Hcs 235 Health Care Utilization Option 1

Powerful Essays
Health Care Utilization Option 1

University of Phoenix
Health Care Delivery in the United States
HCS 235

January 13, 2013

Health Care Utilization Option 1
Introduction
Health care reform in the United States is a hot topic and the source of legislation meant to make health care obtainable to Americans. Recent presidential elections have been platforms used to promote health care reform yet no one can agree on what the resolution will be. This paper will discuss ways recent health care reform measures have expanded or inhibited access to health care. This paper will discuss how changes to access may lead to influences in utilization. Concepts of what universal health care may be and how current care reflects or contrasts with this will be discussed. In addition, this paper will describe a personal experience with health care expansion either negative or positive.
Health Care Reform
The Patient Care and Affordable Care Act created and signed into law to ensure that all Americans have access to health care at affordable costs and to help control the rising cost of health care. Opposed from the beginning, this reform measure creates opportunities for individuals to access insurance with pre-existing conditions, preventative service, and immunizations, dependent coverage up to age 26, and to develop information for consumers to make informed comparisons when shopping for health insurance. This Act will be implemented in 2014 and the impact of the costs that will have to be covered by employers is a huge concern. Employers are finding ways to get around paying for employees health care costs by reducing hours and keeping staff numbers under 50 to avoid tax increases under The Patient Care and Affordable Care Act. Aimed at providing for the non-insured and under insured citizens of America while providing a comprehensive guideline to choosing a health insurance plan to best fit the consumer’s needs, the costs to business and the jobs that



References: Morreale, M. (1998, Septemeber 29, 1998). What Factors Can Influence Health Care Utilization? Nursing Effectiveness, Utilization and Outcomes Research Unit. Retrieved from http://fhs.mcmaster.ca/nru/Working%20Papers%20&%20Fact%20Sheets/factsheets/Whatfactorscaninfluence.pdf Shavers, V. L., Shankar, S., & Alberg, A. J. (2002). Perceived access to health care and its influence on the prevalence of behavioral risks among urban african americans. Journal of the National Medical Association, 94(11), 952-62. Retrieved from http://search.proquest.com/docview/214052520?accountid=35812 Scott, J. S. (1999). Universal health care revisited. Healthcare Financial Management, 53(6), 32-33. Retrieved from http://search.proquest.com.ezproxy.apollolibrary.com/docview/196359014

You May Also Find These Documents Helpful

  • Good Essays

    When there is an increase in demand for a product or service and the price for the product or service goes down the product or service is considered elastic. An example is prescription medications. When a medication first becomes available to health care providers to prescribe to consumers the cost is significantly higher to the consumer in his or her co-pay and to the covering insurance company. As that medication is increasingly prescribed, the cost may come down because the supply and demand is more affordable for the pharmaceutical companies. Inelasticity is the opposite of elasticity and equal unresponsiveness. As in the example above, but in reverse action, a medication may be expensive to manufacture and may only help a small-targeted group of patients. As a result, the cost of the medication does not come down because there is not enough use to increase the supply and demand to help reduce the cost of manufacturing the…

    • 1034 Words
    • 5 Pages
    Good Essays
  • Better Essays

    To conclude, in the last decade health care cost has risen so drastically in the United States to the point it has become a burden to families who simply trying to live and make a productive living. And the arrival of Obamacare infuriated coverage providers and health care providers to the point that lead the quality of care to dissipate. I tyrant was created in the healthcare system that wields a mighty weapon of capitalistic influence over our elected leaders. The name of this giant is called third party payors, and the weapon is campaign contributions. The cost is steadily rising with no end in…

    • 880 Words
    • 4 Pages
    Better Essays
  • Better Essays

    During history, health care economics has changed considerably. The main reason that stimulus change in health care economic are technology and medical care, however a lot has to do with evolutionary changes that the U.S. endured from the beginning. It is very essential to comprehend health care cash flow system and economic history. Administrators use this data to help organize the future of the corporation. In this paper, I plan to use the terms to elaborate on the history and evolution of health care economics and the timeline of finance.…

