...Health Care Utilization Paper HCS/235 July 22, 2013 University of Phoenix Health Care Utilization Paper The Patient Protection and Affordable Care Act one of the most controversial pieces legislation of the last 50 years was signed into law by President Obama on March 23, 2010. The Affordable Care Act was designed to put control of health care back into the hands of individuals, families, and small business owners. This paper will discuss the ways health care reform has expanded access to care; how these reforms will influenced the utilization of health care; this paper will explain the difference between these reforms and universal health care: and my personal experience these reforms and what are the positive of my experience with health care expansion. Ways the recent health care reform measures expand access to care. One way the Affordable Care Act will expand coverage is by allowing those with pre-existing health conditions to get health care insurance. Before this law it was almost impossible for people with these pre-existing health conditions to get affordable health care coverage. According to “Aspe.hhs.gov”(2012 “starting in 2012 Americans cannot be denied coverage, be charged significantly higher premiums, be subjected to an extended waiting period, or have their benefits curtailed by insurance companies because of some type of pre-existing heath condition.” Without the protection of the affordable health care act between 50 to129 million non-elderly...
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...HEALTH CARE UTILIZATION PAPER HCS/235 September 28, 2014 Paul Dereadt With the vast adjustment in health care which came into Law on March 23, 2012, the avenues of health care were expanded. Health Care Reform gave access to affordable Health Insurance and Health Care to the citizens and legal residents with low to middle income. For those who were already insured, the plan included measures to enhance affordability and stability. Whereas, in prior years leading to Health Care Reform millions of Americans could not afford health insurance, most people depended on their employers. Others low income individuals, families and the elderly depended on the Federal Government funded program for health insurance through Medicaid and Medicare. Approximately 32 million people can obtain Health Insurance through the Health Care Market as of October 1st, 2013 into April, 2014 (HHS.com). Small businesses, individuals and low income families are now able to shop in the health care market to compare prices from Federal, State, Local and Private health Insurance Companies. In addition, those who are enrolled will receive tax credits from the government (Austin & Wetle, 2012). One of the main avenues is through Medicare and Medicaid which is funded by the Federal government. This Health Insurance is considered as one of the most reliable coverage that assist Americans to live a more healthy life. According to Austin & Wetle for Medicare seniors 65 years and older, the permanently...
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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 Paper (Option A) Tammy Zoch Instructor Rebecca Loth Luetke HCS/235: Delivery of Health Care in the U.S. 29 April 2013 Thesis Statement The Health Care Reform is a complex issue and is a hot topic nationwide that has the government, health care facilities and providers, insurance companies, health care employees and Americans talking about the law with its advantages and disadvantage affecting the delivery of health care. Health Care Utilization Paper (Option A) The Patient Protection and Affordable Care Act was signed into law by President Barack Obama on March 23, 2010, along with the Health Care and Education Reconciliation Act of 2010 signed on March 30th. The Act is a product of the health care reform efforts of the Democratic 111th Congress and the Obama administration (Wikipedia, Health Care Reform,2013), putting in place comprehensive reforms that improve access to affordable health coverage for everyone and protect consumers from abusive insurance company practices. The law allows all Americans to make health insurance choices that work for them while guaranteeing access to care for the most vulnerable, and provides new ways to bring down costs and improve quality of care (The White House, 2013), to take effect and be completed in 2014. According to the website www.healthcare.gov, the Health Reform is already making a difference by increasing access to affordable care, making care more affordable, strengthen Medicare, holding insurance...
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...Health Care Utilization Paper I have chosen to conduct my assignment on Option A. Obama’s Health Care Reform, commonly called ObamaCare but officially called the Patient Protection and Affordable Care Act (PPACA) or Affordable Care Act (ACA) for short, was signed into law on March 23, 2010 (ObamaCare Facts, n.d.). According to “HHS.gov/HealthCare” (2015), “the Affordable Care Act puts consumers back in charge of their health care…under the law, a new “Patient’s Bill of Rights” gives the American people the stability and flexibility they need to make informed choices about their health” (About the Law). In my paper, I will be discussing why health care reform is part of an ongoing debate and its recent legislation. In what ways have recent health care reform measures expanded or inhibited access to care? One of the ways health care reform have inhibited access to care is ending disapproved insurance coverage due to an individuals pre existing medical condition. In addition, another way recent health care reform has expanded in our society is the availability of affordable insurance to everyone. This is the most popular part of health reform: Health plans must sell coverage to everyone, regardless of pre-existing conditions, and can’t charge more based on health or gender ("Consumerreports.org", 2006-2015). Furthermore, health care reform have inhibited access to care by extending coverage for children up to the...
