Personal Narrative: My Personal Experience With Healthcare
There were many challenges in my personal experience with healthcare.gov. I was trying to help enroll a family member into one of the insurance program prior to deadline cutoff. The main challenge to our experience and many other documented users was the inefficiency of the website program. Starting with the inability to properly handle the anticipated volume of potential website user. There are many website programs in which Healthcare.gov could of consulted to properly eliminate these issues. The Centers for Medicare and Medicaid Services (CMS), did not properly follow management pratices recommended by Software Engineering Institiute and Government Accountability Office (Bleiberg & West, 2015).
This experience was so challenging because it required multiple one-hour conversations with healthcare.gov customer service lines. After over ten phone calls to their healthcare.gov I was informed by the customer service representative about the ongoing issues they being having to properly fix website
…show more content…
The CIO was chosen by the Human Health Services to offer their expertise leadership in implementing this website. But CIO was offered limited authority to fully prevent operational failures. According to Joshi, Ransom, Nash, & Ransom, 2014, upper leadership needs to have the authority to properly implement changes.
Reference
Bleiberg. & West, D. (2015).A look back at technical issues with Healthcare.gov. Retrieved from http://www.brookings.edu/blogs/techtank/posts/2015/04/9-healthcare-gov-issues
Longest, B. B. (2010). Health policymaking in the United States (5th Ed.). Chicago, IL: Heath Administration Press. ISBN-13: 9781567933543
Joshi, M. S., Ransom, E. R., Nash, D. B., & Ransom, S. B. (2014). The Healthcare Quality Book (3rd ed.). Chicago, Illinois: Health Administration
Personal Narrative: Non-Par Providers
71 Words | 1 PagesMargaret, You transferred this one to my voicemail; however, it 's a non-par provider and she wants to know if we have her information set up in the system. She provided me her Tax ID number and it appears not to be set up; however, I have limited access to Provider Base, so can you make sure the necessary information is added and follow up with provider. Her phone number is 651.387.8440.
Icd 10 Research Paper
393 Words | 2 PagesDespite an August 2015 WEDI Survey that said one in four doctor practices weren’t ready for the October 1 transition to ICD-10, insurers are happy with what they are seeing so far. Both UnitedHealth and Humana are reporting on smooth rollouts. Humana has reported that only 0.03 % of all calls from providers were regarding benefits, claim status, spanning date of service, and authorization. United similarly reported that call volumes from providers have been “normal” with only a “slight uptick” in claim
H & G Clinic Essay
1427 Words | 6 PagesAnother weakness is different payer requirements for certain procedures and treatment. There are various items that can prevent the clinic from obtaining revenue for its services such as not having a prior authorization, the payer deems the treatment wasn’t necessary or the payer implemented a new requirement for this treatment that was not met. These are constantly changing and it is difficult for healthcare organizations to keep up with these ever-changing policies. B3. Evaluate at least two opportunities of the organization HG Clinic is a multi-specialty clinic and continues to build on these specialties as they come out and as the healthcare industry grows and changes.
CMS Influences In Health Care
137 Words | 1 PagesCMS oversees the CHIP program, HIPPA, and the Clinical Laboratory Improvement Amendments (CLIA), among others. They are also responsible for implementing the electronic health records incentive programs. It is important
Analysis Of Healthcare Care Reform 101 By Rick Panning
1036 Words | 5 PagesMany people believe healthcare reform is a bad idea and that the government should stay away from healthcare. However, there are many other people who believe that it is a great thing that the government got involved, and created programs to register for mandatory health-care. In, “Healthcare Reform 101”, author Rick Panning discusses some of the main goals of the Affordable Healthcare Act, which are universality, financing, cost reduction, payment reform, quality and process improvement, prevention and wellness.
Affordable Care Act Case Study
535 Words | 3 PagesPrior to the implementation of the Affordable Care Act (ACA), few people anticipated employer-provided health care would disappear as a major player in the United State healthcare arena. However, ACA adoption and has put more than 169 million employees at risk for losing their workplace coverage. Several studies indicate employer-based coverage will decline rapidly over the next decade as the traditional US system is displaced by the healthcare exchange system. While consumers grapple with finding affordable coverage options and providers adjust to the new norms, there is another wrinkle in the mix. In January, Health and Human Services (HHS) Secretary Sylvia M. Burwell announced the agency's push toward value-based and alternative reimbursement models.
Obamacare Pros And Cons
190 Words | 1 PagesThe Affordable Care Act or “Obamacare” has constituted one of the most important topics since its implementation in 2010. Since 2010, the fate of the Patient Protection and Affordable Care Act (ACA) has been uncertain. The ACA was a historic achievement for the Obama administration and Congressional Democrats. But it passed Congress without a single Republican vote, and the GOP subsequently mounted legal and legislative challenges to Obamacare, vowing to repeal and replace it. (Oberlander, 2012, p.2165).
