Health Economics Health Reform

In: Business and Management

Submitted By raelynmom
Words 2579
Pages 11
The Cost of Preventive Care
Veronica Lee
Regis College
HP-622-01-11FA, Economics of Health Care
December 4, 2011

Is There a Real Cost Savings with Preventive Care?
Introduction:
On March 23, 2010, President Obama signed the Patient Protection and Affordable Care Act (PPACA) into law, which creates health insurance reforms that will transform healthcare over the next four years. The PPACA will ensure that all Americans have access to quality, affordable health care and will create the transformation with the health care system necessary to contain costs (The Patient Protection). One of those health insurance reforms started on September 23, 2010, which will provide free preventive care. The PPACA will eliminate co-pays and deductibles for recommended preventive care, including preventive care for women, provide individuals with the information they need to make healthy decisions, improve education on disease prevention and public health, and invest in a national prevention and public health strategy (The Patient Protection). There are some exceptions to the law for grandfathered insurance plans. This preventive services provision applies only to people enrolled in job-related health plans or individual health insurance policies created after March 23, 2010 (Preventive Care). This law is supposed to improve quality healthcare and lower costs for patients. This paper will discuss what effect the new law may have on the United States healthcare system.
What is Preventive Care? The definition of preventive care is "a pattern of nursing and medical care that focuses on disease prevention and health maintenance. It includes early diagnosis of disease, discovery and identification of people at risk of development of specific problems, counseling, and other necessary intervention to avert a health problem. Screening tests, health education, and immunization…...

Similar Documents

Health Reforms

...HEALTH INSURANCE POLICY PROCEDURE Name: Institution: Date: Introduction Many families are unable to afford the high cost of health insurance. These families are living without essential provision of good health.   The American citizens when they visit hospital and are diagnosed with major illnesses, are hampered with a huge debt, they are left with worry and pain of figuring out how to pay it.   This issue still remains part of a huge political debate in the government.   The increasing insurance cost has even affected organizations and private sectors where lesser of these organizations are offering health insurance to their employees.   It is the citizens who are left to suffer (WHO 2012). Problem Analysis 47 million Americans have no health insurance coverage, which would account for around 18,000 premature deaths per year (Robinson 2007). United States hast the highest spending in the world yet, among the 30 nations that make up Organization for Economic Co-Operation and Development (OECD), United States on most health indicators ranks near bottom (Robinson 2007). Health Provision is the primary goal for any hospital. This paper seeks to design a policy and procedure that can be implemented in hospital to address this issue. According to a federal report on health care quality released in July 2012, The 2011 State Snapshots report based on key health indicators such as......

Words: 1043 - Pages: 5

Health Care Reform

...Solutions to Illegal Immigrants Impact on Health Care Solutions to Illegal Immigrants Impact on Health Care The effect of immigration on health is controversial. “In recent history, large influxes of immigrants have not resulted from social benefits provided by the United States government. Rather, immigration increases are far more impacted by changes in immigration policy or by political conflict or natural disaster in the immigrants’ home countries. And the availability of direct economic incentives, jobs, prospects, higher wages, and the ability to send money back home, are more than enough to continue incentivizing immigration to the United States regardless of the status of health insurance” (Garg, 2010, p. 1025). Illegal immigrants do not have health insurance coverage; their primary resource for health care is by using emergency room services. Illegal immigrants often use emergency services because of the Emergency Medical Treatment and Active Labor Act of 1986. This act commands hospitals that offer emergency services to exclude certain ones, have to provide care to anyone needing emergency health care regardless of legal status or ability to pay. Undocumented immigrants are overrunning medical institutions with their inability to pay. Uncompensated care threatens the financial viability of a unit’s ability to provide care to other patients. Illegal immigrants are a burden to the United States health care economics. Is it an ethical and moral responsibility for...

Words: 1147 - Pages: 5

Health Care Reform

...Running Head: Health Care Reform Proposal Ethel Sloan Professor Tiriza York Grand Canyon University Date: April 20, 2012 Health Care Financial Reform Proposal The financial future of the health care industry is faltering. Financing Issues are among the most difficult problems in health care. The impact of health care reform initiatives from 2010 forward is yet to be realized. The impact on health care may take several years before health care can be reformed the way it should be. There are several problems on the horizon that is effecting the health care system. There is quality of health care, continuous rising of health care, and the developing of electronic medical records transparency. The impact of health care involves a selected choice of rules to Patient Protection and Affordable Care Act that the Senate-passed health insurance reform bill.  Health care reform indicates health care industries must do more with less if they want to keep competive. In addition, this means health care industries need to become incredibly effective (Cleverly, W. O., Song, P. H., & Cleverly, J. O., 2011). On February 17, 2009, According the the Centers for Medicare and Medicaid Act The American Recovery and Reinvestment Act authorizes the Centers to provide reimbursement incentive for physicians, hospitals, and providers who are successful in becoming meaningful users of an electronic health care......

