The future of America’s health care system looks bright with new innovations coming about. Advancements in technology, patient care, and access to care are all important factors to create a health care system suitable for American citizens. New health care reforms help shape our health care system to provide better care to all citizens. To implement these new reforms, the plan must be financially viable and be understood by those it effects. To improve the current health care system, new reforms should include ways to insure more citizens in a cost effective manner, offer insurance at an affordable rate, improve efficiency of the health care system, and provide higher transparency to the public. To present a health care reform, one must first find out what can be improved within a health care organization. For financial reforms, there is normally a focus on rebuilding an existing budget or making cuts so that funs can be put toward a new project. As for America’s current health care system, there is a desperate need to insure more citizens. The Affordable Care Act of 2010 has created a starting point for our health care system from which can progress. More patients with preexisting conditions are now able to obtain insurance thanks to the policy within the ACA of 2010. The focus now is reimbursement for physicians. One financial operating change that should be made to America’s current health care system is the reimbursement rate to physicians. According to the lecture
There are nine primary components for this reform. These include: affordable health care for Americans, role of public programs, improved quality and efficiency of healthcare, improving public health and chronic disease prevention, healthcare workforce, program transparency and integrity, increased access to medical therapies, community living assistance, and revenue provisions. The problem this piece of legislation hopes to address is the estimated 45 to 75 million of Americans who are uninsured and the additional 50 million who are under-insured (“The United States”, 2010)
The intent of this paper is to explain what the Patient Protection and Affordable Care Act are and how to build and improve on its principles. Some improvements that can be made in terms of providing the American people with affordable health care as well as increasing the quality of health care and its insurance. I believe that there are five components of the ACA that could change in order to make it better, such as (1) transitioning single payer method; (2) improving the Medicaid program availability; (3) reducing Cost-sharing and Out-of-Pocket limits, improving Minimum Employer Coverage Requirements; (4) refining the network capability principles; and (5) making the enrollment portals more efficient. Both the new president and Congress need to take these issues seriously and correct these problems
Every individual in the world deserves to enjoy health and wellness. Maintaining or achieving proper health needs enables individuals to be productive at work and leisure. Traditionally, many people have had barriers obtaining adequate healthcare due to economic constraints or personal inconveniences. Despite impressive technological advances in medicine, the challenge of delivering quality healthcare to the Americans continues to be debated amongst the nation’s political and healthcare leaders. The aging baby-boomers and the increased number of uninsured people add to the equation of population growth which results in limited access to primary healthcare for the entire public. On the
Moreover, we see that some providers are focusing on what providers do and how they get reimbursed rather than what the patient needs, which is a focus that does not prioritize quality of care and therefore does not align with the Triple Aim framework. The problem presented regarding this matter is that the health care system lacks a patient-focused care of medical conditions that puts patients and their health needs first. For example, when we think of provider reimbursement, it is not in the patient’s best interest for the system to only have a simple fee-for-service structure. A structure like this one will only lead to an increase of health care expenses. Also, it fails to incentivize high-value service, which also does not align with the Triple Aim framework health care providers should go by. It is very crucial for the health care system in the United Stated to find a better balance between medical groups reimbursement and patients needs in order to reduce the risk of overutilization.
Health System Reform in the United States: Impact of Rising Premiums and Opportunities for System Improvements to Enhance Access to Healthcare Services
For this paper I have chosen to write about the future trends in the United States healthcare system regarding Financial and Insurance issues, and access to health care including the uninsured and those in the poverty levels. Health care financing is affected by many things and affects the society in many ways. The costs of health care can be kept affordable for both individuals and society. It is not really the costs of health insurance that
Health care reform is a phrase that strikes fear for many individuals and families. Luckily, this rising problem have caught the ear and captive the hearts of those that have the power to change it. It affects, healthcare providers, patients, and government spending. The task of fixing this is issue has been proven difficult. The health care reform has been pondered and edited since
The subject of health care is a sore subject, one of the most debated topics in the United States of America today and it is also the source of a vast array of complex problems for the American people. Americans have seen an increase in the rates of uninsured Americans, an increase in the cost of health care, and a growth in profits for health care companies. Due to the problematic trends that have taken place in the health care system in the United States, many Americans have viewed it as “the health care crisis” (Obamacare Facts, 2015). During the administration of President Barack Obama, a new law was implemented in order to reform the United States’ health care system called The Affordable Care Act or ObamaCare or ACA.
The health care system must change to improve our nation’s health and takes strong steps to address the unsustainable growth of health care costs in America. We still have a long way to go before our health system become effective. We still have population that do not have insurance, have difficulties accessing their health care, or their needs are not met within the healthcare system. It is an investment in prevention and wellness and increasing access to primary care physician.
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
Creating a health care reform plan for the U.S. health care system is no easy task. Multiple things must be taken into consideration. These include making insurance affordable, making sure the plan is economically feasible, and creating a plan that will still work in the future. What hindered the reshaping of health care into a sustainable system in the past, are the health sectors interests that prefer the status quo. By continuing to cling on to yesterday’s model, the health care industry is creating its own peril (Schaeffer, 2007).
The future and direction of health care has been the topic of discussion amongst politician and U.S citizens today. There are several challenges surrounding the future and strategic direction in which health care should be heading. Accreditation, quality of health care and organization’s compliance; access to health care, maintaining a skilled workforce, information technology and pay for performance are some of the challenges that currently presenting itself in healthcare today. If health care is not dealt with appropriately it will have a significant effect an impact on the strategic direction in the future and direction of care.
Throughout the course of history, healthcare has been evolving to accommodate the ever-changing needs of the human body. Along side the developing healthcare system, health insurance has been modified too. To remain profitable, health insurance companies must change their policy to provide coverage for the increasing demand of healthcare services. However, the expansion of healthcare insurance also creates cracks in the system that need to be filled through improved healthcare reform legislation.
Former Saskatchewan Premier Ray Romanow was tasked with heading the Royal Commission on the future of the Canadian health care system. This commission was to act as a study on behalf of the Federal government, reviewing the public’s opinion on health care, and accordingly present recommendations for its required reform, and sustainability. Throughout the course of 2002, Premier Romanow put out two reports, the first of which was released in February as an interim report, highlighting his findings, as well as synthesizing the core issues around Canadian health care. The second report was released in November, and it documented the policy recommendations Premier Romanow and his team believed the Federal, and Provincial governments ought to implement to provide an enhanced health care system for the public. This study will outline, and analyze the Romanow Commission’s most prevalent issues, and recommendations, as well as evaluate their impact on today’s available health care.
The future of health care can be rocky with the push to mandate population health and bundle payments as the standard measure for future reimbursement. The ACA, increasing cost of health care and mortality rates are the driving force. Although population health and bundle payments are voluntary programs at this time, it will become the standard of care model in the future. Although population health has been associated with ACOs and the MSSP programs, the future reimbursement model for health care goes beyond these programs as more and more insurance companies are pushing for quality care and reduction in cost. In addition, CMS is leading the charge to increase bundled payment models. In regards to bundled payments there is a growing momentum and as of August 5, 2014 approximately 2,368 new potential participants joined Phase one and new episodes will be added until October 2015 and more episodes will be added to additional models and phases along with the patient survey to evaluate the patient’s experience therefore CMS is expecting the program to continue to expand throughout the market (CMS: Bundled Payment for Care Improvement Initiative (BPCI) Fact Sheet, 2015). Therefore these two models that are voluntary today are moving toward being the stand of tomorrow.