...abroad. Issue brief (Commonwealth Fund), 89, 1-12. The current article briefly differentiates physician recommended drugs and expenses in six other high-wage nations, drawing from Commonwealth Fund study information of patient encounters and in addition global spending and price estimations. The examination uncovers that Americans, especially youngsters are more probably in utilizing the physician endorsed drugs than the inhabitants of Australia, Canada, Germany, Netherlands, New Zealand, and the United Kingdom. However, they likewise encounter more money related obstructions in getting to pharmaceuticals and spend more out-of-pocket for remedies. In the U.S., there are too bigger pay-related disparities in pharmaceutical usage. In spite of the boundaries and variations, spending per individual in the U.S. is far higher; likely the after effect of paying higher costs for comparable solutions and utilizing a more costly blend of medications. The writers say that esteem based advantage plans, reference valuing, and aggregate buying could diminish budgetary hindrances and minimize pharmaceutical spending (Morgan & Kennedy, 2010)....
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...Case – Globalization of Health Care 1. Some of the developments are a. American insurance companies beginning to cover treatments performed in other countries. i. This is a cost saving experiment. The potential of cost avoidance could be in the billions. I’m sure they will study the submissions to ensure no residual infections or secondary conditions arise from the overseas procedure. b. Uninsured patients are seeking cheaper care outside of the US borders. i. This may be altered by the newly upheld Obamacare mandate, but it is still a huge savings for the patient, if they have out of pocket expenses that would be considered “co-pays”. c. Foreign hospitals and doctors being better equipped, ranked, staffed, and trained than most American hospitals and medical staff. i. This should be a wake-up call for their American counterparts, but, in this economic and political climate, it will go unanswered. 2. . a. The beneficiaries are the patients who can get equitable or better care for less out of pocket expense. The insurance companies also benefit as they will see a cost avoidance by authorizing and covering the treatment. The country will benefit from the additional tourism (from the improved perception) and the added revenues. b. The losers are the American hospitals. They are suffering lost income, they are losing their reputations, and they are losing potential trained medical staff that may come over for their educations and would have stayed, but instead, they are...
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...Issues with a lack of workforce to properly care for the baby boomers and current aging groups will need highly trained, educated caretakers. The amount of those studying for gerontology related careers is on the decline. Even graduated nursing, medical, and pharmaceutical students did not spend as much time or had a great deal of experience in this field. Also, the intensity of care the elderly need differs greatly from those who do not suffer from chronic illness or psychological problems related to their condition. Older patients may need more care related to a disease that cannot be managed on their own, or they may need assistance doing daily activities because they’re no longer able to. Caring, understand, and compassionate workers will effectively fill the spots of those who care for the elderly that can no longer do so for themselves. Lastly, having enough money to cover care costs may cause problems for the elderly. Medicare and Medicaid, for example, cover some costs, but those not covered are expected to come out-of-pocket from the patient. If that patient never saved money for future health problems, they may not have the funds to do this. Instead, other family members or friends might have to help them take care of bills. The future of healthcare and the elderly population will see many challenges. Implementing and requiring more classes toward gerontology may solve...
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...In today’s society many Americans face the fear of having a medical disease and being able to afford paying for treatment. According to "Healthcare.gov" (n.d.), There are different types of Marketplace health insurance plans designed to meet different needs. Some types of plans restrict or encourage you to get care from the plan’s network of doctors, hospitals, pharmacies, and other medical service providers. Others pay a greater share of costs for providers outside the plan’s network.” (Comparing health plans). However choosing the best form of medical coverage and being able to pay for it can be stressful to some. Each person and family may need different types of coverage and finding one that suits everyone in the household and accepts all family members due to their medical needs can be hard to find. This case study will look at such a family. A family with multiple medical issues to include, two members having diabetes and being obese, one of which has COPD and a child with asthma. We will look into different health care options and cost, a recommended plan for the family and then take a look at what the family will need within a year. Health care costs & coverage options Health Maintenance Organization Plans (HMOs) have a low out-of-pocket cost, which makes them a good choice if you want to avoid spending a lot of money. Also, since your co-pay commonly covers services outside the basic office visits, it is rather wide ranging. On the other hand, there are...
