Health Care Costs and Health Care Quality
he Robert Wood Johnson Foundation, dedicated to improving the health and health care of Americans, focuses on research, publication and funding. wo of its articles, "What is the National Quality Strategy?" And "What's the price of health care?" focus on several important issues of national health care. By simplifying the explanation of our National Quality Strategy and examining several states' attempts at health care cost transparency, the articles can assist developers of health care policy in their efforts to reduce health care costs while improving health care quality.
he articles chosen are "What is the National Quality Strategy?" (Robert Wood Johnson Foundation, 2012) and "What's the price of health care?" (Robert Wood Johnson Foundation, 2012).
Issues Discussed in the Articles
"What is the National Quality Strategy?" discusses the National Strategy for Quality Improvement in Health Care, also known as the National…… [Read More]
As the increased costs that they are paying, will more than likely mean that they cannot afford to receive routine physicals and checkups. When you begin to reduce the number of visits, the odds increase that various conditions and ailments may be discovered once it is too late. This is when the condition has become so bad, that it will require an individual have to visit a specialist. Once this take place, it means that the cost of treatment to increase. Evidence of this can be found with a Milliman Study, which found that cost shifting represents 15% of the total costs at a health care facility. As various business and government programs are often seeking out ways to reduce their overall financial burden. ("2010 Medical Cost Trends")
At the same time, the rising health care burden on the individual could mean that they might not be able to afford…… [Read More]
At present, we spend nearly 15% of GDP, or $7,000 per man, woman and child in the United States on healthcare. The next highest nations, Germany and France, spend only about 10% of their GDP on healthcare. The additional 50% we spend does not reward us in longer lives or a better quality of life.
Those in the healthcare community would argue that Americans receive the best healthcare in the world, and we therefore pay more. I would argue that the best measure of healthcare is longevity, and Americans do not live longer than those in other developed countries. While we may lead the world in high-tech solutions to healthcare problems, the results are no better than elsewhere -- just more expensive.
We as consumers bear the primary responsibility to control costs
Our current experience in the healthcare system is that we make few choices, and do little to scrutinize…… [Read More]
Health Care Cost for Average Families Is Increasing
Health care costs are increasing at their lowest rate in 20 years, according to recent studies (AON, 2015), but at 4.1%, these costs are still increasing faster than the rate of inflation (Patton, 2015). For the average American family, the reality that health care cost increases have been sustained over two decades, at rates faster than either wage increases or the inflation rate, is cause for concern. Families already having a tough time making ends meet ultimately find themselves devoting increasingly large portions of their earnings to health care, to the detriment of other expenditures. There are a number of different factors that have contributed to this trend.
One of the reasons why health care costs have increased so much is that there are a number of different causes, and these causes are all working in the same direction of increasing costs.…… [Read More]
Health Care Costs in the United States on the Access to Care
Total U.S. Spending on Health Care vs. Overall Health in America
The United States spends an extraordinary amount of money on health care. n 2009, health spending was $2.47 trillion dollars and accounted for 17.3% of the U.S. economy in 2009 (Pickert, 2010). This was a significant increase over the 2008 figure of $2.34 trillion and "was the largest one-year jump since 1960" (Pickert, 2010). This has led to predictions that by 2019, U.S. health spending will be $4.5 trillion (Pickert, 2010). Much of this spending is government spending. Approximately one-fifth of the federal budget in 2009 went to health-care spending. That year, the "federal government spent about $500 billion on Medicare; the federal government and states spent some $380 billion on Medicaid" (Pickert). However, while U.S. health care spending has risen, the quality of health care in…… [Read More]
healthcare costs which are causing hospital a great deal of financial pain while also hurting patients in terms of higher bills. We need to understand that if an industry knows that its maintenance costs a lot, it will obviously pass on some of those expenses to its customers. The same is being done in healthcare industry and this is primarily because the cost of running and maintaining operations in a healthcare industry is very high in the U.S. The article talks about a research that is being carried out by a university and that seeks to find out if cost reduction methods used by other industries can be replicated in hospitals and other medical facilities as well. This is an important issue and the article is written to highlight the problem of higher maintenance costs in this industry and the fact that much of these costs can be avoided with…… [Read More]
Health Care Costs
ays to Cut Them Right Now
In the face of high health care costs, the health care industry is striving to reduce costs by addressing chronic, expensive drains on health care dollars. Researchers have offered numerous steps that can be taken to significantly reduce costs. Furthermore, while some cost-cutting programs are considered ineffective window-dressing, major health care providers have systematically and pointedly taken successful steps to reduce costs while rewarding compliance with those steps.
Three of the Ten ays to Cut Health Care Costs Right Now, Described by Arnst
hile Catherine Arnst describes 10 ways to cut health care costs right now and Kaiser Permanente addresses all 10 of those ways, 3 of the ways Kaiser Permanente cuts health care costs leap to mind: cracking down on fraud and abuse; developing a healthy workforce; and stopping infections in hospitals. "Fraud and abuse" in health care includes but…… [Read More]
The healthcare industry is in turmoil. Ironically, there are many sides and perspectives to the argument because healthcare in this country is and always was a major part of all aspects of life. We cannot just say 'let's fix the doctors' and all the problems go away. Every single man, woman and child as well as every single private and business decision in one way or another is affected by the existing healthcare cost situation. Most people do not consider that even the price of milk in their grocer's store or the overall cost of their automobile has in some way been affected by the crisis in healthcare. Consider a simple business decision like hiring a new employee in any business sector. This relatively mandatory decision comes with all types of hidden healthcare related concerns. In the private sector, consider a family member deciding to go…… [Read More]
healthcare costs for smokers are significantly higher than their non-smoking counterparts, and this paper reviews the relevant literature to measure the degree, if any, to which smokers are currently paying their own health care costs. An analysis of the costs that are associated with the second-hand smoke generated by smokers to identify additional costs is followed by a summary of the research and important findings are presented in the conclusion.
