...United Healthcare require the therapist to submit an on-line claim form (www.liveandworkwell.com) . First step, therapist must click the tab “Submit Claim Form” on the right side of the webpage , second step, therapist must fill out the basic information such as name, place, phone etc… third step must click on “Behavioral/Mental Health Services” section, which therapist needs to describe the following: primary mental health diagnosis of the client , what type of therapy will be provide, # of counseling sessions and time frame of each sessions, an whom the therapy is for (e.g. individual, couple, martial, and family therapy) ensure appropriate treatment for all parties involved. 2. United Healthcare Insurance view behavioral/mental...
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...In the United States today, at any given time, there are more than forty-one million people who are without health insurance. The United States Government actuaries states that the healthcare spending in the U.S. will double by 2015-to-more than 12,300 per person and account for 20 percent of the nations GDP. U.S. healthcare costs have made health insurance too expensive for many employers to offer health insurance. Health coverage alone is taking away more than a quarter of worker’s earnings. Fewer employers are offering health insurance in America. Under President Obama, the current administration firmly believes that comprehensive reform should reduce long-term growth of health care costs for businesses and government, protect families from bankruptcy or debt because of health care costs, guarantee choice of doctors and wellness, improve patient safety and quality of care, assure affordable, quality health coverage for all Americans, maintain coverage when you change or lose your job and end barriers to coverage for people with pre-existing medical conditions. Not everyone agrees with the Obama administration. However, there has been major controversy with a new President (Obama), regarding how to fix the health insurance crisis in America. Major health care reform proposals have been the following: (1) single payer plans that call for the federal government to impose health insurance taxes and directly administer health benefits for everyone; (2) universal health...
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...Healthcare in the United States has become quite expensive due to the use of various new products. Hospitals can spend millions of dollars each year on one-time use items that end up getting disposed of, which end up costing patients and their insurance companies more money for care. With the use of plasma sterilization, hospitals can save a lot of money having most medical devices reconditioned to an almost new state. Plasma is defined as ionized gas that is equally positive and negatively charged and often regarded as the fourth state of matter, which can be categorized as high or low temperature based. With plasma sterilization, the difficulty sterilizing metal or plastic instruments used in surgery or hospital care is significantly...
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...Universal Healthcare in the United States Larrissa McBride HCS 235 Monday January 23, 2012 Margaret Meador Universal Healthcare in the United States Healthcare is on the minds of every American in today’s society. Everyone worries about what they will do to afford healthcare and even if they will receive healthcare. America has some of the greatest technological advances and in trained professionals. However, American only ranks 20th in life expectancy and we rank almost the lowest in healthcare availability to its citizens. This causes me to believe that American needs to adopt some type of universal healthcare reform. According to the department of Health and Human Services the United States is one of the only industrialized countries to not give every individual healthcare coverage and access. The United States currently has a system of government sponsored and private insurance companies. The “poor” Americans fall under the care of government based programs. Those who are poor but are considered too wealthy for government sponsored programs are forced to turn to for-profit insurance companies. These for profit companies have strict guidelines and or co-payments and are likely to turn down medical care for any reason they see fit without explanation. I feel that some kind of universal health care system would regulate and control these organizations and could potentially save billions. Currently in the United States a large majority of citizens are uninsured. According...
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...Healthcare Spending HCS/440 July 24th, 2014 Healthcare Spending The national healthcare spending within the United States keeps increasing annually. The overall deficit keeps increasing due to national healthcare expenditures. In 2012, the healthcare deficit was three trillion dollars. Due to services such as medical treatments and health insurance; the healthcare spending will continue to increase. National Healthcare Expenditures In the United States, the overall projections are primarily based on the National Healthcare expenditures. These projections are measured by the form of services or goods provided. Services may include physician care, hospital care, and clinical services rendered. Goods may consist of necessary prescription drugs and medical equipment. The source of funding for the services performed and the required goods may come from Medicare, Medicaid, private insurance, and out-of-pocket expenses ("National Health Expenditure Projections 2012-2022 ", 2012). Health Care Spending in the United States According to recent studies in the United States, the projected health care spending is to increase by almost six percent between by the year 2022. This is actually a percent faster than the Gross Domestic Product (GDP) expected. Researchers thought that the healthcare spending would remain around four percent since the economic recovery was very slow at the time in 2013. There would an increase in cost- sharing requirements for Medicare, Medicaid...
