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Insurance Healthcare Research Paper

… Health Care System

United States Health Care System

An increase in the concentration of the health care costs and quality assurances within the context of the health reforms continue to shift the attention of the federal and state governments towards the potential health information technology. This project seeks to enhance the effectiveness and efficiency of the health care programs as well as reduction of the health care costs (Lucas Jr. et al., 2013). The states and federal governments also focus on the improvement of quality and safety of the medical provision programs. This research exercise focuses on the examination of the concept of health information technology. This is through evaluation of the major issues or problems related to the program within the health care sector.…. [read more]


Healthcare Health Care Law Ethics Essay

… As has been the case in many setups, where due to cost management and provision of services at lower rates a sharing a resources takes place, here too it seems that the "Center" has joined hand with the "Happy Family Health Plan" which in return has also been working and sharing its resources and vice versa with Tallahassee General Hospital.

The Tallahasse General Hospital is a Government owned and run hospital and is owned by the County. But the general concern of the hospital has been shown more towards the profits that they might be receiving from the few paying customers that they have, which they might lose to the Center in case collaboration is done between the two.

To avoid this collaboration an attack…. [read more]


Health Care System Essay

… Health Care System

There are many factors that have affected the development of the health care system in the U.S. These include a larger number of baby boomers needing services, a significant number of individuals who do not have health insurance, and a political system that is struggling with ways to accommodate those needing insurance without raising debt levels beyond where they already are. All three of those issues are major concerns for the country at the current time, and they do not show signs of going away anytime soon. The large number of baby boomers cannot be helped, but because there is such a significant number of Americans reaching Medicare age all at once the system is going to be burdened with their cost…. [read more]


Healthcare Issues, Systems, and Policies Essay

… By inundating members of both houses of Congress with lobbyists, that sector (just like the investment and banking sectors) employs approximately six lobbyists per legislator (Kennedy, 2006).

The relationships and tacit mutual understandings that are generated through this political lobbying process routinely produce legislation that is economically beneficial to the industries represented by lobbyists and (in effect) also stifles any legislative changes that would limit or threaten the profitability of the healthcare and health insurance industry. In addition to the direct effect of premium increases on healthcare costs, the complete dominance of private healthcare by the health insurance companies (and certain inefficiencies in Medicare and Medicaid) contributes indirectly (but substantially) to the cost of healthcare by encouraging providers to increase their fees for services, since…. [read more]


Healthcare Reform Lowering Costs in Health Care Essay

… Healthcare Reform

Lowering costs in Health Care

Changes in the Health Care Act have sought to lower the costs of health care for Americans. Reports made available indicate that the only change that has seen the light of the day is the opposite of what we had expected. The changes have increased costs of care leading to increased complexities surrounding the already confused system. Collections of new pages about the regulation and higher taxes have led to enormous impacts on the small business community and American families. This has contributed significantly to the slow recovery of the stock market.

Major non-partisan tax and budget authorities have confirmed that the Health Care Act has been amended to impose a trillion of dollars on innocent public members.…. [read more]


Healthcare Information Technology Electronic Medical Research Paper

… They each work on a small level and do not possess interoperability. With a lot of caution providers not being linked to a typical information base and individuals travelling and also moving around the nation, collecting the essential details about a specific individual may be just about not possible. Co-ordination is actually essential for that most efficient final result (Ghosh, 2008).

The Centres for Medicare and also Medicaid (CMS), like a federal organization, has got the power to quickly alter service provider behaviours via two diverse systems. Initially, simply since the nation's biggest payer, CMS might make participation or membership within an RHIO essential for repayment. Secondly, HITECH demands significant utilization of EHR programs; however the laws failed to incorporate any particular procedures. CMS, functioning…. [read more]


Health Care Disparities Race Related Research Paper

… Their health conditions as compared to that of white women are quite adverse. One of the examples of their unfavorable health conditions is the high maternal mortality rate. The maternal mortality rate is highest among western nations. African women die four times more during child birth as compared to white women. This is because the colored, especially those belonging to low income families, do not have an access to the facilities that are necessary to get positive birth outcomes.