Smokers Should Pay for Their Own Health Care Costs Incurred from Smoking-elated Diseases
Despite a growing number of aggressive campaigns to completely eradicate the habit in recent years, many Americans continue to smoke tobacco and incur a number of smoking-related healthcare problems as a result. In fact, the costs that are associated with caring for smokers' healthcare needs far exceed those of their nonsmoking counterparts, but some analysts argue that smokers are already paying their own share of health care…… [Read More]
Higher Health Care Costs on usinesses
Without doubt, America faces some heavy challenges in the forthcoming years. First, still reeling from the terrorist attacks of September 11, 2001, the United States struggles to find the medium ground between protecting its border and sacrificing its people's civil liberties and stepping on other countries' sovereignty and freedom. Most recently, we've faced a large budget crisis, with huge line items such as Social Security and the social welfare net being threatened like never before.
Of course, we face our usual income disparity issues, with the rich getting wealthier, and the poor being evicted from the job market altogether, and with a sense of finality. Then there are the scores of environmental issues, crime issues and the large divide between the "blue" states and the "red" states.
ut none of these problems may be as galvanizing and as critical to solve as the nation's…… [Read More]
Technology and Cost Containment:
The ongoing increase in the costs of health care has become one of the major impediments towards increasing the accessibility and affordability of care services and enhancing patient outcomes.
Policymakers and various stakeholders in the health care industry have taken various measures to help lessen the costs of these services. One of the major initiatives undertaken by these stakeholders is the adoption of technology to address health care issues related to cost. Health information technology incorporates a wide range of technologies that are used to manage and share patient information electronically instead of the use of paper records (Takvorian, n.d.). Health information technology has been adopted because of its potential to enhance patient safety, improve the quality and efficiency of health care, and assist in restraining the rising costs.
Even though technology is considered as a major measure for lessening the escalating costs of health care,…… [Read More]
Influences towards the U.S. healthcare costs
Influence on U. S Healthcare
Influences on U.S. Healthcare costs
Throughout the years, the United States level of healthcare has been adversely affected by various emerging trends concerning Medicare. Some of these factors are the increasing health insurance industry, advancement in technologies used in medicine, demography changes and the improvement of customer support for healthcare. This has implicated towards the expenditures that continue to pile up towards the citizen and the U.S. government.
Increment in the rapid changes, in health insurance, has put health policies on the limelight. This is due to the cost containment towards the community (Kaiser, 2007). The issue of affordability of the insurance towards the citizens has advocated the re-address of this issue. Similarly, inconsistencies and different explanations from health policymakers has affected levels of health services from insurance providers and eventually implicating to division of costs from…… [Read More]
Cost of Hypertension
The economics of health care depends on a progressive decision process that allocates scarce resources, in a manner that achieves the best overall outcomes (Alcocer & Cueto, 2008, p. 147-149). This process is necessarily complicated and imperfect, and the desired result can be influenced by a number of social and political forces, including geographic boundaries, racial and economic disparities, and competing funding needs. To provide the best health care possible for a given funding level, policy makers will need to increasingly rely on evidence-based approaches to help them grasp the cost-effectiveness of specific treatments.
This cost-effectiveness calculation is complicated by conditions or diseases that contribute to the morbidity and mortality of other conditions. For example, hypertension is often recognized as a direct-contributing factor to diabetes, ischemic heart disease, and cerebrovascular disease and aggressive hypertension treatment can't always be assumed to be cost-effective (Author, 2012). The…… [Read More]
"Studies of the relationship between managed care penetration in the health care market and expenditures for Medicare fee-for-service enrollees have demonstrated the existence of these types of spill over effects" (Bundorf et al., 2004).
Managed care organizations generate these types of spillover effects by increasing competition in the health care market, altering the arrangement of the health care delivery system, and altering physician practice patterns. Studies have found that higher levels of managed care infiltration are linked with lower rates of hospital cost inflation and lower physician fees are consistent with competitive effects. "Other studies demonstrate the impact of managed care on delivery system structure including hospital capacity, hospital admission patterns, the size and composition of the physician workforce and the adoption and use of medical equipment and technologies. More recent evidence has linked market-level managed care activity to the process, but not the outcomes of care" (Bundorf et al.,…… [Read More]
Cost is one of the primary issues -- it is cheaper to go to an RN than a doctor, and walk-in clinics have lower overhead costs than physician's offices, which is of great concern to uninsured or minimally insured patients. ait time is another concern -- clinics provide immediate treatment, patients do not have to wait for appointments for a brief, routine procedure, which insured patients may balk at if they merely wish to get a routine culture for strep throat. Using the Internet to access information about insurance and care results in lowered administrative costs for providers, less need for phone operators to provide advice, and results in additional speed for the consumer, in accessing records.
