What went wrong with healthcare.gov was not just one issue; it was many. The cascade effects started with the Centers for Medicare and Medicaid Services (CMS), which took on the development of healthcare.gov. CMS reviewed bids from several software companies including IBM, Computer Sciences Corp., and CGI Federal. CGI Federal was selected based on other federal contracts they held. However, CGI did not have a good record of accomplishment with the federal contracts, they held. Despite the warnings, CMS proceeded with ineffective planning and oversight (Vinik, 2013). Healthcare.gov suffered from other issues such as, bad customer service where people were instructed to re-register and to reset passwords all of which was wrong scripting
As Americans we should all be afforded access to healthcare. Access to healthcare is an individual right according to the human rights amendment. The human right to health guarantees a system of health protection for all. The human right to health means that everyone has the right to the highest attainable standard of physical and mental health, which includes access to all medical services, sanitation, adequate food, decent housing, healthy working conditions and a clean environment (What is the Human Right to Health and Health Care, 2015). However there are strengths and weaknesses to every healthcare system and the U.S. Healthcare system is not exempt. I plan to discuss the strengths and weaknesses of the U. S. Healthcare system (What is the Human Right to Health and Health Care, 2015).
Over the years, the insurance companies have searched for ways to increase their profit margins at the expense of the hard working Americas striving to maintain their health at an affordable cost. The exchange appears to be working under the guise that they are trying to improve the quality of the health care delivered to patients. However, this does not seem genuine when closely examined. Inspection of performance of hospitals and providers is normal for certifying bodies such as the Joint Commissions and The Centers for Medicare & Medicaid Services (CMS), not insurance companies. Fraudulent claims normally investigated by insurance companies are normally caught and the company recovers some of that cost or denies the claim altogether if fraud is suspected. With this, it appears that the exchange is trying to branch off into a section of health care that it has not normally concerned itself with over the time that insurance companies have existed. It could be argued that the exchange may be
There are many speculations of why the Health Reform failed. Some say that Bill Clinton (president at the time) should have took certain sides. The sides of extending Medicare or going along with someone else's plan. Some would even say because he was a Democrat and the Republicans wanted their name on it. Regardless, of the reason, it failed. During the presidential campaign, Bill Clinton wanted to propose health insurance package basically with low payments with those that could not afford health care could now afford it.
In the fall of 2013, insurance companies cancelled health plans for millions of people. This created a political storm for the President as he had promised insurance coverage for all. The President announced that health plans that would have cancelled under the ACA could be continued by insurance companies. This announcement did not go down well with the insurance companies and refused to accept blame for cancellation of health plans. Several states said that plans not compiling with the ACA are below standard and they will not accept late renewals. The federal government’s website Healthcare.gov to buy plans was supposed to be easy to navigate. But on the day of its launch the website users had to face delays and malfunction codes. This huge and consistent problem with the website created negative news and prevented users from accessing the website to purchase health insurance
America has always prided it self on being one of the best countries in the world. For many years that has been true, but like any other country out there the United States has its up and downs. Going back to 1700 hundreds when healthcare was basically mom and dad doing everything they could to keep one’s health bill clean and curing common sickness/illnesses, one would only go to a doctor if it was life threatening. Now you go further a few hundred years America develops the “medical industrial complex” with its new advances in medical sciences and technologies. That completely changes the entire healthcare system in the United States forever. How did the American people go from mom and dad doing everything to this complex system to where one can go to a professional for all their health needs.
It has been one year since the implementation of the Patient Protection and Affordable Care Act, also known as Obamacare. Despite countless Republican attempts to repeal all or part of the new law, it is still with us and shows no sure signs of disintegration. The rollout of the government’s health care exchanges experienced significant growing pains right from the beginning. Time has fixed many of these technical glitches, but has done little to quell the debate over the affordability and viability of the law.
Across the country, Obamacare is failing the American people with high costs, few options, and broken promises of lowering healthcare costs. Under Obamacare, premiums have risen by over 40% on average, and over 100 percent in some places making unaffordable health care services. In 2017, five states have only one insurer on the Obamacare marketplace and nearly a third of all counties have only one insurer. According to the McKinsey Center, the number of eligible Americans with only one insurer to choose from increased from 2 percent in 2016 to 18 percent in 2017. Compared to 2016, in 2017 enrollment fell by 500,000 people and enrollment is millions of people below what was initially estimated.
