The Inured: A Case Study

The insureds, who live in a separate house on the same property, refute all of the plaintiffs’ allegations with the exception of their concession that a portion of the siding is missing from one of the exterior walls. They explained that during the renovation of the house, which was completed approximately one year before the plaintiffs took possession, they had a window removed from

The lifecycle of physician-based claim (CMS 1500) is something that we not only need to know, but also how to do from start to finish.

Ernst & Whinney should have evaluated the reliability of the insurance restoration contracts since it was created internally by ZZZZ Best. Furthermore, the limited details in the contracts as noted in the ten red flags that ZZZZ Best’s auditors allegedly overlooked should have raised certain professional skepticism of the auditors. While performing analytical procedures on ZZZZ Best’s financial statement, its auditors failed to notice the substantial excess in its profit margin for restoration projects comparing to the rest of the industry. Physical examination, although a very reliable type of evidence for auditors, was unreliable in this case. Barry Minkow and his accomplices went to great length to cover up their fraud and successfully deceived their auditor. Moreover, the auditors did not have the authority to corroborate evidence with outside third-party due to the confidentiality agreement with ZZZZ Best.

In a study entitled " Who are the Remaining Uninsured and Why Haven't They Signed Up for Coverage?" there were factors identified that attributes to higher rates of uninsured groups. The factors are as follows: the ACA's exclusion of undocumented immigrants from the coverage expansion; the lack of Medicaid expansion in 19 states; less awareness of marketplaces in some demographic groups; concerns about affordability and eligibility; difficulty selecting plans during the enrollment process, and lack of assistance in selecting

I was looking in my mirror at the red and blue flashing lights. My stomach dropped and I was scared about what was going to happen. I had already been pulled over twice in the last week, once for running a stop sign, the second for speeding. It’s about 1am and only that time because of the day light savings. It is now passed my curfew.

The Affordable Care Act of 2010 (ACA) had put more open doors for Americans to live healthy and longer life. Be that as it may, few individuals are living without insurance due to monetary results. They put their life in the danger of human services administrations. They are having less medicinal services results, getting low quality of care than the general population who has insurance. The proportion of uninsured and insured individuals soar by 25% in 2000. Individuals messes with medical coverage exceptionally and disregarding it in few point in view of their financing issue and lack of education. As indicated by Institute of Medicine (IOM, 2002), 18,000 individuals kicked the bucket without getting a decent social insurance benefit since they were

One of the major social problems in the United States is the increasing number of uninsured people who are among the vulnerable populations in the America. In 2008, there were approximately 46 million of non-elderly Americans without health insurance including adults and children. While this population includes people from all age ranges, young adults account for a significant portion of these people since they are likely to be uninsured. Moreover, many uninsured individuals are in families with at least a single full-time worker as Hispanics excessively have the highest rates of the uninsured. However, the huge share of this population is white Americans as compared to people from other races.

The Affordable Care Act was passed to provide American’s better access to health insurance coverage. In addition to better access the ACA improved health care quality and lowered health care cost. The ACA reformed health insurance by expanding coverage, holding insurance companies accountable, lowering health care costs, guaranteeing more choices, and enhancing the quality of care. Although some states have not implemented all the benefits of the ACA, most citizens do have access to health insurance. This paper will address some of the general highlights of the ACA, how it impacted healthcare and the nursing practice.

In the United States of America, access to health care is a disadvantage for approximately 48 million Americans of those who do not have health insurance and millions underinsured (Parker & Thorson, 2009). Health disparities continue to deprive the nation of the need for adequate health care services and preventative care leaving a country mentally and physically disabled. There are two million Deaf and Hard of Hearing (DHOH) people living in the America, which is the third concentrated population in the United States (U.S.) (Pick, 2013; Barnett & Franks, 2002). As of today, there is no knowledge of health care insurance coverage published to determine the number of DHOH without or underinsured. Unfortunately, lack of data to support the number of DHOH without health insurance or underinsured remains a puzzling mystery

As a growing number of Americans find themselves without health insurance, it is demanded that the United States explore innovative policies aimed at extending coverage. The high cost of expanding coverage raises many questions about how best to improve access while preserving individual choice and maintaining quality of care. Differing viewpoints among policymakers, insurers, doctors, hospital administrators, employers, public health advocates, and health policy researchers provide a complete picture of the current and desired state of American healthcare.

In America, the number of uninsured rises every year and no solution to the problem has

As you walk into your local grocery store you see tons of food products with health claims. A health claim is a statement about a food product and what it does for your health as part of a healthy diet. Health claims, mentions the physiological function like: “Calcium can build strong bones and teeth”. There are nutrition claims, ones that say: “Source of fiber, no added sugar, reduced in calories”. And lastly, disease risk factor of reduction claims. For example: “Diets high in calcium may reduce risk of osteoporosis” (Nutrition Content Claims and Health Claims.) But the real question: Is the food actually as healthy as the label claims to be?

There are various reasons as to why an individual may not have insurance. A compilation of the popular characteristics of those who do not have insurance includes living in poverty, being of a minority group or a specific race, and one’s age. According to the article, “Who’s Insured?”, poverty is a prime component to why some do not have insurance. The article stated that “62% of uninsured children come from families making below 200% of the federal poverty level” (Who’s). When discussing families who are uninsured 17.4% of families had the head of household unemployed, 32.5% were made up of families with wages below $20,000, and more than 35% of uninsured families made less than $10,000 (Who’s). Furthermore, a lack of insurance can be a consequence of poverty, effecting whether or not a family can afford insurance, or if the family has access to employer sponsored insurance.

However, despite decreasing the national uninsured rate and supplying millions of Americans with affordable health insurance, the Affordable Care Act alone does not solve the health care issue in the United States. Approximately 11% of Americans are still uninsured today (“U.S. Uninsured Rate Edges Up Slightly” 1). In addition to lack of insured citizens, the United States spends more on health care than any other country, yet quality of medical care is far behind compared to other developed countries (“United States Comes in Last Again on Health, Compared to Other Countries” 1). The Organization for Economic Co-operation and Development (OECD) is an organization in which 34 democratic countries work together to “promote economic growth, prosperity, and sustainable development” (“What is the

According to Kaiser Health News “Often, consumers discover they’re underinsured the hard way – when they break a leg or have a serious illness, such as cancer, and their medical bills exceed their benefits enough that it is difficult for them to pay.” (“The ‘Underinsurance’ Problem Explained”).People who are underinsured have a hard time paying for their medical needs and appointments. When a person cant get a treatment for their medical condition it an affect their health greatly. People who are under or uninsured cannot pay for regular screening for cancer a lot of times because their insurance doesn't cover for it or they do not have any insurance. According to the Henry J. Kaiser Family Foundation “Nearly a quarter of uninsured adults say they did not take a prescribed drug the past year because they could not afford it” (“ HOW DOES LACK OF INSURANCE AFFECT ACCESS TO HEALTH CARE?”).No one that lives in America should have to skip there doctors appointment because of there lack of