For a patient without insurance, ordering drugs online and not having to pay for a 'live' consult may be more cost-efficient, despite the higher costs of the drugs. Healthcare companies' desire to make…… [Read More]
On the contrary, a comprehensive medical care solution that tackles the main issues driving up health care costs in America is possible. The main problem experienced by the average American is that health insurance premiums are cost prohibitive for the middle-class, but being uninsured can bankrupt a family forced to deal with even a minor catastrophic illness. Therefore, a national health insurance program has to be part of the solution. However, one cannot overlook the role that unpaid medical bills and exorbitant malpractice premiums also play in the modern healthcare crises. As a result, the solution must include a way to reduce malpractice premiums through tort reform, and a way to reduce the percentage of medical bills that go unpaid. The proposed three-prong approach would tackle all of those issues, without forcing any unwilling person to participate in a nationalized healthcare program.
American Tort Reform Association. "Medical Liability…… [Read More]
Healthcare spending by the New York State persistently surpasses its earnings. That difference continues to be expanding and is also anticipated to broaden unless of course there happen to be severe, continuous modifications in spending budget actions. Lieutenant Governor ichard avitch, in "A 5-Year Strategy to Deal with the State of New York's Spending budget Deficit" released during March 2010, approximated this structural disproportion within the state's spending budget to become no less than $13 billion. The structural inequality isn't simply the consequence of the economic downturn that started during 2007, and a commonly strengthening economic climate is not going to get rid of it.
To help the State of New York in providing the solutions and dedication to quality that its residents rely on, structural modifications are needed. The aim of this paper is actually to summarize one particular realignment - solving an outright inequity involving the state as…… [Read More]
Second, poor health in the individual probably detracts from his or her capacity to contribute to society more directly than the harm to productive society represented by the cost of the individual's healthcare.
Furthermore, the vast majority of American healthcare dollars are spent on individuals in their later years, after their productive lives are already over, rather than on working-age people. Finally, while reducing healthcare costs is necessary for the optimal health of the American economy, it probably relates more directly to private economic matters rather than to consuming national resources that could otherwise be dedicated to technological development in a general sense.
Response to Statement #3: As suggested in Response #2, optimum public health is not necessarily a prerequisite for global competitiveness unless by "health" one means healthy enough to reach productive adulthood. On the other hand, the American population is undoubtedly on the verge of an obesity crisis,…… [Read More]
The idea with this part of the strategy is to be able to form some kind of a partnership with these individuals. This will help to push for a transformation inside the organization. As, these people will help to provide everyone with: a reason for adapting and pushing others to do so (indirectly). (Turner, 1999, pp. 162 -- 163)
Once this occurs, you could then have these individuals become a part of a committee. They will have the responsibility for making specific recommendations about how this can be implemented. This is important, because this will help everyone to realize that some kind of change is occurring inside the facility. Over the course of time, this will lead to shifts in the operating environment by giving people reason for embracing these changes. (Turner, 1999, pp. 162 -- 163)
The Effectiveness of the Plan
To determine the effectiveness of the plan the…… [Read More]
Prejudice and ethical/leadership issues with healthcare are nothing new but the fight to keep those standards and ethics on an even keel and prevent racism, bigotry and predudice of any sort including based on class, money, political ideology, nationalism, and so forth should be stomped out and eviscerated whenever it can be. People are people and should treated with dignity and respect regardless of their race, gender, beliefs and so forth. Even convicted murderers and rapists should not be treated disdain due to their actions because doing otherwise lowers the ethics and standards of the healthcare community that can and should still apply at all times.
Callahan, M. (2008). Healthcare providers constricted by financial, legislative, and regulatory issues. The Journal of Medical Practice Management: MPM, 24(3),
Cobaugh, D., Angner, E., Kiefe, C., ay, M., Lacivita, C., Weissman, N., & ... Allison, J.
(2008). Effect of racial differences…… [Read More]
(Menzel, 1990, p. 3) Fisher, Berwick, & Davis alude to the idea of integration in health care, with providers linking as well as creating networks of electronic medical records and other cost improvement tactics.
The United States and other nations over the last twenty or so years, have begun a sweeping change in health care delivery, regarding the manner in which health information is input, stored and accessed. Computer use in the medical industry has greatly increased over the last thirty years the culmination of this is fully networked electronic medical record keeping. (Berner, Detmer, & Simborg, 2005, p. 3) the electronic medical record trend began in the largest institutions first, as hospitals and large care organizations attempted to reduce waste and improve patient care, while the adoption has been much slower among physician's practices and smaller medical institutions. (Hillestad, et al., 2005, pp. 1103-1104) Prior to this time medical…… [Read More]
Health Care Reform Federal Deficit
The American Health Care Crisis and the Federal Deficit
The United States spends more than any other country on medical care. In 2006, U.S. health care spending was $2.1 trillion, or 16% of our gross domestic product. At the same time, more than 45 million Americans lack health insurance and our health outcomes (life expectancy, infant mortality, and mortality amenable to health care) are mediocre compared with other rich democracies. We spend too much for what we get.
Nothing is new about these sobering realities. The Nixon administration first declared a health care cost crisis in 1969. Four decades later, the United States still has not adopted systemwide cost controls because the politics of health care make it extraordinarily difficult to control costs. I explain below why this is so (Marmor, et al., 2009).