Words: 1519 - Pages: 7

Health Care Reform

...National Health Reform - Decreased Cost in Medicare and Medicaid: How Does it Impacts Nursing Home Care in New York State by Vina Aileen Bonner HCA 621 Utica College Fixing medical care and health insurance in the United States has been a public policy concern for about a century. Presidents such as Theodore Roosevelt, Harry S. Truman, John F. Kennedy, Richard Nixon, Jimmy Carter and Bill Clinton focused on the National Health Reform, but only President Barack Obama achieved the health care reform. Health care costs are increasing while the access to health care is declining. The occupationally based health insurance system is greatly stressed. Medicare and Medicaid are consuming more of the federal budget. According to the White House’s budget for U.S. Department of Health and Human Services (HHS), President Obama’s proposal would save nearly $360 billion in Medicare and Medicaid over the next 10 years: $56 billion would come through Medicaid reforms. Medicare is a federal health insurance program providing health care benefits to all Americans age 65 and over. Medicare is a significant part of the reason the national debt is soaring out of control. It is an open-ended program for provided for millions of senior citizens and people with disabilities. Medicare is growing faster than Social Security and more expensive in the next 25 years. Nationally, health care experts believe that as much as third of all health care spending – about $800 billion......

Words: 1821 - Pages: 8

Health Care Reform in the U.S.

...Health Care Reform in the US Introduction Health care reform is a general term that is used for analyzing and discussing major health care changes and provisions. Most health care reforms are typically served with the responsibility of broadening the population so that they can receive adequate health care coverage through private or public insurance companies. Also they improve quality of existing health care system and decrease the cost (Weiner & Robert, 2009). The health care reform legislation act of 2009 is a bill that was enacted in USA to direct the health care insurance providers to draft and develop regulations in implementing a comprehensive policy aimed at providing effective and cheap insurance cover to all American citizens. Though beneficial to the public, since the bill was signed into law the implementation of the act has faced numerous economic, social and political challenges. In addition, the political climate is such that real challenges appear to be emerging, including legal challenges at the state level (Farber & Blustein, 2007). Finally, polls are showing that voters are not yet on board. In fact, some voters are unaware that a health care reform bill had been passed. Therefore this paper Identifies and describes the major challenges to health care reform implementation and gives an analysis of how these challenges can be resolved. Reasons and Recommendations for Health Care Reforms There is minimal question regarding the need to restructure the......

Words: 1766 - Pages: 8

Health Care Reform

...Case Study: Assessment on Health Care Politics and Policy Brittani Cornett Health Care Policy 3200 Professor Walpole November 16, 2013 The overwhelming majority of Americans agree that reform of our healthcare system is necessary; however, the debate continues to rage over the specific type of reform we need. With the health care reform more people will gain health insurance, coverage will be more affordable, and people will have access to the health services they need. These provisions will improve the lives of millions of Americans and give them the peace of mind that comes with knowing that they have coverage no matter what. Prior to the Patient Protection and Affordable Care Act was passed, the Democrats and Republicans had not been able to compromise on a deal. Subsequently, President Obama and House Republicans failed to reach an agreement on a plan that would extend the nation's debt limit. This paper will evaluate two consequences involved in policymaking of health care reform; the committee involved, and the reasons the House will not come to an agreement in efforts towards health care reform.   On March 23, 2010 the Affordable Health Care Act became a law. This meant that insurance companies would no longer stand between consumers and their healthcare providers. They could no longer dictate what services would be limited, and the need for seeking approval before receiving......

Words: 1049 - Pages: 5

Health Reform

...Health Care Reform from an Economist Perspective Introduction Today there are many Americans without health insurance. This is due to the lack of financial resources they have to pay for the insurance , perhaps due to the unemployment rate and also due to those (younger generation) who choose to opt out of paying for health insurance. Many Americans live day to day hoping they will not get sick. From the results of these rates, President Obama signed the US Health Care Reform into law. The health care reform law encases benefits such as affordability, accessibility, comfort and ease for low income families worrying about going broke if they get sick, health care cost will be capped, and insurance companies will not be able to deny applicants due to pre-existing conditions. Accessibility simply means that insurers would have to expand insurance coverage to all Americans. This means eliminating pre-existing conditions that prevented people from gaining insurance coverage, insuring portability across states, mandating the purchase of insurance coverage, standardizing claims to reduce paperwork and providing benefits and cost information to American people allowing them an opportunity to choose a plan that best fit their needs (Shortell, 2009) Affordability has left uninsured and low income families helpless due to high premiums. The public option is an idea that hopes to establish competition that will drive down insurance premium costs between private insurers......

