The Texas Health And Human Services Commission

Even though Texas Health Resources approach is uninterrupted throughout this study with the sole purpose of endorsing of quality assurance and maneuvering to brand core measurements attained. The key to the leaders involved in this organization study is to convey, examine, make improvements, collaborate, and initiate changes within the hospital, which this study principally is engrossed on bringing crucial argument and descriptions to light. Precisely monitoring the study there were several references concerning how Texas Health Harris Methodist- Cleborne recuperated their performance and quality assurance by the 15th percentile from Texas Health Resources its parent organization. This organization 's theory used would be a resources dependence theory. Authority was assumed to this same organization Texas Health Resources with anticipation to produce and improve a new core resource model for clinical outcomes and this theory would be an independent variable theory. Numerous quality encouragements were set up for employees to promote their performances which demonstrates the hierarchy of needs theory. For the reason that, this demonstrates that the Texas Health Resources constructs all the results regarding what transpires and gives Texas Health Harris Methodist -Cleborne the approval to acquire a new position of clinical outcomes specialists, that what focus on the daily functions within their organization. Established on their discoveries, reports showed that part of her

It is essential for an administrator to understand how private and government payers impact actual reimbursement. Government payers have a standardized benefit structure. The one benefit is that registration staff have an easier time calculating payment due (copayments) for service and can set up payment arrangements. Since the most significant proportion of funds coming into a healthcare organization is usually payments from third-party payers, therefore, it is critical to know how each reimbursement affect the others that come in. Healthcare organization may have hundreds of different payer’s relationships in the form of different contracts that have their own rates of payment that are usually different from other payers for an identical

The two states of Texas and California have vastly different methods of taxation and they also differ in how they spend these taxes collected. In the past, many people packed up and moved out west to California because they saw it as the land of opportunity, but recently, this trend has changed as many individuals and businesses have been moving from California down to Texas. This is a relevant point to discuss because this movement has much to do with how California and Texas both tax their citizens. Texas prefers a regressive tax system, which taxes citizens by letting the taxes fall as the tax base increases, California implements the opposite method through more progressive taxes. While citizens may prefer Texas’s system of limited taxation, this also severely effects what services the government is able to provide to its citizens, which is why I would argue for slightly higher taxes so that Texas can obtain more benefits in the long run.

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)

The Senate Committee on Health and Human Services consists of a chair, vice chair, seven members and a clerk. The Chair and Vice-chair of the Senate Committee on Health and Human Services are Charles Schwertner and Bob Deuell. Members of the committee include Joan Huffman, Jane Nelson, Robert Nichols, Larry Taylor, Carlos Uresti, Royce West, and Judith Zaffirini and the clerk is Michael Baca (Senate, 2014). As of 3/19/14 the Lieutenant Governor of Texas included two more charges to the previous five interim charges. The most recent interim charges are Charge VI: to evaluate and make recommendations on the current drug abuse and strategies to reduce prescriptions drug abuse in Texas. Also, Charge VII: to monitor the implementation of

These proposals often focus on using hospital DSH payments to expand coverage rather than using these sums to make payments to hospitals, using savings from reductions in other programs, or proposing new revenues (Holahan et al., 1995). The goal is to expand coverage at small new costs to the government (Holahan et al., 1995). The key features of

Kalamazoo County Department of Health and Human Services agency is the host to many assistance programs and services that aid in the advancement of our community. The organization was originally created in 1965 and was named “Department of Social Services” (Michigan.gov, 2017). In 1995 it was renamed “Family Independence Agency”; in April 2015, Governor Snyder decided that the Department of Human Services (DHS) would merge with the Department of Community Health (DCH) to create the Department of Health and Human Services. Hence the name Michigan Department of Health and Human Services (MDHHS) was born. The DHHS office “provides public assistance, child, and family welfare services, and oversees health policy and management”

As the largest state by area in the continental U.S. as the second most populous, Texas has its significant share of public policy challenges with which to contend. And as the discussion hereafter will show, many of these challenges serve as a microcosm of the broader pubic policy issues facing the United States. The issues addressed here below help to provide a better understanding of the complexities of public policy maintenance in a large and diverse state.

