Clinical Community Health Workers ( Cchw ) Integration Into Clinical Workforce

Many people are seriously ill when they seek treatment because they lacked enough money in their insurance for treatment (Bush, 2015). Although people have reported general satisfaction with their health plans under PPACA, a Kaiser Family Foundation (KFF) survey has revealed that affordability is a concern for those who buy their own health insurance. 46% of those with both ACA-compliant and noncompliant plans reported it was “very” or “somewhat” difficult for them to afford their monthly health insurance premium (Medical Economics, 2015). Cost of care has been a longstanding barrier to care for minority groups. The survey did not find an improvement in Blacks and Asians skipping care due to cost concerns. (Pallarito, 2015).

Financial burdens greatly limit the system’s accessibility; however, many in the U.S. are unable to fully utilize either option. Census estimates from 1999 indicate that 43 million Americans live without health insurance even though 75 percent of them have a full-time job or live in a household with at least one member working full-time (Mueller, , 5) In addition to the totally uninsured, census estimates also reveal that approximately 42 million other people in the U.S. are underinsured. This means that they have some insurance, but are still unable to afford all of their needed prescriptions, tests, visits to physicians, or hospital

Environmental scanning involves an organization to look at any trend, opportunity or threat that could create issues for their company. Once any of these issues are identified, the organization should consider new strategies that react to these external factors. Issues should be examined that involve not only direct customers and suppliers, but also competitors, any changes in regulations and possible political involvement. External factors will be constantly changing so environmental scanning should occur frequently and regularly to ensure the current issues have been captured. Research and data analysis can help drive decisions regarding overall marketing changes that might be necessary.

As of 2008, there are approximately 73.9 million children living in the United States. Of these children more that 5.5 million have some form of mental or physical disability. In addition, 77 percent of uninsured children come from low-income families (CoverTheUninsured.org, 2008). However, Missouri’s population of uninsured children fares much better at almost half the national average or 7.2 percent (Missouri Foundation for Health, 2004). More than 8 million children in America are uninsured. That means 1 out of every 10 does not have any form of health coverage. Racial and ethnic disparities among those uninsured children are dramatic. Most recent data has found that one in 13 White children is uninsured compared to: one in five American Indian children, one in six Latino children, one in nine African American children, one in nine Asian/Pacific Islander children. (Children’s Defense Fund, 2010)

Financial barriers to access health care are common in a low-income family when they are uninsured or underinsured. Many uninsured and undocumented immigrant received federal and state health care coverage. Latinos and African American are the ethnicities that are disproportionally get affected. Limited access to a doctor when they are sick, taking non-prescribed medication and holding off recommended treatment is only some of the problems they encountered (Carrillo et al., 2011).

When manipulating a business’s strategy, it is important to focus on the external factors in the environment. An external analysis is where a business conducts environmental scanning that present a company with the key external forces influencing the organization. The facets of external forces examined are the business environment, remote environment, or the competitive environment. A business environment is all of the external factors in the general environment that a firm cannot control, but can affect their strategy. The remote environment is the forces that affect most firms. Lastly, a competitive environment is the firm’s specific industry and its entirety. The external analysis is pertinent to a company called Dick’s Drive- In; without it, Dick’s would not be a thriving popular business today.

According to the UCLA 2011, Adult’s Health Profile, the percent total of uninsured citizens between ages of 18 to 64 inShasta County is 26.5%, which had uninsured rates above the statewide average of 26.4%. The total insured citizens in Shasta County estimated to be 75%, access healthcare coverage through Medicare, Medi-Cal (California’s version of Medicaid for low-income people), employment-based insurance, or private health insurance. To be more specific, about 50.4% of total citizens are on employment-base insurance, 9.6% are under medi-Cal, and 13.6% are under other types of coverage. In 2014, U.S. citizens and legal residents will be required to have health care coverage. Therefore, those uninsured must have access to health care coverage in any way.

