When looking for a current policy that is affecting occupational therapy, the one that comes to mind is the Affordable Care Act, also known as ObamaCare. Some do not like this policy and think that they should be able to make their own decision about their health insurance. When it comes to occupational therapy, I think that the Affordable Care Act works in our favor. This law impacts many things such as who receives coverage, what coverage is provided to the patient, and how the services are provided
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A major development occurring with Anthem Blue Cross Blue Shield is the agreement for Anthem (a Blue Cross Blue Shield insurer) to acquire Cigna for $54 billion via cash and stock transaction in the second half of 2016, which is dependent upon passing state regulatory approvals and other requirements (CNN Money, 2015). The merger would leave only three major players, Anthem Blue Cross Blue shield, Aetna/Humana, and United Health, in the insurance industry, if approved (CNN Money, 2015). Aetna acquired
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However, CMS should definitely expand their pilot program of Bundled Payments for Care Improvement initiatives and their comprehensive care for joint replacement model not only limited to Medicare beneficiaries’. Also, it would also seem fitting for the reform to embrace this concept of outpatient and in-patient surgeries. Also, with medical institutions cultivating women-centered relationship, the patients from the Hospital for Women and Winnie Palmer Hospital for Women and Babies in Central Florida would
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Plan F is a type of Medicare supplement insurance plan. The other type is plan G. These plans cover certain costs known as Medicare part B over charges. An over charge is simply the difference between the amount that Medicare pays and what the doctor or the provider charges. The Medicare supplement plan F protects someone from the additional expenses especially if you are required to have treatment that is above what the Medicare will approve. Plan F is also known to have high deductible option.
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Health Disparities Health disparities are the health issues that different groups of people have based on many factors. These factors include race, gender, economic status, and age. Many types of disparities exist in the United States, mostly in health. This disparity in health has been an issue for many decades. Individuals with less education are more likely to experience a number of health risks. These health risks include obesity and substance abuse compared to those with more education. “Other
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Everything has pros and cons and both the single and multi-payer systems are no exception. Bose (2017) pointed out that a single-payer system is managed by one payer (such as the government) and funded by people’s taxes to provide essential healthcare coverage for all. In contrast, multi-payer system is the provision of services based on the individual’s health care coverage from various sectors, may it be employer-related or private insurance. Single-payer simplifies the process by having one
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For our service learning project, the class teamed up with Together Colorado (n.d.) to be a part of their Bridges to Care (B2C) project. Together Colorado (n.d.) is a “non-partisan, multi-racial, multi-faith community organization that unlocks the power of people to transform their communities through community organizing.”(n.d., para. 1). Their B2C project is an initiative, originally developed in Camden, New Jersey, that focuses on getting people, whose main primary care provider is the emergency
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What is a Single-Payer System? “Single-payer national health insurance, also known as “Medicare for all,” is a system in which a single public or quasi-public agency organizes health care financing, but the delivery of care remains largely in private hands. Under a single-payer system, all residents of the U.S. would be covered for all medically necessary services, including doctor, hospital, preventive, long-term care, mental health, reproductive health care, dental, vision, prescription drug and
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Paul Carter HCA-240 Health Care Accounting and Billing April 6, 2013 Professor York Billing Process What is the process that is utilized when producing a final bill? In which ways are pricing and charging different in health care from other industries? What are the ways that private and government insurers and payers impact the actual reimbursement process in health care? The process for producing a final bill in health care starts with the medical record and coding which are communicated
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Medicare Policy Process The health care, policy-making process is composed of three major stages; the formulation stage, legislative stage, and the implementation stage. The policy process refers to the specific decisions and events that are required for a policy to be proposed, considered, and finally either implemented and/or set aside. It is an interactive process with multiple points of access providing opportunities to influence the multiple decision makers involved at each stage (Abood, 2007)
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