Viewing papers 1-30 of 58 for nursing AND single AND payer AND health AND care AND the AND american

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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 Legislative Bill the Expanded Essay

… If enacted, the bill guarantees that in the next few years, every person in the United States of America will have adequate health insurance protection funded by the state. This will then reduce the number of America's uninsured people from the current twenty percent. This will be achieved through the numerous subsidies meant to encourage relatively small employers to buy insurance covers for their employees and make it easier for them to qualify for state sponsored Medicaid (McCormick, 2009).

Impact of the Bill on Administrative Resources

The government is yet to analyze the cost of the bill but it is largely anticipated that by paying up to fifty-five per cent of all medical costs not already not covered by the national health care program will…. [read more]

Healthcare Reform Ways the Healthcare Reform Bill Thesis

… Healthcare Reform

Ways The Healthcare Reform Bill May Affect The Average American

Many of those who disagree with the proposed Healthcare Reform Bill actually agree that America's current health care system needs reform. Amidst concerns and challenges that counter and compliment the contemporary health care reform bill being considered by Congress, one primary question arises, the primary question this mixed methods research paper addresses: How may the current proposed Healthcare Reform Bill affect the average American?

In addition to accessing information through the literature review, this study conducts a 15 question survey via a questionnaire the researcher created. Ultimately, as the research paper answers the primary research questions and three relevant sub-questions, it stimulates more questions regarding the proposed Healthcare Reform Bill that only time,…. [read more]

Healthcare System in the Netherlands Term Paper

… Healthcare System in the Netherlands

The Netherlands has a unique concept of 'family physician' known as 'Huisarts' who the primary Doctor responsible for coordinating physical and mental care of patients in his neighborhood. January 2006 saw the launching of a new healthcare system which requires citizens to avail a basic health insurance package. It covers medical treatment alongwith services delivered by General Practitioners, hospitals, specialists, indoor admission, dental care and different medical appliances. The healthcare system in the country comprises of three divisions for health insurance, managed by three different establishments. They are the national health insurance for special medical expenditures; mandatory sickness funds meant for people having low incomes less than a specific stage and private, primarily voluntary health insurance; and finally the voluntary…. [read more]

Health Maintenance Organization Impact on the Minorities Thesis


The focus of this research study is the health maintenance organization impact on the minorities' community and specifically the communities of Hispanics, African-American and Latinos in the locations of New York City, New Jersey, Connecticut and Chicago. In recent years it has become increasingly clear that the U.S. .healthcare system is failing in making the same quality of care provision for ethnic minority populations as are made for the majority white population and the racial and ethnic disparities in accessing quality healthcare have been documented in research studies. It is reported that African-Americans experience the highest rates of mortality from heart disease, cancer, cerebrovascular disease and HIV / AIDS than any other U.S.…. [read more]

Nursing Single Payer Health Care the American Thesis

… Nursing

Single Payer Health Care

The American Nurses Association (ANA) believes a single payer health care system should be the top priority for the upcoming administration, because there are still millions of uninsured Americans in the country today. They advocate a solution that prioritizes the elements of health care and prevention, and advocate a national system that will entitle all Americans to the same quality of health care. The editors of their health care reform policy note, "The solution is to invert the pyramid of priorities and focus more on primary care, thus ultimately requiring less costly secondary and tertiary care (Editors, 2008, p. 2). They also believe that other elements of the system must be reprioritized. They continue, "he system must be reshaped and…. [read more]

Nurse to Patient Ratio Thesis

… Nurse to Patient Ratio

Change theory in a healthcare setting

The change that is needed: lower nurse to patient ratios in hospital settings

According to the Massachusetts Nurses Association a research study conducted by the Healthcare Research and Quality agency discovered that patient outcomes improve dramatically on nursing units with lower nurse to patient ratios. The optimal workload for a nurse was four patients. Increasing the workload to six patients resulted in patients 14% more likely to die within thirty days of admission. A workload of eight patients vs. four patients was associated with a 31% increase in patient mortality. Improved patient satisfaction and quality of care, less stressed nurses, and higher nurse retention levels can all be improved by lowering the patient to nurse…. [read more]

Healthcare Issues With the Provision Thesis

… Healthcare

Issues with the Provision of Healthcare in the United States: An International Comparison

The issue of healthcare reform in the United States is in the news constantly right now, as the two houses of Congress attempt to hammer out a national healthcare plan that will guarantee more complete coverage to millions of Americans while attempting to appease, to some degree, worries about budget deficits and government intrusion into private medical matters. These media-friendly issues only touch the surface, however, of the underlying problems in the United States healthcare system. There are many other problems with the healthcare system in the world's largest economy that fail to receive such attention due to their complexity and, in some cases, their obscurity. An examination of healthcare systems…. [read more]

Future of Health Care Term Paper

… The cost for this style of medical care delivery is very expensive. It is important currently and in the next fifteen years to develop a health care system that allows for the uninsured to receive care at costs that can be afforded and if not afforded then absorbed by the taxpayers. Over the next decade and a half it will become vital to promote and develop programs that allow for goods a services to be delivered even to those who are not insured (Kohler, 2001).