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...Health Care Utilization Paper Michelle Stokes HSC/235 October 30, 2014 DR. Rose Fitchett Health Care Utilization Paper Option Chosen: 2 John Q In this paper I will be discuss John Q. and Medicaid. John recently moved into a rural community and works a full time job. John is eligible for Medicaid due to his low income and needs to see a doctor since John has high blood pressure and recently his father had a heart attack. John has local doctors but none of them except Medicaid and the closest one he can find is a 40 minute drive away and needs the appointment to be made two weeks in advance. John doesn’t have a vehicle of his own and catches rides to work and relies on public transportation. I will be discussing what factors may affect John’s health care utilization, if the factors found are mutable or immutable and some ways to change the mutable factors. What factors may affect John’s health care utilization? The factors in John’s situation that may affect John’s health care utilization are his form of insurance, the area he lives in, facilities that accept his insurance, his health condition, his level of income, and transportation. Are any of these factors mutable or immutable? John could get another job to make more money or one that provides affordable health care coverage, but in this time, jobs are scarce and he is probably lucky to have job he is in. He could look for another form of insurance; there are low cost government programs that many facilities will...
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...Resource: Health Care Utilization Paper Grading Criteria Select either Option A or Option B from this assignment. Write a 1,050- to 1,400-word paper according to your chosen option. Option A Health care reform is part of an ongoing debate and recent substantial legislation. Address the following in your paper for Option A: In what ways have recent health care reform measures expanded or inhibited access to care? How might changes to access influence utilization? Explain the concept of what universal health care may be, and how current care reflects or contrasts with this. Who are the stakeholders involved in the movement towards a system universal health care? With healthcare expansion a goal of reform, what new roles are emerging in the industry today? Option B John Q. recently moved to a rural community. He works full-time, but qualifies for Medicaid because of his low income. John has high blood pressure and his father recently had a heart attack. Thus, he decided to call and find out which providers nearby accept Medicaid. While there are local doctors, he discovered that the closest primary care physician who accepts Medicaid is a 40-minute drive and appointments must be made 2 weeks in advance due to the number of patients at the practice. In addition, the practice does not offer weekend or evening hours. John usually catches a ride to work with a friend or relies on public transportation. According to Chapter 4 of The U.S. Health System: Origins...
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...at: SUPPORT@ACTIVITYMODE.COM HSA 305 WK 4 ASSIGNMENT 1 MARKETING HSA 305 WK 4 Assignment 1 - Marketing and the Health Care System Select a health care provided with which you are familiar and write a four to six (4-6) page paper in which you: 1. Determine the direct impact of marketing for the health care provider you selected. 2. Outline a strategy for the health care provider you selected to determine the utilization of its products or services. 3. Outline a marketing strategy for the health care provider you selected. More Details hidden... Activity mode aims to provide quality study notes and tutorials to the students of HSA 305 WK 4 Assignment 1 Marketing in order to ace their studies. HSA 305 WK 4 ASSIGNMENT 1 MARKETING To purchase this visit here: http://www.activitymode.com/product/hsa-305-wk-4-assignment-1-marketing/ Contact us at: SUPPORT@ACTIVITYMODE.COM HSA 305 WK 4 ASSIGNMENT 1 MARKETING HSA 305 WK 4 Assignment 1 - Marketing and the Health Care System Select a health care provided with which you are familiar and write a four to six (4-6) page paper in which you: 1. Determine the direct impact of marketing for the health care provider you selected. 2. Outline a strategy for the health care provider you selected to determine the utilization of its products or services. 3. Outline a marketing strategy for the health care provider you selected. More Details hidden... Activity mode aims to provide quality study notes and tutorials to...
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...Economic Issues Simulation Paper HCS440 January 13, 2014 Bruce Nave Economic Issues Simulation Paper Castor Collins is a regional health maintenance organization (HMO) that provides insurance and health care services to enrollees through its network of doctors and hospitals. Castor Collins offers several different insurance plans that would be beneficial to the employees of Constructit. The insurance plans offered vary according to services provided, cost of annual premium to employees, and utilization of services. Castor Collins has the ability to tailor an insurance plan that meets the health needs of Constructit employees at an affordable price while still brining in revenue for Castor Collins. Profile of Constructit and E-Editors Constructit is seeking a group health insurance plan and has 1,000 employees that is willing to pay a maximum of $4,000 in annual premiums. Of the 1,000 employees, 550 are men, 450 are women, and 60% of them are married. Their ages range from 26 to 42; 40% are 26-30, 31% are 31-35, 20% are 36-40, and 8% are 41-45. With a large percentage of younger employees, 38% reported having no major health risks. Reasons for absenteeism at Constructit include injuries, respiratory system diseases, digestive disorders, migraines, and allergic conditions. Some of the respiratory system diseases are attributed to the 10% of men and 8% of women who are smokers. Additionally, 43% of employees consider themselves as doing sedentary activities while 25% and...
