...Health Care Utilization HCS 235 October 30, 2012 Health Care Utilization The Affordable Care Act was signed into law March 23, 2010 by President Barack Obama; however, the constitutionality of the law remained in question. In a controversial 5-to-4 ruling, The U.S. Supreme Court upheld the law on June 28, 2012. The ACA is thought by some as the United States health care rescue, and as its downfall by others. It is estimated that the ACA will provide new services to 64 million Americans, providing health care coverage to 32 million previously uninsured. In addition to providing new health insurance coverage, the ACA implemented several components that can expand access to health care. One policy change will allow single adults, who are in school to remain on their parents’ insurance until they are 26. Another policy prevents denying children health insurance due to pre-existing conditions, this same protection will be provided to adults beginning in 2014. Rural communities are now expected to have greater access to health care as a result of increased payments for physicians willing to relocate. Additionally, the National Health Service Corps expanded to provide more health care providers to underserved areas. Community health centers are also expanding to provide care to those with little or no income. As an incentive the government is also offering tax credits to small business owners in order to make health coverage more affordable for their employees. One aspect...
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...120 credits that include general education courses that provide a general foundation of learning. Courses in this area can include English, mathematics, history, and science. The remaining credits focus on coursework related to building your knowledge and skills in the business side of health care. In addition, you’ll look at how you can select a curriculum track or certificate to expand your career opportunities. What you will cover 1. BSHA Program Overview a. Describe the purpose of the BSHA program. 1) Program Description a) The Bachelor of Science in Health Administration (BSHA) Program is designed to integrate a framework of general education courses with a health care curriculum that prepares the graduate with the foundational knowledge needed to enter today's challenging health industry. The BSHA curriculum addresses the basic body of knowledge, understanding, and skills identified as relevant to an ever expanding and diverse health care arena. Coursework includes content in some of the following areas- management, finance, legal and ethical parameters, risk and quality management, human resources, and information systems. Upon completion of the core curriculum health care students have the opportunity to select an area of focus that is designed to expand their professional opportunities. 2) Program aligns to industry and educational standards a) General education courses provide the start to your educational journey and can lead to your success with skills...
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...Health Care Utilization Paper Lawonna Moon HCS 235 March 24, 2014 Cyndie Miculan Health Care Utilization Paper The Healthcare Reform is a very complex issue and it has a government, health care facilities and providers, insurance companies talking about it with how the advantages and disadvantage affect the delivery of health care. According to university of Phoenix Read Me First HCS/235 (n.d.), “How health care is financed influences access to health care, how health care is delivered, the quality of health care provided, and its cost.” “For almost forty years policymakers have relied on two primary strategies to increase access to care for uninsured people: (1) increasing the number of people who have health insurance coverage and (2) increasing the availability of “free” or lower-cost services for those who remain uninsured. More recently, the Bush Administration has proposed tax credits to make private health insurance more affordable to individuals and is now in the third year of a five year program to create or expand 1,200 community health centers. (CHCs)” With most of the growing in health care some are helping the people by helping them with the cost of their insurance and also helping the people that don’t have insurance be able to qualify for it. It is trying to cut the cost of high insurance in the low-income community that can’t afford the high premium for these insurance companies. With expanding the access to health care, it has helped the low-income community...
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...Health Care Utilization HCS/235 March 7, 2016 University of Phoenix Health Care Utilization There many health factors that influence the usage of health care especially in the elderly. One health factor that I found influences the usage of health care is cancer. This is a major health problem that influences you to be seen by medical professionals. If you have cancer you want to get it treated as quickly as possible to avoid possible death so this has a major impact on getting health care. If you go to long without being treated or even without knowing that you have cancer you can damage your body more. More than one million people in the united states get cancer each year or are close to someone who has it. There are no ways to prevent cancer but there are ways to help reduce chances or it as well as treat it. If you fail to or delay getting health care you are harming yourself and playing with death. Cancer destroys major organs and if they start to shut down due to not being treated then there is no hope. One other health factor I want to talk about is diabetes because this is one that a lot of elderly deal with but also it affects some younger people as well. Diabetes is a very serious health issue if it goes untreated. The fact that you go without knowing you have it or you go with no medical treatment is doing more damage to your body than you may realize. When you have diabetes you cannot wait to get treatment this is something that has to have ongoing treatment...
