Health Care Access for Special Needs Children By: Taylor Franke Course: HCA 310 Health Care Law and Compliance Instructor: Jan Duistermars Date: 2/18/16 Health Care Access The ability to have access to health care is especially important today. With the growing and increasing health care field, services, and treatments, comes the growing and added costs of having to pay for those services. The costs of those services can be very expensive and add up quickly. That’s why there’s significant pressure on the ability to obtain health care insurance. Access to health care and insurance can assist with health care costs, however paying for health care and insurance can be just as costly. “It has been estimated that more than 40 …show more content…
One reason could be that children with special needs utilize the health care system more when compared to children without special needs, therefore could cause differences in deductibles, co-payments, limitations on benefits and providers (Kogan, Newacheck, Blumberg, Ghandour, Singh, Strickland, & Dyck, 2010, pg. 848). “3.8 million (38 percent) U.S. children with special health care needs were either uninsured or inadequately insured” (Szilagyi, P.G., 2012, pg.126). It’s important to find ways to fix or reduce the number of children without coverage or insurance with or without special needs. One solution is the implementation of care coordinated services for children. Care coordination assists parents and families with the help they need to coordinate all health care services of their children. Care coordination provides help with all aspects of health care services including but not limited to doctors’ visits, specialists, home care, and medications. The National Survey of Children with Special Health Care Needs identified possible health care needs unmet by coverage including preventative and specialist care, dental, hearing, and vision care, prescriptions, therapy, mental health, home health, mobility aids or devices, medical equipment, and communication aids (Kuo, Goudie, Cohen, Houtrow, Agrawal, Carle, & Wells, 2014, pg. 2192). Care coordination services could help lighten the burden off parents and families, because
The largest identified area of special need in the school falls under SLCN ( Speech, Language and Communication Need ) as set out in the SEN Code of Practice 2001 where 61% of SEND children have a medical diagnosis of receptive and/or expressive language difficulty, followed by 21% of SEND children with a medical diagnosis of and Autism Spectrum Disorder (ASD). Other types of need are Down’s Syndrome ( 2%), Apert’s Syndrome (2%), Social, Emotional and Behavioural Difficulties SEBD (6%), Dyslexia (2%) and more generally literacy difficulties which are under investigation for potential specific causes (6%). These needs are justifiable as they have been recognised and identified as such by relevantly qualified and external agencies or are in the process of being more specifically identified
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
Health care of children is an important goal to shaping their long term well-being and also reducing inequalities.
The cost of health insurance has changed drastically over the years as it has become more expensive. Depending on personal characteristic, the cost of health insurance may vary. For instance, as individuals grow older the more expensive it becomes. In this case, health insurance is more costly because “older individuals require more health care” therefore “the cost of providing health care is rising” (Madura &Atlantic, 2012). Not only does this affect the high cost of health insurance, but the number of individuals uninsured. As stated by Madura and Atlantic (2012), “about one in every five workers is uninsured” and has increased since then because health insurance has become unaffordable. As a result, individuals tend to seek health care elsewhere as they can no longer
Rising health insurance premiums have made healthcare unaffordable in the United States. Health insurance premiums in this country have undergone a steady rise over the past few years while incomes have remained the same. More than 50% of individuals with low incomes holding private insurance in the United States are unable to afford their healthcare costs (Collins, Gunja, Doty & Buetel, 2015). In addition, costs related to healthcare are equally unaffordable to 25% of working-age individuals who hold private health insurance policies (Collins et al., 2015). According to the Kaiser Family Foundation/Health Research and Educational Trust (Kaiser/HRET) survey on employer health benefits, employer-sponsored health insurance plans have also had moderate rises in premiums in 2013 for both individuals and family coverage (Claxton et al., 2013). While
Living in the United States, there is one essential thing you need to have, which is health insurance. Health insurance is a type of insurance that can covers cost of medical and surgical expenses when you need them. Without health insurance, the cost of one single surgery would be a enormous number. But in the United States, there are about 46 million americans are uninsured. To them, the cost of health insurance is too high. In America, the average cost of health insurance per month is about $328 and the minimum wage per hour in here is $7.25(where cite from?). From here, we can conclude that it is too expensive for those people to get sick. So, is the health insurance cost unjustifiably high? The answer is the highly developed technology, waste of health care budget and the free competitor in the health insurance market, caused health insurance’s price to remain so high.