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...Case Study Comparisons HCS/490 February 9, 2015 Case Study Comparisons There is a lot to consider when it comes to choosing a healthcare plan for you and your family. We are going to talk about the different options you have, such as whether you want a HMO, PPO, or a CDHP. There are many things you need to consider when looking at health plans. Some of these include your age, health, and whether you are single or have a family. We will discuss each of the options and which one may work the best for this situation. HMO Health maintenance organization or HMO, is a standard health care plan available through most health insurance companies. An individual with an HMO maintains their health by visiting their primary care physician on a regular basis for routine check-ups. Typically with an HMO, the individual will select their primary care physician within the preferred network. The individual will see their primary care physician for routine check-ups and preventive care. If the individual has a particular issue, they must go to their primary care physician first. If the primary care physician is unable to treat the patient, the patient will be referred to a specialist by their primary care physician. If the individual chooses to see a doctor outside their preferred network, the individual will be subjected to pay 100% of costs. Health maintenance organizations tend to be more cost effect for the insurance provider and less expensive for the patient. When choosing the...
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...nutritional, well balanced diet coupled with regular exercise is a simple, yet effective way to sustain healthy living. Neglecting to address diet and exercise, as part of a weekly regimen, is a precursor to the onset of an acute, lifelong illness. Diabetes is one of the largest and fastest growing causes of chronic disease mortality, morbidity, and disability in the United States (Robbins & Webb, 2006). Currently, there is no vaccine to prevent diabetes and no cure for the disease once acquired. According to the American Diabetes Association, more than twenty-three million Americans have diabetes. Patients age 65 years or older account for approximately forty percent of all cases, the largest percentage of any age group (Fisher, Brownson, O’toole, Sherry, Anwuri, & Glasgow, 2005). Approximately twelve million of these cases are women (Owens, Beckles, Gorrell, Brady & Kaftarian, 2008). Impoverished and disenfranchised populations are especially at risk and subjected to disparities related to the quality of diabetes care...
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...University of Phoenix Material Case Study Comparisons Part 1 Complete the chart below that differentiates the following insurance types. |Plan Type |Characteristics of Plan (5 to 7 characteristics) |Target Audience for Plan | |Indemnity Plan |No referrals needed, can see any doctor or specialist, No primary |Someone that wants the freedom to choose which doctor they want| | |doctor needed, fee-for-service plan, Sometimes does not cover |to see, does not want to have to get referrals | | |preventative care. | | |Preferred Provider Organization (PPO) |Freedom to choose your provider, encouraged to use in-network |Most employers may offer this benefit to their employees. This| | |providers, may have a small copay, annual deductible before |will give employees a variety of physicians that they can see | | |insurance will pay, and in-network will be covered at a higher |for any ailment. ...
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...HEALTH Health is a human right, which has also been accepted in the constitution. Its accessibility and affordability has to be insured. While the well-to-do segment of the population both in rural & urban areas have acceptability and affordability to wards medical care, at the same time cannot be said about the people who belong to poor segment of the society. It is well known that more then 75% of the population utilizes private sectors for medical care unfortunately medical care becoming costlier day by day and it has become almost out of reach of the poor people. Today there is need for injection of substantial resources in the health sectors to ensure affordability of medical care to all. Health insurance is an important option, which needs to be considered by the policy makers and planners. HEALTH CARE SCENARIO Health care has always been a problem area for India, a nation with a large population and a larger percentage of this population living in urban slums and in rural area, below the poverty line. Before independence the health structure was in dismal condition i.e. high morbidity and high mortalities, and prevalence of infectious diseases. Since independence emphasis has been put on Primary Health Care and we have made considerable progress in improving the Health Status of the country. CG: Central Government PH: Primary Health MCH: Maternal and Child Health. • Access to health care service providers and availability of physicians is one part of the...
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...Global Health: India Healthcare offers many opportunities and challenges for several countries. The purpose of this paper is to summarize India’s health care structure, health care policy, access to care issues, cost related to how much is spent, where the money comes from, and how it is spent, the role of nursing, and strengths and weaknesses of the system. In India, there has been a promising change over the last decade as the government has introduced many structural reforms and a private sector that has shown unprecedented growth. Despite these advances, the shifting demographics, socio-economic status, and changes in disease patterns is making a challenging journey more difficult (Binnendijk, Koren, & Dror, 2012). Three main challenges of India’s health care can be broadly defined as access, capacity to pay, and quality care. Healthcare challenges will become progressively more difficult over time as India is expected to be the most populated country in the world by 2028 (Haub, Gribble, & Jacobsen, 2011). India’s health care structure includes public and private hospitals, voluntary health agencies, national health programs, as well as traditional Ayurvedic medicine (Shrivastava, Shrivastava, & Ramasamy, 2013). The majority of health care centers are government owned and regulated. These urban centers have private hospitals that provide excellent care. The fragmented health care delivery means lots of small hospitals and clinics scattered over enormous geographical areas...