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...|The Case For Single Payer, Universal Health Care For The United States | | | | | | | | | |Nicole Jones | |April 2011 | |HS 544 Health Policy and Economics | |Fowler | | | Table Of Contents Page Section 1: Executive Summary …………………………………………….. 3 Section 2: Introduction …………………………………………….. 4 Section 3: Literature Review ……………………………………………… 5 Section 4: Problem Analysis ……………………………………………… 10 Section 5: Solutions and Implementations ………………………………………… 17 Section 6: Justification ……………………………………………… 18 Section 7: References ……………………………………………… 20 Executive Summary Almost four decades ago, Canada and the United States had very similar health care systems. Today, they are very different. The...
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...AFRICA VS UNITED STATES In our world each country has a set of standards to follow in order to establish health care insurance for people in different communities. The state contributes about 40% of all the expenditures on health while the public health sector delivers 80% of the population. Many resources are concentrated in the private health sector. These resources see to the health needs of the remaining 20% of the population. Public health consumes around 11% of the government’s total budget. The way the resources are allotted, and the standard of health care delivered, varies from country to country. Although there are similarities between South Africa and the United States regarding healthcare, South Africa remains at a lower level than the United States because of funding, education, medical supplies, and equipment/ machines to complete diagnostic testing. South Africa has a private and public healthcare system. There are more than 200 private hospitals owned by different private physicians or large corporations. Private hospitals have 24,537 beds while public hospitals have 110,143, according to David Hidler of PHNP. Public health care is free to pregnant women and children under the age of six. Other patients receiving care pay on a fee for service basis. This means that the patient’s pays for only treatment received while under the physicians care. The gross inequity between the two sectors has led health ministers to threaten regulation that requires the private...
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...Healthcare for all Thirty-three million people in the United States (10.4% of the US population) did not have health insurance in 2014 according to the US Census Bureau. Healthcare is a medical insurance for people to keep them healthy and it is a basic thing for most people to have. 71% of americans live off of $10 everyday and it should be considered as a basic human right to ensure that everyone is covered by equal healthcare, no matter what age, gender, or their income. America has a strict, specific rule on healthcare and many people have discussed this as a popular argument in this time period. Even though it is seen as an effective healthcare system, the question is why can’t all americans have the right to be entitled to have healthcare?...
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...I will argue for a universal healthcare system in the United States through a comparison of feminist ethics and traditional ethics. I find that the following considerations from Virginia Held’s Ethics of Care, and Kant’s view on autonomy provide a convincing argument for universal healthcare coverage. Held In Virginia Held’s Ethics of Care, she makes six distinct statements on care ethics through a feminist point of view. 1.) “Moralities built on the image of the independent, autonomous, rational individual largely overlook the reality of human dependence and the morality for which it calls.” (Camp, 2011:48) Held is describing how interdependence is primary and one is not in control of caretaking relationships. The majority of caretaking relationships are not chosen (parents and siblings) and we have a responsibility of care to these unchosen relations. We are all interdependent on each other, not autonomous. An argument relating to health care according to the view presented by Held on feminine ethics directly confirms the point that we are not autonomous beings: “Children in particular are harmed by familial stress and developmental delays from not receiving health care, both of which can lead to behavioral problems and loss of potential. When one member is uninsured or becomes ill, there is a financial burden put on the rest of the family” (http://www.amsa.org). Universal health care coverage would allow for this family burden of stress and finances to be decreased...
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...million dollars compared with the NHS’s top salary of less than half a million US. Not covering an individual for expensive treatment thus saves the company money and provides stockholders with dividends or capital gain a very dangerous approach to the provision of healthcare coverage. An estimated 62% of individuals’ bankruptcies are related to healthcare bills, and of these,80% had health insurance numbers which would cause widespread revolt among Europeans. The private nature of US healthcare has resulted in pharmaceutical companies directly advertising to consumers the infamously endemic “ask your doctor if MagicMarioMix is suitable for you” tagline. Consumers thus ask their doctors about the advertised drug, and every 1 US dollar spent on advertising by pharmaceutical companies’ results in $4.20 of sales. The quick-fix or one-pill solution approach, rife among Americans, is reflected in the beliefs that pills can solve obesity rather than nutrition or exercise. The cost of drugs in America is much higher than in Germany: each citizen spends an average of 792US$ per year on medicine, accounting for more than 45% of the world’s total pharmaceuticals spending. Among Americans, the dissatisfaction with healthcare is reflected in polls, with one survey having 64% of...
