Healthcare Case Analysis

“There are three basic goals for a National Health Care System; 1) keeping people healthy, 2) treating the sick and 30 protecting families against financial ruin from medical bills”, (Physicians for a National Health Program, 2016). No truer statement could there possibly be written or proclaimed as there is a crisis in healthcare costs across the United States. United States, one of the most developed western country, yet we suffer from – higher infant mortality rates, have shorter life spans and are affected by more chronic disease and or illness – than our contemporaries all while spending the most for insurance per capita and less annual doctor visits with less physicians, (OECD Health Data 2015). There is a question to be answered, “why”, why are we trailing our contemporaries and more important than that is, is our National Health Care system really working for us? The year 2010 was the beginning of change in the United States where we transitioned from primarily private insurance and welfare to a universal healthcare model, under President Obama with the signing into Law of the Affordable Health Care Act March of 2010. The purpose of the Affordable health care act is to ensure that all Americans have access to affordable healthcare, however in 2016 we are still questioning we’ve been successful based on funding, government sponsored healthcare programs, effects on the current HCO, elderly, military and accessibility.

For the last five years of my life I have worked in the healthcare industry. One of the biggest issues plaguing our nation today has been the ever rising cost of health care. If we don't get costs under control, we risk losing the entire system, as well as potentially crippling our economy. For the sake of our future, we must find a way to lower the cost of health care in this nation.

Another reason for the rising cost of healthcare is the cost of physician care, according to the American Hospital Association “the cost of physician care, both to insurance and patients, has risen 1.3% during the past year.” Because of this increase doctors are put in a corner, they are already locked into an agreement with the insurance companies and do not have much ‘wiggle’ room to negotiate fees and rates. So because of this the patients and consumers are forced to pay a much larger sum. Since there are higher costs and the insurers will not cover them, they are distributes to the customers through higher deductibles, co-insurance, and

Evaluating the positive and negative impacts of such fundamental reform to the health care system is filled with uncertainty. As with any new legislation, the Congressional Budget Office (CBO) required financial projections that would be shared with lawmakers and the American people. The CBO projected that “the ACA would increase health insurance coverage by 32 million people and would raise federal government spending by almost $1 trillion over the subsequent decade, but would also raise revenues and reduce spending by even more so that the bill overall reduced the federal budget deficit.” (CBO, 2010) These CBO projections have played a vital role in the on-going legislative arguments over the ACA.

Looking back at our former healthcare system, we see that it was far from flawless, some say it is due to the government, while others claim the health insurance and the healthcare system in general is to blame. So it 's no wonder that the healthcare system is constantly fluctuating. These fluctuations have let us to a system that was very flawed and in dire need of rectification. Furthermore, the health insurance market wasn’t readily accessible to the middle and lower class, due to high costs, bizarre prerequisites, and complicated terminology.

I feel heath care reform was necessary, health care costs affect the economy, the federal budget, and virtually every American’s family’s financial well-being. According to Obama, “In 2008, the United States devoted 16% of the economy to health care, an increase of almost one-quarter since 1998 (when 13% of the economy was spent on health care), yet much of that spending did not translate into better outcomes for patients” (Obama, 2016, p.526). In 2008, 1 in 7 Americans did not have health insurance (Obama, 2016). Clearly something was wrong with the health care system in the United States. The United States spends more than twice as much on health care per person as other developed countries (Teitelbaum & Wilensky, 2015). If you worked for a company that did not provide health insurance, most people went without and used Emergency Rooms for primary care. I live in Massachusetts. Massachusetts was the only state in the country to require anyone over the age of 18 to have health insurance. If you didn’t, you were penalized with a monetary fine. There are many benefits to mandated Health Insurance. One benefit is if you become sick, you don’t have to worry about going bankrupt getting care. Secondly, the cost of health care will come down and finally the federal deficit will come down. The Affordable Care Act seems to be working. According to Obama “The Affordable Care Act had made significant progress toward solving

On March 23, 2010, President Obama signed into law the Patient Protection and Affordable Care Act (ACA), the most comprehensive reform of the U.S. medical system in at least 45 years. The ACA transforms the non-group insurance market in the United States, mandates that most residents have health insurance, significantly expands public insurance and subsidizes private insurance coverage, raises revenues from a variety of new taxes, and reduces and reorganizes spending under the nation’s largest health insurance plan, Medicare. If fully implemented, the ACA promises to lead to a dramatically different health care landscape for the United States in the years to come. Projecting the impacts of such fundamental reform to the health care system is fraught with difficulty. But such projections were required for the legislative process, and were delivered by the Congressional Budget Office (CBO). CBO projected that the ACA would increase health insurance coverage by 32 million people and would raise federal government spending by almost $1 trillion over the subsequent decade, but would raise revenues and reduce spending by even more so that the bill overall reduced the federal budget deficit. These CBO projections were central to the legislative debate over the ACA. In this paper, I will discuss the impact of the ACA in more detail, and describe evidence that sheds light upon the accuracy of the projections. I begin by reviewing in broad detail the structure of the ACA.