Medical Errors:

The medical errors in United States health care system cause about 44 to 98 thousand deaths. In addition to that, these errors also incur a loss of dollar 25 billion each year. Unfortunately due to high racial discrepancies most of such disadvantages are tolerated…. [read more]


Health Care in the U.S Term Paper

… The Spanish System

The health care system in Spain is still reeling from the recent global recession. High unemployment rates are expected to continue, which places a strain on the ability to support the national health care system (OECD, 2011b). The ability of the national health care system in Spain to provide services depends on an inflow of taxes from the people. Anything that harms the economy also harms the national health care system. The same is true in the United States, only the impact is not as great, because the system is not entirely dependent upon government funds.

The national health care system and Spain is known as the SNS. It is operated by the National Ministry of Health and Social Policy. It is…. [read more]


Health Care in the U.S Research Paper

… Some people may think that its against their freedom. Moreover, people have to pay the disapproved categories from out of pocket cash. Thus it stings people to get an insurance and yet pay for the healthcare expenses. (Singapore Healthcare System, 2013)

The insurance needs the people to be earning. The person must be employed to avail the facilities offered. This creates a problem for the self-employed and the unemployed people. As they cannot get themselves insured, they face difficulties in paying for their healthcare expenses. This makes the system a little biased. It also leads to an increase in the number of uninsured people. A total of 830,000 people are uninsured in Singapore. (Singapore Healthcare System, 2013)

The Singapore health system does not have proper…. [read more]


Health INS Healthcare Econ Essay

… Requirements regarding how long children can remain on their parents' policies, new mandates regarding pre-existing conditions, and a host of other changes that might be viewed favorably by consumers and might create a more comprehensive system nonetheless require extra administrative efforts and thus a higher proportion of healthcare dollars would be going to insurance administration. Any additional profits seen during this period would be the result of over-estimation of cost increases and would likely be seen to diminish after the transitional period.

3.

Slide 6 shows that the rate at which healthcare premiums grew was directly in line with the rate at which benefits grew, meaning every cent of every additional dollar health insurance companies collected during this period went straight to doctors, hospitals, prescription…. [read more]


Health Care Systems in Today Term Paper

… By considering the above mentioned details, it can be stated clearly that the health care system of Canada is the best of all since it is quite transparent as government itself is the regulatory authority for all funding and expenses and there is no confusion within the system itself. By spending less GDP in comparison with other developed countries like U.S., UK and Germany, Canada has achieved high rates of life expectancy and good health care system which is undoubtedly the best amongst all. The Canadians are enjoying good facilities of health care and the system is progressing more and more. U.S., UK and Germany lacks behind Canada in their health care systems as they rather established an organization for funding purposes or have a…. [read more]


Healthcare Reform Essay

… As a nurse administrator, one has to be vigilant so as to make sure that the nursing and other paramedic staff is working with honesty and competence to help the people who are sick. It is also the role of the nurse administrator to make sure that all the equipment required for primary or preventive care is available at the hospital or the health care center. The nurse administrator has to see whether or not the attendance of the nursing staff is up to the mark or not. The aim of the nurses should not just be to provide treatment or services, but also to counsel the patients. The patients need to be told that if they develop the same symptoms again they should come…. [read more]


Healthcare Management Australia's Health Care Essay

… Just as has been enumerated initially, state government funding for healthcare mainly comes from general taxation; block grants and specific purpose payments from the Australian government; funding from state fiscal resources; and funding from non-governmental sources. A state Health Departments budget must be within its budgetary process. Health grants to the states from the Commonwealth are disbursed based on population formula and performance measurements. States that secure large health grants are more likely to suffer reduced revenue from the Commonwealth. Some of the grants given to individual states are subject to fiscal equalization (Healy, Sharman & Lokuge, 2006). This equalization done by the Commonwealth Grants Commission is meant to ensure that all states are capable of providing adequate health services without levying higher taxes on…. [read more]