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...A Comparison of the United States and Canada Healthcare Systems The United States is the only industrially advanced nation with over 15 percent of its population uninsured for health care services.(1) This aspect of American health policy has earned us a reputation of "backwardness"; for both Western Europe and Canada have systems of universal entitlement to health care (Torrance, 1984). A comparison of the American healthcare system to the Canadian health care system reveals the difference is cost, government involvement, philosophical attitude, and overall health of the citizens. In regards to economics, the American system practically doubles the cost of Canada per-capita bus yet does not yield the healthiest citizens, which clearly indicate there is room for change to improve or reform the U.S. healthcare system. This reform starts with the exchange of dialogue between the two countries policy makers and healthcare experts by identifying and implementing changes that are improvements of specific healthcare needs. Neither model is perfect but there are lessons that can be shared that could possibility lead to a more efficient healthcare system for both the United States and Canada. The United States and Canada are culturally similar therefore it is a realistic possibility that Americans could adopt a huge portion of the Canadian model and be successful with it. One of the main differences between the two separate healthcare systems is the huge gap in cost when...
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...Running head: MEASURING THE U.S. HEALTHCARE SYSTEM 1 Measuring The United States Healthcare System Luc John Arnaud HCM 550 Quality and Performance Improvement in Healthcare Colorado State University Global Campus Dr. Gloria Wilson March 27, 2016 MEASURING THE U.S. HEALTHCARE SYSTEM2 The Organization for Economic Cooperation and Development (OECD) is based in Paris, France, and it is essentially an assembly that comprises over thirty members (countries) who work with each other and who all share common commitments to democratic states and market economies. The goal of the OECD is to promote and improve economic growth, prosperity, sustainable growth, and expansion of each nation (OECD United States Mission, n.d.). The OECD “tracks and reports annually on more than 1,200 health system measures across 30 industrialized countries, ranging from population health status and nonmedical determinants of health to health care resources and utilization” (Anderson, F., Squires, D., 2010, para 1). The article titled Issues in International Health Policy clearly exposed the fact that the United States of America fundamentally lacks behind the majority of other developed nations as it’s related to the efficiency, effectiveness, and solvency of its overall healthcare system industry. The facts and data within the article come from an analysis of health data from 2006 from the OECD, ...
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...Knowledge Healthcare in the United States has changed and evolved over many years to become the advance healthcare system that it is today. The starting points may seem very remedial and primitive in nature compared to the Hi-tech world of medicine in tis 21 century. During the late 1800’s through to 1900, there was basically no real structure of health care in America (Williams, 2008). During this period of time, if people became sick, they relied mainly on the self-care practices of their family and friends. The poor health conditions for individuals in general developed into epidemics. Around the 1920’s hospital entities were discovered and identified as an important part of the healthcare infrastructure in the US (Salhi, 2015). At...
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...1 Health Care Issues in the United States Ashley Barnes Dr. George Ojie-Ahamiojie Health Services Organization Management July 15, 2010 2 Describe how health is affected by behaviors, economics and social structure. When it comes to our health, there are numerous factors that play a part in whether or not we stay healthy or not; some factors we can control(physical activity & nutrition), while others are not always up to us to decide (poverty level, income). There are six key factors identified by the Centers for Disease Control(CDC) (2010) that affect the health of individuals: alcohol and drug use, smoking, injury and violence, physical activity and sexual risk behaviors. A majority of these factors an individual can chose to engage in or not, however, economic situation and social structure can impact those decisions as well. For people who are in a less affluent status, they may not be able to purchase the more nutritious option in a grocery store and will have to resort to buying enriched and over processed food products that are less expensive. These types of groceries do not provide the necessary nutrition and with prolonged consumption of these goods, can lead to adverse health effects such as obesity and diabetes. Engaging in behaviors such as drinking, risky sex and violence can lead to issues later in life if started at a young age, and contribute to education and social problems that the United States currently faces (CDC, 2010). Certain...
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...Executive Summary In the United States, it is a common knowledge that "the delivery of health care is primarily driven by the medical model, which emphasizes illness rather than wellness” (Shi & Singh, 2015, p. 73). Faced with issues like chronic illnesses, fragmentation, and population of baby boomers that affect the challenges of cost, access, and quality of care; it can be argued that the use of health information devices has positive impact on the delivery of healthcare. Since “the future of healthcare technology is now” (Glandon, Smaltz, & Slovensky, 2014, p. 27), developments in the production of healthcare information devices have been on the increase, popular, and widely used by patients and providers. Some of these devices, which include smart phones, computers, smart glasses like Google glasses, activities trackers, and wearable devices, have impacted and transformed the delivery of healthcare in ways that include cost of healthcare, access to healthcare, and quality of the care delivered. Introduction It is a common knowledge that developments in technology is continually changing, is responsible for globalization, helps with effective evaluation of business and decision-making, and enables the growth of information technology. Similarly, the areas of information technology and healthcare delivery are also presently active, developing, and constantly changing. As a result, the management of health information technology is currently enabling...
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