Recently the Untied States top priority has been to provide accessible and affordable health care to every American. Those that lack access to coverage find it much more difficult to seek proper treatment and when they do they maybe left with astronomical medical bills. The CommanWealth Fund found that one-third or thirty three percent of Americans forgo health care because of costs and one-fifth or twenty percent are thus left with medical bills that have problems being able to pay. The federal government, through the Affordable Care Act (2010), has mandated that every person have health coverage in order
In today’s society, there is still a great struggle with health care disparities and many lives are affected by the lack of this fundamental program in our society. There are millions of people who die each year because they are unable to afford quality healthcare. The debate still continues about healthcare inequalities, what causes this disparity and who are affected by it. Health care is more of a necessity rather than a luxury and even though skeptics may argue to the latter, it only underlines the importance of the need for the wellbeing and care of individuals. There are several factors that could contribute to the lack of health care in the United States which ranges from but not limited to race, gender, socio- economic status, and lack of insurance coverage. The truth is there is a great disproportion between who can really afford quality healthcare as appose to individuals who have it. One would imagine that an employed individual would easily afford quality healthcare but we could be no further from the truth, since one’s economic status is an essential determinant to its affordability.
Researchers interviewed 1,699 adults that included primary caretakers for 811 children. And they investigated five factors: health conditions, health behaviors and attitudes, health care access, quality of life, and social or environmental factors. The communities were largely minority. One of the discoveries was that:
Many Americans have access to health care that enable them to receive the care they need. Other faces a variety of barriers that make it difficult to receive health care services. According to the National Healthcare Disparities Reports, racial and ethnic groups are disproportionately represented among the uninsured and lower socioeconomic status. The report showed that health insurance is a contributing factor for poor health for some of the core measures and little improvement (AHRQ, 2014).
The rising healthcare cost is an issue that affects many working class Americans. Experts have tried to come up with different ways to make health care more affordable and easily accessible to all. Despite all the efforts and even after the Affordable Care Act, there are still millions of Americans without health insurance coverage and therefore unable to access the necessary medical care. According to a 2015 report by the U.S Census Bureau, there are over 33 million uninsured Americans. (“Health Insurance Coverage in the United States: 2014 - p60-253.pdf,” n.d.) The Affordable Care Act has unquestionably made healthcare more accessible and reduced the number of uninsured Americans. However, there are still millions of
Health care in the United States is driven by a patchwork of services and financing. Americans access health care services in a variety of ways — from private physicians’ offices, to public hospitals, to safety-net providers. This diverse network of health care providers is supported by an equally diverse set of funding streams. The United States spends almost twice as much on health care as any other country, topping $2 trillion each year. (WHO.INT 2000) However, even with overall spending amounting to more than $7,400 per person, millions of individuals cannot access the health care services they need.(Foundation 2009) So when the Patient Protection and Affordable Care Act (a.k.a the Affordable Care Act or ACA) was passed in the summer
With the current healthcare system in the United States there are many people who do not have health insurance due to cost.
The implementation of the health care reform law has yielded the largest reduction in the aim for uninsured for the last couple of decades. But, while the uninsured rates have decline access to care has now become a prevalent issue. “ The expansion of coverage is not an expansion of actual care and this distinction is becoming very clear’ Heritage ( 2014) Access to
Changes in access to health care across different populations are the chief reason for current disparities in health care provision. These changes occur for several reasons, and some of the main factors that contribute to the problem in the United States are: Lack of health insurance – Several racial, ethnic, socioeconomic and other minority groups lack adequate health insurance coverage in comparison with people who can afford healthcare insurance. The majority of these individuals are likely to put off health care or go without the necessary healthcare and medication that is needed. Lack of financial resources – Lack of accessibility to funding is a barrier to health care for a lot of people living in the United States