The Provision Of Healthcare Country 's Veteran By Providing Excellent Healthcare

The consumer driven health plan (CDHP) is a combination plan, one with a high deductible plan and one with a tax-preferred savings account plan directed by the patient. The plans work together for the patient with the high deductible for major losses and the savings accounts for out of pocket expense or non-covered expenses. With the CDHP, patients are more inclined to research their medical care in order to make informed decisions (Valerius, Bayes, Newby, Seggern , 2008).

The Medi-Cal Managed Care system for Shasta County is the COHS Model (County Organized Health System), also known as the Healthy Families Program. This program“administers a capitated, comprehensive, case-managed health care delivery system. This system has responsibilities for utilization control and claims administration and Medi-Cal covered health care services to all Medi-Cal beneficiaries who are legal residents of the county” (Department of Health Care Services, 2009). This model has been shown to be the most efficient Medi-Cal managed care model for improving patient

States have chosen to two forms of Medicaid managed care to better deliver healthcare services besides the traditional fee-for-service Medicaid programs; primary case management and traditional health maintenance organizations. “In primary care case management, the state Medicaid agency contracts with a primary gatekeeper entity (e.g., physician, clinic) that coordinates primary and specialty care for Medicaid beneficiaries. For healthcare maintenance type programs, a State Medicaid agency contracts with an existing healthcare maintenance organization, prepaid health plan, or other institutional health care provider who, in addition to proving primary care services, assumes insurance risk of providing covered services. Typically primary case management are paid on a fee-for-service basis plus a monthly case management fee per enrollee, while health maintenance organization plans are paid a capitation rate and are at full financial risk.” (1)

One of the most serious problems facing all veterans today is the lack of proper healthcare. Soldiers, sailors and airmen are leaving active duty without having proper healthcare to cover their physical or mental injuries. The department responsible for veteran’s healthcare is the Department of Veterans Affairs. (VA) According to The department of Veterans Affairs website, “The United States Department of Veterans Affairs (VA) is a government-run military veteran benefit system with Cabinet-level status. It is responsible for administering programs of veterans’ benefits for veterans, their families, and survivors. The benefits provided include disability compensation, pension, education, home loans, life insurance, vocational

The Government is a very important body as a stake in the health-care sector. Policies, Acts, and reforms are enacted and passed by the Government for adequate and better healthcare to meet the needs of its people. Insurance policies are one of the many ways that most States use to provide affordable and quality health care to every citizen. Although some of the laws may not have had a great impact towards the health-care, many have improved the services offered to the health-care consumer (Schmeer, 2016). Moreover, the government is also responsible for developing up policies which help in regulating the health

The thought process behind consumer-driven health plans is that consumer activities can be improved in ways that will lessen the cost and

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.

One of the greatest changes in healthcare in the past ten years has been the rise of managed care, much to the displeasure of many patients and physicians alike. Managed care arose out of concern about spiraling healthcare costs and was designed to encourage physicians to give patients treatments that were cost-effective out of their own financial interests. "The consumer strategy was directed at imposing some barriers to use by levying various forms of co-insurance. The most common approaches used either deductibles (where the consumer paid the first portion of the bill a technique familiar in other types of insurance) or co-payments (where the consumer paid a portion of the bill and the insurance company the rest) or a combination of both' (Kane et al 1994). Managed care has given health insurance companies an increasingly significant voice in how treatment is administered and allocated. Managed care has proliferated in the past decade despite considerable criticism of the practice of 'nickel and diming' patients as well as the considerable bureaucratic red tape it is has generated. Also, research indicates that healthy, well-insured patients tend to over-consume care without meaningful co-pays but poorer, sicker patients can be deterred even by moderate co-payments and suffer negative health consequences (Kane et al 1994). However, managed care has not gone away and is a reality that all healthcare

Introduction: The full form of CDHP is consumer-directed health plan.. There are a few unique sorts of CDHPs—some that can be matched with an individual plan and some that must be combined with a group plan means employer of the company. These are medical saving plans which could give more care on our health. It let us make decisions about how we could get more dollars on our health based on some conditions and factors.

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

One of the must have necessities of a human being is the provision of sound health care and every government, both national or local is obligated to offer this essential service to all the citizens without favor or any discrimination of any kind. Where else it is paramount that every employer to make sure the health and the safety of the employees are given the first priory. This will make sure the employees who are injured during the work are taken care of, and they are relieved the burden of the cost of health care. Thus, it is common to find most companies get the services of insurance companies and other organizations which provide health care programs for workers such as IndUShealth to make sure the welfare of the employees is in safe

Certainly, the document covers the health outcomes over long time. It measures the investigation by tracking each patient’s information. Indeed, the investigator focuses on health intervention and efficiency. He examines an effective system that benefits both the government investment and individual’s benefits. The author refers to value as the idea of cost reduction. He agrees that high value should be principal when embracing health care programs. It may benefit suppliers, patients, providers and payers. Eventually, the outcomes will benefit a multidimensional group. Certainly, the writer observes that is more convenient to pay for the cost of each patient’s medical condition. Consequently, full cover medical services will decrease people medical problems. (Potter,

Explain the major features of a consumer-driven health care plan (CDHP). The three different types of managed care plans that are available are: Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO), and Point of Service plans (POS). Individually they have a slight difference from one another, but offer the exact establishment, at accompanying a health environment. Health Maintenance Organization (HMOs) chooses a Primary Care Physician (PCP) from a list of other providers for a health organization that hae an contract with other providers to deliver amenities. An HMO is a group that places medical institutions and physicians into an organization named HMO. Applicants at choosing a PCP, the physician performs necessity

Overall, the role of health insurance as a financial channel will be mentioned. Monetary business objectives will be contrasted with the altruistic goals of health care as a humanitarian service. The benefits of shifting health care management altogether to the government will be discussed, emphasizing its positive effects on the businesses of the employers and the performances of the employees in the United States.

Every country faces the vital, yet daunting, task of instituting a successful healthcare system. This is exceedingly difficult as each country is unique in their history, culture, population and health needs, all of which require a specialized system. Furthermore, an ideal system addresses equally the three key aspects of healthcare: quality, affordability and availability. A system without even one of these aspects at its full potential is not providing the best care possible for the population.