The starting point for understanding the politics of cost control is…… [Read More]
At which point, the overall costs of care will be passed on to the tax payer in the form of higher taxes. This leads to a decrease in the overall quality of care and it will not slow the price increases, as the government seeks to restrict access to these services. Then, when the program becomes broken (such as: what is happening to Social Security) removing or reforming the bureaucracy is nearly impossible. (Messerili, 2010)
A second argument that many critics make about universal health care is: it will stifle innovation. Whenever, the government is running any kind of program, they will place a large number of restrictions and regulations on the industry. When this takes place, you are causing some of the best and brightest minds to seek careers in other fields, as the restrictions from the government are too cumbersome. A good example of this would be: the…… [Read More]
Polls examining public support of the bill and specifically the public healthcare option vary significantly. ith regard to physicians, the New England Journal of Medicine surveyed over six thousand medical doctors and found there was a majority in favor of federally provided public healthcare insurance (Keyhani & Federman). Other polls have suggested an opposition to the public option (Marmor).
The public option would provide an affordable alternative to the current private health insurance options and would provide impetus for competition and positive change. hether "America's Affordable Health Choices Act of 2009" will be passed is currently uncertain. hat is certain is that the healthcare and health insurance system is currently not sufficient to provide healthcare support for nearly 48 million uninsured Americans. Alterations need to be made to increase access and affordability for those individuals who desire health insurance.
The healthcare and health insurance system in the United States…… [Read More]
In fact Congress should pass a bill that gives that prescription drug benefit to Medicare patients.
QUESTION NINE: In the United States, healthcare is so expensive that over 45 million people are without health insurance. It is a broken system, leaving out many people, especially children. Recently the executive branch vetoed a bill that would have provided health insurance to millions of middle and low-income children, indicating a lack of government concern for the well being of the population. Bush said it was too expensive, yet it's not too expensive to continue spending billions on an unpopular war in Iraq. Meanwhile, for the past 45 years, Canada has had a "government-funded, national healthcare system..." based on these five principles, according to www.medhunters.com.One, it is universally available to permanent residents; two, it is comprehensive; three, it is available regardless of income; four, it is "portable within and outside" Canada; and five,…… [Read More]
S. healthcare structure do not include the unobserved disparities. This may sound very rudimentary, even silly to point out, but in by understanding that the numbers are actually worse than they appear, and that the rising costs of healthcare services re associated with both what we see and can't see, it is easier to understand how costs rise so quickly.
It is also a sobering fact that what we cannot observe is still out there, existing beyond the scope of the government and social programs designed to help people overcome obstacles to access to healthcare and health insurance. The ethnic group that is most unobserved within the bounds of many of the studies and statistics related to the disparities in the U.S. healthcare industry is non-Mexican Latinos (Bustamante, et. al., 2009). This group represents a major portion of the U.S. population that currently lacks access to healthcare. In understanding this…… [Read More]
" (Arnold & Reeves, 2009). ith medical services price at the present time, illness or some kind of complicated to medical services may take people deprived of health insurance years to reimburse for bills that are medical. Furthermore, I believe that individuals who lost their jobs also are uninsured for the reason that their employer gave health insurance is no longer paying for them. I understand that based on the statistic; there are "way too many around 1 million workers that have lost their health reporting in the first three months of 2009. I think that helping people buy health insurance coverage with low-cost with offering the health plans options for the uninsured is the healthcare reform that is really needed now. In this way, individuals that are without health insurance will be able to afford paying their medical insurance to uphold their well-being.
In conclusion, with the increasing rapidly…… [Read More]
WHO rates France as having the best healthcare ("World Health," 2000). In addition to universal healthcare, France also has non-profit supplementary providers, which means that the government subsidizes 70% of regular expenses but pays 100% of more expensive or long-term treatment plans (Sandier, Paris, & Polton, 2004). Money for subsidies comes from mandatory earnings contributions such as 5.25% salary, capital income, and gambling winnings (Sandier, 2004).
An argument that often arises is that people say they don't want the government deciding what medical procedures they can have. However, decisions regarding what procedures are covered by a particular health plan are made by the healthcare insurance companies, which are for-profit ("Insurance Verification," n.d.). Many people are denied treatment regardless of the illness. As already mentioned, some of the other nations with universal healthcare have supplementary plans in addition to the government plans that allow the patient more choice.
There are many…… [Read More]
(ennie; Fontanarosa, 2006)
Apart from financial reasons, millions are not bale to access healthcare due to a lot of barriers inclusive of geography, racial differences and immigrant status. The people who do not have access to required care, that might comprise incapability to get primary care chronic care, specialist care, or emergency care stand at risk for severe health consequences. As per a recent report, absence of health insurance was linked with considerably lowered application of recommended healthcare services for cancer prevention, cardiovascular disease threat reduction, and diabetes management within the lower-income as also higher-income adults. Apart from the concerns, trouble, and stress directly associated to their illness, patients those who lack insurance or are underinsured also encounter increased levels of debt, threatening calls from collection agencies, anxiety, and possible insolvency. (ennie; Fontanarosa, 2006)
Impact of reform measures on the nursing profession:
The U.S. healthcare system is considered among the…… [Read More]
Healthcare spending and GDP
With the renewed comprehensive healthcare system, the obvious challenge that came with it is how to finance it. The huge projections of the financial inputs needed to efficiently run the program portends a challenge to the government and is likely to spin out of control and be unaffordable in the long run after a few decades from now. This is informed by accompanying supplies and services increasing in cost like the essential original drugs that have been noted to have increased in prices among other services within the healthcare. In many countries people are expected to pay for their own health care. Therefore the ability of people to pay for their health care or the affordability of the healthcare has become a policy issue in many countries and especially an issue of urgency. The issue of healthcare spending has been a topic for debate over the…… [Read More]
Health Care Administration Profession
As a health care manager, the reason for choosing this profession and the day-to-day activities which fill my schedule are often vary different. As a health care professional, I entered this profession to make a contribution to the health and well being of my fellow soldiers. I chose to become a part of the support system which keeps the military functioning, and able to freely commit themselves to the defense of our country. As a health care manager, my time is filled with responsibilities which revolve around 4 categories that have little to do with the daily care of the soldiers and civilians who use our facilities. My job responsibilities focus on the Administrative, financial, legal, ethical, and financial aspects of keeping the medical care facilities operational (so that the other health card staff, such as doctors and nurses, can tend to the medical well-being of…… [Read More]
(Wolf, 2008) When you put all of these different elements together, it means that denying health care services to undocumented workers and their families will cause their underlying levels of health to slowly deteriorate. If something serious does occur, these people will more than likely be forced to fend for themselves.
