The University of Texas Medical Branch (UTMB), a Level I Trauma Center on Galveston Island, received substantial damage, and except for a few clinics, has been closed since the storm. Before the hurricane, UTMB was the third largest hospital in the Houston-Galveston region and the only hospital in Galveston, serving a nine-county region in Southeast Texas, including the Greater Houston area and a range of patients requiring specialized services from across the state. UTMB’s entire health care complex spans 85 acres and includes seven hospitals, as well as an assortment of specialized clinics, centers, institutes and a medical school.
TRICARE is the health insurance program of the US Armed Forces, National Guard and Reserve members, retirees and their families. Tricare is offered to members of the seven branches of the military and their dependents and offers several options including standard Tricare. The dependents of members of any of the military branches are eligible for TRICARE Standard. The standard plan is suitable for those who prefer to keep their civil doctor rather than switch to a provider Tricare.
Managed Care plans are also known as prepaid health care plans. Managed healthcare plans strive to deliver high-quality healthcare, while controlling cost. Services and fees are negotiated with healthcare providers and facilities to provide access to otherwise expensive healthcare services to patients. Services under listed within the Managed Care plan monitored continuously to ensure that all services are provided in the most cost effective manner. An HMO or Health Maintenance Organization is an example of a Managed Care Plan.
Oberlander Johnson discusses the pros and cons of a single payer health care system. Johnson says that the issue of health care has become a hot topic due to the emergence of Presidential candidate Bernie Sanders. While many Presidents in the past like Harry Truman have tried and failed a single payer health care system, what has occurred is incremental health reforms like Medicare which is national health care for the elderly. The most recent change to the health care system is the Affordable Health care Act and while Johnson says the bill has expanded insurance, there are still many problems in the American health care system which is why there is so many calls from single payer advocates for significant change. Despite the ACA there are
Lying and cheating are dishonest behavior that can get you in trouble. In health care the state has set up a law on personal gain. You cannot ask for, or accept monetary gain over a certain amount to improve your business. It is called the anti-kickback statute (AKS). (hhs.gov pg,4) “The AKS is a criminal law that prohibits the knowing and willful payment of “remuneration” to induce or reward patient referrals or the generation of business involving any item or service payable by the Federal health care programs (e.g., drugs, supplies, or health care services for Medicare or Medicaid patients.”
Sometimes, if the lower income family does have insurance, it does not cover the evaluations and they are very expensive for out of pocket payment. Currently, in some states there are very limited options for people who have Medicaid for their primary insurance. If a psychologist does take Medicaid, the waiting list can be months, even years. It has been established that if a state has better reimbursement schedules, then treatment is more readily available. With the opposite being true with lower reimbursement rates (Thomas, Parish, Rose, & Kilany, 2012).
Canada’s Medicare faults come from geographical inconveniences As an American, Canadian Medicare seems to be the supreme health-system. Tommy Douglas’s3 universal health-care is not as ‘supreme’ as it seems, in fact it can be related to the cliché of the grass is always greener. At a quick glance Medicare seems like it would be imperfect but it doesn’t require a lot of research to find its imperfections. The Canadian health care system is 70 percent federally funded compared to the US’s 47 percent1.
The Affordable Care Act has been a positive reinforcement that the health care system needed. The quality of life in regard to health care has increased in a good way. Therefore, with easy access and low cost to hospital facilities have provided more transparent relationships with patients. The Affordable Care Act has provided individuals the opportunity to take accountability for their own health. I believe the Affordable Care Act is one of the most successful laws that was created.
My Research Paper is about the Obamacare also known as the Affordable Care Act (A.C.A.). Its name comes from our 44th President, Barack Obama. It is a health insurance plan providing affordable health care to millions. It has improved the quality of the health care and health insurance. President Obama signed the A.C.A. into law on March 23, 2010.
Outsource medical billing companies were formed to provide an alternative to the current flawed system. Errors in coding can greatly delay reimbursement and unfortunately errors are likely to occur because of the intricacies of medical billing and coding. Unless you have a certified, well trained, meticulous medical billing staff, it probably takes multiple attempts to get claims approved. Playing tug of war with the insurance companies can take weeks and delay payment. It is no wonder then, that some medical practices have cash flow issues.
For accurate billing, you need to gather pertinent demographic and insurance information from each patient. Without that information, the insurance company will not pay the claim. First-time patients should fill out a detailed data sheet that gathers data
In the United States, Medicare is the program supports people over age 65 with medical care. It also provides support for persons with certain disabilities and people of all ages who have kidney failure. Medicaid is a state administered program that provides medical support for a broad range of people. However, each state administers Medicaid individually and this creates inconsistencies in the program across the country. There are specific rules for judging just how much money someone receiving Medicaid can make and be eligible.
You made a valid point high deductible plans do determine how individuals utilize healthcare services. A person who has financial difficulties will opt not to seek medical attention due to the cost. Would you choose not to get care if you had a high deductible plan? At times I prefer not to go the doctor because not only will I have to pay for the visit but also lab work and testing. Even after reaching my deductible I am still responsible for 20% of the cost until I reach the maximum out of pocket expense.
In this case study, I would say a health care provider should maintains a professional bounder of relationship with patient. In the case of Jason and Gabriela, Jason should maintain his professional boundaries with Gabriela; however, in the last night of her discharge He gave a hugs her and kisses her cheek and sharing personal information with Gabriela is unethical. It is not okay Jason to take her out because health care provider should not cross the boundaries line between patient and care practitioner. The acquaintance prior to hospitalization also can make a difference with patient relation due to knowing about the patient background and other information might affect the patient –care practitioner relation.it is not ethical to contact
Healthcare in the United States is in desperate need of reform. There are several rationales to further explain this proposition. As an illustration, the Declaration of Independence states our unalienable rights: life, liberty and the pursuit of happiness. In other words, every individual should be entitled to healthcare as it preserves life and promotes the general welfare. The federal government should, therefore, enact a program of universal health to better protect and serve all of its citizens.