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...Ricky Ornelas Nefitete Phelps HCS/235 September 9, 2015 Health Care Utilization Option 1 {Place Title Here} Health care reform in America is a fiery matter and the source of law meant to make health care obtainable to American people. Another goal of this legislation is to cut down the growth in health care spending. In the past presidential elections have been the stage used to promote health care reform. Over the last few years health care reform has taken great strides under President Barack Obama. This essay will discuss the many different ways recent health care reform measures have expanded or inhibited access to health care to Americans. It will also discuss how changes to access could possibly lead to influences in utilization, Concepts of what universal health care might be, and how current care reflects or contrasts with this. In addition to the thing listed above, this essay will recount a rather personal experience with health care expansion either negative or positive health care reform. The (PPACA) Patient Protection and Affordable Care Act or Affordable Care Act (ACA) for short was created and signed into law in March 23, 2010. This law is to make sure that all Americans have access to health care at an affordable rate and to help take hold of the ever rising health care cost. Disputed from the beginning, this reform measure created multiple opportunities for individual American’s to access insurance for preventative care, immunizations, and even those with...
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...A Look at John Q HCS/235 History of Health Care Utilization in the US November 20, 2013 Brett Robinson A look at John Q Too poor to afford private health care insurance coverage, but lucky enough to qualify for Medicaid John Q faces yet another challenge. John’s father recently suffered a heart attack which brought into question his own mortality. John like many Americans is a working class man who works full time but still under the poverty level and into a substandard and overworked Medicaid system. He like many others has high blood pressure and with his father recent heart attack he would like to be checked out. Due to John’s low income he qualifies for Medicaid coverage, but also has work within his restraints. John lives in a rural community where there are local doctors however none accept Medicaid. The closest primary care physician who takes his insurance is a forty minute drive away. John also is without a car, he relies on a friend or public transportation. There are many mutable and un-mutable factors in this case. John could get a better job, which could result in better insurance coverage. “The U.S. Department of Health & Human Services states that one-quarter of America’s population lives in rural areas”(Jones, 2013). John Q lives in a rural area where his son has heart condition and is in need of a heart transplant and the closest primary care physicians is 40 miles away. John usually gets a ride to work from a friend or relies on public transportation...
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...Health Care Utilization Paper Shana Richard HCS/235 November06, 2012 Melynda Boothe Health Care Utilization Paper John Q. has different obstacles affecting his health care utilization. He works full-time, but still qualifies for Medicaid because his income is low. He has high blood pressure and family history of heart attacks. He does not have a car or his own mean of transportation and the nearest clinic that accepts Medicaid is a 40-minute drive. He has to make an appointment two weeks in advance because of the amount of other people seeking services from the same provider. He may to find ways to schedule his appointments around his job hours and the practice hours, which does not offer weekend or evening hours John is fortunate to have a full-time job and still receives Medicaid services. He is in a situation in which he has to make some major decisions. His decisions or choices or mutable factors because he can make or change things to his own ability, even if it works out in his best interest, or if it does not work out for the best, he can be alter his choice if he needs if needed. There are different tasks John may try or attempt to succeed in his struggle of help for health care. One thing John may try is looking for other means of transportation to and from the doctor. He lives in a rural area and gets a ride to and from work with friends and coworkers; there are health care providers that provide transportation to and from doctors’ appointments, hospitals...
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...Health care Utilization Cheryl Styles HCS/235 August 10th, 2015 Cyndie Miculan Healthcare Reform and Utilization The passage of the Patient Protection and Affordable Care Act (PPACA) has prompted considerable debate. While some believe that the Act will eventually serve as a foundation for the destruction of the healthcare system, others believe that the Act does not provide enough coverage to truly reform the system. In an effort to better understand the implications of reform to the healthcare system the current investigation considers how the PPACA has impacted access to care, how these issues may change care utilization, the concept of universal healthcare, the stakeholders involved in universal healthcare, and the roles emerging in the healthcare industry as a result of reform. Issues of Concern Reform and Access to Care The passage of the PPACA has been viewed by many as a boon to expanding patient access to care. In addition to the fact that the legislation ended the ban on pre-existing conditions—requiring healthcare companies to offer coverage regardless of the patient’s health—the legislation also mandated that all citizens have health insurance. Even though the individual insurance mandate has been highly contested it has provided a means for delivering healthcare coverage to more individuals than at any time in recent history. However, providing near-universal healthcare coverage has had some caveats. In particular, there is growing concern that the large...