The St. Louis area is fraught with rising medical care costs. Those costs are forcing companies to either raise the employee premiums or stop offering insurance all together. In the future years to come there has to be a method…. [read more]

Healthcare Lobbyists Research Paper

… Healthcare Lobbyists

Drugmakers, hospitals and insurers poured millions of dollars into lobbying during 2009 hoping to limit the damage to their bottom line as lawmakers and the Obama administration wrangled over landmark health-care legislation. Disclosure reports that were given to Congress have shown familiar players at the top of the health-care influence heap, including $6.2 million in lobbying by the leading Pharmaceutical Research and Manufacturers of America (PhRMA) and $4 million by the American Medical Association (Eggen, 2009).

Many health companies and associations have increased their lobbying expenditures over the last year. The Blue Cross and Blue Shield Association increased its lobbying expenditures by a full million, to 2.8 million dollars during the second quarter of 2009; GlaxoSmithKline's spending jumped from $1.8 million to $2.3…. [read more]

American Healthcare Reform: The Benefits Essay

… Therefore, some forms of treatment would not be provided or delayed to the public. Nevertheless, under the current regime, some members of the public are restricted from certain types of treatment due to their private health insurers and the various restrictions that private insurers implement in order to defray costs, not to mention the segment of the population that does not have any access to health insurance. Therefore, it is not a matter of single-payer simply not providing as much healthcare to the public. Rather, it is a matter of how the healthcare is distributed throughout the population. If one values egalitarianism in society -- in opposition to a society in which determinants of life and death are based upon wealth stratifications -- then he…. [read more]

Fraud and Abuse Case Healthcare Essay

… In the case of fraud and abuse cases risk areas identified include; improper coding and billing, avoidance of improper inducements, encoding, unbundling.

When carrying out a baseline audit, risks areas are factored in especially when performing an internal review. The review can be self-audit meaning it can be performed by a facility billing and healthcare staff. This should be carried out periodically to bring into attention the follow-up of compliance programs. In case of problems portrayed by baseline audit or overpayment repayment is done and frequent monitoring is enhanced.

Written policies and procedures

This policies and procedures guide the staff and enable them to tackle with crisis. These standards include the risk areas identified. The responsibilities and expectations of employees are included in the code…. [read more]

Rural vs. Urban Health Care Disparities Dissertation

… Health Care Disparity in Maryland

Context of the Problem

Unsettling Disparities Occur

Approximately 1,600,000 individuals who live in Maryland either do not have access to healthcare as they cannot afford insurance and/or are underinsured.

In "Health care reform: a vital issue for Maryland's nurses," Anne S. Kasper and Leni Preston (2008) stress this unsettling fact, as they point out that Maryland ranks number 24 in the United States in the number of uninsured residents. Fifteen percent of Maryland's population, almost 800,000 people, in fact, is not insured. The significance of the fact relating to those who do not have access to healthcare, Kasper, and Preston (2008) assert, increases as this magnificent number of individuals without access to healthcare does…. [read more]

Healthcare Management. Allocation Health Care Essay

… 3. Ethics of resource allocation

So far in the discussion, it was mentioned that the health care resources should be allocated based on the ability of the institution to put them to good use -- to serve patient needs and to generate a return on the investment. Nonetheless, the allocation of the resources should also consider the characteristics of the population it targets. In other words, an ethical component of resource allocation should be represented by the quality of life and the quality of health life for the targeted population. This need is even more so impending as studies have shown that the social and demographic features of the population impact their access to health care. People of a lesser educational level, of a lesser…. [read more]

How Will the Aging Baby Boomers Affect Health Care? Research Proposal

… ¶ … Aging Baby Boomers Affect Health Care

The objective of this work is to examine how the aging baby boomers will affect the health care system in the coming years.

