... Week 3 Assignment 1 4/22/2012 Question #1 Describe how you would assess the impact of the health care issue you selected in microeconomic terms. The health care issue I have chosen is the uninsured Americans and the cost effect on the Unites States government. The issue of uninsured Americans has been one issue that keeps coming up from time to time because a large number of the society are losing their medical insurance due to loss of employments and pre-existing conditions that most insurance company don’t accept. Government and the hospital emergency rooms where those that are uninsured end up going are at the losing end on whole situation. I will try and use Cost Benefit Analysis to evaluate the cost of the uninsured on the Government purse. Cost benefit analysis is an important economical tool that can be used in the healthcare industry because it helps in determining what the outcome of a project would be. It looks at both the positive and the negative aspect of the program. It will also show the cost and consequence of being uninsured. According to Jack Hadley, the Principal Research Associate at The Urban Institute, uninsured Americans have cost the Federal government in the three following ways: The Government already spends a substantial amount of money on care to the uninsured According to (Jack...
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...Running 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...
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...Oakland, and Piedmont. COMMUNITY SNAPSHOT (*county-level data) Total population: Median age:* Average household income:* Percentage living in poverty: Percentage unemployed: Percentage uninsured: 633,114 36.1 $70,217 16.92% 8.92% 14.67% White: Latino: African American: Asian and Pacific Islander: Native American: Other: 32.41% 21.76% 21.12% 19.84% 0.33% 4.55% KEY STATISTICS Year opened: KFH full-time equivalent personnel: KFHP members in KFH service area: 1942 1,884.0 188,929 Total licensed beds: Inpatient days: Emergency room visits: 341 74,218 50,725 KEY LEADERSHIP AT KFH-OAKLAND Nathaniel L. Oubré, Jr. Belia Marshall, RN, MPA Dennis Morris John Loftus, MD Shirley Steinback Julie Hadnot Glenda Monterroza Senior Vice President and Area Manager Chief Operating Officer Area Finance Director Physician in Chief Medical Group Administrator Public Affairs Director Interim Community Benefit/Community Health Manager 227 Consolidated Community Benefit Plan 2012 Kaiser Foundation Hospital – Oakland Northern California Region THE 2010 COMMUNITY HEALTH NEEDS ASSESSMENT SUMMARY AND FINDINGS 2010 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) SUMMARY The 2010 CHNA for KFH-Oakland is based on secondary data analyzed and reported by the Alameda County Department of Public Health (DPH) and primary data collected through a series of community focus groups. The East Bay Area contracted with the county DPH as part of a collaborative that included Eden Medical Center and Sutter Health...
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...some factors of these two countries are similar there are varying differences among them, especially cost and access. All of the components of the two countries healthcare systems will be discussed in depth in a non-biased manner, it is our goal to simply establish how they are similar and what differences there are among them. For starters a comparison of the overall health of the people of the two countries will form a baseline as to the quality of care being provided in each of the countries and give us an insight into the effectiveness of its preventative services. The mortality rate of citizens of Mexico is 4.86 per 1,000, whereas the U.S. has 8.38 per 1,000(CIA, 2001) This is due in large part to the number of citizens the U.S. has over 65 years of age, 13.1% of the U.S. population is over 65, Mexico's is half that with 6.6%. While the baby boomer generation is a large reason why this number is high, a correlation between the quality of care given to this age group can be made about U.S. citizens compared to that of Mexico's, generally speaking countries with high percentages of citizens over age 65 invest more in the health care sector than that of other countries. The health policies in Mexico and the United States are similar in that the healthcare system in both countries is a mix of public and private insurance,...