    • 1258 Words
    • 6 Pages
    Better Essays
  • Powerful Essays

    The Patient Protection and Affordable Care Act (PPACA) signed into law by president Obama on March 23, 2010 is arguably the most extensive reform of health care law ever to be enacted in the U.S. It will impact the way professionals practice health care, the way insurance companies handle health care as a product, and the way consumers purchase and use health care as a service. The Affordable Health Care Act is primarily aimed at reducing the number of uninsured Americans and reducing the overall costs of health care from an administrative and consumer standpoint. The PPACA requires insurance companies to cover all applicants and offer the same rates to all applicants of the same age regardless of pre-existing conditions, gender or any other intrinsic factors that may deem an individual a particularly “risky” investment for an insurance company. According to the U.S. Census Bureau, in 2009, there were 50.7 million Americans living without health insurance; that amounts to 16.7% of the population (DeNavas-Walt et al.). In order to increase the rate of coverage, the PPACA provides mandates, subsidies, and tax credits to employers and individuals. Since individuals will not be discriminated against on the basis of their health, insurance companies will have larger pools of individuals to cover and the price of insurance will decrease based on the idea that the collective or average risk of any given group of individuals will, theoretically speaking, be less risky than the highest-risk individuals in that group. Because consumers will not be judged on their individual health, the insurance companies, instead, will have to compete for consumer attention and theoretically speaking, market prices of insurance will fall further due to the increased competition between companies (HealthCare.gov). In addition, there will be a mandate in place which will require all individuals not covered by their employer, Medicare, or…

    • 1439 Words
    • 6 Pages
    Powerful Essays
  • Good Essays

    Rural health clinics provide education to patients and can issue devices such as blood pressure monitoring equipment and train patients to utilize self-check methods between physician visits. Government medical programs do provide for education and training to use medical devices like blood pressure monitors used at home for patient self-monitoring.…

    • 1075 Words
    • 5 Pages
    Good Essays
  • Good Essays

    John is a Medicaid patient suffering from high blood pressure whose father recently had a heart attack. His recent search for a Medicaid provider within his area has left him on the outskirts of accessible healthcare and has decreased his utilization. His closest primary care provider is forty minutes away and he has to make his appointment two weeks in advance.…

    • 1052 Words
    • 5 Pages
    Good Essays
  • Better Essays

    For some time now, Americans have been wanting to switch to a universal health care system. A healthcare system where all Americans will have access to the proper health care that is affordable and fits their needs. Some solutions that can be implemented are replacing for-profit insurance companies, reforming the health care system, and hiring insurance companies that have slow cost growths. These are excellent solutions because there are a substantial number of Americans who do not have health insurance and desperately need it. However, we should not put a national health care system into effect because our current health care system is in a corrupt state and has to be addressed before we can move forward.…

    • 1215 Words
    • 5 Pages
    Better Essays
  • Good Essays

    Health Care utilization is one of the most controversial topics in the health system today. One of the main issues that Americans face today is the lack of adequate health care utilization. According to "University Of Manitoba" (2010), “Utilization of health care measure of the population 's use of the health care services available to them.” Factors that affect the utilization of health care can be both mutable and immutable. Mutable factors are those that are subject to change. Immutable factors are things that are unchangeable, such as race and gender. Anderson (2009), "the general belief…

    • 719 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    In addition, sweeping legislative and regulatory changes demand a clear understanding of new healthcare and pension plan administration mandates, tax credits, nondiscrimination, and reporting and filing requirements—and a host of other developments. With the passage of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act, a new era in the history of the American health care system has begun. Key elements of the new legislation include incentives and penalties that are designed to encourage employers to offer, and individuals to procure, health care coverage. Additionally, the legislation will create new health care exchanges to purchase insurance, impose mandates on health plans, add new reporting and disclosure requirements, and, of course, levy new taxes. In sum, the new legislation will provide significant challenges to employers, and the purpose of this alert is to discuss important implications to employers.…

