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Health care costs in the united states essayu
Healthcare costs introduction
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Medical expense insurance is health insurance that protect insured against the risk of high health care cost by pooling risk for some or all of the insured. It generally cover any cost incurred in the prevention as well as treatment of injury or disease. Its coverage of hospital expense include dental care, hospital visit, drug expense, surgical expense within a certain limited. If insureds have poor health or certain health history, premiums are likely to be higher or uninsured. Insureds are still required to pay all or part of medical expense by themselves depending on the minimum deductible expense of the policy. If the medical expense excess the deductible amount, insureds are required to pay first deductible to the medical institution, …show more content…
Also, individual information about age, health history, or tobacco use are associate with the premium settings. People age over sixty five or have poor health are likely to be uninsured. Group coverage of medical expense insurance is usually provided by employer to employee that offer the same benefits to all employees or members of the group. Group policy is the employee benefit plan because they will have a several advantage to the policy. First, the policy is much more affordable compared to having individual policy because a number of employees are covered under one policy and risk of the group insurance spread over the entire group rather than one person. Second, the benefit received by group members is tax free. Third, employee or members who might be unable to get individual insurance will covered under the group policy because insurer have to cover all employees. Also, there are no need for physical exam or strict assessment. All the eligible people will be covered regardless of current age, physical condition, or certain health history. The premiums will be calculated based on group characteristics as a whole such as average
Kaiser Permanente’s mission is to provide care assistance to those in need. As a health maintenance organization, Kaiser Permanente provides preventive care such as prenatal care, immunizations, diagnostics, hospital medical and pharmacy services. Also, they take responsibility and provide exceptional training for their future health professionals for better clinical performance and treatment for the patients. The organization is to ensure fair and proper treatment towards their employees for a pleasant working environment in hospital and to provide medical services especially in a growing population in suburban communities, such as Tracy and Stockton in California.
The Consolidated Omnibus Budget Reconciliation Act (COBRA) supports workers, who have lost the right to their health benefits, so that they can keep their employer-sponsored group health plan in force. The need for continued insurance coverage is necessary when coverage is interrupted due to the loss of a job, reduced working hours, death of the insured employee, divorce or even other circumstances that affect a person’s life. A person who qualifies for the group health benefit is usually expected to pay for that premium. The employer may increase the premium up to 102 percent, which is allowed under the provisions of COBRA. The law applies to all employer-sponsored group plans who have 20 and above employees and urges them to ensure an extension of the health coverage that is temporary (Magill, 2009).
Medical billers often communicate with physicians and other health care professionals to explain diagnoses or to attain further information by means of phones, email, fax, etc. The biller must know how to read a medical record and be familiar with CPT®, HCPCS Level II and ICD-9-CM codes.
There are several issues concerning the uninsured and underinsured patient population in America. There are many areas of concern the congressional efforts to increase the availability of health insurance, the public image of the insurance industry illustrated by the movie "John Q", the lack of good management tools, and creating health insurance coverage for all low income Americans. Since the number of uninsured Americans has risen to 43 million from 37 million in the flourishing 1990s and could shoot up even more severely if the economy continues to decrease and health care premiums keep increasing (Insurance No Simple Fix, 2001).
Medicare was designed as a universal healthcare program for individuals 65 years old and older. This program is funded by Medicare taxes and general federal funding withholding taxes. Medicare is a partnership between federal and state with the goal to provide medical insurance to the elderly that is poor and disabled. Generally all people who are 65 years or older and qualify for social security will automatically qualify for Medicare.
From the hospital perspective mandating the health insurance will reduce the problem of Free riders into the Hospital and if a person who is insured visits the hospital for the treatment the cost of his medical treatment will not be totally absorbed by the hospital if the person is unable to pay for the treatment and the amount will be shared between the hospital and the insurance company.
Medicare is a federal health insurance program for people, who are age sixty five or older, or people that have End Stage Renal Disease and permanent disabilities. There are four different entities of Medicare to include; Medicare Part A which is the Hospital Benefit that covers inpatient hospital services, hospice treatment, skilled nursing facilities and other home health services. Medicare Part B that covers the Professional component of the physicians' services, preventive services and medical supplies then there is Medicare Part C which is considered a Medicare Advantage Plans that is offered by a private company that has a contract with Medicare to provide the patient with both Part A and Part B benefits. A Medicare Advantage Plans consist of Health Maintenance Organizations (HMO), Preferred Provider Organizations (PPO), and Private Fee for Special Needs Plans, Service Plans, and Medicare Medical Savings Account Plans.
Insurance is a factor in the health of Americans. Most companies are required to offer insur...
Medicaid is currently the largest source of funding for medical and health related services for people in the United States with low-income, disabilities, nursing home and community-based long-term care. Medicaid has been referred to as a safety net for the needy. As a parent of a disabled child, I have a personal interest in the Medicaid system, its history, current functioning, and future plans.
Medicare is a national social insurance program, run by the U.S. federal government since 1966 that promises health insurance for Americans aged 65 and older and younger people with disabilities. Being the nation’s single largest health insurance program, covering a large population for a wide range of health services, Medicare's funding is a fundamental part of it sustainability. Medicare is comprised of several different parts, serving different purposes, some of which require separate funding. In general, people at the age of 65 and older who have been legal residents of the United States for at least 5 years are eligible for Medicare. Same is true with people that have disabilities under 65, if they receive Social Security Disability Insurance benefits. Medicare involves four parts: Part A is hospital insurance. Part B is additional medical insurance, that Part A doesn't cover. Part C health plans, also mostly known as Medicare Advantage, are another way for original Medicare beneficiaries to receive their Part A, B and D benefits. Medicare Part D covers many prescription drugs, some of which are covered by Part B. Medicare is a major operation, not only needing adequate administering but the necessary allocated funds to keep this massive system afloat.
This type of coverage depends on whether you would pre pay and amortizes the cost of wellness visit over the year or save for annual routine expenses.
Health insurance provides benefits for sickness, injury, surgery, and prescription medication. There are a variety of plans with different
Health insurance comes in handy in case of severe emergencies. The term health insurance (popularly known as Medical Insurance or Mediclaim) is a type of insurance that protects you and your dependents against any financial constraints arising on account of a medical emergency. It sometimes includes disability and long term medical needs. In Mediclaim, you pay
Benefits tend to give employees a sense of security. Health insurance is one of the major benefits that encourages employees to stay with an organization even in difficult situations. With health insurance companies attract and retain qualified employees. According to Optima Health (“Starting in 2015, employers with 50 or more full-time equivalent employees are required to offer affordable, minimum-value group health insurance. If they don’t, they may be assessed government penalties.” n.d.). There are other helpful health insurance benefits such as deducting 100 percent of their employees ' health insurance cost as a business expense. If the organization is incorporated the owner’s insurance cost is also deductible. But if it’s a small business with less than 25 employees, they may be able to receive a tax credit if they’re with a small group insurance. If there’s 50 or more employees the business is eligible for a larger group health insurance which offers lower rates. Also with employee health insurance employees have a bigger chance of being able to pay medical expenses. In addition to valuable benefit retirement saving plans are essential part of your future financial security. All employees are encouraged to save for retirement. Tax advantages are also accessible to business owners that offer retirement plans. All
Health care has always been an interesting topic all over the world. Voltaire once said, “The art of medicine consists of amusing the patient while nature cures the disease.” It may seem like health care that nothing gets accomplished in different health care systems, but ultimately many trying to cures diseases and improve health care systems.