Healthcare Coverage: A Case Study

Conclusion: The Obamacare has its very good points it does benefit the economy in ways that are meant to take the economy out of debt. But they do cause side effects that may not have been thought of.

Health service system as defined by "Roemer" in the text is the pooling of resources, organizations, financing, and management that aggregates to the delivery of health services to the needs of a population (Barton, 2010, p. 3).

Should one be forced to have health insurance, or should it be an option? Healthcare is a topic that Texas has often debated. The Affordable Care Act, signed into law on March 23, 2010 was immediately a largely debated subject. The new health care act could be beneficial for those on Medicaid, yet Texas did not expand Medicaid coverage under the Affordable Care Act.

Health insurance is essential in order to assist in paying for hospital and clinic visits. Without health insurance cost would be astronomical and people would not be able to afford health care. Blue Cross/ Blue Shield and Health Maintenance Organization, were some of the many insurance companies widely used before the Affordable Care Act. Although health insurances existed, many individuals and families were not able to afford them due to the increase in the cost of health care. New research over the years has enabled the creation of new medicine and technology in our practice. This leads to services being more expensive for individuals, which raises the price of insurance.

The Obamacare development of the number of insurance coverage will dramatically augment the figure of people by 25 million. A small number over the partly of the recently insured will have indemnity from Medicare (13 million), while on the other hand the additional will expand coverage through confidential insurance purchased on state or federally run wellbeing insurance connections.

In the United States, the number of uninsured continue to increase everyday with no solution. "As of today the number of uninsured American remained at 10.9 % in the fourth quarter of 2016"(Holahan, 2017). In today economy where unemployment is at an all time high, millions of peoples are without insurance due to unemployment. There are also a lot of uninsured American that are employed, that can't afford insurance.

Data show that the number of uninsured Americans has greatly reduced over the past 2-3 years. However, prior to the adoption of various provisions of the Affordable Care Act (ACA), there were over 41 million people uninsured in 2013 (Kaiser Family Foundation, 2014). The number of people without health insurance, especially children, has steadily increased throughout most of the past decade. Children without health insurance are more likely to suffer from preventable and treatable illnesses, including their long lasting related effects, than their insured peers (Majerol et al, 2014). Majerol et al. also demonstrate that the uninsured are less likely than those with insurance to receive preventive care and services for major health conditions and chronic diseases.

The Affordable Care Act, which expanded access to affordable healthcare across the country, has excluding coverage to the almost twelve million undocumented immigrants living in the United States (Nevarez, 2014). Excluding these members of the country has left it nearly impossible to obtain healthcare needs for these individuals. State laws suggest, undocumented immigrants are not allowed any assistance including federal subsidies in order to purchase medical coverage. Undocumented immigrants are also restricted against personally purchasing healthcare coverage through an insurance company, which leaves few options to obtain proper medical care (Nevarez, 2014). Statistics have found that over half of the undocumented population residing in

Issue: 4.6 million Texans are currently uninsured without access to affordable healthcare due to the state’s refusal to expand Medicaid or provide additional public health coverage options. Section 1115 of the Social Security Act gives the Secretary of Health and Human Services the authority to approve states’ experimental, pilot, or demonstration projects that promote the objectives of the Medicaid and CHIP programs.

The perspective I have about the recent efforts to help the uninsured in the U.S is it has come a long way towards positive change since the 1950’s till now. The Patient Protection and Affordable Care Act of 2010 (ACA)/ Obama Care, has provided the uninsured with medical insurance and access to reduce the risk of health issue through prevention. The law expands eligibility for public insurance, use of federal subsidies to make private coverage more affordable, new rules on insurers and employers to make coverage more accessible, and require all Americans to have some form of health insurance (Knickman and Kovner, 2015). The outcome of this enactment; 5 million Americans enrolled in state Medicaid programs, 8 million received public subsidies,

The Affordable Care Act (ACA) caused some of the issues central to the expansion of Medicaid. Some of the major challenges in Affordable Care Act (ACA) the improved access to more individuals. According to Levitt, Claxton, and Damico (2013), the Affordable Care Act expansion increase limitation to families under 65 whose income is at or below 133% of federal poverty guidelines. This leads into significant growth in eligibility of newly coverage populations. Medicaid provide an opportunity to identify successful enrollment and renewal practices, strategies to ensure access to care, effective models of person-centered and coordinated care, and payment systems that align financial incentives with goals for quality and cost. (Paradise, 2015). Especially

On January 2014, Richard Jouded suffered a mild stroke, Linden Texas were medics had to take him to the local Hospital that was less than a block from his house. However after Richard was dismissed from the Hospital, he learn that the facility was about to close due that weren't enough patients. Small Hospitals always struggle to remain open, due that healthcare providers are being pressured to cut the cost. In addition, "Twenty-four rural Hospitals have closed across the country since the start of 2013, double the pace of the previous 20 months, according to the North Carolina Rural Health Research Program" (Para 5).

Let me start by staying how affordable is affordable? The Affordable Care Act (ACA) otherwise known as the Obama Care is a health care coverage that is invented for those people who cannot afford to pay for high insurance cost. According to the market place (2014), most people who bought the insurance coverage stated that the “coverage is affordable”. This is factual for those people who have low income and are “paying under 125 dollars per month” Marketplace (2014).

Health plans, including Medicaid managed care and Medicare Advantage plans, have the capabilities necessary to systematically compile and manage race, ethnicity, and language data, and thus have roles to play in quality improvement. Plans, though, may have limited opportunities for direct contact during which the data can be collected and the need for the data explained. While there are multiple points at which the data can be collected a principal occasion for contact is during enrollment, when fears about discriminatory use of the data may be greatest. California, Maryland, New Hampshire, New Jersey, New York, and Pennsylvania prohibit insurers from requesting an applicant's race, ethnicity, religion, ancestry, or national origin in applications,but

Your hospital can be penalized if you are suffering from chronic disease and readmitted within 30 days after the discharge, under the Affordable care act (ACA). ACA has changed the perspective of chronic disease management of hospitals, shifting their focus from treating the conditions to deciding ways to prevent them. Under ACA, hospitals will be penalized or rewarded depending upon their performance on 30-day readmissions, infection control and patient satisfaction levels (1). Are chronic diseases so prevalent and disabling that government has to step in? What could be the impacts of chronic diseases on economy that Government is proposing and enforcing laws to prevent them?