Access Plus Health Care Initiative
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This report is a summary of all the findings of the Medical Liaison officer for the APHI board. This summary is meant to be a review of the feasibility of expanding into the California region. This report will review the history of healthcare in the region, the feasibility financial wise of expanding into the region, and finally how the government in the region has influenced the decision to expand into California. Refer to the appendix for previous findings.
Access Plus Health Care Initiative
Over the course of the past four weeks, the Medical Liaison officer has given the board a series of reviews on the state of healthcare in California. The board has learned about the hospitals, physicians, other providers, financial plans, and the influence of the federal government in the region. After all of these findings, this author has reached a conclusion regarding expansion into the region. It is the conclusion of the Medical Liaison officer that APHI should indeed spread into the California region. By giving an overview of California’s healthcare history, the financial feasibility of going into California, and finally how the government in the region makes this initiative even better, the author will attempt to show the board how California is ripe with opportunity for healthcare expansion.
The History of Healthcare in California
For years it seems as if the State of California has tried to implement some kind of state run healthcare service. In the forties for example, California Governor Earl Warren proposed a payroll tax funded healthcare system. Though that failed, by the late forties, most businesses were offering healthcare incentives anyway. By the mid-sixties, it was providing Medicare and Medicaid to its citizens. The seventies and eighties saw a series of Medicare reforms in the state which refined the system more
References: History of Health Care in California timeline | Timetoast timelines. (n.d.).Create timelines, share them on the web | Timetoast timelines. Retrieved May 10, 2013, from http://www.timetoast.com/timelines/84044 Other Documents (2013). The Federal Role in Healthcare. California, United States: Your University. Other Documents (2013). The Limits of Healthcare. California, United States: Your University. Other Documents (2013). The Price of Healthcare. California, United States: Your University. Wilson, K. (n.d.). Health Insurance in California: A Recent History - CHCF.org.California HealthCare Foundation -- Supporting Ideas and Innovations to Improve Health Care for All Californians. Retrieved May 10, 2013, from http://www.chcf.org/publications/2011/03/health-insurance-history Appendix This is a summary of the past work done throughout this course, the content in this paper is mainly derived from the work in the papers that follow. In the first assignment APHI Consultancy Orientation Form, it gave me a brief introduction into what the project for the course was going to be. I picked the Medical Liaison because I thought it would be interesting to explore the different ways healthcare was made efficient in the region I chose of California. That then led into my first paper for the class which was The Limits of Healthcare. In that paper, I looked at the trends of physicians in the state such as numbers, salaries and hospital distribution, and if increasing then in the way it was done in the past should be done. I concluded that that course of action should not be taken because it would strain the healthcare system further and give the hospitals an unfair monopoly. The third assignment was called The Price of Health Care. The goal of that paper was to show how California could properly fund healthcare by using competition between the healthcare providers to keep prices low for the consumers. I also went over how Kaiser Permanente made a bad decision in teaming up with the state of North Carolina and then failing in the region once other healthcare providers started in the state. The conclusion was that the state should stay out of the healthcare business and use completion as a means of providing affordable health insurance. Finally the fourth paper, the Federal Role in Health Care examined the Federal government in relation to healthcare and if they were useful or not. While I did believe they were useful in the sense of providing incentives for doctors to locate themselves to rural and low income areas to provide medical services for individuals in those areas, like at the state level, I think their only purpose should be to foster competition to make coverage affordable to everyone. Yes they have the resources to provide healthcare to all. But the outcome would only continue to strain an already broken system.