Essay about HCS 446 Week 1 Facility Planning Part I

When considering building, buying or leasing space for the new orthopedic service line, one must consider current trends in healthcare. Hospital construction continues to struggle to recover from years of unfavorable economic news. As hospital building activity has spend the last few years under the shadows of Wall Street’s financial meltdown and Capitol Hill’s health reform debate, industry planning, design

The aim of the ACA is to provide affordable health care to all Americans, but it still leaves some issues unaddressed that will impact the access to health care. Covino (n.d.), “Though the intentions of the legislation are good, the Affordable Care Act does little to improve the actual health care delivery system” (para.1, page 2). According to the American Medical Association, we are facing an increasing Physician shortage. As of 2010 we faced a shortfall of 13,700 physicians, the estimate is that number will increase to 62,900 by 2015, 91,500 by 2020, and 130,600 by 2025 (Krupa, n.d.), with primary care taking the largest impact. Health Care coverage will be of no benefit if there are no doctors to treat the patients. An example of this occurred in 2002 when Thailand’s’ “30 Bhat Scheme” added (CNN n.d.) “14 million people to the country’s health care system, resulting in long waits and subpar service” (Your health is covered, but who is going to treat you?) Several factors contribute to the physician shortage. Many physicians are reaching the age of retirement, the Association of American Medical Colleges estimates nearly 15 million physicians will be eligible for Medicare in the coming years (CNN n.d.). The increasing cost of malpractice insurance also deters many from pursuing a career in medicine, and is forcing some doctors to retire. Also contributing to the physician shortage is a lack of spots in residency programs. “In 2011, more than 7,000 were left

The population that FCFFHC provide medical care services to is 19,325 of rural and low-income people. The Health Center serve people of all ages from newborns to adults. Patients with insurance are require to present their insurance card before he or she receive services. Patients are expect to pay the co-payment or co-insurance. Patients without insurance at 100% of poverty level are require to pay a minimum of $30. Patients who pay for his or her services are require to pay, according to the sliding fee of $40, $50, or $60. The Health Centers’ sources of revenue are generated

Throughout the early 1980’s and 1990’s the Federal Medicaid program was challenged by rapidly rising Medicaid program costs and an increasing number of uninsured population. One of the primary reasons for the overall increase in healthcare costs is the

In March 2010, one of the most controversial bills in modern history was signed into law by President Barack Obama. The Patient Protection and Affordable Care Act expanded the 1965 bill passed under President Johnson that created Medicare and Medicaid (“LBJ Presidential Library,” 2015). While the Affordable Care Act, or “Obamacare” as it has been dubbed by the media, has many components, the focus here is the expansion of Medicaid. Obamacare sought to expand Medicaid to cover those who earn too much to qualify for traditional Medicaid, but not enough to afford employer-provided health care. These people are said to be in the “coverage gap” (“Obamacare Medicaid expansion,” 2015). While only 32 states have adopted Obamacare, we should advance a policy encouraging the remaining states to expand existing coverage by extending the period of federal government cost-sharing an additional five years. Doing so would give states previously refusing the cost sharing a second chance to opt-in. This expansion would save money for the states from some of the rising cost of healthcare, and fulfill our moral duty to care for uninsured Americans.

With the implementation of the ACA, many states have expanded their Medicaid programs to include a larger population of low income individuals and families that were not able to obtain health insurance prior to the law. Some of the issues that state legislators struggle with are the overall cost of providing services for the additional recipients, staying within budget, determining an adequate approach of offering quality care, and providing adequate coverage for each recipient. Even though the cost of Medicaid expansion within each state has increased the budget for the program, new appraisals has shown that Medicaid programs spend less per enrollee than commercial health insurance and much of the increase in Medicaid expenses originate from the increase in enrollment in the programs (Coughlin, Long, Clemens-Cope, & Resnick, 2013).

The following analysis will explore the current health insurance problem under the ACA. It will discuss the proposed policy of Medicaid Expansion and the impact of States not cooperating with the implementation of such provision. Moreover, a recommendation on strategies to alleviate the health

Implementation of the ACA would require an extensive expansion of the Medicaid program to low income adults in each state.³ The Congressional Budget Office projects that a previously 30 million uninsured Americans, approximately 92% of the legal, non-elderly population, will have coverage by 2022.³ The federal government will pay for 100% of the costs of expanding Medicaid programs until 2016, and then gradually fade their contribution to 90% by 2020.³ Currently, expansion of the Medicaid program is voluntary and several states have stated that they intend to turn down their share of the billions of dollars that has been made available to each state solely for the expansion of this program.³ States deciding to not expand their Medicaid program will not only exclude many poor, vulnerable families from access to an important health care program, but will also exclude themselves from an economic stimulus for their state and thereby decrease the strength of their health care delivery systems by not allowing them to be more financially stable for the long

Originally By Medicaid expansion, Obama care meant to expand coverage to 17 million but nearly 9 to 10 million additional people are only covered under insurance but 3.1 million people are not able to cover due to rejected expansion3.

The Affordable Care Reform Act has several legislatures that have brought some changes in the aspect of the payment, delivery and education and coverage of the health care system. Some of the changes were applied instantly whereas others were to be introduced over time. One of the principal points of the Affordable Act was to establish an almost universal coverage whereby there is shared responsibility

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.

Since the signing of the Affordable Care Act, health care financing has greatly evolved. Most people who were not eligible for Medicaid can now qualify if their income is within the stipulated range, which is wider than before. Through the act, states will make easy enrollment, carry out outreach to the affected populations and coordinate Medicaid, CHIP and Health Insurance Exchanges. Medicaid expansion plans do not include undocumented immigrants and legal immigrants who have not lived in the US for more than five years.

Health care is constantly changing. Every day, new discoveries and changes are made in the field that shapes our daily lives. The Affordable Care Act changes health care by providing equal opportunity care for every American citizen. It also helps keep the cost of expensive care at an affordable price. With the opportunity to use the gift of health care, many Americans will hopefully find themselves going to the doctor’s office regularly. In years to come, hopefully the act will allow America to become a healthier nation, where everyone deserves the care they

The setting is a community health center at the St. Joseph Health Center in Jamaica Queens, New York. This is a community health center in a low income area of New York. The center deals with all types of patients from expectant mothers to the elderly. They offer a range of services for low income families and individuals without insurance. The doctors are volunteers, and the staff is committed to disease prevention and awareness. They periodically arrange a health fair to reach out to patients who may otherwise not see a physician for the entire year.

Government influences. The Patient Protection and Affordable Care Act (ACA) is a comprehensive approach to tackle some the challenges in the healthcare industry. The first issue addressed by the legislation was the disparity in access to healthcare. The act created healthcare exchanges, which created the opportunity for previously uninsured Americans to obtain health insurance and access to care(U.S. Department of Health and Human Services, 2014). Researchers estimate the new consumer base has significant chronic health issues that were untreated, as the uninsured population did not have access to healthcare providers (The Henry J. Kaiser Family Foundation, 2011). The newly insured demographic may generate a new market opportunity for the clinic.