Conducting research in these two areas would be beneficial in influencing health care policy / outcome by: highlighting the overall human cost of the problem on the industry and society. Where, the act of denying them access to health care and the lingering effects could be considered a human rights issue. As a result, the research that would be conducted would be beneficial, in highlighting the overall harsh conditions that these families are forced to endure. Once you present the situation in this light, this will shift the debate from one of a cost issue to being about: basic…… [Read More]
Changes to Healthcare Practice and Delivery: A Study of Two Detroit, MI Healthcare Facilities Separated by Twenty Years
Changes to technology and to the political and regulatory landscape have led to many changes in the ways that businesses in all manner of industries operate. Increased communications capabilities, the shrinking size and cost for advanced technologies, and a variety of other changes have provided many businesses with an opportunity to operate more efficiently, and in so doing have also made many industries and markets more competitive. An examination of some typical businesses operating in these industries today as compared to their counterparts that were in operation twenty years ago provides ample evidence of the changes that have occurred and the ways in which businesses have adapted.
The healthcare industry has by no means been immune from these changes, but in fact has changed more than many other industries due…… [Read More]
Surgeons in Canada report that, for heart patients, the danger of dying on the waiting list now exceeds the danger of dying on the operating table. Emergency rooms there are so overcrowded that patients awaiting treatment frequently line the corridors. Not only is there a long wait for care, but care is frequently denied to patients who prognosis is poor. In ritain kidney dialysis is generally denied patients over the age of 55. At least 1,500 ritons die each year because of lack of dialysis.
Countries with national health care systems also lag far behind the U.S. In the availability of modern medical technology. In Canada, high-technology medicine is virtually unavailable. In addition to being biased against new medical technologies, national health care systems generally discriminate against nontraditional practitioners, such as naturopaths and chiropractors.
It is true that Canada spends only about nine percent of its GDP on health care,…… [Read More]
Healthcare eform PPACA
Determine how this Federal law will affect market-driven and non-market driven decisions.
One of the industries that has felt the effects of the Patient Protection Affordable Care Act most immediately and intensely was the insurance industry in the United States. One of the chief reasons that the Patient Protection Affordable Care Act was introduced and passed into American legislation was the effect of rising health care costs attributed to arbitrary and non-competitive costs exacted from healthcare consumers from the insurance industry. There was a general lack of regulation within the industry, which had been demonstrated to have had a negative impact on healthcare outcomes and trends. The United States, while the largest economy and a dominant world superpower, has an underperforming healthcare industry compared to other developed, industrialized nations.
One of the central conflicts associated with the Patient Protection Affordable Care Act is related to philosophical differences…… [Read More]
When considering the ever-changing and highly competitive economic landscape of the modern world; governments, businesses and institutions must remain diligent in their care and compassion for their citizens and staff members. With the current exponential growth and advancement of technology and the computerization of business and learning, voters, workers and consumers have become much more connected to the organizations they patronize (Kurzweil). Accordingly, these important groups are faced with the continuous task of finding new ways to understand and subsequently accommodate the needs of their followers, while simultaneously securing lucrative business models and job environments. One of the most important needs presented in all demographics is reliable healthcare. Thus, with the inelasticity in the demand for healthcare, countries need to determine an applicable system, whereby citizens can have access to the medical services they will inevitably need. Collective access to healthcare represents the main problem in field of…… [Read More]
On the other hand, the industry will most likely insist on the service quality segment rather than on the price transparency. A constant improvement of the services provided within the healthcare facility will not only produce the appropriate competition on the market, but it will also provide the incentives for the other healthcare organizations, thus rising overall quality levels in the market. This will rather change the way hospitals price their services rather than price transparency.
Nevertheless, price transparency will change ridiculous situations in which the client is charged $35,000 to change a battery in a pacemaker. It will drive such prices lower, encouraging price competition.
1. A Call for Transparency in Healthcare Cost and Quality. On the Internet at http://blogs.msdn.com/healthblog/archive/2006/05/16/599064.aspx.Last retrieved on June 30, 2007
2. Feld, Stanley. What Is Real Price Transparency? Medicine: Healthcare System. May 2007. On the Internet at http://stanleyfeldmdmace.typepad.com/repairing_the_healthcare_/2007/05/what_is_real_pr.html.Last retrieved on June 30, 2007…… [Read More]
The result is that a multilayered system which is inherently designed to maintain and improve our public health standards has instead become almost entirely designed by its profitability. The best opportunity we have for reversing this trend is the applying of pressure that only the federal government can bring to bear. Greater regulation of pricing, coverage and standards of care will shift the focus back to quality health outcomes rather than strict improvement of the bottom line at all costs.
- Is there a solution?
How can (or can't) public policy shape health care in the U.S. hat do you predict for the next year?