INTRODUCTION recent report published by the Centers for Medicare and Medicaid Services (CMS) stated that unless "decisive action is taken, total U.S. health care spending will double to just over $4.5 trillion by 2017 or nearly 20% of the nation's gross domestic product." (Bio-Medicine, 2008) it is estimated by Tefen USA that "this figure could be considerably higher, based on its assessment of data that people over the age of 65 experience nearly three times as many hospital days per thousand as the general population, and that sixty-two percent of 50-64-year-olds report having at…. [read more]

Reputed Health Crisis Term Paper

… Business Perspectives; 9/22/2002; Wright, Douglas

Despite ongoing concerns about TennCare's cost and success, the program has provided health care coverage to Tennesseans at a reasonable price while benefiting the overall health care economy of Tennessee. This article examines some of the questions commonly asked about the TennCare program.

Why Was TennCare Created?

TennCare was created to help solve the state's budget problems. In 1993, Tennessee faced a budget shortfall of over 250 million state dollars caused largely by increases in Medicaid spending. State officials were forced to choose between massive cuts in spending or large increases in taxes. Cutting Medicaid spending would have resulted in the loss of about two federal matching dollars for every state dollar cut, a loss of hundreds of millions of…. [read more]

Nursing Tasks, Methods, and Expectations Term Paper

… Together, this combination of factors is leading toward a health care crisis which is much larger than the question of whether or not the government finances prescription drug coverage.

The State of the Industry

As inferred above, many factors are contributing to the nursing shortage crisis. This section will discuss the major contributory influences.

1. Poor Working conditions

Dissatisfaction with pay and increasingly stressful work conditions, aggravated by a shortage of nurses at hospitals across the country, is spurring job actions in the health care field. Many nurses are choosing to leave the profession, and seek better conditions, or higher pay scales. Because of what the University of Wisconsin (UW) Hospital calls "staffing shortages," the hospital frequently calls for nurses to volunteer to work overtime.…. [read more]

Role That Competition Plays Term Paper

… Payers' Incentives Make Payers Adversaries of Patients and Providers In most industries, the consumer makes the purchasing decision and pays for the product or service. In health care, the purchasing decision, payment, and receipt of services are separated. As a result, there are multiple tiers of customers: employers, who purchase health care coverage for their employees; third-party payers, such as insurance companies and health maintenance organizations (HMOs), which collect premiums and then pay providers for services rendered to their subscribers; patients, who ultimately receive the health care services; and doctors, who determine or advise on the tests and treatments for patients. "

The U.S. healthcare system can thrive through the use of a competitive method if the consumer becomes the true consumer instead of the…. [read more]

National Health Care Reform -- the History Term Paper

… National Health Care Reform -- the History, the Proposal, the Policy Process, the Path from President Obama to Congress into Law, and the Political Fallout.

National Health Care Reform

The health care legislation was first introduced to the American public in the first half of the twentieth century, with presidents Roosevelt and Truman expressing their desire to establish such a plan. In spite of the fact that both the democratic and republican administrations in charge of the U.S. In the recent decades have dedicated some of their efforts to supporting health care programs, it seems that matters got worse and Americans started to lobby in order for the health care system to be reformed. Barack Obama's administration appears to be just what people wanted when…. [read more]

Future of Managed Care Medical Research Paper

… The agreements either for test fee, trail fee or donation must be set with a patient centered philosophy in mind (Model Agreements, 2013).

Cost of Health Care

A patient should not expect the hospital to simply charge him for the medicine and tests he avails for his disease. It should be noted that there are multiple cost factors working in a hospital simultaneously. The training and education of doctors, surgeons and nurses is a big expense on individuals and the hospitals. Thus, the fee charged to the patient is based on the hospital's expense on hiring medical talent, staff, technology, equipment, building and running and operating medical facility (Epstein and Street, 2011). It would be unfair to demand medical care from a facility excluding all…. [read more]

Professional Image and Nurses Unions Essay

… Nursing

Professional Image and Nurses' Unions

Professional Image and Nurses' Unions - Discuss Pros and Cons

A union is an association that brings together dissimilar people in the same line of work. There are many unions in the medical and health care professions. Nursing labor unions have become tremendously visible in the past decade generally due to their objectives of attaining better wages and working environments for their members, and enhanced nurse-to-patient relations (Estlund, 2010).

Nursing unions are fashioned with the purpose of providing nurses a resource to deal with concerns and troubles that come with the line of work. While proponents for nursing unions feel they give nurses more of a voice and more authority in their vocation, there are others who feel unions,…. [read more]

Social, Cultural, and Political Influence Research Paper

… S. (Crinson, 2009).