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...Health Care Research In looking at the definition of research, it is pretty much defined the same no matter what resource you are looking at. Merriam-Webster’s Collegiate Dictionary, 11th Edition (2003) defines research as: 1) careful or diligent search; 2) studious inquiry or examination; investigation or experimentation aimed at the discovery and interpretation of facts, revision of accepted theories or laws in the light of new facts, or practical application of such new or revised in the light of new facts, or practical application of such new or revised theories or laws; 3) the collecting of information about a particular subject. Research may mean different things to different people but research to me means to participate in research and to search for information on a subject or a particular problem. Research is an important part of Ashford Academics. “Health care organizations have become extremely complex hence health care management has also taken on a complexity of its own. Health care managers must therefore be very versatile in management skills while being very knowledgeable in health care issues. One cannot expect to be fully prepared for a lifetime career of health care management by an academic program alone. Further growth and professional development are demanded in a highly dynamic environment such as health care” (Isaac, 1995). As a leader in health care, research is important because either it justifies a point being made or it allows you to interpret...
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...In the past 15 years, the demand for free or low-cost health care has grown, and FQHC capacity has expanded in response (see Figure 1). Since the mid-1990s, the ranks of uninsured Americans grew faster than the general population, while the willingness of private physicians to provide charity care declined.2 In addition, the proportion of the U.S. population covered by Medicaid increased from approximately 10 percent in 1999 to 17 percent in 2010.3 Federal support for FQHCs ramped up during the Bush administration (2001-08) and has continued under the Obama administration. Direct federal funding for FQHCs increased from roughly $750 million in 1996 to $2.2 billion in 2010, helping to increase the number of FQHC organizations nationally from about 700 to 1,200—with more than 8,100 sites of care. The American Recovery and Reinvestment Act of 2009 added another $2 billion in temporary FQHC funding for capital and service improvements through 2010. http://www.hschange.com/CONTENT/1257/ What Happens to Indian Health Services? _Indian Health Care Improvement Act (IHCIA) was permanently reauthorized for IHS, Triballyoperated programs, and Urban Indian Programs. _Authorizes more IHS services - ex: behavioral health, prevention programs, hospice, assisted living, long term, home & community-based care. _Numerous grants opportunities under the ACA for workforce development, trauma centers, preventive care, early childhood programs, innovative healthcare models...
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...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 could not afford it...
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...The Paradox in the Affordable Care Act Submitted By: Vodney Wynn vewynn@aol.com October 12, 2014 PA582_CourseProject Table of Contents Introduction…………………………………………………………………………………………………………………3 The History of Healthcare Reform……………………………………………………………………………..…4 The Problem with the ACA……………………………………………………………………………………………6 The Current Policy………………………………………………………………………………………………………..8 Policy Alternatives………………………………………………………………………………………………………10 Evaluation Criteria………………………………………………………………………………………………………10 Policy Recommendation……………………………………………………………………………………………..12 Conclusion…………………………………………………………………………………………………………………..13 References………………………………………………………………………………………………………………….14 Introduction Recent health care reform legislation, The Patient Protection and Affordable Care Act and Education Reconciliation Act, which is now being referred to simply as the Affordable Care Act (ACA), was signed into law by President Obama on March 23, 2010. Since the 20th century, several United States presidents have faced challenges in passing national health reform into law. Before the ACA was enacted, national health reform proposals under different governments in the United States faced strong opposition from various stakeholders and multiple interest groups. Therefore, the enactment of the ACA is revolutionary healthcare reform in the history of the United States. Healthcare insurance is a program that assists in paying medical expenses through privately purchased insurance...
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...the public by developing programs, resources, and tools, aiding in health care access, however, there are also different private bodies involved in regulating the healthcare sector. Health care regulation is focused on three main roles; cost control, quality control, and access expansion and control. This paper will discuss the impact of ACA on health care organizational policies. The Affordable Care Act (ACA) The Affordable Care Act (ACA) is a health care regulation signed into law on the 23rd of March, 2010. The law’s main focus had been to increase the affordability and quality of American health insurance. Its policies were focused on lowering the rates imposed on the uninsured through the expansion of both the private and public insurance covers. It had also aimed to reduce the health care costs incurred by the government along with citizens. Barely seven days after its enforcement had a new health care law come into effect with amendments to the ACA. On March 30, 2010, the president of the United States signed into law the Healthcare and Education Reconciliation Act of 2010. The law had been enacted by the 111th US congress (Blackman, 2013). The Impact on Organizational Policies The ACA has advantages as disadvantages, and has been at the forefront of political criticism since its enactment. Its strongest opponents have cited it to be punitive of the high-end earners to cushion the middle and lower classes. It has also been reported to weigh heavily on the nation’s wage bill...
