The past decade has been a unique one for the healthcare industry in the United States, defined by new legislation, political strife, and revolutionary ideas in practice and payment. An aging population, coupled with the implementation of the Affordable Care Act, which created an uptick in the number of citizens covered, gave birth to a new problem for hospitals and insurers alike – rising costs of healthcare delivery with declining revenues. With the shifting payor mix leaning more and more towards government sponsored business, healthcare providers were faced with lower payments than the private insurance rates for higher risk patients with more complicated needs, creating a higher cost for the services for lower paying coverage. The …show more content…
These four measures that define meaningful use laid out the framework for healthcare reform, emphasizing the importance of the EHR in healthcare delivery through financial incentives, while giving significant weight to the security of the protected health information of the individual patient. Through Medicare and Medicaid incentives, a healthcare provider could receive over $100,000 for complying with the rules of HITECH, but non-compliant providers would receive a 1% decrease in funding, with that percentage increasing each subsequent year (Hudock & Wagner, 2009). Not only are the bonus incentives granted, but the government would also reimburse the provider for implementing the EHR, recouping nearly the entire amount that they paid to enforce the system. Failure to do so would result in a cut in funding, and penalties for non-compliance to the standards would result in financial sanctions of up to $1.5 million per calendar year (Ouellette, 2015). With the number of Medicare eligible patients steadily increasing every year, it became essential to become compliant with the standards outlined in the HITECH Act, and the implementation of an EHR became a priority issue to be carried out in an immediate fashion. Any time a process change is
I will compare the current health care system with the new Patient Protection and Affordable Care Act (ACA) that became law on March 23, 2010. The current system, which is being phased out between 2011 and 2018 is increasingly inaccessible to many poor and lower-middle-class people. About 47 million Americans lack health insurance, an increase of more than two million people from 2005 (Rover, 2011) the increasingly complex warfare between insurers and hospitals over who pays the bills is gobbling up a great deal of money and the end result is that the United States pays roughly twice as much per
Healthcare in the United States has reached a level of complexity which has perplexed Presidents, Congressional members and private industry for over a century (Palmer, 1999). While the healthcare system has evolved over the last century, policy decisions which have attempted to effectuate changes to cost, quality and access have been
It has been six years since the Affordable Care Act has been implemented into the United States healthcare system. As the pieces and provisions of this monumental federal statute become understood and executed, it is transforming the demand for care. Prior to the ACA, a significant number of Americans were marginalized and unable to obtain coverage. This system was faced increasing healthcare costs, placing greater financial strain to everyday Americans, businesses, and public health insurance systems. The ACA did not only help ensure health coverage for all (almost
Health System Reform in the United States: Impact of Rising Premiums and Opportunities for System Improvements to Enhance Access to Healthcare Services
Carol Liebau discusses in her article, “ObamaCare Limits Patient Choice”, that hospitals such as Cedars-Sinai and the Mayo Clinic are high-priced and under competitive pressure because of Obamacare. Insurance corporations are in a larger hurry than ever to cut costs (Liebau). However, Americans are coming to realize that those hospitals aren't just thoughtless profit centers. They are pricey because they provide advanced medical care or they offer the specialized treatments that the most ill patients require. Many Americans who had plans they could afford and had access to leading healthcare providers, find that under ObamaCare, they are being excluded from high-quality care unless they want to pay much more for
Health care spending in the United States of America as a percentage of the economy has reached astonishing heights, equating to 17.7 percent. This number is shocking when compared to other counties; in Australia health care is 8.9 percent, in United Kingdom 9.4 percent, in Canada 11.2 percent. If the American health care system were to hypothetically become its own economy, it would be the fifth-largest in the world. While these statistics sound troubling, they lead us to look for answers about the problems surrounding our system. The first health insurance company was created in the 1930s to give all American families an equal opportunity for hospital care and eventually led to a nationwide economic and social controversy that erupted in the 1990s and continued to be shaped by the government, insurance companies, doctors, and American citizens. In this paper, I will go in to detail about the various opinions regarding the controversy, the history behind health insurance companies, and the main dilemmas brought out by the health care crisis. Greedy insurance companies combined with high costs of doctor visits and pharmaceutical drugs or the inefficient hospitals all over America can only describe the beginning to this in depth crisis. Recently, the United States health care industry has become know for the outrageous costs of insurance models, developments of various social and health services programs, and the frequent changes in medicinal technology.
