...Barriers to Healthcare Stephen Saputra HCM735 – Healthcare Delivery Systems Jean Gordon May 22, 2014 Barriers to Healthcare Healthcare is an important aspect to every country and its population. People need good access to healthcare so that they can stay in good health as well as treat any illness or sickness so they can return to being healthy. Unfortunately in the United States, there is still a percentage of the population without access to health insurance – public or privates. There are many barriers to healthcare that prevents access to healthcare services such as geographic, physical, temporal, socio-cultural, or financial barriers. It may not be hard to believe that the United States spends the largest amount of money par capita for its health services compared to any other countries. The majority of U.S. population is covered with health insurance in some form, and they have easy access to various healthcare providers. The number of hospitals, emergency rooms, outpatient facilities has been continuously increasing in the last decade and many people are utilizing their service to maintain their health or improve it when they have an illness. We are seeing a shift in the trend lately of patients utilizing more outpatient facilities compared to the traditional hospital-centric care model. However it may come as a surprise to some that the high expenditure does not directly correlates to the U.S having the best healthcare system in the world. The health status...
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...the Issue Providing appropriate access to affordable healthcare has been an ongoing challenge for the United States’ health system. The U.S. Census Bureau report noted approximately 49 million Americans did not have healthcare coverage in 2011. Moving forward, coverage options are expected to improve for some given the passage of the Patient Protection and Affordable Care Act in 2011. While the PPACA was originally expected to extend coverage to approximately 32 million uninsured through individual mandates, the creation of state health insurance exchanges with public subsidized coverage and expansion of Medicaid, the Supreme Court decision that Medicaid expansion is a state option will likely reduce the number of newly covered individuals. Even as healthcare reform decreases the number of uninsured and defines mandated benefits, the problem of access to affordable care will be exacerbated by limited community-based resources that provide preventive services, primary care access and ongoing care for patients with chronic conditions. In response, there will be a need to increase capacity to serve more patients, while improving outcomes, reducing health disparities and becoming more efficient—all within the context of significant challenges to receiving adequate payment levels. Healthcare executives are committed to facilitating in the effort to enroll individuals in emerging coverage options and expanding needed services to help ensure access to affordable care. However, fulfilling...
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...Head: U.S. HEALTHCARE 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...
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...Topic: U.S. HEALTHCARE SYSTEM REFORM Course Project T. Wise DeVry HSM 534 Health Service Finance February 23, 2013 Week 7 Professor Alison Williams Background The United States, being the most diverse society in the world, has a long and unsuccessful history of attempts at healthcare reform. We spend almost $2 trillion dollars per year on healthcare, yet not all American people have medical coverage (Barton, 2007). A huge percent of the population have to rely on outside sources, such as benefit health care from an employer or from government programs, such as Medicare and Medicaid. As compared to other nations, our society has people that are more overweight, live under more stress, and are less in physical activity. Additionally, our healthcare system underperforms compared to with other nations in critical areas such as, access, quality and efficiency (Davis). How did our system get this way? Why are we paying so much while other nations not so much? A history of major events - The U.S. healthcare system is trying to evolve with modern times; however, as time goes on, our current situation becomes more apparent: * In the 1950s, the price of hospital care was growing; however, more attention was diverted to the war in Korea. Many legislative proposals were made, but none could not be agreed on. * In the 1960s, hospital care expenses doubled, and despite over 700 insurance companies selling health insurance, a large percentage of the population...
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...introduced into the Senate (the Patent Amendment (Human Genes and Biological Materials) Bill 2010) to prevent the patenting of human genes and biological materials existing in nature. A Senate Inquiry was also established to consider this bill. The Senate Inquiry into Gene Patenting reported in 2010 and made 16 recommendations, none of which specifically aimed to ban gene patenting. In 2011, the Inquiry into the Patent Amendment Bill recommended that the bill should not be passed, noting that some of the issues raised in the Inquiry would be addressed by the Intellectual Property Laws Amendment (Raising the Bar) Act 2012, which was passed in March 2012. It made amendments that aimed to, among other things, raise patent quality and provide free access to patented inventions for regulatory approvals and research. In February...
