3. Describe how U.S. health care is financed and the benefits and limitations of employer-sponsored health insurance, Medicare and Medicaid on delivery of health care services. 4. Locate and critically evaluate proposed and existing statutes, rules, and regulations which define the boundaries and nature of professional nursing practice. Guided Study: 1.
Judging on the past of health care and the major developments that have been made in the last 150 years, the economics of it all have also changed dramatically. The demand for health care is nowhere near meeting the supply, struggling with retaining employees and offering efficient care all over the world. The health care economy is the most grossing industry in the United States, with a gross domestic product of 3.5 trillion dollars. With results like that, elasticity in health care seems somewhat unheard of. The need for health care is dire, yet the prices just increase.
Ethics, market integrity, and the role of regulation in facilitating market integrity have major implications for private industry, government, political groups, and special interest groups. The Bipartisan for Health Care, LLC is a not for profit advocacy group that emphasizes ethical contribution toward improving health coverage for all Americans. The Modern Health Care for All Americans reform effort to transform health care plan constitutes an important public policy initiative that exposes formidable challenges for individuals, and organizations with an ethical dilemma (Obama, 2008). In the current business environment the fundamental considerations of health care involve various morally relevant factors that express straightforward goals that seem well-matched with consequentialist ethics. According to Salladay (2006), consequentialist ethics ethical choices are relative to the context in which they must be made and should be guided by the desired outcomes, which must be beneficial (p. 24).
Reflection Journal: Cost/benefit of Sustaining Life Social and Organizational Issues in Healthcare Southern New Hampshire University Written by: Pratikkumar Patel The economic evaluation of health and environmental interventions for sustaining a life is becoming increasingly important. In the light of limited funding, such evaluations can provide an important tool to demonstrate the economic return of investments in intervention, compare the effectiveness of one intervention against another and help policy-makers allocate their limited budget. As I see my career as a Healthcare Administrator, it is important for me to know method of economic evaluation that values all benefits against all costs. The resulting cost-benefit ratio gives an indication of whether or not the benefits outweigh the costs of an intervention, and hence provides a decision-making tool with a broad societal perspective. In this journal, I will be reflecting about how insurance companies, hospitals, and patients can use Cost-benefit analysis for sustaining a life.
Certification affords hospitals to participate in federally funded Medicare and Medicaid programs. Accreditation is defined as “A self-assessment and external peer assessment process used by health care organizations to accurately assess their level of performance in relation to established standards and to implement ways to continuously improve.” (Raik, 2001) Continuous improvement should be the ultimate goal when providing health care to the public whether it is a private for profit organizations or a community health center that is not for profit. There are both national and international accreditation bodies that survey and provide hospitals with accreditation. In the United States the standard for hospital accreditation is the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), which per
Managed competition is intended to attain the maximum worth for customers and employers as they purchase health care. “The goal of managed competition is to divide providers in each community into economic units to motivate them to develop efficient delivery systems (Corder, et.al, 1996).” Managed care delivery systems exist to offer the consumer with quality, efficient, and cost effective services. Employers began to pay close attention to the variety and value of health care benefits purchased, and began to pressure insurers as well as managed care organizations to offer basic benefits at reasonable prices, which would ensure valuable service and care. In addition, employers are implementing outcomes research and cost data to help select the best suppliers for their employees (Corder, et.al,
The Impacts of the Affordable Care Act: How Reasonable Are the Projections? Jonathan Gruber NBER Working Paper No. 17168 June 2011 JEL No. H3,I18 ABSTRACT The Patient Protection and Affordable Care Act (ACA) is the most comprehensive reform of the U.S. medical system in at least 45 years. The ACA transforms the non-group insurance market in the United States, mandates that most residents have health insurance, significantly expands public insurance and subsidizes private insurance coverage, raises revenues from a variety of new taxes, and reduces and reorganizes spending under the nation’s largest health insurance plan, Medicare.
The patient protection and affordable care act also known as the health benefits is a health bill signed into law by President Obama on March 23, 2013. As stated in many articles are by far “the most significant piece of social legislation passed in since Medicare was implemented in 1965” (Mason, Leavitt & Chaffee, 2012, p.1). its purpose is to give people affordable and universal health coverage which will also stop insurance companies from denying coverage for people with
To date, U.S. cost containment policy has focused too narrowly on demand-side interventions such as changing the design of insurance benefits and increasing cost sharing. This paper summarizes the factors responsible for the rise in health care spending during the past twenty years. As the data show, most of this rise has been driven by a rise in treated disease prevalence, fueled by an increase in population risk factors such as obesity and by innovations in the treatment of chronic disease. The bulk of the paper then outlines a series of reforms that are designed to
In order to provide free education for medical students, malpractice insurance for physicians, and free health care for everyone, taxes need to be raised. Ultimately, all Americans can have health care if we pay higher taxes instead of paying the insurance companies. Bibliography 1. Karen Davis, Cathy Schoen, & Kristof Stremikis, Mirror, Mirror on the Wall How the Performance of the U.S. Health Care System Compares Internationally 2010, http://www.commonwealthfund.org/~/media/Files/Publications/Fund%20Report/2010/Jun/1400_Davis_Mirror_Mirror_on_the_wall_2010.pdf. 2.