Case Study: Mrs. Zwick Navigating Healthcare

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Natalya Bailey KOT 1 Organizational Systems and Quality Leadership Task 2 Mrs. Zwick Navigating healthcare is frustrating for many patients. Mrs. Zwick was hospitalized for 5 days and transferred to a skilled nursing facility for a projected 21 day stay. Mrs. Zwick ended up staying in the skilled nursing facility a total of 40 days. Mrs. Zwick’s daughter will need to be educated on Medicare coverage versus what Medicaid is, as well as what a hospital acquired infection is and its effect on Medicare reimbursement. Medicaid is a state government funded healthcare reimbursement program for individuals and families who meet certain income guidelines. The case study does not indicate whether Mrs. Zwick has Medicaid in addition to Medicare A, B and…show more content…
Davis as he will be responsible for the entire premium cost for his coverage. When people are unable to afford private healthcare insurance and have chronic health issues, the burden of the cost of the care for those individuals falls on the healthcare facility, the state and federal governments. If a facility receives reimbursement from state Medicaid or from Medicare, that facility cannot refuse to provide healthcare services to a patient with an emergent health condition. Patients who do not have health insurance will often avoid seeing a primary care provider until their care condition has become serious enough to require emergency care. When patients only seek healthcare from an emergency provider their care is more expensive and may be disjointed because emergency providers do not have access to a patient’s complete medical chart. In this situation, duplicate testing is done and medications may be prescribed that are not safe for the patient. The use of the emergency room as a primary care provider and the disjointed care of patients in the emergency room are two of the many challenges that healthcare providers and governments face when a patient with chronic health problems loses their healthcare coverage. One step that may assist governments in providing safe and effective care for patients who do have chronic health issues but do not have health insurance is to provide a healthcare insurance program where the premium cost for the…show more content…
Davis will find that healthcare has pros and cons in each of those countries as well. Healthcare is publically funded in Great Britain regardless of income, employment, pre-existing condition or age. Services are free of charge. Medications are free to patients under the age of 16 and over the age of 59 years, for birth control purposes and low income. Most health care is provided in the primary care setting with specialty care referrals provided at the discretion of the primary care provider and may take as little time as a few weeks to several months. In Japan, healthcare insurance is required by law and citizens cannot be denied coverage. Patients have very low out of pocket expenses for medications. Because healthcare is often over utilized in Japan, there have been reports that care has been denied resulting in patient deaths (Kyodo News,2008). Germany has universal health insurance that is funded by employers, employees and government subsidies. Premiums are a set percentage of a person’s income and family members of registered member are covered at no additional expense. Drug costs are lower in Germany and new drugs cannot be released to the public without proof that is has a greater benefit that therapies already in place (Commonwealth Fund, 2013). Lastly, Switzerland requires all residents to purchase health insurance and cannot be denied coverage

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