Healthcare is an evolving system in the United States; constantly changing as a result of regulations like the Affordable Care Act or because of the large financial burden healthcare presents to many individuals. The system is moving from a fee-for-service system to one that holds healthcare organizations accountable for the health outcomes of the individuals it serves. Certainly for the consumer, these changes are beneficial, but for a healthcare organization, it can be like navigating a mine field, and for a new organization, there are numerous challenges. This paper will discuss the implications of opening a primary care physicians group in the outer belt of Washington, D.C. The focus will be on office configuration, scheduling …show more content…
Typically this insurance is characterized with low monthly costs, but more than likely a high deductible plan that will lead this group to be more conscious about overall healthcare costs; the opposite of those participating in a rich Medicare benefit plan. In addition, these groups will most likely be cared for, or making healthcare decisions for at least one individual in the baby boomer cohort; therefore, their need for healthcare goes beyond their personal needs. Not only are the individual healthcare needs of each generation significantly different, but so too are the ways they participate in healthcare. According to Berkowitz (2011), the baby boomers take direction from physicians regarding care and medication, whereas, the other generations tend to ask more questions regarding their care, and may forgo care if they determine the cost is more than their perceived benefit. For the physicians group, embracing the differences each generation presents will be key to the long term survival of the
Life expectancy has increased over the last century. With this greater survival rate, there needs to be an increase in the rate of spending for Medicare. Despite what one does to improve their health behavior, the need for medical care cultivates as one ages. This need will continue to increase significantly as medicine continues to modernize.
According to Edlund et al., (2003), the Long-Term Care Security Act signed in 2000 by President Clinton established the Federal Long-Term Care Insurance Program, which in 2002 offered a long-term care insurance program to federal government employees, retirees, and their family members. This type of long-term care employer assisted insurance has great appeal as the last of the Baby Boomers have entered their early fifties. In “Ready, Set, Grow,” Paul Barr (2014) stated that there are 10,000, Baby Boomers per day becoming eligible for Medicare, and those in their sixties focus on cost saving solutions; whereas Baby Boomers in their fifties emphasize the importance of quality, and ease of access while exploring new care models with innovative patient interactions and unique financing
The health facility in this case study experienced several problems and issues beyond possible solution efforts by the time. One of the main problems is based on the perfect way of handling the various challenges attributed to a shift from the hospital’s fee-for-service in the case of managing care environment. Besides, some local physicians were loyal to Dr. William and had the necessary flexibility and availability to assist the doctor in various ways, but today they are no longer available to assist the doctor towards the achievement of his medical and societal mission. The physicians were always available and loyal to the doctor and they could volunteer their efforts especially in cases of physician shortages in the health center. The physicians cannot afford the time they once used for volunteering activities in the health facility to assist Dr. Williams (Swayne, 2008). The reason behind this problem is that the physicians have now been employed by various managed health care organizations. Others have been involved in various contractual agreements such that the partners prohibit them from working with the health care facility. Although the health care facility has a few small groups or individuals offering primary care, these individuals and small groups are still struggling to survive in the industry. As such, the majority of them cannot
Currently, there is still a large shortage of primary care practitioners in the United States. The margin between available providers and those in need continues to grow. Many people without proper access to care have to delay seeking help for what ails them ("Health Wanted," 2012). Glicken & Miller (2013) state that approximately 16,000 primary care providers would be necessary to meet the existing demand. Rural communities would represent the area of greatest need followed closely by low-income urban areas. The number of underserved individuals is estimated to have reached fifty-seven million. This demand will only increase, as 52,000 primary care providers are expected to be needed by the year 2025 (Glicken & Miller, 2013, p.1883-1889).
With the generation of baby boomers approaching senior age by 2025, it may be difficult for them to adjust to the new technology and implement it in their everyday activities. Baby boomers are commonly known for the rejection of modern conveniences in exchange for traditional technology and for traditional values. So how will this cripple the changing trend of life for the aging population and there to decisions of living at home alone and last but not lease Medicare and the risk factors of making such a life changing decision? These issues create a group who are underserved and vulnerable. Underserved because of the barriers they encounter when caring for themselves by trying to eat healthy and the inadequate health care cost. Vulnerable because of the economic disadvantages and the health conditions they may face while dealing with this financial burden. If these problems are not address we will a heavy burden in our healthcare system.
The baby-boomer generation is aging and adding more beneficiaries’ at an increasing rate than ever before and is estimated to impact the federal deficit by over 17% by 2020. Many other countries have National Healthcare that provides better care at a much lower cost. Medicare was the motivation for a universal healthcare plan and a program for the U.S. could have a positive impact. (Starr, 2011).
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
As this baby-boomer generation continues to age there will be profound effects on the way that money is spent on health care and insurance. With approximately 77 million people turning 65 over the next several years, the amount of government spending on Medicare will greatly increase (Gigante, 2012). Thus, the demand for medical care associated with the aging population will so
Medicare is America’s largest health insurance program for the men and women over the age of 65 or with certain disabilities. For many Americans, this a huge part of how they can afford medications, doctor visits and other medical expenses. In recent years the number of Medicare enrollees has doubled (NASI, 2015). The “Baby Boomers”, people born from 1946-1965, is the largest generation within America with roughly 75 million Americans. This generation of Americans are all turning 65 around the same time and enrolling into this medical program. With the amount of new enrollees the total spending for Medicare will rise from 3.6% of the nations GDP to 5.1% by 2030, when the youngest of the baby boomer generation will be 65 (NASI, 2015). Even
The paper describes a proposed business plan for a new healthcare organization. The healthcare organization consists of 200 beds along with a 24 hour emergency room service. The focus of healthcare would be on adults. The physicians hired are of the top most quality and have years of experience in serving this occupation.
The rate at which our population is aging is one of the most demographic trends that will changes the face of the future workforce of healthcare. The demand for services and they type of services offered will change as well. The impact will be felt on a economic level
On an average, primary physician groups may see about four or five patients within an hour, probably about one patient every fifteen minutes. Because of increase productivity and cost restraints and pressures, this number could increase dramatically. This trend, unfortunately, will be matching the burden of physicians declining incomes and job market. A lessor number of physicians earn what physicians earned many years ago. Primary health has been affected more as compared to services rendered. Additionally, the shift to a bundled fee for performance from the fee for service reimbursement system for force solo practicing physicians and small group practices into forming or partnering into
Yet of perhaps greatest importance to the American healthcare system and industry is the demographical information of this older population in terms of its particular characteristics and disposition. More specifically, healthcare professionals and policy analysts must understand the aging populations’ economic and living situations, and their overall health status (Jacobsen, Kent, Lee & Mather, 2011). Economic factors are key as they directly pertain to the likelihood of reliance on publically-funded healthcare programs, while “the marital status and living arrangements of the elderly are closely tied to levels of social support, economic well-being, and the availability of caregivers” (Jacobsen et al., 2011, p. 4). The importance of this population’s general health status is, of course, self-explanatory.
Experience working in the field of health care lends insight to the growing needs of the older adult population, and the barriers which impede our capacity to meet them. As the Baby Boomer age is approaching older adulthood, the rise for financial,
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.