Pharmacists are in a unique position to help. They have the ability and knowledge to implement programs as part of their daily practice to ensure that patients are adherent to their medications. As the medication experts, pharmacists should lead the way to improving medication adherence and providing optimal patient care. The provisions of this bill do not pose a mandate but where appropriate would require the proration of prescriptions, related cost sharing, and dispensing costs in order to conform the patient to one monthly refill that occurs on the same date each month.
Since 1965, Medicare was the primary payer for all Medicare covered health services except for services covered by Worker’s Compensation. From 1964 until 1980, Medicare paid benefits without considering whether another insurer could potentially cover the losses. Although litigation involving Medicare beneficiaries certainly existed, the government made no effort to subrogate claims by beneficiaries in the event that Medicare had already paid for medical expenses resulting from the injuries involved in the litigation.
Did you know that eight percent of adults do not take their medications as prescribed because they can not afford them? This ultimately causes many patients to ask their doctors to prescribe lower-cost medications, buy their prescriptions from other countries, or use alternative therapies (LeWine). Medications can be a great treatment option, although medications do not work if they are not being taken correctly, or let alone at all. It is devastating that this treatment has become a privilege that very few can have without wondering how they will pay for it. The price of life-saving medications prescribed by doctors in the U.S. are continuing to increase, which is causing many to choose between their health and providing for themselves; the
Major Healthcare reforms have been established in the past half a century despite the above-list challenging factors. The reform focused on coverage on millions of American citizens through Children Health Insurance Programs, Medicare and Medicaid. Between 1934 and 1939, there was the National Health Insurance New Deal. This period was characterized with growing income inequality with unemployment standing at 25% of the total population (Starr, 2013). There prevailed increased levels of unpaid medical bills with the poor being assisted by welfare agencies to sort out their medical bills.
ARTICLE REVIEW 2- THE MORAL HAZARD MYTH The article mainly emphasizes about the uninsured population in America and the reasons behind the lack of insurance for almost forty five million people. Author states about the research conducted by two Harvard university researchers, and according to them the reason for lack of coverage for these forty five million people is that they cannot afford health insurance implies medical services in America are high expensive and almost one- third of uninsured people are below poverty line. But, according to Bush’s administration plan in their economic report stated that almost one half are uninsured because of their choice which can be challenged based on the research conducted but Harvard researchers.
Kaiser Permanente (KP) strategy as a brand was to make consumers comfortable with their brand and their values through the "Thrive campaign" (Lofgren, D. & Cantu, D., 2010) while the mission statement for the Golden Age Hospital (GAH) and Community Clinic (CC) as the "Golden Bridge, the bridge to good health and wellness" as its own campaign to market the new hospital. Therefore, in order to market "Golden Bridge” is use of online roadmap for healthcare marketers by Steve Letham because he stated that online media plays a special role in promoting its brand by 1. understanding its audience; 2. optimizing the website and 3. creating demand for their brand (Spur Interactive, 2009).
Most epic adventures don’t start out with an application and insurance waiver. My mother had told me that I needed to get a job this summer because she was tired of seeing me mope around the house. Throughout May she had been not so subtly putting application papers on my bedroom desk and other places in the house. Each time I saw one; I rolled my eyes then proceeded to throw it in the trash.
Should the government play a key role in aiding the uninsured, or should market forces reign supreme? I believe the government needs to play a key role in aiding the uninsured. Our country's core value is “life, liberty and pursuit of happiness.” I believe healthcare is applied to this core value with governments helping insure United States citizens.
The underinsured state is one in which people have some type of health insurance, but they don’t have enough financial coverage required to cover their medical expenses without using their income. Their medical expenses will be greater than 10 percent of their annual income, and /or their health plan deductibles equal to or is greater than five percent of their annual income (Nunley & Washington Health Policy Fellows, 2008). There are many social factors related to the situation of the uninsured status. The main reason for the uninsured status is low-income due to unemployment. Even when people have employment, they may not have the privilege of medical benefit from their employers.
According to Google subpopulation is defined as a group that can be distinguished by their history as well as their distinctive behavior, organizations, culture, and biological features. The subpopulation I choose who does not have access to primary care are the uninsured. The reason why I choose the uninsured is due to the fact that several individuals are denied the proper medical care they ought to receive because of lack of insurance. Health insurance makes a significant difference in whether and when an individual receive the necessary medical care, when they receive their care, and how they maintain their health. Whenever a person does not have insurance they tend to postpone or forget about healthcare.
Taking a medication or medications everyday of one’s life is not always an easy task. According to Benjamin (2012), “Seventy-five percent of Americans have trouble taking their medicine as directed” (p.2). Lack of adherence can cause a person their health as well as the health care system billions of dollars. An approximation of 125,000 deaths a year in the United States (U.S.) is due to medication non adherence (p.2). Benjamin (2012) stated, “nearly half of all the Americans-133million-people suffer from at least one ongoing or chronic health condition” (p.2)
Healthcare is always developing. New ways managed care is changing within medical settings as the health care profession works to offer higher quality and cost effective care to patients is reducing the rates. Managed health care plans control costs by setting some specific criteria for selecting specific providers to patients and by establishing formal program to monitor the quality of care being given by the providers. In obvious cases, doctors must get approval before hospitalizations or expensive tests and procedures. When deciding on what we can contribute to or not it become tricky.
In pharmacy practice, there are always multiple solutions for a single problem. Practitioner can suggest on the medication and dosage regimen, yet the final decision should lie on the hand of patient. (Robert J.C. et al., 2012) Most of the time, patient does not understand his/her own medical condition and medication plan, let alone making decision on it. Shared decision making, patient activation and broader patient engagement can significantly improve the treatment outcomes.
Because of the medical insurance alternatives available nowadays you may be wondering recognise the business will be befitting everyone. Many of us obtain medical insurance based on behavioral instinct. We all consider the subsequent TELLY advertising or perhaps many mailer that people acquired. The explanation I am able to say that is certainly simply because I’ve held it's place in medical insurance marketplace because insurance agent with regard to over the ten years. I most certainly will reveal to you things it is best to seek out while buying medical insurance.
Private Health Insurance and the Patient Protection and Affordable Care Act In 1900, the average American spent about $5-$147 per person a year on health care and did not require the use of health insurance (Blumberg & Davidson, 2009). Today, the average American spends about $10,000 per person per year (Munro, 2015). According to the Consumer Financial Protection Bureau report (2015), 43 million Americans have medical debts due to unforeseen circumstances. In order for the United State to address this rising cost of health care, the Patient Protection and Affordable Care Act (PPACA) was enacted in 2010 to control cost and address health insurance gap for many Americans.