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...Husband Utilization Paper HCS/235 Terresa Randolph Nov. 26, 2012 Currently in America, there are very few Americans who have health insurance, and the number is becoming fewer and fewer every day. Statistic shows that there are more than 46 million Americans with no health insurance. This has become a major crisis due to the fact that employers have stopped insuring their employees because the cost is so high. The total cost in United States was more than 2.4 trillion dollars in 2007. Our President and congress agree that they system needs to be changed, however there is no solid agreement on what how it should be changed. The health care reform is a continuous debate, but there are has yet to be a solution found. Over recent years there have been major discussions about the health care reform. One of the major problems is that Health care is becoming more and more expensive, and no one seems to know why it continues to become more expensive. However, with such costly premiums fewer and fewer Americans are becoming not insured. Due to this, the United States is facing unprecedented crisis in access to health care. Since the beginning of the recession there have been growing numbers of Americans who can no longer depend on health care coverage from their employers. Because of the recession this number has continued to accelerate. There is an increasing demand for health care services, but there are not enough physicians or specialist to meet this type of demand. Health care cost...
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...Health Care Utilization Paper Margo O. Ellis-Gardner HCS/235 Health Care Delivery in the U.S. April 13, 2015 Tomeka Davis Health Care Utilization Paper In what ways have recent health care reform measures expanded or inhibited access to care? The signing of the Patient Protection and Affordable Care Act on March 23, 2010 has given millions of individuals the ability to gain access to medical insurance, and reduce the cost. In addition it insures that individuals who has pre-existing problems, such as heart disease, cancer, asthma, and previous injuries, as well as the need for preventative and immunization. According to Lee (2012), young adults can stay on their parents insurance until the 26th birthday, this is including those that are college graduates- Because of the law 6.6 million additional young adults, including more than 1.3 million minorities—many of them new college graduates—had access to coverage even if they were unable to find a job right away. This law does not allow health insurance to charge a higher premiums, deny coverage, nor limit an individual’s benefits. Making Improvements to facilities and creating new centers will help with the growth of new jobs, but allow them to better serve the new individuals who have recently been able to afford coverage. In addition individuals will be able to obtain coverage through their employment, on their own or from programs such as Medicare and Medicaid, along with subsides for those who have a limited...
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...Health Care Utilization Kelly A Faust HCS/235 July 21, 2015 Dr Lisa Church Health care in the United States is teetering on the edge; it will either turn into universal health care or become too expensive for the majority of Americans. Recent health care reform has been developed to lower the cost of health care and make it more widely available. However, health care in the United State may start trending towards becoming a universal system. There are many arguments to both sides of health care reform and universal health care. The Affordable Care Act is one of the most recent and controversial of the health care reform acts. The Affordable Care Act was created to lower the costs of health care for patients, providers, and the United States government. The Affordable Care Act is estimated to “reduce the federal budget deficit by more than $100 billion over the first decade and by more than $1 trillion between 2020 and 2030” (Orszag & Emanuel, 2010, para. 3). On top of saving the government money the Affordable Care Act also expands the access to health care. Starting in 2014 patients cannot be decline health insurance coverage due to a pre-existing condition. This will allow patients who have been without health insurance for at least six months to get insurance no matter their income (The United States Department of Health and Human Services, n.d.). Allow all patients to get health insurance will help lower the cost of premiums for those who already have insurance...
