Case Study : Ontario Health Insurance Plan

The fertility rate is an important factor when evaluating the health of the public. Despite the United States having one of the best healthcare systems in the world, approximately 13% of women between the age of 18 & 44 have trouble conceiving. Although the US has implemented the Patient Protection and Affordable Care Act, a landmark policy, assisting millions of Americans in obtaining health insurance, unless altered, the policy could hurt the 3 out of 20 women who struggle with infertility. After evaluating the core essential benefits of the Affordable Care Act, the views of stakeholders, and the state mandates, an easy solution can be established to assist those suffering from impaired fecundity.

HCA is a healthcare provider that was established in 1968. Their main focus is on offering cliental with a number of different services to include: inpatient, intensive care, outpatient, diagnostic and emergency services. To achieve these objectives they operate a variety of facilities such as: outpatient, psychiatric, surgery centers, freestanding emergency care facilities, diagnostic / imaging centers and comprehensive rehabilitation / physical therapy centers. They are structured to create increasing earnings for its policy and shareholders. This is achieved by contracting with private doctors to deliver services to its preferred providers members. At the same time, they receive fees from these entities and they negotiate lower group rates.

The implementation of the Affordable Care Act (ACA) will only hasten changes that were on the horizon for pharmaceutical and biotechnology firms. Pharmaceutical and biotechnology industries new there was going to be some type of healthcare reform so they began to take the necessary precautions to prepare. There are vital provisions in the ACA related to the pharmaceutical and biotechnology industry affecting Medicare and Medicaid. Legislation in the ACA will provide provision to reduce cost for brand name prescriptions (Rx); this will reduce drug cost for patients, but increase rebates and discounts for pharmaceutical and biotechnology firms, therefore, imposing cost to the firms. The pharmaceutical and biotech industry was instrumental

With the Advent of the Affordable Care Act, came many changes throughout the medical industry, changes happened in hospitals, health insurance, and doctors. Doctors, more than any other group seem to be affected in a number of way, from the amount of patients, from the increased number of people with insurance plans. It also changed the way a doctor interacts with other parts of medicine. There are some questions arising from this such as; would doctors approve or disapprove of these changes along with do these changes affect the doctors' ability to practice. For the most part, there is no difference the way doctors practice or to their income, but it does have doctors utilize their abilities towards medicine rather paper pushing which could have doctors prefer the post-ACA medical community rather than before.

The healthcare system underwent reformation in 2010 in the form of The Affordable Care Act. The main goal of the ACA was to extend health care throughout the nation; irrespective of this intention, some people regard the Affordable Care Act as being paternalistic. Chapter 9 covers the issue of how ethical the imposition of new restrictions on people by the ACA is.

The Affordable Care Act includes a requirement that all citizens must have some level of health coverage. The primary method through which the mandate is attempting to create 100% coverage in health care is by instilling fear into the minds of hardworking citizens as those who ignore the rule will have to pay a hefty fine. This mandate, unconstitutional according to the law, will deteriorate the quality of health care, hamper economic growth and cause spikes in insurance premiums. The hope of universal health care may or may not arise under the mandate but new dilemmas and hardships on U.S. citizens will undoubtedly surface.

Cheryl has been diagnosed with Generalized Anxiety Disorder, Major Depressive Disorder, and Alcohol Use Disorder. When asked about her concerns for post discharge she states that she has been heavily reliant on her parents and their health benefits for her treatment and that she is nervous that she may not have coverage to continue therapy. She reports that she felt safe knowing that “Obamacare” would be in place to help her afford the treatment she needs to stay mentally healthy and sober. She states that she is concerned about the possible repeal of the Affordable Care Act because she will need help paying for her mental health expenses. The Affordable Care Act made a giant leap in extending the work of the Mental Health Parity and Addiction Equity Act. These two acts work together to ensure that treatment for mental illness is accessible to many Americans that need treatment. Throughout this paper I

Four years after President Obama signed the Affordable Care Act into law there is still uncertainty regarding how it will affect small businesses. Because there were delays and exemptions granted by the, Obama administration and challenges that were still pending in courts. The effects on small businesses vary from state to state depending on the company size and the composition of the company's workforces. But the large corporations pay their employees medical bills and hiring insurers to administer health benefits. Most small businesses purchase group health insurance from insurers and face cost increasing regulations as they go through the annual ritual of renewing their coverage. While media has focus their attention on the state and federal health exchanges, employers are responsible for the growth in the

