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Controlling health care benefits costs
Control over health care costs essay
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As long as life, liberty, and the pursuit of happiness has been an expectation of American citizens, good health to support these pursuits has also been desired. A country built upon freedom of choice, our government for many years had a distant role in truly controlling health care access and health care costs. Today with rising healthcare costs, an aging workforce, and technology driven medicine, the government is required to integrate regulations and limitations to assure affordable health care for future citizens. Without government intervention, the future of health care for upcoming citizens is in grave danger.
Citizens in our country, who have devoted their lives to working and depositing funds into the Medicare system, are beginning
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Treating quickly is not enough; we must also treat effectively. Assuring the patient has the medication education needed before leaving a provider can help assure compliance with life saving medications. Developing clinical guidelines to guarantee consistency nationwide in treating patients is beneficial to avoid costly and unnecessary procedures. When hospitalized, we should utilize multi-disciplinary teams to assure every aspect of the patient’s condition is evaluated and accurately treated. Patients with multiple co-morbidity concerns are often treated with focus on the one exacerbated condition, in an effort to discharge quickly, rather than focusing on the entire health of the patient. Data from a 2012 Agency for Healthcare Research and Quality (AHRQ) study revealed over 3 million possible unsubstantiated hospitalizations in discharge records of patients with multiple co-morbidity factors With the mean cost of discharge approximately $8,000 and 63% of these hospitalizations being covered by Medicare, the cost to the nation is staggering(Skinner, 2016). My proposal to Congress involves incentivizing hospitals to be rigorous in implementing multidisciplinary care plans with measurable outcome improvements tied to financial bonuses for the health …show more content…
As many of the general public in the United States live in rural areas, access to health care is often limited. Rural areas most often are populated by the underprivileged and impoverished and, consequently, these individuals go for long periods with lack of appropriate health care. Accordingly, chronic health conditions are often ignored, resulting in life threatening and costly disease exacerbations. As access to health care is fundamental in maintaining health, it is imperative we that we incentivize practitioners to practice in these rural areas (Ziller,
With the passage of the Affordable Care Act (ACA), the Centers for Medicare and Medicaid Services (CMS) has initiated reimbursement based off of patient satisfaction scores (Murphy, 2014). In fact, “CMS plans to base 30% of hospitals ' scores under the value-based purchasing initiative on patient responses to the Hospital Consumer Assessment of Healthcare Providers and Systems survey, or HCAHPS, which measures patient satisfaction” (Daly, 2011, p. 30). Consequently, a hospital’s HCAHPS score could influence 1% of a Medicare’s hospital reimbursement, which could cost between $500,000 and $850,000, depending on the organization (Murphy, 2014).
National Rural Health Alliance (2007). Yearbook and Annual Report 2006–2007 [Electronic version]. Retrieved April 09 from
Timeliness in medical care can be of the utmost importance. Letting things progress can result in a slippery circle, where a minor infection, untreated end up being life threatening. With increased damage caused by neglecting health care, or waiting on a health care provider, the physical damage, and costs associated increase, often exponentially.
Regardless of technological advancement, life-saving skills and abilities and first-world resources, the outlandish cost of healthcare in the United States far surpasses any other country in the world. From price gouging, to double billing, to overbilling, to inefficient and expensive operations, the United States wastes $750 billion every year through our healthcare system. According to the Institute of Medicine (IOM), $200 billion of that astronomical number is due to nothing more than administrative waste. It is estimated that 15 cents of every dollar spent on healthcare is wasted due to inefficient administrative practices.
One of the most controversial topics in the United States in recent years has been the route which should be undertaken in overhauling the healthcare system for the millions of Americans who are currently uninsured. It is important to note that the goal of the Affordable Care Act is to make healthcare affordable; it provides low-cost, government-subsidized insurance options through the State Health Insurance Marketplace (Amadeo 1). Our current president, Barack Obama, made it one of his goals to bring healthcare to all Americans through the Patient Protection and Affordable Care Act of 2010. This plan, which has been termed “Obamacare”, has come under scrutiny from many Americans, but has also received a large amount of support in turn for a variety of reasons. Some of these reasons include a decrease in insurance discrimination on the basis of health or gender and affordable healthcare coverage for the millions of uninsured. The opposition to this act has cited increased costs and debt accumulation, a reduction in employer healthcare coverage options, as well as a penalization of those already using private healthcare insurance.
The facts bear out the conclusion that the way healthcare in this country is distributed is flawed. It causes us to lose money, productivity, and unjustly leaves too many people struggling for what Thomas Jefferson realized was fundamental. Among industrialized countries, America holds the unique position of not having any form of universal health care. This should lead Americans to ask why the health of its citizens is “less equal” than the health of a European.