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...Health Care Utilization in the United States HCS/235-Health Care Delivery in the United States University of Phoenix January 29, 2013 Over the past decade, government operated and privately owned health care organizations have made improvements identifying patient disabilities, discovering alternative treatments at the patient’s discretion, identifying the cause of diseases, and discovering lifesaving cures. The current United States health care delivery system has undergone enormous changes throughout the years. People the United States utilize health care services for many reasons: to prevent disease, to prevent future illnesses, to eliminate pain, and promote a healthier lifestyle to patients. The Patient Protection and Affordable Act will cover over 95 percent of the nation (House Committee, 2010). These new laws and provisions are provided much needed health care to the more rural areas of the country. There are new measures to stop overpayments in Medicare by 14 percent (House Committee, 2010). The bill provides people with information about their doctor and future medical staff. Also, there will be stricter provisions against medical fraud, private insurance claims, and abuse in Medicare. The Patient Protection and Affordable Care Act will provide great low cost health insurance care to millions of American nationwide. The congressional Budget Office (CBO) predicted that this bill alone will reduce the national deficit by $138 billion dollars over the...
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...Health Care Reform Lisa Juarez HCS 235 February 4, 2014 Holly O'Dell Health Care Reform The health care reform is an ongoing debate. We have heard it called to Obama Care, but it really is the Affordable Care Act. It was signed into law in 2010. The idea behind the Affordable Care Act was to provide affordable health insurance to every American. The law contains thousands of pages of insurance and health care reforms. All are designed to make it easier and more affordable for every American to get coverage. Health plans can no longer limit or deny benefits to children under the age of 19 due to a pre-existing condition. If you are under 26, you may be eligible to be covered under your parent’s health plan. Insurers can no longer cancel your coverage just because you made an honest mistake. You now have the right to ask that your plan reconsider its denial of payment. When we look at the cost the law has no lifetime limits on coverage. Lifetime limits on benefits are not allowed for all new health insurance plans. Reviews premium increases, insurance companies must now give a good reason for any raises in rates. Helps you get the most for your premium dollars. Your premium money must be spent primarily on health care and not administrative costs. Now we can look at the care benefits; it covers preventive care at no cost to us and you may be eligible for preventive health services with no co-payment. Protects your right to choose your own doctors, choose the primary care...
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...Health Care Utilization Paper Option B Svetlana Leyzerov HCS/235 May 25, 2015 Hanna Matatyaho Health Care Utilization Paper Option B The Behavioral Model of Health Services utilization was developed by Ron Andersen in 1968, and subsequently refined with his colleagues over the years. It is the most widely adopted conceptual framework for studying the use of health services, especially with regard to determining whether or not access to and consumption of health services is fair. The model underwent three revisions, or phases, the first of which was the initial Behavioral Model. Developed in the 1960s, this phase was focused on individual use of the health care services. Phase two was in 1970s, where Anderson collaborated with other colleagues in order to recognize the importance of national health policy, the resources in the health care system, and changes in those over time. A third phase, in 1990s, acknowledged changes in the environment as part of understanding the use of health care services. Although the Behavioral Model of Health Services Use was revised, the core factors that it was built on stayed the same. It is based on a function of predisposing, enabling, and need for health care. The predisposing factors are stronger in tendency for some individuals than in others. It is further subdivided into demographic factors including age, gender, and ethnicity; social factors- education, occupation, and residence mobility; health beliefs-attitude toward the...
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...Health Care Utilization HCS/235 July 22, 2012 Health Care Utilization According to Andersen (1995) there are three main factors that determine the utilization of health care. Andersen created a model that states predisposing factors, enabling, and need for medical treatment determine if a person will use the medical that is available to them. These factors are grouped into two categories, mutable and immutable. If a factor is considered immutable it cannot be changed. Mutable factors are generally unchangeable only on a temporary basis and can only be changed if effort is out fourth by the one in need. Additionally, Rosenstock and Becker’s health belief model reveals people will seek out medical care if they perceive themselves to be susceptible to health problems, believe their health problem is serious, believe treatment or prevention is cost effective and worth the time, and are able to seek out health care service (1995) influence one’s decision to utilize health care. In the case of John Q, he is a male who lives in a rural area. Although he works fulltime he is in the low income range and qualifies for government insurance through Medicaid. In this scenario, John suffers from high blood pressure and has a family history of poor heart conditions. While seeking a primary care physician John discovers the closest physician that accepts Medicaid is 40 minutes away. John relies on public transportation or carpooling with a friend to commute. With John’s family medical...
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