Children’s Health System of Texas (CHST) with a very modest beginning in 1913, launched its big vision to serve the pediatric population in Dallas, Texas and a secondary facility opened in 2008, attends to the north Dallas pediatric clients in Plano, Texas. The organization is recognized as the eighth largest facility in the country with 483 beds and 50 specialty and subspecialty programs (Children’s Health, 2017). Once again in August of 2017, CHST received the Joint Commission accreditation and is recognized for having magnet status as well (Joint Commission, 2017). CHST employs approximately 5,400 employees that provide quality care in specialties such as heart disease, hematology-oncology, and

“Bioterrorism remains a major threat for the United States despite more than $65 billion spent on protecting the country from myriad dangers, the Bipartisan WMD Terrorism Research Center said in its latest report Wednesday. The center's Bio-Response Report Card evaluated U.S. preparedness for countering threats from bioterrorism and found the country remains vulnerable to multiple threats and "largely unprepared for a large-scale bioterrorist attack."”(UPI.com, 2011). There have been over a dozen leading U.S. bio-defense experts that have taken part in figuring out where we are exactly as a county and what the effects of a terroristic attack

In 1983, the Medicare prospective payment program was implemented which allowed hospitals to be reimbursed a set payment based on the patient’s diagnosis, or Diagnosis Related Groups (DRG), regardless of what treatment was provided or how long the patient was hospitalized (Jacob & Cherry, 2007). To keep the costs below the diagnosis related payment, hospitals had to manage efficiently the treatment provided to a client and reduce the client’s length of stay (Jacob & Cherry, 2007). Case management, or internal case management “within the walls” of the health care facilities was created to streamline costs while maintaining quality care (Jacob & Cherry, 2007).

The MPHFP enables certain rural hospitals to be licensed as Critical Access Hospitals (CAHs) that receive cost-based reimbursement from Medicare in return for limiting their services (Rural Assistance Center- CAH Frequently Asked Questions, 2012). Under costbased reimbursement, health care providers receive reimbursement based on actual costs incurred which is a more generous reimbursement method than allowed by the prospective payment system (Gapenski L, 2009). However, only those providers that fall under the following categories are eligible to become CAHs: currently participating Medicare hospitals; hospitals that ceased operation after November 29, 1989; or health clinics or centers (as defined by the State) that previously operated as a hospital before being downsized to a health clinic or center (Department of Health and Human Services, 2013). A Medicare participating hospital that wishes to convert to a CAH, has to meet certain criteria including (Department of Health and Human Services, 2013):        Be located in a state that has established a State rural health plan for the State Flex Program; Be located in a rural area or be treated as rural under a special provision that allows qualified hospital providers in urban areas to be treated as rural for purposes of

The passing of the Deficit Reduction Act of 2005 made an additional incentive possible for acute care hospitals who take part in the HCAHPS survey. Since July 2007, hospitals who are subject to the Inpatient Prospective Payment System (IPPS) annual payment update provisions need to collect and submit HCAHPS data if they want to collect their full IPPS annual payment. Inpatient Prospective Payment System hospitals that ignore to report the required quality measures, which includes the HCAHPS survey, could get an annual payment update that has a reduction of 2%. Hospitals like Critical Access Hospitals, can also participate in HCAHPS if they want to.

If the Centers for Medicare & Medicaid Services (CMS) change their payer regulations and accreditation requirements, hospitals would need to accommodate their requests for continued supplemental payments. In other words,

Throughout the years, managed health care has led to the growth of quite a few different forms of medical insurance coverage. While all of them seem feasible, they each have their pros and cons. What works for some individuals does not necessarily work for others therefore the options available are continuously evolving. Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), and Primary Care provide the same type of health coverage with the exception of Primary Care. However, the coverage is distributed and paid for differently and by different parties