...signed in to law the Patient Protection and Affordable Care Act. The Affordable Care Act alters the insurance market in the United States, increases revenues from a variety of new taxes, expands public insurance and it declines private insurance coverage, mandates that residents have health insurance, decreases and reorganizes spending under the nation’s largest health insurance plan which is Medicare. It has been said that if the Affordable Care Act is implemented to its full power that it can have a lead in different health choices for the United States in the future. I begin by providing a broad outline of the Affordable Care Act’s key features to help guide the discussion of the bill’s projected effects. History of the Affordable Health Care Act The Affordable Care Act is a long, complex piece of legislation that attempts to reform the healthcare system by providing more Americans with affordable quality health insurance and by curbing the growth in healthcare spending in the U.S.. Reforms include new benefits, rights and protections, rules for insurance companies, taxes, tax breaks, funding, spending, the creation of committees, education, new job creation and more. Democrats and Republicans have been working to create laws that reform the American health care system for decades. Almost every President over the last century has proposed healthcare reform unsuccessfully. The Affordable Care Act, modeled after health care reform in Massachusetts, was the first successful...
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...titled A good look back over our shoulders Nursing Homes & Long Term Care Management: discussion of the evolution of nursing homes in the United States; what features "shocked" or "surprised" the reader the most during the reading while reading the reader was asked what new information was learned about long term care and facilities in the United States? This assignment also discusses wither regulatory bodies are believed to justified in their formulating so many strict rules and regulations in governing long term care? To close the assignment we answered, how does the past of long term care inform the future of quality assurance in long term care settings? Discuss the evolution of nursing homes in the United States. What features "shocked" or "surprised" you the most? What new information did you learn about long term care and facilities in the United States? Are regulatory bodies justified in their formulating so many strict rules and regulations? How does the past of long term care inform the future of quality assurance in long term care settings? In the twenty-first century, nursing homes have become a standard form of care for the most aged and incapacitated persons. However, historically nursing homes were often thought of dark drab places that Americas would send their elderly when they have determined there was no further use for them in society or when the families have exhausted all means to care for them on their own. They have also been unfortunate victims...
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...• • • • • • The Future Challenges Facing Health Care in the United States • Donna Kester • Dr. James Driscoll • HSA 500 • December 7, 2011 • The Future Challenges Facing Health Care in the United States Identify and describe at least three of the most difficult issues facing health care in the United States today. One of the most difficult challenges that our healthcare system faces is in long term health care policies such as Medicare and Medicaid. Medicare is the federal program for the elderly and disabled. It covers many of the costs associated with acute medical care but covers very few long term care services. Medicaid is a federal and state health program which covers long term care but only for those people who are poor or have become poor paying for medical care (Williams & Torrens, 2010). Although long term health care services are less of a priority compared to other health care services, problems in the current long term care system are due to the controversies and lack of responsibility of the state and federal governments. Even though we have seen tremendous growth in home-care services, nursing homes continue to dominate the service system. State and federal governments continue to struggle to manage costs of the different services they provide and continue to quarrel over their respective financial responsibilities. Another difficult challenge is life style diseases. The life style diseases...
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...Long-Term Care Long-term care is vital in the United States health care system. As the population ages, more people will need assistance to recover from illness or injury, and others will need end of life care to ease their passing. People who use long-term care are all ages. From young to old, people can receive it if they cannot care for themselves because of a condition, an illness, or an injury that requires assistance for a period of 90 days or more. The concern people face when looking at long-term care is the funding. Medicaid will likely be drained of funds long before the country’s aging population is past its peak and while there are some options of insurance coverage, not everyone may afford them. There has been development since the 1980s of government programs to assist those needing long-term care in locating the services that fit their needs best. A couple of centers created are the Administration on Aging (AOA), the Centers for Medicare and Medicaid Services (CMS), and the Aging and Disability Resource Centers (ADRC). The purpose of these centers is to help people of all ages, disabilities, and income levels to more easily access long-term services and support and transition among various sites of care, make more efficient use of care options, and maximize available services (O'Shaughnessy, 2011). These organizations help so that where ever people enter the system, they find direction to what services best meet their needs. These organizations are state run...
