb, Ruth Kanferc a University Research Co., LLC, Partnerships for Health Reform Project, 4800 Montgomery Lane, Bethesda MD 20814, USA b Abt Associates, Partnerships for Health Reform Project, 4800 Montgomery Lane, Bethesda MD 20814, USA c Georgia Institute of Technology, Atlanta, GA 30332, USA Abstract Motivation in the work context can be defined as an individual’s degree of willingness to exert and maintain an effort towards organizational goals. Health sector performance is critically dependent on worker motivation, with service quality, efficiency, and equity, all directly mediated by workers’ willingness to apply themselves to their tasks. Resource availability and worker competence are essential but not sufficient to ensure desired worker performance. While financial incentives may be important determinants of worker motivation, they alone cannot and have not resolved all worker motivation problems. Worker motivation is a complex process and crosses many disciplinary boundaries, including economics, psychology, organizational development, human resource management, and sociology. This paper discusses the many layers of influences upon health worker motivation: the internal individual-level determinants, determinants that operate at organizational (work context) level, and determinants stemming from interactions...
Words: 8582 - Pages: 35
...How will the Patient Protection and Affordable Care Act change healthcare? Christine Grandfield Professor Joannah Bruscell CAP480 – Arts and Sciences Capstone December 9, 2012 Healthcare reform is taking place in this country whether we want it or not! Now that the 2012 election is over, more changes will start to take place throughout the next few years. The Patient Protection and Affordable Care Act became a law on March 23, 2010 (Glass, 2012). The purpose of this project is to persuade any individual that will read my paper that we, as a country, will not be better off with new healthcare reform. Our president has been re-elected for a second term, healthcare reform will be enforced and made into laws, which will affect our lives, as we know it today. The Patient Protection and Affordable Care Act will change the way healthcare organizations conduct business. There are those that say things will be better, but I do not see that happening. Healthcare costs are already rising because companies do not know what to expect. We are already paying too much for healthcare. I do not want to pay more, do you? According to Humana (2012), healthcare in the United States did not gain ground until the late 1930s when Blue Shield insurance and Baylor Hospital in Dallas created a system - now known as Blue Cross Blue Shield – in which Blue Shield established a way for “doctors to protect their interests and their payments” along with Baylor helping people pay their hospital bills...
Words: 2933 - Pages: 12
...improving Quality and Value in the U.S. Health Care System August 2009 Preamble The Bipartisan Policy Center (BPC) is a public policy advocacy organization founded by former U.S. Senate Majority Leaders Howard Baker, Tom Daschle, Bob Dole, and George Mitchell. Its mission is to develop and promote solutions that can attract the public support and political momentum to achieve real progress. The BPC acts as an incubator for policy efforts that engage top political figures, advocates, academics, and business leaders in the art of principled compromise. This report is part of a series commissioned by the BPC to advance the substantive work of the Leaders’ Project on the State of American Health Care. It is intended to explore policy trade-offs and analyze the major decisions involved in improving health care delivery, and discuss them in the broader context of health reform. It does not necessarily reflect the views or opinions of Senators Baker, Daschle, and Dole or the BPC’s Board of Directors. The Leaders’ Project was launched in March 2008. Co-Directed by Mark B. McClellan and Chris Jennings, its mission is (1) to create a bipartisan plan for health reform that can be used to transform the U.S. health care system, and (2) to demonstrate that health reform is an achievable political reality. Over the course of the project, Senators Baker, Daschle, and Dole hosted public policy forums across the country, and orchestrated a targeted outreach campaign to...
Words: 35073 - Pages: 141
...Illegal Immigration Reform Proposal The United States has gone from being a nation of one race (Native Americans), to being a country of many nations. This country has increasingly become responsible for immigrants that have decided that the state of their own nation has become unbearable and have decided to make a change in their life from day to day as well as the life of their entire family. The Federation for American Immigration Reform (FAIR) estimated in 2010 that there were 11,900,000 illegal immigrants in the United States at the cost of approximately $83,665,408,222. The impact of illegal immigrants on the United States has become an issue that has stirred the emotions of all American citizens for many decades. With the population of illegal immigrants believed to be having a negative impact on the rising cost of healthcare, the contribution to a nationwide problem of unemployment, and citizens and immigrants’ alike calling for fairness to all, a complete immigration reform is something that needs to be addressed on a national level. President Barack Obama has a “commonsense immigration reform proposal.” His proposal consists of four parts that will hold accountable not just the illegal workers, but the employers who hire them as well. There are four parts to President Obama’s proposed reform: 1) continue to strengthen the borders to the United States; by doing so would strengthen our ability to remove criminals and apprehend and prosecute national security threats;...
Words: 1644 - Pages: 7