Toward the end of the 1920s, in a little town in South Texas named Cotulla, a junior high teacher saw the injustice and poverty among his Mexican-American students (Del Bosque, 2013). After decades passed, that same man became the U.S. President; Lyndon B. Johnson signed the bill that constructed Medicaid in 1965, which is a program that is funded by the state and the federal government to provide health insurance to low-income Americans (2013). Johnson had an idea to create a “Great Society” which he defined as “a society where no child will go unfed, and no youngster will go unschooled” (2013) . Now even in 2015, we see that President Obama is still fighting for this dream of Johnson’s (Ura & Walters, 2014). President Obama’s Affordable Care

Prior to the enactment of the Affordable Care Act, many Americans did not have access to health care. According to Shi and Singh, assess is an individual’s ability to obtain health services when necessary (Shi &Singh, 2010). “After implementation of the ACA, the proportion of the U.S. population that was uninsured dropped from approximately 16% to roughly 12% in 2014 (Shi & Singh, 2010, p 11). More low to middle income American are eligible for health care services through the Affordable Care Act. Advancements in health information technology have helped to improve and streamline medical services and have helped with the lower cost of health care. “Essential insurance benefits required by the ACA include preventative and wellness services,

Canadian health care differs quite drastically from any other country. To begin with Canada’s health care system is built upon the Canada Health Act. The Canada Health Act is federal legislation that puts in place conditions by which individual provinces and territories in Canada may receive funding and get health care services.(Canadian Health Care, 2004) This act was put into place in order to obtain the primary objectives of the Canadian health care policy which is to protect, promote and restore physical and mental well-being of residents of Canada and to facilitate reasonable access to health services without financial or other barriers.(Health Canada, 2010) There are five key features that every province must meet in order to receive

Canada has a system that consists of socialized health insurance plans that provide coverage to all its citizens. Canada health care is largely government-funded, with most services provided by private enterprises with some publicly funds all, which is controlled and administered, within guidelines set by the federal government ("Healthy Canadians: A Federal report on Comparable Health Indicators ", 2009).

Obamacare, Medicare, universal, privatized, public, parallel; these healthcare systems (HCS) may sound a little confusing and scary for a person who values their health and the health of their family. In the United States of America, there are several different options of health coverage to choose from: health insurance for people with disabilities, long term care insurance, traditional-fee-for-service, and preferred provider organization, this is just naming a few (USA.org, 2017). With all these choices, how do you know which one is the best for you and your family? Usa.org emphasizes that several questions must be considered when choosing a healthcare provider: Are there any deductibles? Can I see any doctors or go to any hospital? Will all medications be covered that the doctor prescribes? Again, seems confusing, right! Therefore, Canada's HCS is based on the patients' needs and not what they can afford (Government of Canada, 2012). Although Canada's HCS is widely known for their universal coverage, many Canadian citizens have various concerns; one being excessive wait times.

Canada 's health care system is a group of socialized health insurance plans that provides coverage to all Canadian citizens. It is publicly funded and administered on a provincial or territorial basis, within guidelines set by the federal government. Under the health care system, individual citizens are provided preventative care and medical treatments from primary care physicians as well as access to hospitals, dental surgery and additional medical services. With a few exceptions, all citizens qualify for health coverage regardless of medical history, personal income, or standard of living. In addition to public health care providers such as primary care doctors and hospitals, many private clinics offering specialized services also operate in Canada.

Blue Cross Blue Shield of Tennessee faced another lawsuit against them filed by the Harrogate Family Practice owned by Amanda Brown. The plaintiffs, Harrogate Family Practice and owner, Amanda Brown, filed a complaint on the grounds of seeking injunctive and declaratory relief under ERISA (Employment Retirement Income Security Act of 1974). The defendant, Blue Cross Blue Shield of Tennessee, had sent five letters over the course of January, February, and March of 2014, notifying the plaintiffs of the overpayments that were discovered during an audit in November 2013 and requested recoupment. The Harrogate Family Practice and Amanda Brown’s counsel responded on April 3, 2013 stating that the recoupments violated ERISA. After a breakdown in