An alternate factor in the health care access issue is recognized in instances of urban poor. Information from urban slums shows that newborn and under-five death rates for the poorest forty percent of the urban populace are as high as the remote ranges (Crinson, 2009). Urban inhabitants are extremely powerless to macroeconomic stuns that undermine their earning limit and expedite substitution towards cheaper and less nutritious foods. Individuals in urban slums are especially influenced because of poor sanitation, absence of appropriate housing, fit sanitation, and legitimate education (Wilkerson, 2008). Financially, they lack reserve funds, extensive sustenance stocks that they can draw down over the long haul. Urban slums are also home to a wide display of irresistible illnesses like HIV / AIDS,…. [read more]

Ethics of Managed Healthcare Policy Term Paper

… Reactive Healthcare vs. Preventative Care

The American fee-for-services compensation model instead of positive-results-based managed care compensation in other countries raises another fundamental ethical concern: namely, the essential focus on human health (Beauchamp & Childress, 2009; Rosenstand, 2008). Specifically, the entire approach of the American healthcare system relies on (1) treating human disease after it manifests itself in acute illness, and (2) an isolated system whereby multiple physician specialists rendering concurrent treatment for the same patients do not coordinate their respective care except in the most superficial manner designed more to protect them from potential liability for malpractice for delivering medically contraindicated care than to achieve the best possible comprehensive care and results for their patients (Goldhill, 2009; Levine, 2008; Reid, 2009; Tong, 2007).

Treating disease…. [read more]

Future Implications of Improving Health Term Paper

… Future Implications of Improving Health

In the past few decades, technological progress and economic growth have led to improvements in human health, causing a rise in the average age of the population as well as population growth. The rapid growth of the elderly in the population has emerged as a significant concern among taxpayers, elderly people, and government agencies alike, as social security and pension plans are no longer consuming the majority of incurred elderly debt. In the past, social security and pension plans were devised at a time when relatively few people reached the age of sixty-five, and these plans covered their support. However, this is no longer the case, as younger people are now required to pay the costs of their support, since…. [read more]

Marketing in Healthcare Catholic Term Paper

… The mission of the CHW is to provide those in disadvantaged financial positions with excellent health care. It is also their mission to do so in a spirit of Christ-like compassion and love.

If a paradigm of wellness is to be adopted, programs such as community education events could be implemented. These could focus on educating the public regarding the maintenance of health and the prevention of illness. The focus can still be the poor and of course the acute illness care unit can still operate for those who need it. However, if wellness is a greater focus within the organization, some of the existing facilities could be converted to become education centers to help people focus on wellness.

For any organization to grow, new…. [read more]

Analyzing the Healthcare System Research Paper

… Healthcare System

The health system of the United States is deemed to be the most advanced and progressed in the world. In particular, the system encompasses medical centers all over the nation. However, one of the worrying aspects is that the system is not fully comprehensive and satisfying to the American citizens as a whole. The United States does not have a health system that is uniform, with universal coverage, and the current legislation obligating coverage is yet to be completely executed.

In accordance to an article by Oksman (2016), approximately more than 2,000 general practitioners and doctors are ordering and demanding for the institution of a universal health system that is run by the government in the United States. In particular, these physicians have…. [read more]

Financial Management Discussion Research Paper

… American Medical Association (2013) argues that Bundle payments are a type of single payment that covers services delivered by two or more health providers and being delivered over a specific period. For example, a patient having cardiac bypass surgery will pay bundle payment rather than making one payment to surgeon, another payment to hospital and third payment to the anesthesiologist. Common examples of bundle payments are global surgery periods or global payments for obstetrical care.

Method Providers Control their Revenue

Providers use three methods to control their revenue in contemporary economic environment, and these strategies include:

1. Price setting

2. Payer contract negotiation

3. Billing/coding management

Price setting is the process by which healthcare providers establish specific price for the service delivered. Typically, a healthcare…. [read more]

Advanced Practice Nurses and Prescriptive Term Paper

… Political issues involving physicians, in general, also pose significant issues for the modern Nurse Practitioner. The dramatic increase in Nurse Practitioners has given rise to questions about their impact on the incomes of other health providers, including physicians. Researchers have found that in areas with greater numbers of nurse practitioners, nurse practitioner incomes are higher while the incomes of physicians in the same geographic areas are decreased (Perry, 2009, p. 509). Perhaps partially due to the economic impact of Nurse Practitioners on physicians, Nurse Practitioners face physician resistance to their quest for full practice and prescriptive authority. As Carla Mills points out, physicians "express concerns that unsupervised NPs will misdiagnose, miss less obvious and potentially life-threatening problems, and make prescribing errors. They state that NPs…. [read more]

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