The United States spends far more money on healthcare than any other developed country and despite the large amounts spent the United States has the poorest health outcomes and highest risk factors (Stone, 2017). When compared to other countries the United States has the lowest life expectancy at birth, the largest population of obese, and the highest number of people over the age of 65 with chronic health conditions. Many health disparities exist in the country due to socioeconomic status. The Affordable Care Act (ACA) law was passed in 2009 and implemented in 2010 in an effort to decrease the number of people uninsured (Parekh, 2017). Since, 2010 the rate of uninsured people in the United States has

After the Affordable Care Act (ACA) was enacted in 2010, much of the uninsured population in the United States were finally given the access to health insurance (Shi & Singh, 2015). Prior to the passing of the Act, those who did not have insurance still managed to seek medical attention, whether paying for medical care out of their own pockets or seeking the assistance of government programs. As reported by the U.S. Census Bureau, in 2013, 13.4% of the population in the U.S. were uninsured during the entire year (Smith & Medalia, 2014). Still, a great number of uninsured who sought medical care were unable to pay for those services, this is referred as uncompensated care. In 2013 the cost incurred from

Despite the improvements made toward health reform, there are still problems that need to be address. There are still cost related access problems among insured adults, particularly among people with lower incomes. According to the Commonwealth Fund Biennial Health Insurance Survey of 2014, 33 percent of adults who had been insured all year with incomes under 200 percent of poverty and 25 percent with incomes above that level said they did not get needed care because of costs in the past 12 months (Collins et al., 2015). The high deductibles and cost sharing in both employer and individually purchased private plans lead many adults to delay or avoid needed care (Collins et al., 2015). Also there is still a large share of adults who were insured all year but still struggle to pay their medical bills. People with lower incomes reported these problems at the highest rates. One third (34%) of adults with incomes under 200 percent of poverty who were insured all year

Insuring health coverage for dependent adults until age 26 aims to decrease the great number of young adults uninsured out of college, and increases the number of young adults visiting the hospital for major to minor health issues. Unfortunately, before this extension was made, many dependent young adults opted out of medical visits because the fear of the costly visit. Approximately 13.7 million young adults were in uninsured in 2008, which was a jump from 10.9 million in 2000 (Collins, 2010). With this law being made under the Affordable Health Care Act, young adults should feel more comfortable to visit the hospital for minor health issues, in order to prevent major health issues.

Since the passage of the Affordable Care Act (ACA) or ‘Obamacare’ in 2010 and its implementation in 2014,there has been a steady decline in the uninsured population of the United States of America. The number of Americans with health insurance, has reached a historic peak. According to recent data from the Census Bureau about health insurance coverage, the number of uninsured Americans fell from 33 million the year prior to ACA implementation to 29 million in 2014.The total uninsured rate dropped by more than 4 percent since the health care law took effect. The ACA has significantly reduced the number of Americans who were not able to acquire health insurance due to poverty, unemployment, or having a pre-existing condition.

Before the Affordable Care Act, 50.7 million Americans (16.7 percent) were uninsured. The main reason for this was money. The majority of these uninsured American families simply couldn’t afford health insurance and those who did have insurance spent a good chunk of their income to pay for it. The percentage of Americans who were covered by employment-based health insurance (the most popular form of insurance at the time) was the lowest it had been since 1987 when the first statistics on

This law was implemented in September 2010. Until then, young non-student adults were dropped from their parents’ private insurance at age 19 and students at age 23(Barbaresco et al, 2015). Studies have shown that the implementation of this provision would help reduce the rates of mortality and morbidity, improve regular access to healthcare without financial constraints and a healthier transition to adulthood (Carlson et al, 2014). By expanding protection scope choices, supporters of the ACA are idealistic that entrance to social insurance will likewise increment. Early ACA information underpins expanded human services get to and use, as less young adults report postponing or doing without medical care because of cost (Carlson et al, 2014). The ACA provision to expand coverage for young adults pledges guarantee for enhancing access to preventive care. Due to the ACA, an extensive variety of preventive services is accessible, with no copayment, to young adult with private insurance and the individuals who are recently qualified through Medicaid in states embracing the ACA Medicaid extension (Lau et al,

In terms of the populations access to services, 14.8% do not have health insurance (U.S. Census Bureau, 2016). Fortunately, information garnered from key informants shows that there are options for these uninsured, such as Medicaid, Medicare, and the Oregon Health Plan. Additionally, key informants believe that there are plenty of services