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...The Impact of Micro-Health Insurance on the Access to Health Care Service among the Informal Sector Employee in Nigeria. Saheed O. Olayiwola, Crescent University, Abeokuta. E-Mali: saheedolayiwola@yahoo.com ABSTRACT Health care insurance was formally launched in Nigeria in 2005 as a mechanism of catering of funding health care. The scheme which was designed along three streams of programmes vis: Formal Sector Programme (FSP), Informal Sector Programme (ISP) and Vulnerable Groups Programme (VSP) was currently catered for only formal sector employee. This paper analyze whether or not micro-health insurance scheme can be used to increase access to health care and utilization of health care services by the informal sector employee using the example of Lagos State Mutual health plan and Hygeia Community Health Plan. A binary probit model is employ to estimate the determinants of participation in micro-health insurance and logit/log-linear model is used to measure the impact of micro-health insurance on access to health care services and utilization of health care services in Nigeria. The results shows that participation in micro-health insurance is dependent on household characteristics, coverage of illness, perception about future health care expenditure, age, number of children in the family, knowledge about health insurance, confidence in government policy and that household income and price of health care services have a negligible...
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...Health care Industry Paper Shantelle Price HCS/449 Health Care Administration Capstone May 5, 2013 Tionna Jenkins Abstract The health care industry has evolved to increase the quality of health care and to increase patient satisfaction. Also the performance of health care facilities will be a vital aspect of the health care industry as well as the design of health care facilities. This paper will show how health care has changed within the last 10 years, what changes the health care industry is expected to see within the next ten years, and what role will I play as a consumer in the health care industry and how I will adapt my health care skills to evolve with the health care industry’s needs. This paper will explain my perception of health care changes over the course of this program, what has had the most significant impact, what role will technology play in health care organizations in the coming decade and what financial and economic issues will affect the health care industry within the next 10 years? Health care Industry Paper How has health care changed in the last 10 years? The health care industry has evolved drastically over the last 10 years; health care is more patient-centered and patient friendly (Harrington & Voehl, 2010, p. 15). The goal of the health care industry over the last 10 years was to embrace consumerism and encourage consumerism to allow patients to be responsible for their own health care decisions (Harrington & Voehl...
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...Healthcare Utilization Paper Option A Tracie Y. Smith HCS/235 August 03, 2015 Mrs. Darnecia Garner Healthcare Utilization Paper The very mention of healthcare can send some people’s blood pressure up the charts. The debate over healthcare and who deserves what has been a constant ongoing issue since the early 1900s. There are some people who think medical care should be for the people who can afford to pay for it, and others think medical care should be a right to everyone. This paper will address five questions and provide the writers opinion on the matter. A recent healthcare legislation reform that has expanded access to care for individuals who otherwise could not afford it is, The Affordable Care Act. The passage of this act by the Obama administration during the early stages of his presidency puts consumers back in charge of their health care. Under the law, a new “Patient’s Bill of Rights gives the American people the stability and flexibility they need to make informed choices about their health” (US Department of Health and Human Services, 2015) . This act allows individuals to gain access to insurance through a marketplace or government subsidies; therefore creating access to services such as checkups, well woman exams, and health prevention for heart disease, and diabetes that many people were not getting because of costs. One way access may inhibited would be locating a physician who will accept...
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...Health Care Utilization The Patient Protection and Affordable Care Act otherwise known as “Obamacare”, was signed into law in 2010. It was implemented to make health insurance more affordable to people and to increase access to a more affordable health care insurance. Although it works through the existing health care industry, it is still a political target from both ends of the political spectrum. The conservatives prefer to remain silent and not have any involvement into the health care system. The liberals that do agree with the health care reform do not like the “Obamacare” because the for-profit insurance company model stays the same instead of a single payer system administered through the government. Implementation of Obamacare “Obamacare” was rolled out to be spread over several stages rather than being rolled out at once. After the signing of the law, certain parts of the law was implemented. A couple of those changes implemented as part of the law are children remaining on their parents insurance until age 26 and people not being denied insurance coverage due to pre-existing health conditions. The expansion of access to health care was also written into the law. This mainly referred to the younger adults whose income was too low to be able to afford health insurance and for those people with chronic health issues in which pre-existing caused them to be denied new insurance plans. The individual and business mandates and the state insurance...
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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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...Terms Comparison Paper HCS 552 June 9, 2013 Terms Comparison Paper Economics is the study of how people make choices when they want to utilize resources (American Economic Association, 2011). Thus, this fundamental process links economics and health care, as health care professionals use economic principles in their everyday professional behaviors. Health care organizations strive to use the same concept of economics when they choose how to allocate resources and plan how to use them because it is essential to their survival. Therefore, health care and economics are connected in the sense of sharing the same terms such as resources, quality, and cost. The objective of this paper is twofold – to analyze how the terms of cost, quality and resources are similar and yet dissimilar in healthcare and economics. Terms Resource is defined economically as a product, asset, or other service with limited availability utilized to generate commodities and services that convene to human requirements and desires (Gretzen, 2007). Because these types of resources are relatively scarce and limited, economists, decision makers, and health care providers must all find a way to allocate resources efficiently and in a cost effective manner. Economic resources are also found to have a substantial and considerable effect on the utilization of medical care (Chung, 2006). Healthcare services are provided to consumers by the utilization of resources such as personnel or work force (i.e., Nurses...
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