    • 1191 Words
    • 5 Pages
    Powerful Essays
  • Better Essays

    Health care reform has been a budding issue within the United States this past year, and problems continue to surface. At the beginning of this process, Americans wanted the government to ensure that all citizens would be able to have affordable and good health care, no matter what their financial situation. The price for health care was increasing at a rate that people could no longer afford it and a lot of people desperately wanted a universal health care systems like some of their neighboring countries. In a sense, change was needed, but how this change came about is the real issue…

    • 2608 Words
    • 11 Pages
    Better Essays
  • Good Essays

    For the past decades, politicians and insurance companies could carelessly proclaim that the United States had the best healthcare system in the world, but as its major deficiencies have become more apparent many people have found it harder to accept this claim. It is reported that around 59 million Americans are without health insurance and are aware that our health care system does not work for everyone. This has caused a growing recognition that the major problems of rising costs and lack of access constitute a real crisis. However, the search solutions have not been easy or clear cut. The problems of our health care system have been responded to with various makeshift solutions rather than analyzing the system itself as a whole to take…

    • 962 Words
    • 4 Pages
    Good Essays
  • Good Essays

    This paper is an overview about the evolution of the US health care system from the Great Depression to the current Health Reform Bill. I will give an understanding to Medicare and Medicaid program, which also will include a history of these two programs. Even though these two programs are a very complex in helping many poor, elderly, people with certain disabilities, and as well as low income pregnant women they are getting the care that they need as well as what they deserve.…

    • 1068 Words
    • 5 Pages
    Good Essays
  • Satisfactory Essays

    Obama care essay

    • 597 Words
    • 3 Pages

    The new health care policy provides more coverage to a larger percentage of American and is more cost-effective for the United States’ budget especially during these dire economic conditions, and is a moral cause and sign of community that all Americans should strive for. The problem with universal health care, however, lies in the fact that above all concerns; the main goal of insurance companies within the United States is to make a profit. Insurance companies seek to provide satisfactory care without major financing and costs of their clients. On the other hand, clients seek plans that provide the most care without paying a fortune. These opposite goals thus result in the polarization between insurance companies and their clients, which has in turn lead to monumental costs for both sick and injured Americans as well as insurance companies. Even more so, these opposite goals result in a drastic percentage of Americans who are left insured. With the 45 million Americans as of 2005 who live in the country uninsured, the United States is the only developed nation that still does not have a universal health care policy. This statistic demonstrates the sheer quantity of people that need healthcare in America, as well as the urgent need to support these people. There exists yet another fiscal issue concerning universal health care: how will we pay for all this? The most obvious answer is an increase in taxes and the cutting of extraneous federal spending. Yes, by having universal health care the government will have to budget…

    • 597 Words
    • 3 Pages
    Satisfactory Essays
  • Best Essays

    The issue of universal healthcare has been brought to the forefront of debate in American society. This issue was, at one time, something many Americans never would have considered, but is now becoming a common need for the majority of the United States’ population. Virtually every American has faced, or knows someone who has faced some type of dilemma due to the rising cost of healthcare. There is, however, a solution. This solution will address all facts about healthcare and the problems the current system has created. The content in this paper will examine the facts regarding the current American healthcare system. The content will also answer many questions one may have regarding universal healthcare, and explain how the proposed solution will work for each individual. Sources for this paper include specific examples, Internet sources, and digital broadcast media.…

    • 3490 Words
    • 14 Pages
    Best Essays
  • Powerful Essays

    The article focuses on several possible proposals for health care reform by the administration of U.S. President Barack Obama which are perceived to produce unfavorable results. Such proposals include requiring employers to provide employees with health insurance, requiring each citizen to purchase an insurance policy that complies with government criteria and establishing a health insurance plan that would compete with private insurance. The author argues that such proposals would negatively affect taxpayers, health care providers and quality of care.…

    • 4590 Words
    • 19 Pages
    Powerful Essays