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Healthcare Reform Models
Health Care Reform Models
Preventive Psychiatry
Shim and colleagues (2012) argue for taking advantage of provisions within the Patient Protection and Affordable Care Act (ACA) of 2010 that emphasizes preventive and integrated care. They propose that the primary care setting is ideal for screening patients for signs of mental illness and associated risk factors. A mental health wellness program could also include coaches and other experts that interface with patients on an individual basis, including at the patient's home.
Long-Term Behavioral Health Care
Bao and colleagues (2012) examined four patient populations defined by disease severity and ability to pay, and then assessed how these four groups will fare under the behavioral health provisions in the ACA. Patients with private insurance and suffering from mild to moderate mental illness will probably receive...
The authors suggest that the presence of comorbid conditions of sufficient severity may not received the best care in this setting because these patients often need specialized care not typically found in a primary care setting.
Health Homes are intended to serve Medicaid patients with mild to moderate mental health problems (Bao, Casalino, and Pincus, 2012). In contrast to behavioral health services provided in a primary care setting, Health Homes will represent government-funded behavioral health clinics serving sometimes large populations. Some of these organizations will have incorporated primary care services into their organization. The foreseen limitation of Health Homes is that the patient population will still be underserved by primary care services.
Accountable Care Organizations (ACOs) are provider led and offer patient populations comprehensive care services (Bao, Casalino, and Pincus, 2012). The patient populations that will likely receive the best care at ACOs are those with mild to moderate mental health problems and are covered by private insurers or Medicare. Since ACOs are managed and funded by commercial health providers, there is likely to be little financial incentive for these organizations to provide services to Medicaid patients.
OEM/PCMH/ACO Integration
The American College of Occupational and Environmental Medicine (ACOEM) recently published a policy statement encouraging the integration of workplace physicians and the health…
Healthcare Issues, Systems, And Policies America, once the global leader in the health of its population and among the nations with the highest quality and most readily available healthcare services, has now fallen behind almost twenty other countries, including some that only became industrialized in the last third of the 20th century, and with substantial assistance from the United States. While most other so-called "First-World" nations have already embraced several fundamental
Healthcare Economics Overall Healthcare And Economics Healthcare economics: Current challenges from a nursing perspective Although the subject of healthcare economics has been hotly-debated, on one issue there is widespread agreement: the aging of the population will substantively increase the demand for healthcare in the near and far future. As the population worldwide is aging and living longer, the need for essential services over a longer lifespan will generate more costs for an already-beleaguered
Health Care in the U.S. And Spain What Can the U.S. Learn About Health Care from Spain? In 2009, Spain's single-payer health care system was ranked the seventh best in the world by the World Health Organization (Socolovsky, 2009). By comparison, the U.S. health care system ranted at 37 (Satiroglou, 2009). The Spanish system offers coverage as a right of citizenship that is constitutionally guaranteed. Spanish residents pay no expenses out-of-pocket, with
097 United States 0.109 0.093808 0.036112 0.068 Utah 0.1071 0.1401 0.035696 0.073 Vermont 0.1326 0.0988 0.040851 0.114 Virgin Islands NA NA NA Virginia 0.1048 0.0829 0.080009 0.092 Washington 0.1229 0.0669 0.027831 0.068 West Virginia 0.1293 0.0774 0.036499 0.055 Wisconsin 0.0954 0.0357 0.032367 0.097 Wyoming 0.1251 0.1453 0.053867 0.075 Notes All spending includes state and federal expenditures. Growth figures reflect increases in benefit payments and disproportionate share hospital payments; growth figures do not include administrative costs, accounting adjustments, or costs for the U.S. Territories. Definitions Federal Fiscal Year: Unless otherwise noted, years preceded by "FY" on statehealthfacts.org refer to the Federal Fiscal Year, which runs from October 1 through September 30. for example, FY 2009 refers to the period
Health Care Systems Over the last several years, America's health care system has been undergoing a tremendous amount of changes. At the heart of these transformations is the role of the federal government in regulating the delivery of various services. For some this is troubling, as it will lead to a larger form of socialized medicine. This is when consumers will have less choice and the underlying quality will decrease. While
Health Reforms Health Rearms For a long time, the Health Care concern has been a centre of discussion in the society as well as among the representatives in a bid to find out which would be the best way to cushion Americans from the ever increasing burden of having to take care of themselves medically. Efforts have been made but still there is no single solution to the issue hence a combined