Kot Task #2

The patient centered medical homes (“PCMH”) approach “focuses on keeping people well, managing chronic conditions like diabetes or asthma, and proactively meeting the needs of patients.” According to the Arkansas Department of Health, chronic diseases like cancer heart disease or diabetes affect approximately over fifty percent of adult Arkansans. Yet chronic diseases are often preventable. The high rate of chronic diseases can partly be attributed health insurance coverage—“when people don’t have health insurance they tend to avoid seeing doctors. People

The dysfunction of the American health care system implies that not everyone has access to the right medication and medical treatment. Middle-class families and chronically ill patients do not always have access to health care, and when they do they do not receive adequate treatment with regards to hospitalization and medical services or quality of service. The lack of payment reform results in

Medicare part A is hospital coverage for inpatient hospital stays. More specifically, Part A is coverage for critical access hospitals, inpatient rehabilitation facilities, and long-term care hospitals. Part A also covers inpatient care in a skilled nursing facility (not supervisory or long-term care), hospice care services and some home health care services. Inpatient care in a Religious Nonmedical Health Care Institution is also covered. In the scenario provided, Mrs. Zwick is admitted to the hospital as an inpatient because she had a stroke. The patient was deemed by the physician to need continued treatment after discharge due to the patient 's condition and was discharged to a skilled nursing facility.

Medical costs are getting too expensive. Ever fought with your insurance providers because they refused to pay for care, or struggle to find an “in-network” provider? I know a woman whose name I will change for her privacy and the struggles she is going through are a perfect example of an issue many people face when dealing with insurance; Nancy’s (name changed for privacy) story is a perfect example of how our healthcare system is no longer working for the people. Nancy is this woman whose husband recently passed away. Nancy used to work for county and county workers cannot receive social security; and Nancy is too

Medicare Part A is otherwise called the Hospital Insurance and covers up to 100 days of the Skilled Nursing Facility stay. To be qualified for it the patient first has to have been hospitalized for more than 3 days in a hospital (qualifying hospital stay) so the stay in it would not be considered outpatient. After the hospital stay the doctor that followed the patient in the hospital or the PCP that releases the patient from the hospital needs to write the order for the SNF services. In order for a patient to receive the services from the SNF they have to:

“No longer will older Americans be denied the healing miracle of modern medicine. No longer will illness crush and destroy the savings that they have so carefully put away over a lifetime so that they might enjoy dignity in their later years”.

Though the American healthcare system has made big steps towards providing affordable healthcare for everyone, there remains a growing population of people who fall through the system’s cracks. These people are the medically underserved. They are typically the victims of unfortunate life circumstances that has left them without health insurance, or with insurance that provides inadequate coverage. The underserved also includes those who have trouble accessing healthcare for any reason. Anyone with illnesses or disabilities that require assistance beyond their coverage, or people who live in remote areas where healthcare services are sparse fall under this title. The term also does not exclude those who have sufficient insurance and resources, but struggle to understand and navigate our increasingly complex system of healthcare.

Medicare is the federal health insurance program for people with certain disabilities, end stage renal disease, and for those who are over the age of 65. There are four different parts to Medicare, part A, part B, part C, and part D. Medicare Part A, also known as hospital insurance, covers inpatient hospital stays, care in nursing facilities, hospice care, and some in home health care. Part B is often referred to as medical insurance; it covers certain doctors’ services, outpatient care, medical supplies, and preventative care services. Medicare Part C, otherwise known as Medicare advantage plan is offered by a private

As the population ages, people want the security of knowing that they have health care coverage. At age 65, people have the opportunity to be covered by Medicare. Medicare has four parts to it; part A which is the hospital insurance, part B which is the medical insurance, part C is Medicare Advantage plan which offers extra coverage such as vision, hearing, dental and/or wellness programs, and part D is prescription drug coverage. The Patient Protection and Affordable Care Act survived a vote of the Supreme Court justices and changes will be implemented within the next few years. As people age and the number of people entering the golden

Every individual in the world deserves to enjoy health and wellness. Maintaining or achieving proper health needs enables individuals to be productive at work and leisure. Traditionally, many people have had barriers obtaining adequate healthcare due to economic constraints or personal inconveniences. Despite impressive technological advances in medicine, the challenge of delivering quality healthcare to the Americans continues to be debated amongst the nation’s political and healthcare leaders. The aging baby-boomers and the increased number of uninsured people add to the equation of population growth which results in limited access to primary healthcare for the entire public. On the

The growing concern regarding the financial security of Medicare is one of particular interest to the nearly 72 million baby boomers that become eligible for this government-assisted, and tax-payer bolstered, program over the next two decades. According to the U.S. Census Bureau (2010), there will be a rapid increase in baby-boomers between 2010 and 2030, as the entire baby boomer population move into the 65 years and over category (p.3). Political and financial revisions must be made to ensure the security of Medicare as the numbers of individuals paying into this program are soon to be surpassed by the number of individuals drawing-off this program (U.S. Census Bureau, 2010). The elderly are also at a disadvantage with transportation to health care visits, picking up prescriptions, and rehabilitation services. There needs to be an establishment of access not only to primary care providers, hospitals, and rehabilitation services, but access to other aspects of the health care system for the elderly population.

generations of practitioners to treat patients for chronic illnesses, while at the same time addressing the challenges that arise from social-economic barriers unique to Medi-Cal beneficiaries assigned to FQHCs.

There are many issues that are causing changings in the healthcare system. Population aging, rapidly increasing costs of healthcare and the growing burden of chronic disease are challenges to health systems worldwide. To meet these challenges will require new approaches to healthcare delivery and comprehensive population health management. Many states are not prepared to tackle this issue yet. The US has the most expensive healthcare system in the world with health status indicators that are only average in comparison

I am reviewing the case study on Raymond who is a hard worker that takes care of his son that is in college. Raymond lives in a small town in Mississippi. Due to his job he does not have health insurance. It appears that due to financial reasons that he is not able to afford any outside services with other insurance facilities due to his current situation with his son going to college, and other house hold expenses. Raymond appears to be healthy, and working to support his family, but due to family history with hypertension, heart disease it very important for him to have regular checkups due to his daily working lifestyle. Due to Raymond living in a small town he may not have a lot of options of physicians that he could go to for a reasonable price or able to work out payment options. Without him having insurance medication would be expensive, and he would have medical bills due to test physicians would have to run on due to lack of medical history. One of the barriers for Raymond is a current status access. “Access is the best for a person to obtain health services when needed. More broadly, access to care is the ability to obtain when needed, affordable, convenient, acceptable, and effective personal services in a timely manner” (Shi p. 484). Raymond his limited to have Medicaid in his state due to age limit, aged or disabled to be qualified. Raymond does not qualify for Medicaid or Medicare due to his age and income. Instead of Raymond seeing a cardiologist specialist

J.H suffers with several illnesses he has depression, history of myocardial infarction, possible COPD, as well as lower back pain, and bad knees. We will look at what is considered a chronic illness, and if J.H has a chronic illness. As J.H has multiple illnesses to consider we will look at what health care model will improve his quality of life. It is important that the correct model of care is used taking into consideration, his depression, and the importance of an interdisciplinary team to achieve the best outcomes for J.H. Therapeutic communication techniques should be also used to help achieve his goals when it comes to his illnesses.