Health Care Reform Has Been a Hot Research Paper

… ¶ … health care reform has been a hot button issue across the United States in the form of the Affordable Care Act (ACA) but in the State of Minnesota it has been a hotly contested since the passage of the 2008 Minnesota Health Care Reform Act (Gray) and, most recently, with the extension of the General Assistance Medical Care program (Minnesota Department of Human Services). The fate of the ACA will soon be determined when the U.S. Supreme Court announces its ruling on said Act's constitutionality. The Court's ruling will have a profound effect on the delivery of health care throughout the nation but regardless of how the Court decides health care in the State of Minnesota will be altered.

On the national level,…. [read more]


Healthcare Reform History of Socialized Medicine American Term Paper

… Healthcare Reform

History of Socialized Medicine

American Health care history

Allopathic vs. Homeopathic Approaches to Healing

The medical industrial complex

The Affordable Care Act in Detail

Impact of the Affordable Health Care Act on Nursing Profession

The New Face of Health Care

Challenges for the Health Care Industry

The Prevalence of Doubt

All of this regard about the state of the American health care system has been reaching what some may call a slow boil. It is no surprise that Health care at the moment ranks among the top three concerns that the American public wants those in legislation to address, and it is most sure intertwined with rising concerns in regards to the financial uncertainty. The increasing price of healthcare in today's economy is…. [read more]


Healthcare Reform "Simkins v. Moses Essay

… A patient in a critical health condition faces a critical health risks if not admitted into the hospital.

Issues Hospital and Physician confront when Discharging a Patient

Issue a physician and hospital may confront when discharging a patient is to fully understand whether the sickness will not return after a patient has been discharged. A hospital might also consider whether the medications prescribed for patients have side effects. To prevent this occurrence, a physician and hospital should advice a patient to visit the hospital regularly for a medical follow-up.

Conducting illegal or Unethical Practices

A physician has an obligation to report an unethical practice. Unethical practice that violates a state license provision should be reported to the state licensing board.

"It is appropriate to report…. [read more]


Healthcare Right or Privilege Research Paper

… Health Care: Right or Privilege?

There are those who will argue that healthcare is neither a right nor a privilege, but I do not agree with them. People argue that rights are freedoms of action, not entitlements to what others produce and that a privilege is something authority figures permit us to do at their discretion. Brian Schwartz sums up this argument by stating that, "Health care is neither a right nor a privilege. Rather, we all have the right to seek medical treatment through voluntary trade or charity" (Schwartz, 2009). He goes on to suggest that "those who claim health care is a 'right and not a privilege' support policies that make it a privilege. When government enforces an alleged 'right' to health care,…. [read more]


Health Care Economics Essay

… Physician referral process for the model health care setup should be upheld according to the required standards to minimize conflicts between patients and physicians as well as the implications of referral for quality of care and cost to the patient (Shortell & Anderson, 1971). In this regard, the exchange theory will be used to allow for conceptualization and analysis of the various aspects of the referral interaction. According to this, if a referral is necessary, the physicians should decide to whom the referral is made, for how long, and for what services.

Question 4

The concept of direct exchange between the buyer and the seller is not present in the health care market. A basic characteristic of health care systems in all developed countries is…. [read more]


Health Care Economics Medical Term Paper

… They have years of training, variable years of experience, but different interpretations of medical care, needs, and philosophies. Some doctors may be cautious and proceed carefully with many tests prior to making a diagnosis or decision; others may believe case A needs B. And act; while still others are guided by their HMOs or administrative concerns. Ultimately, though, while the patient may have the utilitarian authority regarding their own healthcare, most opt to cede that authority to the doctor. The doctor then decides what the demand for care is based on their interpretation of what is best for the patient. Combine this with research, industry data, and new technology and one has a complicated formula.