Public policy absolutely has the capacity to bring improvement to a highly dysfunctional system. The Affordable Care Act and many of its related sub-initiatives such as the Readmissions Reduction Program are indicative of this opportunity. Indeed, the continuing pressure upon hospitals to focus on producing…… [Read More]
Health care reform has the objective of getting more people insured, and leveraging government bargaining power to lower the cost of health care. Our organization needs to be ready for this. We have the baby boomers joining Medicare, and Medicare is seeking to lower health care costs; so are private insurers. As an organization, we need to bring our costs down in order to remain profitable. This need not be hard -- every other country in the world does it. In this context, streamlining operations, eliminating waste, bargaining with suppliers and finding ways to streamline services to increase customer turnover are all measures that I would undertake in order to ready the organization for the full implementation of health care reform. Eliminating waste is a critical component of maintaining profitability within the health care system (Berwick & Hackbarth, 2012).
Something I would do differently with respect to health care planning…… [Read More]
Not only do these practices discourage preventative care and monitoring, they also diminish the quality of the good that insured individuals are buying from the health insurance companies. Insured individuals are paying for insurance and paying for most of their healthcare costs in addition because of the exorbitant deductibles. PPACA's prohibition of these practices ultimately forces health care companies to raise the bar and give health insurance customers more value for money.
Public-Private Partnerships Prevent ureaucratization of Health Care
There are widespread misconceptions that the PPACA will provide health insurance through some government-run bureaucracy. Actually, PPACA is built on close cooperation between health insurance companies and the government. Under PPACA, the government does not operate hospitals nor does it provide medical insurance to individuals. Actually, it requires individuals to carry some form of private health insurance or suffer a penalty. The only time the government becomes involved is when an…… [Read More]
A recent article touted the 6.1% growth of spending on medical care in 2007.
The same article cautioned however that, "most experts know that no matter what the numbers say, there is still a great deal of work ahead to reform a healthcare system that is still fundamentally broken -- and is facing one of the worst economic recessions in decades" (Lubell, 2009, pg. 6).
Government and industry officials have been working to reform the industry for more than a decade yet the problem seems to be getting worse rather than better. More and more individuals are finding that insurance takes too much of their income and are forced therefore to forego that expense. Government is leery of committing to the cost of such expense, and industry is reluctant to offer expanded coverage without the backing of the federal government. As the interested parties do the two-step the problem becomes…… [Read More]
Meanwhile, without any competition, such as n the form of a public healthcare insurance system, the private healthcare insurance industry also continually increases premium fees virtually at will (Kennedy, 2006; eid, 2009). Furthermore, by refusing policies to high-risk patients, private health insurers essentially "cherry pick" the lowest risk patients while leaving the most expensive medical services to be furnished at the public's expense by public funds available to provide healthcare for low-income individuals (Kennedy, 2006; eid, 2009). That is why, at the very least. The future of American healthcare insurance must include a public option (Kennedy, 2006).
The Issue of Government Healthcare Insurance Lobbying
The principal way that the private healthcare insurance industry maintains its control over American healthcare is through political lobbying of government representatives (Kennedy, 2006). In fact, there are approximately six healthcare industry lobbyists in Washington for every publicly elected representative. Throughout the 2009 negotiations in Washington…… [Read More]
As a result, millions of Americans remain unable to bear the heavy financial toll of medical expenses. Indeed, the problem of a lack of insurance for many is related to the problem of the cost of healthcare. So confirms the article by Consumer Reports (CR) (2008), which finds that "health-insurance premiums have grown faster than inflation or workers' earnings over the past decade, in parallel with the equally rapid rise in overall health costs. Industry spending on administrative and marketing costs, plus profits, consumes 12% of private-insurance premiums." (CR, 1) This reiterates the case that the undue imposition of costs by the healthcare industry -- a reflection of a free-market industry with little to no regulatory oversight -- has negatively impacted the accessibility and quality of healthcare for many of the poorest users.
Moreover, these users are most vulnerable to the long-term economic damages provoked by unexpected healthcare costs. So…… [Read More]
Drug costs have gone from 26% of health care spending by private insurance companies in 1990 to 44% in 2006 (Kaiser Foundation, 2008). This issue has not been adequately addressed by health care reform. Instead, a deal appears to be made for $80 billion in concessions from the pharmaceutical industry in exchange for its support of health care reform (Kirkpatrick, 2009).
The underlying trend in each of these major issues in health care reform is controlling the rising cost. Malpractice reform seeks to control the cost of insurance to health care providers, so that they can pass those savings along to consumers. The public option provides a plan for affordable health care coverage for uninsured and underinsured Americans. This is deemed necessary because private insurers will not offer insurance to those it feels will demand too much in terms of health care costs going forward. Reducing the cost of health…… [Read More]
Health Policies Medicare
hen everyone in our country finally starts to reach the age of 65 years of age or older, then every person will become eligible for Medicare. It is clear that there are some elderly that are having minimum health concerns while others recurrently are dealing with medical issues for which they will have to seek out treatment by the doctor. However, research is starting to display that there are at least five top conditions that are enhancing on medical and drug spending. It is obvious that Heart disease circumstances are the number one medical issue that the those that are considered elderly are facing and that is becoming very costly to them. Most are unaware that the second one is the disease cancer and it could be internal or external for various elderly patients. Other issues such as joint ailments a lot of the times can cost…… [Read More]
Others believed that cost control would become a matter for distant and impersonal government boards, with a direct effect on care, and that the reduced competition brought about by the federal government's entrance into the insurance market in any form would simply lead to rising healthcare costs without any real control or oversight. These two pictures of dire futures brought about by the healthcare bill seem to be mutually exclusive, with one predicting uncontrolled expenses and the other control so tight that care is potentially denied for expense reasons alone, but both were a part of the argument against the national healthcare bill.