An issue that is widely discussed and debated concerning the United States’ economy is our health care system. The health care system in the United States is not public, meaning that the states does not offer free or affordable health care service. In Canada, France and Great Britain, for example, the government funds health care through taxes. The United States, on the other hand, opted for another direction and passed the burden of health care spending on individual consumers as well as employers and insurers. In July 2006, the issue was transparency: should the American people know the price of the health care service they use and the results doctors and hospitals achieve? The Wall Street Journal article revealed that “U.S. hospitals,
There were multiple technical problems with the Affordable Care Act website (known as Healthcare.gov). In order for people to purchase their health insurance, and understand pertinent health insurance policies, the website needs enhancements. Most recently, since November 2014, changes have been made to the Healthcare.gov website in order to stem other challenges. For instance, there is less information that new users will have to enter to register for health insurance (Ydstie, 2014). Initially, issues challenges that slowed the Healthcare.gov website had included bandwidth issues, synchronization issues, support issues, application issues, support issues, requirements definition issues, support issues and security issues.
The United States of America is the most prosperous and free country in the world because of hard working citizens and the God-given freedoms we possess. America has contributed countless scientific and medical discoveries and accomplished feats deemed impossible by others. The wealth and progress in this country was not brought about by government intervention and supervision, but from individuals who had the freedom to do what they did best. Because of this freedom, America’s healthcare is currently unmatched anywhere in the world. Though other countries may tout free healthcare, they make it up with burdening taxes, understaffed hospitals, and incredibly long wait periods. The Patient Protection and Affordable Care Act puts America’s healthcare system in jeopardy of falling into the same trap. “Obamacare”, as it is referred to, moves America to a bureaucratized and overburdened system having far reaching consequences on taxpayers, professionals, and patients and should be repealed.
Using the Change Framework outlined in (Herold & Fedor , 2008) to analyze the initiative helps clarify many of the issues and challenges faced. One of the first aspects to consider is what actually needed changing regarding healthcare delivery and what tactics were utilized. The broader change hoping to be realized was a simple way for Americans view various healthcare options and select and pay for their coverage online. While Americans had been able to do this over
One of the main reasons why Obamacare is not working is because, insurance companies are pulling out of the Obamacare marketplace or going out of business, this is due to the government not reimbursing the companies as they promised. The article, “Beneficiaries Reflect Health Law Strengths and Faults” published on October 20, 2016 argues that the “Obama Administration, thwarted by Republican opponents in Congress, has paid out
The complexity of health care could take the rates on a massive trajectory that does not favor the people covered. Therefore, the financial protection that the levels of health insurance covers, help to guard against the risks related to the unexpected costs of health care. The source of coverage could still have an impact by the insurance coverage and financing alternatives that one has access to; Conversely, private insurance, social insurance, and the national health services are the types of healthcare systems by funding and provision. As we look to health care coverage and the reform of Obamacare, I’ll analyze the impact of the uninsured in the industry and look for a resolution to improve the
With the implementation of any new program there are bound to be unforeseen errors that causes the plan to be seen as failing when in reality it is just working through some issues. The Affordable Care Act (ACA) is going through that process right now. A simple example to point to is the website that was built for the new healthcare system crashing when it was launched. The ACA is also exposing flaws in how healthcare is funded and also projected. With an estimated 32 million people gaining access to healthcare sharing of patient information is going to be vital, new technology will have to emerge to help with the surge of patient information. Along with the expansion of access to healthcare it is exposing the lack of qualified
One of the greatest changes in healthcare in the past ten years has been the rise of managed care, much to the displeasure of many patients and physicians alike. Managed care arose out of concern about spiraling healthcare costs and was designed to encourage physicians to give patients treatments that were cost-effective out of their own financial interests. "The consumer strategy was directed at imposing some barriers to use by levying various forms of co-insurance. The most common approaches used either deductibles (where the consumer paid the first portion of the bill a technique familiar in other types of insurance) or co-payments (where the consumer paid a portion of the bill and the insurance company the rest) or a combination of both' (Kane et al 1994). Managed care has given health insurance companies an increasingly significant voice in how treatment is administered and allocated. Managed care has proliferated in the past decade despite considerable criticism of the practice of 'nickel and diming' patients as well as the considerable bureaucratic red tape it is has generated. Also, research indicates that healthy, well-insured patients tend to over-consume care without meaningful co-pays but poorer, sicker patients can be deterred even by moderate co-payments and suffer negative health consequences (Kane et al 1994). However, managed care has not gone away and is a reality that all healthcare