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...top issue after the event of September 11th. Many believes immigration is the root cause of most of the economic problems taking place in the country today, they linked immigration to increase in healthcare cost, increase in crime rate, reason for low productivity, reason for loss of job opportunity for native- born and many more. But on the other hand, are these groups of individuals who believe immigrants are being used as “scapegoats” just because they don’t have a voice or stand in the society. They stressed the believe that even before immigration became a hot topic, the economy already had this problem in place, they denoted most research findings stating data were manipulated to support their mission; for immigrant do not visit medical establishment as often as indigenes and wonder how researchers came to the conclusion that immigrants spiked up healthcare cost. This subject is distinctly two sides and it’s difficult to find a neutral ground. There are many questions that need to be answered in order to get to the root of this issue. Some these questions are: 1. Are immigrant’s parasites to the healthcare system? 2. Do they have a symbiotic relationship with the system? 3. Do they increase productivity in the economy? 4. How much healthcare burden do they impose on the economy? 5. How much healthcare coverage do...
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...Chapter 9 health and disability insurance |CHAPTER OVERVIEW | Planning a health insurance program needs careful study because the protection should be shaped to the needs of the individual or the family. However, the task is simplified for many families because a foundation for their coverage is already provided by group health insurance at work. We begin the chapter by recognizing the importance of health insurance in financial planning and define health insurance. Then we analyze the benefits and limitations of the various types of health insurance coverage. Private and governmental sources of health insurance and health care are presented next, with a complete coverage of health maintenance organizations (HMOs). Then, we discuss the importance of disability insurance in financial planning and identify its resources. Finally, we explore why the costs of health insurance and health care have been increasing and what is being done to curtail them. |LEARNING OBJECTIVES |CHAPTER SUMMARY | After studying this chapter, students will be able to: |Obj. 1 |Recognize the importance of health |Health insurance is protection that provides payments of benefits for a covered sickness | | |insurance in financial planning. |or injury. Health insurance should be a part of your overall insurance program to | |...
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...Memo To: Representative Howard Hughes From: Date: Re: Panel discussion on funding Medicare crisis Message: Below please find outline of current Medicare cost concerns as well as some history on the program as well as some plan options to cutting overall costs. Medicare is facing a major financial crisis. The federal government subsidizes medical care for more than 45 million elderly and disabled Americans through Medicare. Medicare is the third-largest federal program after Social Security and defense, and it will cost taxpayers about $430 billion in fiscal year 2010. Medicare is one of the fastest-growing programs in the federal budget, with spending likely to double over the next decade and to surpass Social Security spending by 2028. Numerous studies suggest that about one-third of Medicare spending is wasted. [ (Edwards, 2010) ] Many elderly people may believe that Medicare is an insurance plan as they pay into the cost and are charged for co-pays. Although it’s been known as welfare program, led by the government there is controversy regarding this. AARP Vise President, Joyce Rogers stated AARP is focused on protecting Social Security and Medicare for the millions of beneficiaries who have paid into the systems over their working lives. Rogers’ statement follows: “Medicare is not a welfare program. Seniors pay into Medicare their entire working lives based on the promise that they’ll have secure health coverage when they retire. Applying a means test...
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...“How to bring the Price of Health Care into the Open” written by Melinda Beck published in the Wall Street Journal on February 23 of present year, addresses many substantial topics and ideas of our former health care system. Her main points are to inform, educate, and alert consumers in advance about health care pricing. The ways she delivers her points are by talking about how to bring the price of health care into the open, price transparency, the disparity between list prices and the aid from insurance providers. Before going into clear description of Becks article one must set a foundation by defining Microeconomics and how the article relates to it. As defined by Krugman he writes, “Microeconomics is the branch of economics that studies how people make decisions and how these...
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...and payments for medical services of all kinds for beneficiaries, it would seem counterintuitive to suggest that a way for Tricare to save money on maternity and newborn care would be to cover a new service. However, research shows that the cost savings associated with doula support during labor and delivery are significant...
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...than quantity” (Savel, 2014). In other words the Affordable Care Act’s purpose is to improve the quality and efficiency of the healthcare system. Although the Affordable Care Act is allowing more individuals to gain access to the health care system nevertheless, the health care system is not relocating the resources to provide the access to the thousands of new consumers. Due to the Affordable Care Act more Americans are now eligible for health insurance. For example individuals with pre-existing conditions before were either denied by health insurance or insurance was rather too expensive for them to purchase. According to Kavita K. Patel (2014) “Before the ACA, those with pre-existing medical conditions could be denied health insurance or be forced to pay high premiums and higher out-of-pocket expenses”. The ACA has allowed many individuals to become eligible for health insurance without being discriminated. The second advantage of the Affordable Care Act is the financial help that the government provides. In order for more individuals to afford health insurance the government did...
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