Which Healthcare Services Were Left Out of the ACA?

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In this presentation, Reid Rasmussen shares 4 categories of healthcare services not included in the ACA and how health insurance agents/benefits specialists can take advantage of the trends. Reid is the co-owner of freshbenies which offsets skyrocketing healthcare costs with telehealth, advocacy, health discounts and more – all in one easy-to-use card. These non-insurance services help employers control healthcare costs while members save time, money and frustration.

Healthcare

•  Ambulance

•  Single
Room

•  Lab

•  Mental

Health

•  Chiroprac@c

•  Outpa@ent
Rx

Canadian
Lesson

•  Ambulance

•  Single
Room

Medical
Services

•  Cosme@c
Surgery

•  Infer@lity
Treatment

•  Long-‐Term
Care

•  Home
Health

•  Private
Nursing

•  Weight
Loss
Surgery

•  Medical
Equipment

•  Podiatry

•  Chemical
Dependency

•  Adult
Dental

•  Adult
Vision

•  Hearing
Treatment

Complementary
/
Alterna@ve
Medicine

•  Chiroprac@c

•  Acupuncture

•  Naturopath

•  Herbal
Consultant

•  Massage
Therapist

•  Aromatherapy

•  Homeopathy

•  Holis@c
Therapy

•  Reﬂexology

•  Relaxa@on
Therapy

•  Movement
Therapy

Filling
the
Holes

•  First
Dollar
Services

•  Accident

•  Cri@cal
Illness
/
DI

•  Gap

•  Medical
Tourism

•  Rx
Buy-‐Ups

•  Mental
Health
/
EAPs

•  Wellness
/
Fitness

•  Centers
of
Excellence

•  Price
Transparency
/

Nego@a@on

•  Advocacy

•  More
Product
Choices

•  Technology

•  Exchanges

•  Single
Billing
Services

•  Enrollment
Services

• 

• 

• 

• 

• 

•  New
Advances

•  “Specialty
Drugs”

•  Gene@c
Tes@ng
&

Therapies

Future
Trends

•  More
Product
Choices

•  Technology

•  Exchanges

•  Single
Billing
Services

•  Enrollment
Services

•  Shrinking
Doctors

•  Telemedicine

•  Concierge
Doctors

•  Plug-‐Ins

Opportunity
Wasn’t

Le0
Out
of
the
ACA!

Reid
Rasmussen

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Catheterization of the bladder involves introducing a latex or plastic tube through the urethra and into the bladder. The catheter provides a continuous flow of urine in patients unable to control micturition or those with obstructions. It also provides a means of assessing urine output in hemodynamically unstable patients. Because bladder catheterization carries the risk of UTI, blockage, and trauma to the urethra, it is preferable to rely on other measures for either specimen collection or management of incontinence. Types of Catheterization. Intermittent and indwelling retention catheterizations are the two forms of catheter insertion INTERMITTENT CATHETERIZATION introduce a straight single-use catheter long enough to drain the bladder (5 to 10 minutes When the bladder is empty, you immediately withdraw the catheter. COMPLICATION- increases risk of trauma and infection. INDICATION- It is common for people with spinal cord injury or other neurological problems such as multiple sclerosis to perform self– intermittent catheterization up to every 4 hours daily for months or years. UTI rate is lower than for patients with long-term indwelling catheters. INDWELLING CATHETERIZATION- remains in place for a longer period, until a patient is able to void voluntarily or continuous accurate urine measurements are no longer needed The straight single-use catheter has a single lumen with a small opening about 1.3 cm ( 1 2 inch) from the tip. . Urine drains from the tip, through the lumen, and to a receptacle. An indwelling Foley catheter has a small inflatable balloon that encircles the catheter just above the tip. When inflated the balloon rests against the bladder outlet to anchor the catheter in place. The indwelling retention catheter often has two or three lumens within the body of the catheter . One lumen drains urine through the catheter to a collecting tube. A second lumen carries sterile water to and from the balloon when it is inflated or deflated. A third (optional) lumen is sometimes used to instill fluids or medications into the bladder. It is easy to determine the number of lumens by the number of drainage and injection ports at the end of the catheter A second type of intermittent catheter has a curved tip A Coudé catheter is used on male patients who may have enlarged prostates that partly obstruct the urethra. It is less traumatic during insertion because it is stiffer and easier to control than the straight-tip catheter Plastic catheters are suitable only for intermittent use because of their inflexibility Latex catheters are recommended for use up to 3 weeks. Be aware of allergies. Pure silicon or Teflon catheters are best suited for long-term use (2 to 3 months) because of less encrustation at the urethral meatus Balloon sizes range from 3 mL (pediatric) to large postoperative volumes (75 mL). In adults the 5-mL and 30-mL sizes are the most common: The 5-mL size allows for optimal drainage, whereas the 30-mL size is used after pros