There has also been considerable debate regarding exactly who will be overseeing the program. There was considerable talk of "death panels," a deliberately fear-invoking image of a bunch of suit-wearing individuals determining when it was time for a person to die rather than continue to receive…… [Read More]
In the current era of managed care in medicine, physicians and other healthcare providers and institutions have been under tremendous pressure to reduce costs. In that regard, avoiding unnecessary hospitalization is one of the most important goals of lowering the costs of healthcare delivery (Stanhope & Lancaster, 2004). Toward that end, diverse strategies have evolved to provide as many healthcare services as possible on an ambulatory basis.
Hospitals and insurance companies now encourage patients to participate in preventative medicine and routine testing intended to lower the costs associated with hospitalization over the long-term. The strategy is simply to reduce the incidence of serious illnesses, particularly those that typically develop over many years and which are capable of prevention through behavior modification and early detection through diagnostic testing (Stanhope & Lancaster, 2004).
Because state and federal governments must absorb much of the costs of uncompensated medical services, the many administrative agencies…… [Read More]
(Findlay, 2001, 90 -- 119) (McLeod, 2003, pp. 895 -- 908)
What is the possibility of bias entering the study? If the study is susceptible to bias, state and explain the type of bias that may enter the study and what steps can be incorporated to minimize the entry of bias.
The possibility for bias in the study is low. The reason why, is because researchers will have limited access to the patients they are seeing (through: the use of anonymous surveys). This will dramatically reduce the possibilities of bias existing. (Findlay, 2001, 90 -- 119) (McLeod, 2003, pp. 895 -- 908)
ased on your hypothesis/proposal, how will the proposed generated results help to develop an effective health policy for the target population of your chosen topic?
The proposal will help to develop an effective health policy. This is accomplished by: providing specific insights about how the increasing utilization of…… [Read More]
Nursing homes, residential care facilities, and home health care will be core issues on the agenda for representatives in that area. In areas with substantial populations of non-native English speakers, a nurse might need to lobby for a greater wealth of bilingual health care services.
Community nurses are also becoming increasingly aware of the issues related to health care access including the growing number of underinsured or underinsured citizens. When communicating with lawmakers who have little first-hand knowledge of what health care costs are like or how health care integrates with the community, nurses need to focus on the issues that legislators understand. Policies related to access to health care can be framed in ways that achieve direct and immediate results. For example, a nurse might propose a strong network of community health and outreach centers that provide information on preventative care in multiple languages. Similarly, a nurse might work…… [Read More]
At the same time, 25% of Americans do not have any kind of health insurance coverage or not enough to pay for all of their expenses. (Amadeo) This can have an impact upon their financial well being, as a person must spend money that they do not have, to treat different conditions that could be life threatening. Once this begins to occur, is when the total number of bankruptcies will begin to rise sharply. As nearly half of all the filings that are made are: medical related, due to the overwhelming costs and the inability to pay them. (Amadeo) These different challenges are creating sudden shift in the economy that are: having short- and long-term impacts upon economic growth.
What is happening is rising health care costs are beginning to become a hidden tax on: businesses and consumers. As they are slowly eating away at any kind of added investments…… [Read More]
The government should provide health care, because the economic characteristics of health care make it ripe for abuse in a market environment. Government should provide as a service to its population those goods that, for one reason or another, are open for abuse in a normal market economy. Normally, the main condition is natural monopoly, which makes the case for government involvement in commodities like electricity, water, or policing. Health care is not a natural monopoly in that there can reasonably be a number of different providers, but it has other characteristics that make it a strong candidate for government intervention.
In even the freest capitalist economies, there are public goods that the government provides. The government provision of certain services is accepted by populations because the alternative -- total anarchy -- results is a severely degraded quality of life. No government services at all is a failed…… [Read More]
In 2004, a Ten-Year Plan to Strengthen Health Care was announced, primarily intended to improve access to medical services, decrease wait times, and update medical equipment and ensure accurate reporting and enhance public health promotion and prevention programs. Shortly thereafter, the Canadian Supreme Court affirmed the nation's health care philosophy and the immediate need to implement further improvements envisioned by the ambitious 2004 plan in striking down a Quebec law that had prohibited private medical insurance for covered services:
The evidence in this case shows that delays in the public health care system are widespread and that in some serious cases, patients die as a result of waiting lists for public health care...In sum, the prohibition on obtaining private health insurance is not constitutional where the public system fails to deliver reasonable services."
According to legal experts, the decision could "open the door to a wave of lawsuits challenging the…… [Read More]
For example, prior to 2007, there were approximately 1 million confirmed cases of hospital-acquired ("nosocomial") infections in American hospitals and other healthcare institutions (clinics, nursing homes, etc.), resulting in the premature and preventable deaths of nearly 100,000 patients who would otherwise have survived the illnesses or surgeries for which they originally received treatment in those institutions (eid, 2009).