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...Analysis: The Affordable Care Act and Nursing Problem Identification Healthcare costs are soaring in the United States today. More people than ever before are uninsured or underinsured. In 2006-07, there were 46 million people uninsured (Gulley, Rasch, & Chan, 2011), and 9 million children also did not have health insurance (Coddington & Sands, 2008). A change in how healthcare is managed and financed is greatly needed to avoid worsening of this situation. Background The cost of healthcare and the number of uninsured individuals has become a critical issue today. Healthcare spending in the U. S. has grown faster than the economy, by about two to three percent per year since the end of World War II (Brown, 2009, p. 1). If nothing changes, Medicare will cost as much as the sum of all federal income taxes in about 75 years (Brown, 2009, p. 2). Healthcare premiums have become so unaffordable, that many families do without. The lack of insurance has a direct effect on poor health outcomes, increasing morbidity and mortality, which also contributes to increased healthcare costs (Coddington & Sands, 2008, p. 1). The Patient Protection and Affordable Care Act (PPACA), also known as Obamacare, was signed into law on March 23, 2010, and the Supreme Court made a final decision to uphold the law on June 28, 2012 (U. S. Department of Health and Human Services). The PPACA is an attempt at healthcare reform by expanding public coverage programs and strengthening protection...
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...The healthcare system in the UAE and Germany Name Affiliation Introduction The UAE has a very fast growing and dynamic healthcare market, currently it’s the fastest growing in the Middle East. This growth has mainly been supported by intensive government spending on the sector. The government of UAE also has a very central role in the provision of health services and in recent times the government has taken initiative to involve the private sector in the provision of these services. Due to rapid development in recent years the UAE offers a lucrative pharmaceutical market that boasts of high standard medical facilities ("UAE to Be One of the Fastest Growing Markets for Healthcare in the Region, Says Alpen Capital", 2014, pp. 4-5). A few years back it was required that all people that were employed in the UAE to have a health card. The card was given to the public on a small charge but this is no longer the case as the sector has become more diversified. For Abu Dhabi, there had been introduced a compulsory health insurance. Dubai was considering the introduction of a unified health insurance cover for both nationals and non-nationals and if successful this was to be and has been spread out to the rest of UAE. Dubai has two healthcare free zones, Dubai Biotechnology and Research Park and the Dubai Healthcare City (Woodman, 2012). Having a strong healthcare system, the government is aiming at diversifying the economy and also ensure the availability of the essential services...
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...HealthCare Financing Cathy Jones HCA 515 9/9/2015 Market Based Approach 1. Who is provided access? Market based approach provides access to consumers and employers including large, small, and individual employers. All subjects encompass different needs and preferences. 2. How much coverage is provided? The amount of coverage varies per the need of the customer. It can provide as much or as little as they need. The qualifiers include but are not limited to the breadth of the coverage, the techniques in managing the services and the sharing of beneficiary amounts fluctuate. 3. How are the services paid for? They are paid for by the employer and consumer through high deductable health plans and Health Savings Accounts. 4. How does reimbursement apply? Employees are reimbursed through premiums with a set annual limit. One way is through Health Reimbursement Arrangement (HRA). These plans are popular because it allows the employer to reimburse employees tax free for their personal insurance premium and out of pocket medical expenses up to a certain limit. 5. Are there limitations on care? This approach does not serve everyone equally. Premiums and access to health insurance varies across the nation. Premiums vary with differences in the cost of living, what medical providers are in the area, and the pattern in health care practices. 6. What guides care decisions for patients? 7. What is the quality of services? This plan provides a...
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...situation for that person. However, it has an effect on everyone across the board, not just the uninsured. Employers, hospitals, and physicians are also affected by the uninsured working class. There is an impact, on some level, to cost, quality, and access for all involved. This case study’s issue based on the topic/content area/change, working people being uninsured not only has an impact on their personal lives but also on businesses and the health care industry. Financials issues begin to arise for the uninsured person and their family, as well as, productivity decreases for businesses when their employees are out sick or working while ill. If employers offered even a small amount of health coverage, or perhaps informed staff of outside options for health coverage, they have a greater chance of ensuring the productivity of their employees, avoiding lost work days and decreasing employees’ financial issues. Stakeholder groups in this case study are Hospitals, Physicians, Employers, Patient, Third-Party Payers (Insurers) and the Government. Impact on Cost, Impact on Quality, and Impact on Access affects each of these stakeholders. The uninsured patients have increased costs; they are expected to pay out-of-pocket for healthcare. Costs for Hospitals will rise due to the uninsured increasing visits to the Emergency Room, where they cannot be turned away because they have no insurance as opposed to physicians require proof of payment/coverage in advance. Employers do not...
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...Healthcare in Brazil Introduction Brazil is a developing and growing nation. A developing nation is defined as a country having a standard of living or level of industrial production well below that possible with financial and technical aid or a country that is not yet highly industrialized. Although, there are many things that Brazil can do to work on increasing it’s standard of living, there is a significant healthcare system in place. The healthcare system in Brazil is broken up into two segments, which include private and public. The Brazilian healthcare system has values, beliefs and perceptions that have many similarities and differences as compared to the United States of America. Sectors Brazil has a healthcare system that is broken...