The Affordable Care Act was signed into law by President Barack Obama on March 23, 2010. The Affordable Care Act also nicknamed as “ObamaCare” faced huge amounts of adversity and challenges on its way to being ratified and upheld by the Supreme Court. Some of these arguments highlight the disadvantages of free social services, the escalating federal deficit, and the altering the healthcare industry’s landscape completely. Healthcare is generally defined as providing for the wellbeing of a personal through medical services. In America, all services come with a price, and healthcare has become an industry that is nearly only about the money and less about the patient. Needless to say, the quality of care that a patient receives is almost
More and more people with medical insurance are relying on the health care system as new technologies and treatments become available. This leads to a grater number of claims for payment by insurance companies, the costs of which are passed back to health care consumers. The baby-boom generation is entering its peak health-care using period. Over eighty million Americans will turn 50 in the next 10 years. The cost of providing heath care for these individuals will be staggering
HITECH Act provides billions of dollars in incentive payments through Medicare and Medicaid programs to providers that meaningfully use EHR. The HITECH Act also revised many segments of the Social Security Act (SSA) and in doing so, recognized the accessibility of incentive payments to providers to encourage the acceptance and Meaningful Use of Certified Electronic Health Record Technology (CEHRT). The ARRA provides the incentives to the following groups: hospitals, healthcare clinics, private practices, nursing facilities, long term health care facilities, and metal institutions.
America spends 2.5 times more on healthcare than most developed countries yet still ranking 51st in life expectancy in the world (Baum, 2015). The Affordable Care Act (ACA) was implemented January 1, 2014 by President Obama to expand coverage to millions of individuals in need. It consists of two separate pieces of legislation: the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (Centers for Medicaid and Medicaid Services, 2016). Although the ACA will give health benefits to millions of uninsured Americans, hospitals are receiving less compensation because of the high demand of health care from over qualified recipients. Through the Children’s Health Insurance Program and also the Social Security Act, states are able to pilot a test approach that could extend coverage up to 200 percent of the poverty line (Sommers, Kenney, & Epstein, 2015). Such a large increase in the size of the population that is now eligible to apply for the ACA comes with a sizable amount of fiscal responsibility from the states and puts an immense strain on the amount of money guaranteed to pay for the services provided (Sonier et al., 2013). Given the lack of funding from the Medicaid program, absence of reimbursement strategies, and budget of healthcare in America’s Gross Domestic Product (GDP),
Health care in the United States is driven by a patchwork of services and financing. Americans access health care services in a variety of ways — from private physicians’ offices, to public hospitals, to safety-net providers. This diverse network of health care providers is supported by an equally diverse set of funding streams. The United States spends almost twice as much on health care as any other country, topping $2 trillion each year. (WHO.INT 2000) However, even with overall spending amounting to more than $7,400 per person, millions of individuals cannot access the health care services they need.(Foundation 2009) So when the Patient Protection and Affordable Care Act (a.k.a the Affordable Care Act or ACA) was passed in the summer
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
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).
Globalization is the flow of goods, information, capital and people across political and geographical boundaries. It offers tremendous possibilities for good, such as a rapid response to catastrophes, but it can also give rise to a new concern, such as a quicker spread of diseases. Even though people have always traded between communities and countries, shared different information and exchanged some form of currency across various borders, there is something they never had that makes globalization so unsafe nova days - technology. We achieved extraordinary speed and immensity of the numerous components of globalization, primarily driven by advances in communication and transportation technologies. The effect of globalization on health systems