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...Health Care Medical Care for an Aging Population Countries around the world are encountering a growing number of the elder demographic. The aging population has created situations that the world’s economy and health care that have never encountered. The elders leaving the workforce and entering retirement has created new challenges in an already fragile global economy and health care system, and it is uncertain what the impact will in America. Questions rose about how the aging population will affect the economy. Will these changes bring new opportunities for the aging population because of the healthier life style and longer life expectancies currently seen today? Will physically and mentally healthier seniors be able to manage longer working years? Alternatively, will it result in a shortage of worker in the workforce leaving an overwhelming burden on the younger population? This paper summarizes three articles that attempt to bring to light the various challenges the nation is encountering in its preparation to care for the aging population. Additionally it will provide the readers with some recommendations on strategies both the American industries and government can use to prepare for the loss of a large percentage of the workforce who will start retiring in the next decade. The burden of geriatric health issues While countries across the globe are scrambling to make the necessary preparation to accommodate medical care for the aging population, the United States...
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...The Canadian Health Care system has been regarded as one of the best publicly funded health care programs in the world, to conduct a fair and unbiased comparison of the Canadian and American health care systems one should use similar measuring techniques. Comparing our Health Care system to the United States’ is only going to give us a false sense of satisfaction. This will hinder our progress towards reaching a system that would facilitate the needs of every citizen while taking their opinions and complaints into consideration. A Canadian Health Care system created by the people and for the people. The major differences between the Canadian and the American health care systems are that the Canadian health is a publicly-funded single-pay system which covers costs deemed medically necessary for every citizen/resident regardless of their ability to pay. While the American health care is a multi-payer system based on the patient’s finances. I argue That Canadian Health Care system is better than the American Health Care system. In the Canadian system the citizens will pay far less than they would ever pay if they were being treated for any sickness or receiving any medical services in the United States. It is clear that the Canadian health system is better than the American counterpart as the reported Life expectancy is higher in Canada by more than 2 years, 82.4 years for women and 77.4 years for men when compared to the American life expectancy, 80.1 years for women and 74.8 years...
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...Understanding Continuum of Care Services Long-term care is when an individual needs someone to help them with their physical and emotional needs for a long period of time. Patients need help with their everyday activities. Some examples of long-term care would be senior or nursing homes, assisted living and in-home nurses. In the United States, continuum of care is a concept involving an integrated system of care that guides and tracks patients over time through various services. It allows a patient to have their care managed effectively from basic care services, such as prescriptions to making appointments, to more advanced care services, such as hospital care, critical care or long-term care services. It creates a medical community where the doctors and ancillary staff, which are involved in a patient’s treatments, all communicate with one another regarding a patient’s health. Long-term health care is one of the greatest challenges facing the health care delivery system today. This is due to the aging population growing extremely fast. The first of the baby boomers generation is joining the already elderly in the retirement age and there are a lot more individuals from that generation to reach the retirement age as well. The resources used for long-term care are also extremely expensive. Long-term care costs the delivery system a huge amount of money. It requires many resources such as home care, assisted living, adult daycare, respite care, hospice care and nursing homes. http://www...
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...U.S. health care system faces, it also enjoys a number of advantages over other systems around the world. Choose 2 other countries from around the world and discuss the strengths of the U.S. health care system as compared to these countries from an administrator’s and a third-party payer’s perspectives. In your answer, be sure to not only discuss each strength, but provide an explanation as to why you feel the United States has this advantage over the other countries you chose. Abstract United States has many strengths and weaknesses within the healthcare system. In this case, we are going to focus on the strengths of the healthcare system in the United States and how they measure up to the healthcare system in two other countries. Those countries on India and Canada. The healthcare system within the United States is one of the best in the world. In order to receive a better understanding of the strength of the United States healthcare system, we have to dive into the healthcare systems of other countries. Real life questions were asked, from individuals from two different parts of the world in two different hospitals and how they felt about the healthcare system in the native countries. Once the healthcare systems of India and Canada have been explained, we can dive into the strength of the healthcare system in the United States. The life expectancy of individuals within India is 69 years, which is far lower than the United States average, which...
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...A variety of health care services in the United States provides continuum of care for health services. The need for long-term care is growing as the average life span of Americans continues to lengthen. The Centers for Medicare and Medicaid services estimates that about nine million men and woman over the age of 65 in the United States will need long-term care. Long-term care is a range of medical and social services designed to help people who has disabilities or chronic care needs. Services may be short or long-term and may be in a personal home in the community or in a residential facility. Long-term care facilities such as nursing homes provide care for the elderly or people who are unable to take care of them selves. The important of this paper is to discuss the continuum care of long-term care and examine the future trends of long-term care. Long-Term Care In defining long-term care there are several points. Long-term care is low tech, although it has become more complicated because many elderly patients with complex medical needs are being discharge into long-term settings. The age groups that mostly require long-term care are those who are 85 and older. This age group will double by 2030 and double again by 2050. Long-term care facilities are facilities that provide 24- hour skilled nursing assistance with activities of daily living, health services, and a number of activities. Many people would prefer not to be placed in a long-term care facility. However, some...