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...HA415 After reading the assigned scenario for Congresswoman Moody, it involves what options are available for her to ensure that medical care is available to everyone within her area of jurisdiction. There have been issues with funding and it is my job to having a structured policy analysis to the given situation. First step of a concise policy analysis is defining the problem. In this case, the funds allocated to these trauma centers are nearly exhausted and can potentially cause catastrophic effects on the areas patients. Soon the trauma centers will be refusing the patients who rely on Medicaid and Medicare resources. What can be done to prevent the refusal of healthcare to these patients and ensure that bailouts are not the solution to this healthcare crisis? To provide more in depth about this problem involves the background for a policy analysis. It has been stated that with numerous amount of undocumented workers and the state’s unemployment rate to continually remain high, it is making it difficult for these trauma centers to accept these patients. They rely soley on Medicaid which has caused a depletion of the state’s budget. This has caused two of the three trauma center to rely on private payer instead of federal aid programs. In the long run how can these HCO’s say they are providing quality effective healthcare to their people by denying it to certain groups? This will now lead us to the next step of a policy analysis and its...
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...Healthcare: A Right or a Privilege An Argument over National Healthcare in the United States Bobbi Pippins Soc 120 Instructor: Sheila Fry March 23, 2012 Healthcare: A Right or a Privilege An Argument over National Healthcare in the United States There will always be a debate over what is considered fair healthcare in America. As long as there is no national healthcare system that is equal for everyone, there will be arguments over whether it is a right or a privilege. Research will show that healthcare is a basic right for every human being in the world, and that by having a national healthcare system in America, this right can be enforced. America has, for many years, had the view of an ethical egoist, where something is good or right only if it helps to achieve the desired goal of the politicians. While using the utilitarianism view, or that which produces the best results for the greatest number, may well be the view that this nation should embrace. Healthcare should be a basic human right for everybody in the world. While national healthcare for everyone might be complicated to get started, if everyone had equal access to healthcare there would be more preventative care and therefore less costs due to chronic illnesses, diseases such as cancer, would be caught in the early stages of progression which would, in turn, allow for more treatment options and more chances of...
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...care provided by the Veteran’s Health Administration. According to American Community Survey (ACS) conducted in 2010, one in 10 of the nation’s 12.5 million veterans under the age of 65 is uninsured. A veteran is defined by federal law as any person who served for any length of time in any military service branch. Contrary to the presumption of most, not all veterans qualify for free healthcare through the Department of Veteran Affairs. The Veterans Health Administration (VHA) operates as a branch of the Department of Veterans Affairs and is the largest health system in the nation. It is recognized for its commitment to providing high-quality population specific healthcare. The VHA also works closely with academic medical centers across the nation. Haley and Kenney (2012) identify eligibility for health care provided by the VHA as being on veteran status, service-connected disabilities and income level. Other factors include demographic location and cost sharing requirements. Health insurance coverage for veterans as with other groups of nonelderly adults has heavy dependence on access to employer sponsored insurance (ESI) and the costs of obtaining it. It must also be considered that the majority of states in our nation deny Medicaid coverage to nondisabled adults without dependent children. Medicaid coverage is also typically denied for nonelderly adults with incomes above the federal poverty level (FPL). The number of uninsured veterans is continuously on the rise...
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...In the US, healthcare has always been a controversial issue. On March 23, 2010, President Barack Obama signed into effect the Affordable Care Act, also known as Obamacare. This law the President signed puts into place comprehensive healthcare reforms that will affect the next 4 years and beyond. Some of the large reforms that will happen are benefits for women, strengthening Medicare, holding more insurance companies accountable, and young adult coverage. Women will be benefited from the Affordable Care Act by having preventive services covered and having more insurance options. Young adults will benefit from the Affordable Care act because coverage will be available for children up to 26 years of age. By far, the largest thing that goes into effect started this year, which states that every American will have access to affordable healthcare insurance options. The Act ensures that low income and middle-income families get tax credits that cover most of their insurance coverage cost. Also, more low- income people will receive Medicaid under the Affordable Care Act. By establishing these reforms, specifically the later one, millions of people who were not insured previously will be receiving healthcare. The health Insurance Marketplace was created for people to be able to compare their different health plans, see if they receive tax credits pertaining to the Affordable Care Act and private institutions. Healthcare in the United States is spread out over distinct organizations...
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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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