Words: 2935 - Pages: 12

Health Care Reform

...May 1, 2014 Health Care Reform Universal health care refers to a detailed type of health care system which allows for financial security and health care to all citizens. The system itself is structured around providing a particular course of benefits to all members of a society with the end objective of improving individual access of health care services and thus enhancing outcomes regarding ailments and diseases. It is important to note that universal health care does not entail coverage for all people for everything, but it covers the decisive aspects of certain medicinal healthcare coverage as long as that individual is an inhabitant of the country that offers that universal coverage. The insurance companies play a significant role in universal health care in the United States. The number of underinsured and uninsured individuals in the United States is striking and has skyrocketed dramatically within the last few years. As of 2007 there was an estimated 25 million people underinsured in the United states, up 60 percent from 2003. Much of this significant rise has result throughout individuals who are noted as being middle class, while low income individuals remain vulnerable, middle income families have been hit the hardest. Therefore a strong correlation between health insurance coverage and access was necessary, as health insurance affects the economic comfort of families. Insurance aids in the decrease of ambiguity that is associated with health care......

Words: 580 - Pages: 3

Health Reform

...prices. Exits webpage. These are motions made by many young adults between 19 and 29 took upon realizing that it was now mandatory that every American adult sign up for a health insurance plan. On March 23, 2010, young adults, including the writer, thought they were finally getting a break from the government when President Obama signed his new health reform act. Little was known how much this generation was actually considered before the president signed off their continued demise. Young adults were sold a dream of affordable health plans that could fit within their tight budgets, but with reality in front of them, they must face either being penalized for the 2014 tax year or pinch their pennies and pay the premium throughout the year. Promoters of the Affordable Care Act are now facing the challenge of getting this group to sign up for insurance. But many ask why they didn’t consider the pockets of young adults before the current administration made the decision for them. What does the Affordable Care Act or “Obamacare” entail? It offers provisions to expand coverage, control health care costs, and improve the health care delivery system. “The act requires most U.S. citizens and legal residents to have health insurance. It also requires employers to pay penalties for employees who receive tax credits for health insurance through an Exchange, with exceptions for small employers.” (www.kff.org, 2013) Who exactly is this group of young adults? “They are a group of healthy,......

Words: 1346 - Pages: 6

Health Economics

...Essay: The Health Care, Universal Insurance and International Comparison of Health Care Syetem Introduction In recent years, the availability and affordability of health insurance in United States has becomes the subject of much debate. About one in seven American has no health insurance at all, and for many people who are insured, the cost of coverage is a financial hardship. This situation has led some people to call for the government to provide health insurance for all citizens like other developed countries e.g. Canada, United Kingdom, Japan, Germany etc. Under this type of system, the state government or the federal government would provide insurance coverage, fixed by taxes for everyone. Those who support government-run health care believe that it has many benefits, including universal coverage, lower costs, and greater efficiency. Opponents contend that such a system would require budgets controls, forcing the government to decide whether and when person can receive certain health service. They believe universal health care would lead to lower quality care, long delay, greater government bureaucracy, and greater tax increase. However, whether universal insurance or not, the current health care system needed a reform and I believe Most American will prefer Universal health insurance to any other health care system because it guarantee coverage for everybody. Thesis: the rising cost of health care is a very critical issue in public debate nowadays. The situation...

Words: 3993 - Pages: 16

Health Care Reform

...Abstract Whether you are an economists or the average consumer, Health Care costs and spending seems to always be a hot topic. From my initial research I found that Health Care costs are steadily rising both in the private and public sectors. From what I have read I believe some sort of Health Care reform is required. There are vast numbers of people suffering and even dying because the cost of Health Care is too expensive. Unfortunately people skip doctor appointments and ignore ailments, just because they cannot afford it and it some cases people are paying the ultimate price. I’d like to look a little deeper into the Pros and Cons of Private and Public Healthcare and delve a little into some of the Health Care reform Bills that are in play or will be implemented in the near future. Specifically I want to look at Obamacare, as I hear it in the news, but do not know what impacts it has to the economy, good or bad. List of Figures Figure 1 6 Figure 2 6 Figure 3 7 Figure 4 7 Health Care Reform In recent years, a fair amount of attention has been geared towards Health Care. There has been a number of Economists that have voiced concern that rising health care spending could hurt the economy and lower employment. A December 2004 survey of CEOs found that employee health care costs are the greatest cost concern of America’s business leaders. (via aspe.hhs.gov). Due to the ever rising cost of healthcare, I found that approximately 53......

