Quiz 2 Wk 6 Essay

More and more people with medical insurance are relying on the health care system as new technologies and treatments become available. This leads to a grater number of claims for payment by insurance companies, the costs of which are passed back to health care consumers. The baby-boom generation is entering its peak health-care using period. Over eighty million Americans will turn 50 in the next 10 years. The cost of providing heath care for these individuals will be staggering

and do provide a significant return on investment when they proactively engage in a patient’s healthcare.” So wait, this is only

Financial Incentives for Primary care: Comparison costs of practices using PCMH model to those that do not and achieved savings (by reducing hospital admissions and unnecessary tests, they can get half $ back. The catch is that they only get the $ if they’ve met a whole checklist of quality measures for preventive care, chronic disease management and so on. Primary Care is rewarded for efficiency without sacrificing quality. Half of savings goes to Geisinger’s own health plan that funds extra services and creates medical homes. The health plan earned 2.5 times its R.O.I. back in the first year.

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

Recently, a Consumer Driven Health Plan (CDHP), was created. There are many variables to a CDHP, such as benefits covered and coinsurance amounts, however there is one thing that all CDHP’s have in common – a high deductible. By having a high deductible, such as $1,200, it forces the plan participant to think about the medical services they are seeking. Do they really have to go to the emergency room for that cough or can they go to urgent care, or better yet, their physician the next day. When the plan

The Affordable Care Act has made many positive changes for uninsured and underinsured citizens. With the addition of a program called Health Insurance Marketplace, it is now possible for uninsured people in every state to purchase private insurance plans, those making under 400% or less of the Federal Poverty Level will be able to have tax credits making insurance more affordable (Lathrop & Hodnicki, 2014). Insurance companies are no longer allowed to cancel a policy or raise rates when a client gets sick. Insurance companies cannot refuse coverage to individuals with preexisting conditions such as cancer (“Quality Improvement,” 2015). Insurance companies now must cover preventive care and screenings allowing diseases like cancer to be caught early (“Quality Improvement,” 2015). Research has shown that through health screenings

I believe healthcare reform is a waste of time and money but I also see that it can be beneficial to many uninsured Americans. First of all, health care costs keep rising and in 2011 the average cost for a family of four increased by 7.3% or $19,393. This is double the cost estimated in 2003, and by 2030 payroll taxes will cover only 38% of Medicare Costs and the rest will be added to our already enormous budget deficit.

Close to half of each dollar spent on healthcare is inefficiently used both at a clinical and administrative level. Three other areas that funds are not appropriately in are insurer overhead and profit and over priced pharmaceuticals. Projected figures for the first year estimate that just in administrative costs alone the citizenry should see approximately twenty billion dollars worth of savings in the first year. Another area that will put approximately $5.2 billion dollars back into the budget will be that this program will allow the state purchasing power for mass quantity pharmaceuticals and durable equipment. Finally by increasing the emphasis on preventative care and making a primary care physician available to all will add another $3.4 billion. Last but definitely not least, it is estimated that this bill will dramatically reduce fraud approximately $800 billion dollars in healthcare spending. Total savings for the first year are projected to be approximately $29 billion dollars. The projected plan is to use this money for the purpose of providing healthcare to the populous that is currently without health insurance. With these savings and more efficient use of funds all residents will have comprehensive healthcare that at this point was leaving twelve million without it as well as not increase spending (Amaro

I would recommend Company X create a policy that documents FMLA procedures and clarifies what to expect while on leave (salary and benefits).

Self-care and medical consumerism programs are also a part of DM. They provide member with access to medical information that will assist them in caring for themselves and knowing when to consult a professional. These programs are now an accreditation standard for health plans by the National Committee for Quality Assurance (NCQA) as they promote consumer directed health (CDH). The benefits of self-care programs show $2.50 to $3.50 saved for every $1 invested by health plans. A HMO study done showed a decrease in outpatient visits as well as a 2:1 return (Kongstvedt, 2007, p.192). Another different study showed a decrease in pediatric acute care visits also.

While some argue that a switch to universal healthcare will cost up to $1.5trillion,4 there are other factors at play that influence the economy. Most Americans have health insurance through their employer which causes a huge financial strain on that employer, which is in turn reflected in product and service prices. If the price of goods and services goes up, that could end up hurting the United States’ global competitiveness. Citizens are unwilling to leave their current employer and possibly start their own business for fear of not being able to afford health insurance on their own.5 Some of those would-be entrepreneurs could create the next big product that becomes a critical part of the national economy. On average, the typical family of four in America pays over $20,000 annually on health insurance,7 money that could be pushed back into the economy. This is all in addition to the societal costs caused by the lack of universal health care such as fewer years in the workforce, caused by poor health, and higher cost to public programs like Medicare and the criminal justice system.5 If someone is uninsured until they reach the appropriate age to enroll in Medicare, they could have pre-existing, otherwise preventable conditions that will end up costing more money than it would have to treat them in the first place. In 2005, economist Dr. Kenneth Thorpe published a report in which he calculated the overall

It is widely believed that medical insurance will cover most things but, for people on Medicare, one-fifth of every dollar would have to be paid for out

With the current healthcare system in the United States there are many people who do not have health insurance due to cost.

A single payer national health care program could save American?s billions of dollars currently being spent on health care and insurance. A 2000 report by John Sheils and Randall Haught of the Lewin group on the costs and impact of a health care system in the state of Maryland showed that a single payer system implemented in that state would save its citizens 346.8 million dollars a year.(3) The majority of savings from this would come from vast reductions in administrative costs associated with insurance companies and the filing of claims. Sheils also reports that the average family would spend 261 dollars less each year on health costs (7). John Canham-Clyne notes in his book The Rational Option that a single payer bill proposed in the Senate was estimated to save the American public $110 billion a year by the Congressional Budget Office(24). The savings

| Pressure to save the money in your HSA might lead you to forgo care.