Healthcare Reform 101 Summary
588 Words | 3 Pages“Healthcare Reform 101,” written by Rick Panning (2014), is a wonderful article that describes, in an easy-to-understand language, the Patient Protection and Affordable Care Act, signed into law March 23, 2010. The main goal of the Patient Protection and Affordable Care Act was to provide affordable, quality healthcare to Americans while simultaneously reducing some of the country’s economic problems. Two areas will be covered throughout this paper. The first section will include a summary of the major points and highlights of Panning’s (2014) article, including an introduction to the ACA, goals of the signed legislation, provided coverage, and downfalls of the current healthcare system. The second part will be comprised of a professional
Centers For Medicare Compliance Report
380 Words | 2 PagesIn 2001 Centers for Medicare & Medicaid was created and replaced the Health Care Financing Administration. The Centers for Medicare & Medicaid manages various programs. They include Medicare, Medicare Part D, Medicaid, Children Health Insurance, and Medicare Advantage. They also authorize different tasks within HIPAA that concern over a million healthcare providers and suppliers. The CMS influence healthcare quality measure which the President, Department of Health and Human Services, and the Centers for Medicare & Medicaid Services have ranked this as a high priority.
Affordable Care Act Research Paper
955 Words | 4 PagesA Second Look at the Affordable Care Act David E. Mann, ABA American Military University POLS210 Abstract Since the passing of the Patient Protection and Affordable Care Act (PPACA), twenty-eight states have either filed joint or individual lawsuits to strike down the PPACA. This document will examine a few key elements that the President of the United States must take into consideration when reviewing the act and moving forward to either ratify the act, replace the act, or leave the act as it is. Topics that will be presented will include; the current issues being debated, two competing thoughts on how to fix the ACA, an evaluation of the preferred solution, and finally the responsibility of each level of government. Patient
Affordable Healthcare Argumentative Analysis
1600 Words | 7 PagesThis Act proposes several mandates and provisions to reduce the cost of healthcare for both the federal government and individuals, increase the availability of health insurance for all Americans, and to eliminate discrimination of very ill or potentially ill individuals in need of health insurance. The Act was introduced as a means to shrink the exponentially increasing costs of healthcare in the United States. As promising as it is, there will be many more reforms after to ensure the target goal of reducing healthcare spending is achieved. As with any reform this large, patience and constant upkeep will be needed. Due to the largely political nature of the Affordable HealthCare Act, it will be important to note how upcoming elections will affect healthcare in the United
Pros And Cons Of Health Care
741 Words | 3 PagesThe United States is the only Western nation that does not authorize free health services to its people. The cost of healthcare to the uninsured is beyond prohibitive, and insurance plans are far more captivated with profit costs, rather
Medicaid Reforms
1437 Words | 6 PagesAfter the passage of the ACA, Minnesota was chosen to pilot a Medicaid program using ACOs to improve healthcare delivery because of the previous reforms that were made to the state’s Medicaid system. In 2008, the Minnesota state government passed the Health Care Reform Law which implemented the utilization of health homes to provide Medicaid services and a revision of the state’s quality and monitoring system of the Medicaid program (Edwards, 2013). The law was also expanded to use ACOs after the passage of the ACA, in order to provide more comprehensive care for Medicaid beneficiaries (Edwards, 2013). The use of the ACOs “forged a partnership to redesign the health care workforce and improve the coordination of the physical, behavioral, social, and economic dimensions of care” for Medicaid beneficiaries (Sandberg, Erikson, Owen, Vickery, Shimotsu, Linzer, Garrett, Johnsrud, Soderlund, & DeCubellis, 2014). To ensure the success of the program, the state also developed a safety-net program to ensure that Medicaid recipients would continue to receive quality care to meet their health care needs, if the pilot program
Personal Narrative: My Passion For Healthcare
74 Words | 1 PagesMy passion for healthcare lies with patient care. I enjoy taking care of patients and their family. I have chosen to become a family nurse practitioner because I can combine nursing and medicine to provide a higher level of care to my patients. As a nurse practitioner will be able to make an impact on my patient’s health through, health promotion, disease prevention, managing acute and chronic conditions and improving patient’s health (Wynne,
Sicko Film Summary
811 Words | 4 PagesSicko is an American documentary by Michael Moore which explores the status of health care in America. In my opinion, he has presented a clear-cut viewpoint that American health care is not producing results. Nearly half a hundred million Americans, according to Sicko, are not insured while the rest, who are insured, are often sufferers of insurance company deceit and also red tape. Additionally, Sicko mentions that the United States health care system is placed 37th out of 191 by the W.H.O. with definite health measures, like the neonate death and life probability, equivalent to countries with quite less financial wealth. Interviews are carried out with individuals who supposed they had sufficient coverage but were deprived of care.
More about Personal Narrative: My Personal Experience With Healthcare
Personal Narrative: Non-Par Providers
71 Words | 1 PagesIcd 10 Research Paper
393 Words | 2 PagesH & G Clinic Essay
1427 Words | 6 PagesCMS Influences In Health Care
137 Words | 1 PagesAnalysis Of Healthcare Care Reform 101 By Rick Panning
1036 Words | 5 PagesAffordable Care Act Case Study
535 Words | 3 PagesObamacare Pros And Cons
190 Words | 1 PagesHealthcare Reform 101 Summary
588 Words | 3 PagesCenters For Medicare Compliance Report
380 Words | 2 PagesAffordable Care Act Research Paper
955 Words | 4 PagesAffordable Healthcare Argumentative Analysis
1600 Words | 7 PagesPros And Cons Of Health Care
741 Words | 3 PagesMedicaid Reforms
1437 Words | 6 PagesPersonal Narrative: My Passion For Healthcare
74 Words | 1 PagesSicko Film Summary
811 Words | 4 Pages