Federal health care costs continue to exceed the American economy fueled by federal health care law, rising enrollments, and increased enrollee spending. The 2010 Affordable Care Act (ACA) significantly changed federal health care policies in the key areas of insurance coverage, access to care, medical care financing, and Medicare program operations. ACA provides good benefits to Americans but comes with a 12.2% increase in cost to the federal government (Meyer, 2017). Health care costs are projected to increase to more than $4 trillion dollars by the end of 2017 nearly doubling since 2006 (Meyer, 2017). Economists project this trend to continue estimating a 6.9% increase annually making it the single highest cost to the federal government (Edwards, 2017). The cost of health care is approaching a crisis if unchecked will continue to grow. Congress has struggled to reach consensus on a more efficient approach to managing health cares costs failing in 2017 to repeal or replace ACA. They will need to reengage now to enact laws to stabilize this looming threat to the American people. I recommend three changes to reduce the impact to federal debt. These changes are repeal individual and employer mandates,

Due to the passing of Obamacare, also known as The Affordable Care Act, American’s today are provided more access to healthcare than ever before. The Patient Protection and Affordable Care Act (ACA) was signed into law by President Barack Obama in March 2010 and signifies universal healthcare reform. This legislation includes provision in healthcare to extend coverage to millions of uninsured Americans. The ACA reform bill contains many other important changes as well, including, implemented measures to lower healthcare costs, improve system efficiency, eliminate coverage denial for pre-existing conditions, and increase coverage for children or dependents to age 26. What effect will this new law for healthcare reform have on hospitals, individuals, nurses, other healthcare providers, and on America? Throughout this paper the author will explore the changes and how our economy, political, and healthcare delivery system is affected.

Finally, the impact of the ACA on the cost of the health care system will be evaluated. Overall, health care spending in the U.S. has continued to grow but at a much slower rate. The Centers for Medicare and Medicaid Services reported that health care spending grew at the lowest rate ever recorded (Hartman, Martin, Lassman, & Catlin, 2014). This was in part due to the ACA. Other factors included slow economic growth and increases in private health insurance spending. Additionally, a greater number of high-deductible insurance plans and an increase in the share of health costs for which the patient is responsible have also increased. It is also possible that people not accessing health care is a factor, in addition to cost controls (Fernandez as cited in Ungar & O’Donnell, 2014). There is also the possibility that spending will grow faster as the economy continues to improve (Ungar & O’Donnell, 2014). The growth of health spending has slowed, however the impact of the ACA on this is unclear. According the the Centers for Medicare and Medicaid Services, the law is at least in part responsible for this. However, faster growth may return as the economy grows.

Healthcare in America has not only been an underlying issue, but it has posed much debate amongst the American public and big businesses. The main concern for United States citizens is the high cost to receive decent healthcare in the American economy. However, there are several consequences that have arose as a result of restructuring the healthcare system entirely. First and foremost, by restructuring the healthcare system, the benefit to the average individual, will cut costs long-term, rather than short-term. Although, many people mistakenly believe otherwise, the process of restructuring any system, regardless of how good or bad a system may already be, generally costs money. Cost

The health care industry is constantly evolving and is one of the most complex industries in modern business. Changes in the health care is influenced by political forces, the economy, and advancements of technology. The demand for improved access to high quality health care services and the number of the uninsured population have increased the need for political forces to intervene to ensure equal access to affordable health care. Political forces establish the laws and policies that have shaped the delivery of health care for the population in an effort to improve access and quality while emphasizing cost containment. For example, the Affordable Care Act (ACA) of 2009 increased access to health care by making health insurance affordable for the insured and uninsured,

There is an ongoing debate regarding the potency of the new health care reform—Patient Protection and Affordable Care Act—from the outset of its proposal. Many attempts had been presented in the past years but the root of the issue remains prevalent today, that there is a lack of quality in its delivery and the cost of care is continuously increasing beyond national economic edges. In this manuscript, we will discuss several factors that can positively sway the long-term significance, impact, and structure of the United States health care system. Many are wondering whether the Universal Coverage, to which will give more control and

1. Prepare a brief situational analysis of LMF for Dr. Townsend, identifying at least 3 internal issues and 3 external issue/competitive issues that are affecting LMF.

US health care expenditures have been rising quickly over the past few years; it has risen more than the national financial system. Nonetheless a number of citizens in the US still lack appropriate health care. If the truth be told, health care expenditures are going to continue to increase; in addition numerous individuals will possibly have to make difficult choices pertaining to their health care. Our health system has grave problems that require reform, through reforming, there is optimism that there will be an increase in affordable health care and high-quality of care for America. Medicaid, Medicare and private sector insurances are all going through trials and tribulations because of