Approaches to educing Healthcare Costs
Because the problem of treating those nosocomial infections alone was the source of an estimated $1 - $2 billion, the Centers for Medicare and Medicaid (CMS) terminated reimbursement for several kinds of urinary tract infections in healthcare institutions in 2007, to force healthcare providers to take the necessary steps to prevent those infections (eid, 2007). Another important component to fighting healthcare costs are the oversight mechanisms, such as the Health and Human Services Inspector General's Audit Services and Medicare's recently enacted ecovery Audit Contractor (AC) program. In…… [Read More]
Health Care Finance
Greenwald engages in a discussion comparing the U.S. health care system to, well, other health care systems. An interesting methodological fault is that Greenwald cherry-picks his examples. In one paragraph, he compares the U.S. with Canada, in other the UK, and in another Spain. he problem, methodologically, is that he can cherry-pick data from whatever country best suits his argument. What this means, in terms of interpretation, is that Greenwald's findings need to be taken with a grain of salt. As an example, Greenwald notes higher wait times in three countries for urgent coronary artery bypass. Nobody likes high wait times, but Greenwald's U.S. figure doesn't factor in the uninsured, whose wait time is infinity. hey just die. he issue many have with the U.S. system is not that performance is poor; it is that performance is only good when you can afford it.
his cuts to…… [Read More]
Health Care +
Greenwald identifies several factors that are resulting in escalating health care costs in the U.S. One of these is the values and expectations of the American people. The consumer (patients) have an expectation that they will receive a very high standard of care, and there is reason to believe that these expectations are increasing over time. This results in a demand driver for health care companies to constantly invest in research and development. There are other factors as well. Greenwald cites consumption by the disadvantaged and immigrants -- I'm not sure I agree with that. His argument is that the government is a payer, and many are using emergency care because they lack insurance, but this is logical fallacy. A lack of insurance is the reason these users are expensive -- it is not their existence that is the problem. Greenwald also notes that the rise in…… [Read More]
ef: The Health Care bill signed by Andrew M. Cuomo -- Governor for Treatment of Autism Spectrum Disorder
I wish to state that the legislation must have come in earlier than this. Autism is a condition that requires medication and care for children and the legislation passed by the Governor Albany, NY on November 1, 2011 requires that the treatment of Autism Spectrum Disorder be brought under the health care coverage. This is a laudable step in New York and it will be a blessing to such families with autistic children to afford the expensive health care costs. The law now makes it mandatory for the health insurance companies to provide coverage for treatment of autism spectrum disorders, and the companies however may resort to 'deductibles, co-pays, and coinsurance consistent with those imposed on other benefits.' (Cuomo, 2011)
Discussing the law Governor Andrew M. Cuomo said that the…… [Read More]
Figure 1 portrays the state of Maryland, the location for the focus of this DR.
Figure 1: Map of Maryland, the State (Google Maps, 2009)
1.3 Study Structure
Organization of the Study
The following five chapters constitute the body of Chapter I: Introduction
Chapter II: Review of the Literature
Chapter III: Methods and Results
Chapter IV: Chapter V: Conclusions, Recommendations, and Implications
Chapter I: Introduction
During Chapter I, the researcher presents this study's focus, as it relates to the background of the study's focus, the area of study, the four research questions, the significance of the study, and the research methodology the researcher utilized to complete this study.
Chapter II: Review of the Literature in Chapter II, the researcher explores information accessed from researched Web sites; articles; books; newspaper excerpts; etc., relevant to considerations of the disparity in access to health care services between rural and urban residence in Maryland…… [Read More]
The article states, "The enormous human and economic costs associated with occupational stress suggest that initiatives designed to prevent and/or reduce employee stress should be high on the agenda of workplace health promotion (HP) programs" (Noblet, LaMontagne, 2006, p. 346).
Along with the article's assertion that reducing employee stress should be beneficial to both the individual and the company, the article also documents the many problems that can occur due to stress in the workplace. The article espouses, "For employees, chronic exposure to stressful situations such as work overload, poor supervisory support and low input into decision-making have been cross-sectionally and prospectively linked to a range of debilitating health outcomes, including depression, anxiety, emotional exhaustion, immune deficiency disorders and cardiovascular disease" (Noblet, p. 347). Many of these illnesses are debilitating and can be long-term which adds to the company's cost due to employee absence(s) directly affecting the company's bottom line.…… [Read More]
Starbucks has committed to provide healthcare coverage to employees who work at least 20 hours a week. This year, the cost will add up to over 200 million dollars for coverage of its over 80,000 employees. Schultz's perspective, differing from G is that the company's healthcare accounts for its very low employee turnover and high productivity. However, their generosity is even now bringing down their bottom line, Starbucks is attracting older workers who no doubt join the company for its healthcare benefits. As a result, Shultz notes that Starbuck's future healthcare costs will dramatically increase. Starbucks has seen that their insurance costs have had double digit increases in each of the past four years, and that this growth is completely "non-sustainable." Part of the reason that Starbucks is able to maintain its current healthcare policy is the relative newness of the company and its current lack of retirement healthcare costs.…… [Read More]
Access and Availability
The biggest problem in terms of access to healthcare is in rural areas. Our investigation found that there are very few if any rural clinics or healthcare facilities.
Access to healthcare is also limited to those that can afford insurance or qualify for Medicare or Medicaid. The unemployed and the poor are at a major disadvantage when it comes to gaining access to healthcare. The location of healthcare facilities is limited to the larger municipalities.
The entity that is responsible for the healthcare system is the United States Government. In addition, Puerto ico has a governor and a cabinet in place to ensure that the appropriate laws are carried out. The entity that makes laws concerning healthcare is outside of the country but the entity that enforces these laws is inside the country. Services are evaluated by state run entities and agencies of the United States…… [Read More]