For instance, in Area A in our hypothesis, the HMO…. [read more]


Healthcare Spending the United States Essay

… The Medicare and Medicaid programs are also reformed and designing Insurance-like setups that would help people getting direct access; thus, cutting down the expenses on healthcare programs.

Moreover, insurers and healthcare providers are directly dealing with each other and making new payment models thus sharing the risk of healthcare coverage. This has also increased the level of employers' interest in workers' healthcare. These shifts are improving the healthcare system but the economic downturn has increased. However, these changes will make significant improvements in healthcare till 2014. (Matthews, 2011)

Conclusion

Currently, the condition of U.S. Health Care System is worse than any other industrial countries. Expenditures are high and health outcomes are quite poor. But since the Healthcare Reform Law 2010, the future of healthcare in…. [read more]


Health Care Delivery Systems Research Paper

… The best practices principles identified by the World Health Organization are: (1) The partnership or collaborative arrangement demonstrates a clear added value; (2) The partnership or collaborative arrangement has a clear goal that concerns a priority area for WHO; (3) The partnership or collaborative arrangement supports national development objectives; (4) The partnership or collaborative arrangement ensures adequate participation of stakeholders; (5) The roles of partners are clear; (6) Pursuit of the public health goal takes precedence over the special interests of participants; (7) The structure of the partnership or collaborative arrangement corresponds to the proposed functions; and (8) The partnership or collaborative arrangement has an evaluation or self-monitoring mechanism.

8. Key Strategic Planning Elements in Healthcare Systems Management

The strategic planning elements most frequently utilized…. [read more]


Healthcare Nursing Policy Essay

… Healthcare Bill

The Economic, Resource Allocation and Administrative Impacts

of the Affordable Care Act

The number of Americans who are uninsured or uninsured continues to rise by frightening margins. Today, the demand for policy intervention that can improve the costs of healthcare and made critical medical treatment coverage accessible to ordinary Americans is as high as it has ever been. The Obama Administration would respond to this imperative by authoring sweeping Healthcare industry reforms aimed at improving the efficiency of the system and improving the permeation of its coverage on a nationwide scale. The massive body of legislation would be comprised of a wide variance of bills intended to address the myriad dimensions and complexities of the currently tangled and dysfunctional healthcare system. Specifically due…. [read more]


Healthcare System Essay

… The average life expectancy in Norway is high (Burger et al. 2012). This is a significant factor in increasing pressure on the healthcare system of Norway. The old age citizens require healthcare facilities more frequently than the young aged public. The intensity and severity of the old age healthcare requirements play an important role in exerting pressure on the system. The policies of healthcare provision are also observed as facilitating at the first place in case a patient is qualified for benefits. The policy enables the patient to gain healthcare treatment on the basis of severity of the diseases (Haveman et al. 2011).

Increased Diseases:

There are multiple causes for increased healthcare diseases. The increase is due to declining nutrition in food, environmental, and socio-economic…. [read more]


Health Care Systems Essay

… As a result, the U.S. system is hybrid of the private and governmental models integrated into one. ("A Distinctive System of Health Care Delivery," 2010)

Conclusion

Clearly, the U.S. health care system is influenced by the beliefs and values of different stakeholders. This can be seen with the basic approach that is used in delivering these solutions to the general public. What is happening is there is an emphasis on using a combination of models to address the concerns and needs of various individuals.

As a result, the system has become a mixture of programs that are designed to cover specific areas. In some cases, this could involve having someone utilizing services that are provided by: private insurance companies and those from governmental entities. While…. [read more]


Health Care Changes and Trends Essay

… The same is true of aging, which must be treated with greater care and attentiveness as individuals live longer.

