Reflection Paper On Health Care Delivery

The Health Care System in the United States has changed throughout the years, the health care delivery system underwent a fundamental change including tighter integration of the basic functions through managed care. Before due to the separations of functions they were not paying close attention to the over utilization and payments for health care that was being used. However due to the high of health care cost today the current delivery system have implemented higher controls over utilization and price, this was been done trough manage care. The functions of managed care are to implement the four basic components of health care delivery, look for methods to control utilization of medical services and to determined at what price services will be purchase and as a result, determines how much a provider gets paid.

Roemer’s model of a health care delivery system shows the different necessary elements for a system to be successful. As health needs are the input; the system needs resources, organization of programs, economic support mechanisms, and delivery of services to provide the health needs output (Roemer, p 33). Able 2 is an organization that provides services to people with disabilities. They have many resources, but perhaps not enough to meet the health needs of every consumer. They have well organized programs, have economic support, and can deliver services completely and holistically to produce health as the output of the client. The most important implication that was found in analyzing Able 2 was the need for increased resources as they are not able to meet the needs for every client in need of its services. Ultimately though, Able 2 is an excellent organization that provides an array of services for those people with disabilities.

I found the program to be well rounded in the health care field and I am happy that I chose to continue with this program as an entry into the health administration field. This program has given me more opportunity to prepare an entrance into a professional environment of being of service in various health facilities and agencies, clinics and hospitals. The responsibility of the health administrator will encompass a wide variety of duties including but not limited to administrative, medical, legal and ethical requirements and brilliantly combines the overall knowledge of the business administration and the health care system.

In the past, managed care in the United States took the form of voluntary programs. Such programs date from about 1850, when managed care was provided chiefly by cooperative mutual benefit and fraternal beneficiary associations. Limited coverage by commercial companies was also introduced during that period, and subsequently many plans were established by industries and labor unions.

Health care is our nation’s greatest strength and most serious challenge. The organizing, financing, and delivery of health care in the United States is affected by a broad range of forces such as public, private, national, as well as local (Shi & Singh, 2015). The main theme of the Obama campaign of 2008, was to change health care provisions that were preventing American’s from accessing adequate health care. In March 21010, the Patient Protection and Affordable Care Act (PPACA) was passed by the U.S. congress and signed into law by President Obama, aimed at creating significant changes that impact every health care organization (Shi & Singh, 2015). The PPACA was enacted with the goal of increasing the quality and affordability of health insurance and this goal is achieved by increasing the Medicaid coverage for low income, uninsured-adults under 65 years of age, with income up to 138% of the federal poverty level (Ayanian, 2013). Moreover, the Medicaid expansion demands for the full practice of advanced practice nurses, with the increase in the number of insured population and this will provide more autonomy in practice for advanced practice nurses. This paper discusses in detail about the PPACA, and one of its key components “Medicaid expansion policy’.

To present a health care reform, one must first find out what can be improved within a health care organization. For financial reforms, there is normally a focus on rebuilding an existing budget or making cuts so that funs can be put toward a new project. As for America’s current health care system, there is a desperate need to insure more citizens. The Affordable Care Act of 2010 has created a starting point for our health care system from which can progress. More patients with preexisting conditions are now able to obtain insurance thanks to the policy within the ACA of 2010. The focus now is reimbursement for physicians. One financial operating change that should be made to America’s current health care system is the reimbursement rate to physicians. According to the lecture

My definition of health is the overall well-being of an individual including several factors. They include the present state of mind of an individual, the financial situation an individual may be in, the environment the individual may be exposed to, and the genetics of the person.

In our first week of class, we have looked at the first three chapters in, Health Care Delivery in the United States. The first chapter talks about how the health care system has moved from a mindset of restoring a person’s health, into the phase of preventative medicine, which we see now. This has resulted from measurement of how the health care system is working, and with research looking at patients throughout the years. We now know, that any problem, disease, or condition, should be treated early or prevented if possible. The health care system has been working with public education to make citizens aware of what tests and preventative programs will be of assistance to them. (Knickman & Kovner, A., 2015).

Healthcare financing is proven to be challenging. A balance between adequate access, acceptable quality and affordable cost are the main objectives of a healthcare system (Paterson, 2014, p. 13). The island of Tekram is finding extremely difficult to achieve a solution to the current crisis of their healthcare system. The objective to this case study is to recommend a new healthcare strategy to island government.

The healthcare system of USA has continuously evolved and matured over the years. With time, the healthcare system of USA has strengthened. Still, this system has certain weak points that have to be overcome in order to deliver excellent healthcare services. Providing, best of the healthcare services, should be the combined responsibility of public and private players (Robert, 2009). People would also have a role to play in order to ensure that healthcare services and delivered in an excellent way. In the postindustrial period, USA has

Health care delivery in the United States is a complex system that is conditionally changing. New policies, physician availability, insurance trends, technology, population growth, and cultural influences shape patient access (Shi & Singh, 2013, p. 353). Health care reform is a highly debated topic in America today. By adding funds to the current system it is treating the symptoms and not addressing the cause of the delivery system problems (Moyers, 2009). There are many aspects of the health system that need to be evaluated and improved in the near future (Wexler, et al. 2014).

The Matrix tells that the US health care delivery system that (The process that enables people to receive health care or the provision of health care services to patients) is complex and massive, and despite the uniqueness of the US health care delivery system, but it lacks the universal access (no national health care program); therefore, not all population has continuous and comprehensive health care. Its mission is to have universal access with better quality. Its components of the functional view (Financing, Insurance, Delivery, and Payment). The problem of rising health care costs was a major force driving the rise of the cost of managed care which is a subsystem of US health care delivery system.

For the purpose of confidentiality and anonymity, I have changed the patients name and throughout of the reflection I will refer to them as Mrs Smith.

The Women’s Health Issues course this semester have been interesting and informative. I gained great perspective on health topics affecting women’s health status and ways biological and social factors put women at a higher stake for health issues. One of the most important thing I am taking away from this class is the importances of understanding women’s health, as a Public Health student women’s health has been a topic of interest for a long time. Coming from a developing country where many women grapple with health issues from discrimination and prescribed roles, it has been important for me to take this class and to have better understanding on health disparities that exist globally between women and men. In the following paragraphs I

Alliance Health + was established in August 2010. It is wellbeing and administration association. As the main Pacific-Led Primary Health Organization in New Zealand, AH+ has an enlisted Population of 93,000 crosswise over 26 General Practices in the Counties Manukau and Auckland DHB regions. (alliancehealth, about-us, 2015). AH+ (Alliance Health +) is a new organisation with all the available services. They also supports pacific provider network. It will be beneficial to New Zealand in the near future. The association additionally gives wellbeing and group administrations - especially in the territories of wellbeing administration combination, and of intersectional joining where that will impact the social determinants of wellbeing. We trust that accomplishing this will advantage all Population aggregates and will likewise enhance the working existences of clinicians and their capacity to better address the issues of the populations they serve. (alliancehealth, about-us, 2015)