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WORLD HEALTH ORGANIZATION WE CHAMPION HEALTH AND A BETTER FUTURE FOR ALL’ INTRODUCTION- WHO leads and champions global efforts to give everyone, everywhere, an equal chance to live a healthy life. HISTORY- founded in 1948, 7 April HEADQUARTERS- Geneva OFFICES- 6 semi autonomus regional and 150 fields offices DIRECTOR- Dr. Tedros Adhanam Ghebeyesus OBJECTIVES- Direction, co-ordination agencies Collaboration with local bodies Help the government in health services Proper technological assistance To attain highest possible level of health Prioritize and support health Formulate health policies Disease inspection and analysis Health education GOAL: To ensure that a billion more people have universal health coverage, to protect a billion more people from health emergencies and provide a further billion people with better health and well being ORGANIZATION: executive board, secretariat, world health assembly FUNCTION: FOR UNIVERSAL HEALTH Focus on PHCare Sustainable financing and protection Access to health products and medicines Training of health workforce and advice on labor policies Support people participation in National health policies Increasing monitoring, data and information FOR HEALTH EMERGENCIES Identification, mitigation and risk management Prevention and support of development of tools Detect and respond to acute health emergencies Support delivery of essential health services FOR HEALTH AND WELL BEING Address social determinants Promote intersectoral approach for health Prioritize health in all policies and healthy settings THROUGH WORK, ADDRESS Prevention of non- communicable disease Mental health promotion Climate change Antimicrobial resistance Elimination and eradication of communicable disease UNITED NATION FUND FOR POPULATION ACTIVITYINTRODUCTION- SEXUAL AND REPRODUCTIVE HEALTH AGENCY MISSION- To deliver a world where every pregnancy is wanted, every childbirth is safe, and every young person’s potential is fullfilled AIM- to improve reproductive and maternal health worldwide ESTABLISHED YEAR- 1969 (1974 in INDIA) HEADQUARTER- NEW YORK DIRECTOR- Dr. Natalia Kanem (2017) FUNCTION Develop national healthcare Increasing the access to birthcontrol Leading campaigns against child marriage Prevention of violence against gender Prevention of female genital mutiliation Treatment and prevention of STD and RTI MCH care HIV prevention and treatment IEC on sexuality and treatment of infertility and Abortion FOCUS area: Reproductive health Gender equality Population and development strategies Girl education Political participation for women FGM Child marriage UNITED NATION DEVELOPMENT PROGRAMME 1965 ESTABLISHED- 22 November. 1965 HEADQUARTER- New York HEAD- Achim steiner STRUCTURE- 170 member countries and territories INTRODUCTION- Advocates for change and connect countries to knowledge, experience and resources to help people bulid a better life for themselves Encourages Human right protection, women empowerment in all its programme

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Which Healthcare Services Were Left Out of the ACA?

1. Which Healthcare Services Were Le0 Out of the ACA? Reid Rasmussen

2. •  Ambulance •  Single Room •  Lab •  Mental Health •  Chiroprac@c •  Outpa@ent Rx Canadian Lesson •  Ambulance •  Single Room

3. Medical Services

4. Medical Services •  Cosme@c Surgery •  Infer@lity Treatment •  Long-‐Term Care •  Home Health •  Private Nursing •  Weight Loss Surgery •  Medical Equipment •  Podiatry •  Chemical Dependency •  Adult Dental •  Adult Vision •  Hearing Treatment

5. Complementary / Alterna@ve Medicine

6. Complementary / Alterna@ve Medicine •  Chiroprac@c •  Acupuncture •  Naturopath •  Herbal Consultant •  Massage Therapist •  Aromatherapy •  Homeopathy •  Holis@c Therapy •  Reﬂexology •  Relaxa@on Therapy •  Movement Therapy

7. Filling the Holes

8. Filling the Holes •  First Dollar Services •  Accident •  Cri@cal Illness / DI •  Gap •  Medical Tourism •  Rx Buy-‐Ups •  Mental Health / EAPs •  Wellness / Fitness •  Centers of Excellence •  Price Transparency / Nego@a@on •  Advocacy

9. Future Trends

10. •  More Product Choices •  Technology •  Exchanges •  Single Billing Services •  Enrollment Services •  •  •  •  •  •  New Advances •  “Specialty Drugs” •  Gene@c Tes@ng & Therapies Future Trends •  More Product Choices •  Technology •  Exchanges •  Single Billing Services •  Enrollment Services •  Shrinking Doctors •  Telemedicine •  Concierge Doctors •  Plug-‐Ins

11. Opportunity Wasn’t Le0 Out of the ACA! Reid Rasmussen

Which Healthcare Services Were Left Out of the ACA?

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Which Healthcare Services Were Left Out of the ACA?