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...Aging Population Effects on Health Care Health care is a fast evolving field with advancements of technology and treatment options growing every day. The delivery of care has grown and often shifts direction over the years to accommodate changing population demographics and needs of patients. Many factors play a part in the role of health care and medical treatment, one of those factors being population demographic changes. When the demographics of a population change it can cause adverse effects on the surrounding area in many ways, such as access to care, types of treatment needed to care for the population and the need for health care employees. In a particular population where the demographic is aging the dynamic and need for care begins to affect the health care system in a variety of ways. All health care entities involved play a role in ensuring the challenges and the needs of the population change are met. As the population demographic ages, the impact on the delivery of care will be significantly altered such as the organization of care and how it is delivered, treatment options, long-term care, and health care coverage will all be affected in different ways. According to the Administration on Aging of the Department of Health and Human Services, approximately 13% of the people living in the United States are elderly as of 2011, which average to about 40 million people. The Department of Health and Human Services estimates that by the year 2030, this number will expand...
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...|College of Natural Sciences | | |HCS/235 Version 3 | | |Health Care Delivery in the U.S. | Whenever there is a question about what and when assignments are due, please remember this syllabus is considered the ruling document along with your Instructors Policies and Course Requirements located in our Course-materials forum. You will also find our Course Calendar at the end of this Syllabus. This will assist you with when all assignments and DQ’s are due. Course Description This course provides a broad overview of the various functions of the United States health care system. The historical evolution of health care is examined. The student is introduced to the various forms of provider models and service delivery systems found in private and public health sectors, including ambulatory, acute, mental, and long-term care. The financing aspects of health care and their influence on health care delivery and quality are outlined. Policies Faculty and students 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:...
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...Germany Vs United States Health Care Systems Tarrah Schefke Mary Dunbar HSC 111 Paula Dixson Germany Vs United States Health Care Systems Mention European health care to an American, and it probably conjures up a negative stereotype — high taxes, long waiting lines, rationed care. It's not that way in Germany. Very little tax money goes into the system. The lion's share comes, as in America, from premiums paid by workers and employers to insurance companies. German health benefits are very generous. And there's usually little or no wait to get elective surgery or diagnostic tests, such as MRIs. It's one of the world's best health care systems, visible in little ways that most Germans take for granted. Dental Care in Germany vs. United States Dental care in Germany is very similar to the dental care that we have in the United States. In Germany, costs for dental care is ranked amongst the highest in Europe, while public healthcare costs consume a large portion of their national budget (Going to the Dentist in Germany, 2012). The downside to this is that an increasing number of dental treatments are excluded from reimbursement by public health care plans. Also, in Germany there is a two-tier insurance program, which offers different levels of dental insurance coverage. The costs of your yearly dental health routine are covered by all standard dental health plans. This includes two annual check-ups, teeth cleanings, and basic fillings (Going to the Dentist in Germany...
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...The Healthcare Systems of China (In Comparison to the United States) Tiara C. Robinson HSM 310- Professor Jennifer Pryor April 4 2011 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...
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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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...Hospital and Long-Term Care Facilities Kevin L. Coleman Strayer University Professor: Dr. Kaluyu HSA: 500 February 12, 2012 By 2030 it is estimate that the United State population will be over the age of 65. The baby boomer generation although active will be placed a financial burden on the country due the need of healthcare. With the uncertainty of MEDICARE the prospect maybe bleak, and long term care will be essential for the aging impact that about to occur. In order to get a grasp on the impact and the need for long term healthcare we have comprehend the important of non-profit and profit hospital, what are the growing trends; what are the difference between hospital and nursing home, and what is the current state of United State long term care. Describe the differences between non-profit and profit hospital Most people do not give much thought rather a hospital is non-profit are for profit, but there is a strict difference between the two. Non-profits hospital typically accepts anyone with a medical need who comes into their doors, regardless of their ability to pay for the services. Because of their willingness to except any all patient non-profit hospitals receive tax exemption. Also, non-profit hospitals are much busier than profit hospitals. In larger urban cities non-profit hospital are extremely essential to their community. Most of these type of hospital emergency room stay busy. Television show like ER is a visional testament to how non-profit...
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