Managers should identify these patients and plan a follow-up treatment plan for them. Fourth, information transparency has become more important than before, and those who pay for the medical services want to know about the medical cost and the quality of care. Also
I was shocked when the Cleveland Clinic Foundation announced that they were no longer accepting Caresource insurance which is part of the Medicaid program. I knew that this was going to affect a lot of people who count on Cleveland Clinic Foundation for their care. Also, our advancements in technology have been astonishing but still present as a concern because of the cost to purchase, operate, and maintain the equipment is a huge investment in which sometimes the federal government provides financial coverage. In summary, these predicted increases in health care costs must be looked at in terms of prevention and/or cure and effective planning for the the future must start
However, in hospitals of US, nurses have been facing different clinical issues (Sharifcorresponding & Masoumi, 2005). The most important issue that is needed to be resolved is the cultural competence. Cultural competence exists in all the organisations and this increases the efficiency of organisations. Similarly, this has become a major factor in the health care system of US hospitals. However, the selection of this clinical issue has been made because of the severely negative impacts of cultural competence, which are increasing with the passage of time.
For example, the implementation of the Patient Protection and Affordable Care Act is two that are significant however, not the only two policy issues that have raised national attention. A question of should the federal and state governments have control of healthcare policy or the question of the policies generally supported by both parties? Healthcare reform was mainly put in place to ban the insurers’ from discrimination against pre-existing conditions, limits on age discrimination, and the elimination of lifetime caps. The health care system in the United States consists of a network of physicians, patients, hospitals, insurers, employers, regulators, and stakeholders.
The countless contributions Baby Boomers have made to our current world are undeniable. The world we know today would not be the same without them, however, as this large group of people age, a series of consequences will corrode the foundation our country is built on. The time to realize the passing of the torch is now, and if we fail to realize this, our country could fall into a facade progression that is already starting to build in our culture, economy, and especially our
One of the most significant current discussion about health care is the introduction of Affordable Care Act (ACA or Obamacare) in America. The aims are to improve the quality of health care services and expand the public insurance companies, Medicare and Medicaid, so that to reduce the numbers of uninsured. As the government has increased taxes; and fines will be collected if citizens and businesses aren 't purchasing or providing any health insurance, the period of introduction and implementation, the America’s economy has resulted a big change in different aspects, such as the rate of economic growth, unemployment, government expenditure and the society influences, so it brings out the argument on “should the government repeal the act?”. Although
As I progress in my career, I feel that it is important to develop a personal style and technique that clients can relate to. I am also interested in learning more about assessments and evaluations as they drive the rehabilitation plan. While I have assessed hundreds of clients, I realize that there is more to learn. For instance, the trend over the next five years will be an increase in applicants who receive state-plan home and community based services. The Final Rule issued by The Center for Medicare and Medicaid will require that individuals receive services in the most integrated settings.
Baby boomers are defined as “the era of Americans who were conceived somewhere around 1946 and 1964". This group has been large and significant percentage of the U.S population. Their aging will have dramatic implications for health care providers with regards to the costs implications of the resources that they will consume, the expectations that they will have in terms of services they receive, and how they expect to interact with health care system. The needs and wants of the baby boomer generation are extremely complex, and in order to create an effective marketing message, advertisers need to conduct comprehensive market research in order to gain their market share (Berkowitz, 2010).
Healthcare organizations (HCOs) face a number of difficulties within its organization each day, including patient acquisition and patient retention. It is commonly believed that getting individuals to their healthcare facility is the most challenging aspect that HCOs face. Of course, new patient acquisition could be a challenge without an efficient marketing strategy, but the challenge does not stop there. One of the biggest challenges for many practices today is maintaining a high patient retention rate. Pushing a patient from a one-time-visitor to becoming a frequent visitor of a specific healthcare organization involves much more effort than expected.
My clinical experience was far more informative than I imagined. During my first medical surgical at the beginning of the rotation I was nervous, but I promised myself, I would take all opportunities given to me. Without taken any opportunities I would not be able to learn and better myself. I was placed on the oncology surgical floor with a nurse who had five patients all with different situations.
“Managed Care is a health care delivery system organized to manage cost, utilization, and quality (Medicaid, n.d).” Managed care is set up for easy affordable access to healthcare, the care is regulated so that needed procedures are performed on the patients within the limits of network providers available. There are many undesirable and helpful aspects of managed care. For example, a managed care system provides lower costs, quality service, employer opportunities to make available insurance for their employees, in network provider connections allowing for easy finds of doctors for the patient’s specific plan (Cyrene, n.d). There are however many disadvantages, those include not having the accurate provider or lack of provider for the required
Analyze two or more defining characteristics of the U.S. health care system. Main Characteristics of the U.S. Health Care System According to Merriam-Webster dictionary, health care is defined as maintaining and restoration of health by the treatment and prevention of disease especially by trained and licensed professionals (as in medicine, dentistry, clinical psychology, and public health) According to Shi & Singh (2015) the combined interaction of economic development, technological progression, social and cultural values; physical environment, population characteristics, such a s demographic and health trends; and global influences make up the characteristics of the United States health care system.
The Effects of Regulations on Managed Care and IDS Managed Care is a health care delivery system organized to manage cost. The legal and business imperatives of managed care pervade our national healthcare system, the regulation of managed care depends on who contributes to the plan and who bears the risk for paying for the insured services. More than 170 million Americans receive health care coverage or benefits through some type of "managed care" setting.1 By 2007 about 20 percent of these services are directly provided by a health maintenance organization (HMO), while the majority are served through other managed arrangements, 60 percent in Preferred Provider Organizations (PPO) and 13 percent in Point of Service (POS) plans. Beginning
Health care has gone through a great evolution through the years. Before 1965, individuals older than 65 years old received inadequate healthcare and more than half of this population did not have coverage (Reinhard, 2012). Due to this predicament, the need to identify issues and implement health policy was imperative to improve health care. Consequently, Medicare was introduced with the goal to mitigate the health issues during the 1960’s and to improve the healthcare availability for individuals 65 years and older. Since then, Medicare has gone through numerous changes in order to incorporate other population needs.