Words: 1347 - Pages: 6

Health Reforms in India

...Health Reforms in India Name Institution Date Health Reforms in India Introduction Reforms describe positive changes that are effected in a system or practice, typically with regard to political, social or economic aspects, with a view to realizing better outcomes from the system, process or institution. Reforms in different sectors within a region or state are geared towards improving efficiency in the process. Successful implementation of reforms results in improvement in the process outcomes. For example, when a country implements reforms within its justice system, improvements could be witnessed through an easier processing and completion of cases and better treatment of suspects and convicts. One of the areas which have seen reforms in various countries of the world is healthcare. Perhaps as a result of increasing appreciation of the value of a healthy population in socio-economic and political development, coupled with an ever increasing threat to human health, authorities in different countries, including the US and India are implementing a wide range of health reforms. In India, in particular, the government is undertaking reforms with a view to improving the access to quality healthcare for the citizens. This paper discusses health reforms in India, with a focus on the specific aspects of the reforms, and the extent to which it has improved healthcare delivery in the Asian country. The paper also provides a few recommendations on...

Words: 1583 - Pages: 7

Health Reform

...Health Reform, American Style by Hobson Carroll Today’s health care financing mess requires an American fix. We need a rational solution that recognizes where we have come from in paying and providing for health care in this country, as well as our government, history, culture, economic system and all the other things that define us as a nation. The entire world is struggling with health care financing. Solutions need to be locally relevant, and the United States is no exception. My proposal for reforming core elements in the health care system follows. Everyone Is Charged The Same Amount Currently, the same service from the same provider costs different parties different amounts depending on who is paying. This is patently ridiculous for something society has effectively stated is a right, or at least a social utility. We must require all-payer, transparent pricing from providers for their products and services. Each provider is free to set prices as they deem appropriate, but those prices must be the same to all purchasers. I am referring to a price that represents the true, bottom- line net charge that the provider bills and collects. Payers won’t be able to negotiate with providers for special discounts or pricing concessions for any reason. If a provider agrees to a particular schedule of fees or prices with a given payer, fine. But it then applies to every other payer as well. This doesn’t mean that insurance benefits must cover whatever the provider charges.......

Words: 1592 - Pages: 7

Health Reform

...B Bailey Health Reform Plan The Clinton Healthcare Plan of 1993 also known as the Health Security Act was a package presented under the direction of President Bill Clinton. His presidency started on January 20, 1993 and lasted until January 20, 2001. During his 1992 presidential election, Clinton pushed for this bill to be passed by Congress. “After nine months of brainstorming and politicking, President Clinton delivered to Congress today a 240,000-word proposal for universal health insurance” (Pear, 1993). This manifesto was the most multiplex, comprehensive plan conveyed by any President. Under the Clinton plan, most Americans would get health insurance coverage only in regional alliances. “ A company with more than 5,000 full-time employees could operate its own health insurance program outside the alliances. People working at company headquarters would be in the corporate health plan” (Pear, 1993). If there were employees of a large company that worked in another state with 100 or less than they were able to join the local alliance there. The Clinton Healthcare Plan of 1993 would supply additional treatment of helping. “Mr. Clinton said his proposal would provide much more coverage of preventive services than is usually found in private health insurance plans” (Pear, 1993). The Patient Protection and Affordable Care Act (PPACA) of 2010 also known as Obamacare is a United States federal law signed in by President Obama on March 23, 2010. This law, jointly with......

Words: 867 - Pages: 4

Health Care Reform -Ethics

...Katie Bender OL690 Health Care Reform The Affordable Health care act was signed into effective on March 23, 2010 (Healthcare.gov). The purpose of the Patient Protection and affordale care act was Healthcare reform, yet there were other provision through into the law to get it passed. The law best known as Obama Care, is being challenged in the court system since it went into effect. In March of 2012, the constituality of the law will be agrued in front of the Supreme Court. The impact on the spheres and stakeholder is greater then what the Supreme Court will have to deciside. The Court system will be making the decision on “whether the law’s central mandate is constituional ad the justices will also determine whether the rest of the law can take effect even if that central mandate is help unconstitutional.” (Sherman, 2011) Taking a look at the impacts on the different sphere will allow us to determine the impact on the stakeholders and allows us to take a look at what the justices will be hearing. The constutionality of the law is a major factor with the Health care act. Many people feel that the government does not have the right to require everyone to have health care. They feel that the impact of doing this is not justifiable based on the different spheres. The civil sphere, which is “comprises entities and organization that develop civility and coherence through the long-term building of civilized community and socail capital, the......

Words: 1628 - Pages: 7