Technology

As noted above, system-wide changes such as the advance EHRs are valuable but require an evaluation of new technology. (Elmore, p. 1) This evaluation should include a cost-benefit analysis in which we assess the risks to privacy as compared to the benefits to system efficiency.

Other areas of technological advance include the introduction of new medicines such as "an intelligent pill that can be programmed to deliver targeted doses of medication to patients with digestive disorders such as Crohn's disease, colitis, and colon cancer." (CSC, p. 1) New devices such as advanced imaging machinery and surgical robotics are also leading to incredible advances in treatment…. [read more]


Health Care Industry Essay

… Hospitals often have difficulty making a profit now, and doctors are leaving the profession because of the high cost of malpractice insurance and other bills (St. Sauver, et al., 2013; Christensen & Gronvall, 2011). Because of that, the health care industry may have to make big changes in how it does things in the next 10 years. If that is the case, there may be a return to simpler medicine in some ways, with more common and less expensive treatments for some ailments. There may also be an influx of people heading to alternative medicine doctors who will treat them with herbs and natural options, in order to keep their costs down. Until Obamacare begins in full force and has been operational for a while,…. [read more]


Healthcare Financial Management Research Paper

… Due to the extremely complex nature of healthcare management, which involves constantly shifting pricing structures, regulatory and legislative oversight, and interaction with pharmaceutical conglomerates and medical device manufacturers, knowing how to pursue productive negotiations with third party-payers is an essential skill. The lessons found in Negotiating Skills: An Imperative When Contracting are directly applicable to the demands of modernized healthcare management, covering the most successful methods through which to learn the art of effective negotiating tactics. Personally, I found the sensible advice given by David Wilson in his article 3 Steps to Profitable Managed Care Contracts, which identifies "key business items as claims submission and payment provisions; protection against catastrophic cases; procedure-based carve out payments; stop loss payment structures; and payment for exceptionally costly items…. [read more]


Healthcare Management in Today Essay

… Without the proper way to handle coding, ACOs, and other issues that surround medical billing and the financial aspects of a medical practice, physicians, hospitals, and their staff can struggle to stay afloat. They have to be able to charge patients for their services, but they also have to be able to raise and lower prices properly so that they stay in line with what other practices are charging and can afford to pay the third-party billing company they work with. Collection of delinquent accounts, paying for supplies and insurance, and making sure staff are fairly compensated are all issues that are worthy of consideration. If they are not all taken care of by the practice manager or delegated to others, an otherwise good medical…. [read more]


Health Care Reform Policies Essay

… On the 13th of October the year 2009, the finance committee voted on the America's Healthy Future Act, approving it also in March 2010, the Patients Protection and Affordable Care Act together with the Health Care Reform Improvements Bill was passed by the House of Representatives (Stolberg & Pear, 2010).

Implementation Stage

This stage is materialized when a policy, which is authorized, is overseen and enforced. This is accomplished by the appropriate agency of the government (Howard, 2005). In this stage, the agency charged with administering and enforcing the policy, is in all probability, required to make available the missing elements in addition to providing judgement over the objectives, schedules, program design, goals and reporting structures of the policy. In the case of the United…. [read more]


Healthcare Management Information Systems Telemedicine Research Paper

… Healthcare Management Information Systems

Telemedicine

Telemedicine can be traced far back in the 1960 when the National Aeronautics and Space Administration (NASA) provided health care to it astronauts Bashshur & Armstrong, 1976.

The medical service was provided to the astronauts from a medical van that was linked to medical specialists equipped with a two way microwave telemedicine and audio transmission. The service was meant to telemeter astronaut's physiological response while on their space mission in their space suits

In 1967 a medical station was established in Massachusetts general hospital to cater for airport employees and deliver emergency medical attention and care to commuters. The diagnosis and evaluation of treatments was undertaken by selected nurses overseen by physicians Williams, May C.R., & Esmail a., 2002()

Further…. [read more]

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NOTE:  We can write a brand new paper on your exact topic!  More info.