In July 1981, five counties joined together to form what is now known as the Pennyrile District Health Department ((Dept. of Health, 1981). These counties include Caldwell, Crittenden, Livingston, Lyon and Trigg. Health Departments are considered quasi-agencies. We have to follow federal,
Democracy was first used in Ancient Athens in the 6th century BCE. Examples of countries using Democracy include, the United States, Brazil, and Sweden. Demography is the studying of statistics that show the changing of human populations. Ways used to find out human population are keeping track of births, deaths, and income. The word demography was first used in 1880 and means people- graph when translated from French.
The one piece of information I found most significant for me is, the ARNP and patient must negotiate a plan of care. This concept is so important for the sake of trust and compliance. The need for negotiations can be due to factors that can affect a patients’ compliance which can range from cost, timing, ethnicity and culture, language, and a whole host of other barriers. Patients need to understand why this medication is being prescribed and the education you are providing them will gain their buy in. For example, if a medication is too costly, or the side effects are unacceptable to them, the ARNP needs to find an alternative treatment that fits their budget and has acceptable outcomes.
Part B This caters for outpatient care, preventive services and doctor’s services Part C This is a type of care that is offered by a private insurer in collaboration with Medicare to offer services given under part A and B Part D This covers the cost of the prescribed drugs that are not covered under the original cover.
Over the course of the late nineteenth century and the early twentieth century, the objectives of philanthropy turned to a new chapter. The definition of philanthropy today is: ¨goodwill to fellow members of the human race; especially : active effort to promote human welfare¨ (Merriam-Webster Dictionary). Led by Andrew Carnegie, philanthropy’s basis changed from focusing on major objectives to focusing on individual objectives. The evolution of philanthropy in the twentieth century, changed the objectives of philanthropy today. The philanthropy evolution and the creation of new groups, tie with what philanthropy developed into during the twenty-first century.
The fist con of the public health model is that to focus on an individual’s health is more difficult to do, due to it also looks at the social issues that are happening that may be causing the individual to have their current issues (Woodside & McClam, 2015). The public health model emphasizes prevention more than treatment which is a great concept but if the client needs treatment than this can lead to them not understanding the steps to prevent the issue in the future which is another con of the public health model (Woodside & McClam, 2015). There are pros with the public health model and one of those pros it that the focus is on a larger population and not an individual so more people are getting the treatments that they need while preventing others from having the same issue (Woodside & McClam, 2015). A second pro of the public health model is that in today’s society health has a more positive meaning because people want to live a full life and be able to cope with circumstances in a positive manner (Woodside & McClam, 2015). The final of the three models is the human service model which I will discuss in the next section because it is also used to help clients with their daily
If there is any chance of early intervention and/or prevention through changes in lifestyle, health promotion is likely to be enforced. The higher the cost to the individual and the community, the higher chance of it becoming a health priority because it has a large burden on people's lives. The most important thing taken into account by our government when deciding whether something will become a health priority is the cost of the treatment, if it is too expensive the government will not make it a health
The first commitment of an ethical physician is to the patient. However, money could prevent that commitment to the patient. Physicians might think that small improvements for clinical outcomes is not worth the money. When money is spent to make medical improvement, it should be based on medical care that would have a greater benefits or meaningful purpose. In order to improve the physician's choices, they should be taught to use social and individual resources for clinical interventions.
The activities and formation of ACOs that do not fall within the "antitrust safety zone" will generally be evaluated by the Agencies under the Rule of Reason, which weighs the potential anticompetitive effects of collaboration against its potential pro-competitive effects, such as enhancing efficiency. The Policy Statement notes that the Rule of Reason will be applied by the Agencies "if providers are financially or clinically integrated and the agreement is reasonably necessary to accomplish the pro-competitive benefits of the integration." Converting from fee-for-service (FFS) model to value based reimbursement has brought many challenges to healthcare providers. These challenges include shift in payor mix, shared savings and increase in tracking provider quality and performance. The shift in payor mix relates to the decrease in commercial patients with higher reimbursement rates while Medicare and Medicaid patients with lower reimbursement rates will increase.
Clinician Acceptance Leading to Sustainable use of Telehealth Services Abstract: Purpose: Telehealth which is considered to be promising is facing barriers towards its uptake and sustainable use. While many barriers include less demand, inadequate technology, workforce pressure, the study conducted proposes a single factor which is limiting the uptake and sustainability of telehealth. Which is the factor that influence the uptake and sustainable use of telehealth?
In 1996, the Health Insurance Portability and Accountability Act (HIPAA) was passed by congress. HIPAA helps with situations where insurance plans are limited based on preexisting conditions and also allows for “special enrollment” (Sultz & Young, 2014) periods where there is a change in family and employment status. HIPAA also maintains the privacy of medical records. Currently now in the 21st century, we see the birth of the Affordable Care Act (ACA) by President Barack Obama.
Over the last few decades, managed health care has revolutionized the way medicaid beneficiaries treat essential healthcare services such as family planning and parenthood programs. The term managed care is a health insurance plan or system that allocates the provisions, quality and cost of caring for an individual. It has an significant role when it comes to providing health care services to medicaid members and the ways it’s utilized. Managed care plans create contracts with health care providers and medical institutions that help provide services at a lower and more affordable cost to their members. Additionally, managed care plans tend to pay health care providers directly so that it’s members don’t have to pay out of pocket for services
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