Health Insurance Matrix Essay

“a U.S. government program of hospitalization insurance and voluntary medical insurance for persons aged 65 and over and for certain disabled persons under 65”. This government based health insurance would still allow private insurance companies to stay in business. Another way Obama wants to change the health insurance companies is to expand coverage and improve the care given. What this means is people with cancer could possibly get health insurance in a case where no one else would cover them

Social Problem The Problem our policy is intended to address is the lack of affordable health insurance as well as the lack of affordable health insurance to persons with pre-existing health conditions. The Extent of the social problem reaches to numbers of persons and populations in the United States. Living without health insurance are in excess of 50 million people in the United States, which is roughly equivalent to 16.7% of the population, or one in six U.S. residents (Wolf, 2010). Defining

Recovery and Reinvestmant Act, along with the Affordable Care Act, have mandated a change in the business of health care. Federal reimbursement is now based on prevention and patient outcomes. Our class web links to Centers for Medicare & Medicaid Services(CMS.gov) and Institute for Healthcare Improvement (ihi.org) have a wealth of information on how we are going to change our current health care delivery system. The president of Institute for Healthcare Improvement Pat Rutherford, has a video on

Medicare and Medicaid are programs that have been developed to assist Americans in attainment of quality health care. Both programs were established in 1965 and are federally supported to provide health care coverage to vulnerable populations such as the elderly, the disabled, and people with low incomes. Both Medicare and Medicaid are federally mandated and determine coverage under each program; both are run by the Centers for Medicare & Medicaid Services, a federal agency ("What is Medicare?

in their physicians and provide higher rating to their physician’s performance than their urban counterparts. (Reschovsky). Another difference in urban and rural health care is that there are higher death rates from unintentional injuries, suicide, and chronic pulmonary disease in rural areas. (Eberhardt and Pamuk). This is due to health care facilities not being well enough equipped or prepared when a life threatening emergency occurs. It is also due to having to travel to the nearest hospital or

as prescriptions, vision, dental and home care are covered mainly through private insurance policies purchased by individuals or employers. (Squires, 2010) How is health care delivered? Health care in the US is delivered through a compilation of care providers and settings. The Commonwealth Fund points out the dysfunction in the system stating; There is no single national entity or set of policies guiding the health care system; states divide their responsibilities among multiple agencies, while

One of the major problems in America is the need for a new health care system. The number of uninsured Americans needing medical treatment is rising. Medicare, a major part of the American health care system, is projected to go broke in 2019 according to USA Today “Congress refuses to swallow cures for ailing medicare”. A public option will bring Americans their own pursuit of happiness. I believe that with a national health care system, similar to the one in Canada and some European nations, this

Managed care is simply a system that delivers health care to a specific population purchased through health insurance plans. Practitioners and providers manage the use of health care services and cost by providing effective diagnosis and treatment, appropriate use of inpatient and outpatients facilities, population-based planning, health promotion and education, and disease prevention. Managed care uses a “gatekeeper” system, where patients or beneficiaries are assigned a Primary Care Physician

by improving the health status of Americans. Top on the list of its agenda is to provide appropriate healthcare to all people within the U.S. borders which is a goal that is achievable according to PR Newswire (2007). Healthcare Provision and Resources In the United States almost all levels of healthcare are delivered by the private sector providers. Many hospitals and health facilities are owned and run by profit making companies. Doctors and other health workers are either

Preferred Provider Organization What is the Characteristics of PPO? Tends to be used in two ways. One way to apply to health care providers that contract with employers, insurance companies, union trust fund, third-party administrators, or others to provide medical care services at a reduced fee. PPO may be organized by the Providers themselves or by other organizations, such as insurance companies the Blues. Like HMO they may take the form of group practices or separate individual practices, they provide