Healthcare professionals want only to provide the best care and comfort for their patients. In today’s world, advances in healthcare and medicine have made their task of doing so much easier, allowing previously lethal diseases to be diagnosed and treated with proficiency and speed. A majority of people in the United States have health insurance and enjoy the luxury of convenient, easy to access health care services, with annual checkups, preventative care, and their own personal doctor ready to diagnose and provide treatment for even the most trivial of symptoms. Many of these people could not imagine living a day without the assurance that, when needed, medical care would not be available to themselves and their loved ones. However, millions of American citizens currently live under these unimaginable conditions, going day to day without the security of frequent checkups, prescription medicine, or preventative medicines that could prevent future complications in their health. Now with the rising unemployment rates due to the current global recession, even more Americans are becoming uninsured, and the flaws in the United States’ current healthcare system are being exposed. In order to amend these flaws, some are looking to make small changes to fix the current healthcare system, while others look to make sweeping changes and remodel the system completely, favoring a more socialized, universal type of healthcare system. Although it is certain that change is needed, universal healthcare is not the miracle cure that will solve the systems current ailments. Universal healthcare should not be allowed to take form in America as it is a menace to the capitalist principle of a free market, threatens to put a stranglehold on for-...
State and local public health departments throughout the country have the responsibility for improving health in workplaces, schools, and communities through identifying top health problems within society and developing a plan to improve. Barriers the public health system has encountered over the years include: changes in the overall health system that support cost containment and improved health, and an increase in the number of individuals with insurance coverage for direct preventive services; reduction of qualified public health professional and funding at all levels of government; increasing focus on accountability, with higher expectations for demonstrating a return on investment in terms of cost and health improvement (Trust, 2013). In the near future, health departments ...
In recent years, the number of Americans who are uninsured has reached over 45 million citizens, with millions more who only have the very basic of insurance, effectively under insured. With the growing budget cuts to medicaid and the decreasing amount of employers cutting back on their health insurance options, more and more americans are put into positions with poor health care or no access to it at all. At the heart of the issue stems two roots, one concerning the morality of universal health care and the other concerning the economic effects. Many believe that health care reform at a national level is impossible or impractical, and so for too long now our citizens have stood by as our flawed health-care system has transformed into an unfixable mess. The good that universal healthcare would bring to our nation far outweighs the bad, however, so, sooner rather than later, it is important for us to strive towards a society where all people have access to healthcare.
In order to make ones’ health care coverage more affordable, the nation needs to address the continually increasing medical care costs. Approximately more than one-sixth of the United States economy is devoted to health care spending, such as: soaring prices for medical services, costly prescription drugs, newly advanced medical technology, and even unhealthy lifestyles. Our system is spending approximately $2.7 trillion annually on health care. According to experts, it is estimated that approximately 20%-30% of that spending (approx. $800 billion a year) appears to go towards wasteful, redundant, or even inefficient care.
Despite the established health care facilities in the United States, most citizens do not have access to proper medical care. We must appreciate from the very onset that a healthy and strong nation must have a proper health care system. Such a health system should be available and affordable to all. The cost of health services is high. In fact, the ...
Health care is one of the most debated issues in the United States today and it 's necessary to understand the basics of this problem. Approximately 50 million people living in the United
There has been a lot of talk and debate lately over Health Care Reform, as people are trying to answer the question – Should a universally accessible health care system be implemented in the United States (US)? This ongoing highly debatable issue remains a hot topic among US citizens from all walks of life, from the very poor to the very wealthy. Health Care Reform affects everyone. The vast majority of the US population is very dissatisfied with the current state of health care. According to the ABC News and Washington Post cooperative poll, 57 percent of Americans aren’t satisfied with the overall system of health care (Langer, 2009). Consequently, the issue of the Health Care Reform was born, but before analyzing the actual aspects of this reform it will be wise to brush up on those major attitudes and concerns which occupy ordinary people and how they respond to the unfolding changes in the area of health care and social security.
support medical practice in rural/remote regions: what are the conditions for success? Implement Sci. 2006 Aug 24;1:18.
In 2015, the Centers for Medicaid and Medicare Services (CMS) released the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) which implements the final rule which offers financial incentives for Medicare clinicians to deliver high-quality patient centered care.5 Essentially, taking the time to learn the patient’s goals and treatment preferences allows for the patient to walk away from the medical treatment or service feeling understood and cared for by the provider.4 Thus, resulting in a better, more comprehensive plan of care. Policy makers are hopeful that the new incentive-based payment system will accelerate improvement efforts.