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...Policy Analysis Paper The fate of uninsured Veterans: A policy Analysis University of Mississippi Medical Center School of Nursing Define the problem and assemble the evidence Too many Veterans in the United States lack health insurance and are ineligible to receive 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...
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...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...
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...H O W A H O S P I TA L G E T S A N D S P E N D S I T S M O N E Y Prepared for The Access Project by Sarah Gunther Lane, MS Elizabeth Longstreth, BA Victoria Nixon, MS Under the supervision of Nancy Kane, DBA Harvard School of Public Health The Access Project is a national healthcare initiative supported by The Robert Wood Johnson Foundation and the Annie E. Casey Foundation. It works in partnership with Brandeis University’s Heller Graduate School and the Collaborative for Community Health Development. It began its efforts in early 1998. The mission of The Access Project is to improve the health of our nation by assisting local communities in developing and sustaining efforts that improve health care and promote universal coverage, with a focus on people who are without insurance. If you have any questions or would like to learn more about our work, please contact us. The Access Project 30 Winter Street, Suite 930 Boston, MA 02108 Phone: 617-654-9911 FAX: 617-654-9922 E-mail: info@accessproject.org Web site: www.accessproject.org Catherine M. Dunham, Ed.D, National Program Director Mark Rukavina, MBA, Deputy Director for Programs and Policy Gwen Pritchard, MPA, Deputy Director for Communication and Administration © 2001 by The Access Project This publication may be reproduced or quoted with appropriate credit. Acknowledgments The Access Project would like to thank and acknowledge the work of Sarah Gunther Lane, Elizabeth Longstreth and...
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...Universal insurance Course Project Implementation of Universal Health Health Policy and Economics June 22, 2014 Diera Kelley DvKelley30@Gmai.com Table of Contents Executive Summary Pg. 3 Define the Problem Pg. 4 Literature Review Pg. 4 Problem Analysis Pg. 9 I. The Uninsured II. The insured Possible Solutions Pg. 11 Solution and its Implementation Pg. 17 Justification Pg.19 References Pg.21 EXECUTIVE SUMMARY: The current health care crisis is depicted to be solved by the usage of Universal Health Coverage or UHC. This defined as the process of providing quality healthcare coverage with the aspect of financial gain or hardship. Since the assembly in 2005 of the World Health Assembly several countries have...
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...health care system today, how important are social problems on the use of the health care system? Social problems including AIDS, drug abuse, violence, and teen pregnancy are very important when considering the economy of the United States Health Care System. Unprotected sexual contact and sharing dirty needles account for the majority of persons infected with AIDS. HIV and AIDS affect human capitol due to the increased mortality of this group. Bonnel (2000) notes that younger individuals are dying of this disease, which translates to a decreased taxable population and reduction in resources for public expenditures. Medications such as antiretrovirals are very expensive. Henderson (2002) points out that drug therapy costs up to $16,000 dollars per infected individual per year. Additional economic impact can be thought of in terms of lost productivity, and lost days from work, which account for a significant impact on the labor supply. With regard to substance abuse, Henderson (2002) states “substance abuse is the leading health problem in the United States today” (p. 310). Costs associated with substance abuse include increased costs of medical care, lost productivity from work, and increased rates of crime. Henderson also mentions that in 1995, drug abuse cost the United States $110 billion dollars. Violent crimes are fairly widespread in the United States today and include hate crimes, domestic violence, and homicides. The vast majority of violent crime victims...
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...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; 2) crackdown on employers who hire undocumented workers by holding accountable the employers who do not follow hiring practices and resulting in giving the employers who do play by the rules a way to verify their employees are legal; 3) hold undocumented workers accountable before they can apply for citizenship by passing national security and criminal background checks, and by paying taxes,...
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