Financing Health Care in a Time of Insurance Restructuring Please.docx

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Financing Health Care in a Time of Insurance Restructuring" Please respond to the following: 1 Analyze the impact of the ACA on changes to health care insurance and coverage. Investigate the major implications of the legislation on the manner in which institutions now provide health care in the U.S. 2 Give your opinion on the impact of the ACA on patients’ access to care and the provision of services within the present day U.S. health care system. Provide a rationale for your response. Please include the impact on Medicare and Medicaid and how access is for everyone. 3 Evaluate the affordability and accessibility of health care for the U.S. population since the inception of Medicare and Medicaid in 1965. Provide support for your evaluation. Remember, Medicare is something that is earned and paid into. The more you make, the more you pay. Medicaid is an entitlement. Also, Medicare is a federal program and Medicaid is federally funded along with the state but is state managed. .

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SOCW 6351 Wk 9 Discussion 1. Need Responses. Respond in one of the following ways: · Describe two factors that might make minority groups especially vulnerable in the Medicaid policy your colleague cited. Explain why these groups may not have a voice in the policy-making process. · Offer examples of organized self-help and citizens’ groups as both support mechanisms and potentially powerful lobbies. Describe how these lobbying bodies can help in amending the policy your colleague described. Support your response with specific references to the resources. Be sure to provide full APA citations for your references. NA: Top of Form Medicaid is a medical assistance program developed specifically for low income individuals of any age, unlike Medicare, which is designed for those over 65 and have no income requirements (“Difference between Medicare and Medicaid”, n.d.). When health care policies are change, they affect programs such as Medicaid and Medicare. For example, when the ACA (Affordable Care Act) was implemented, it led to an increase of enrollment as it made the process easier and reached more individuals and it expanded Medicaid eligibility to low-income adults (Wachino, Artiga & Rudowitz, 2014). In the state of Pennsylvania, a Medicaid policy that I would amend would be the Healthy PA policy, which was a Medicaid expansion that included drug and alcohol services (IRETA, 2015). The issue is the length of time it takes for someone to be admitted into a program. Whether it’s getting into an inpatient or outpatient program, the process needs to be expedited and more streamlined. Many who are suffering from substance abuse disorders struggle with finally getting themselves into a program and delaying the process could result in someone hesitating and deciding not to move forward with treatment that is crucial (IRETA, 2015). In Pennsylvania, stakeholders include a steering committee, which is made up of hospitals, health care providers, consumers, foundations and academic institutions (“HIP”, 2019). This committee comes up with ways to improve population health and control health cost including Medicaid and Medicare. They developed a plan for heathcare delivery that will improve the quality of life for everyone, without limitations on income or background (“HIP”, 2019). This committee has 5 work groups that develop implementation plans for the goals that were developed by the committee and focus on specific aspects such as payment, price and quality transparency, population health, healthcare transformation and health information technology (“HIP”, 2019). References: HIP stakeholders. (2019). Retrieved from https://www.health.pa.gov/topics/Health-Innovation/Pages/Stakeholders.aspx IRETA. (2015). Pennsylvania’s Medicaid expansion smooths the road to addiction treatment, but barriers remain. Retrieved from https://ireta.org/resources/pennsylvanias-medicaid-expansion-smooths-the-road-to-addiction-treatment-but-barriers-remain/ Wachino, V., A.

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Running head: MASSACHUSETTS’ HEALTHCARE REFORMS 1 MASSACHUSETTS’ HEALTHCARE REFORMS 3 Memo To: Prof. Thomas Smith From: Student- Jane Doe Reference: Health Care Policy Date: March 18, 2018 Subject: Massachusetts’ Healthcare Reform Act Massachusetts’ Healthcare Reform Act Rationale Massachusetts State is among the states that have made a number of attempts aimed at reforming the state's healthcare system to make access to quality healthcare available for its residents. Recently in 2006, Massachusetts passed the Healthcare Reform Act, which was later, signed into law by former Governor Mitt Romney (Van der Wees et al., 2013). The rationale for this healthcare reform was to provide near-universal health insurance coverage for Massachusetts’ residents. Adoption of the Reform The Massachusetts Healthcare Reform Act was passed by the State legislators after years of negotiation between Mitt Romney and the legislators with a compromise reached in 2006 resulting in the enactment of the reform that was effectively signed into law by Romney on 12 April 206. The reform has made several changes to its healthcare system in a move aimed at achieving a near-universal healthcare coverage for the residents of the state. The first change was made to the state's Medicaid program that was broadened by providing a MassHealth waiver, extending health insurance coverage to children in low-income families with up to 300% of the federal poverty level (FPL) (Kaiser Family Foundation, 2012). Massachusetts created what is called Commonwealth Care, which provides the residents of the state with access to subsidized health insurance for eligible individuals with earnings below 300% of FPL. Under this new healthcare reform, individuals with income below 150% of FPL also have the option of selecting a plan without a monthly premium and low-cost sharing. However, eligible individuals with earnings falling between 150-300% PL are subsidized by the state using a sliding scale. The Massachusetts Healthcare Reform Act also saw the state expand its Insurance Partnership Program by providing incentives and subsidies to the employers to give and workers to enroll in the state's employer-sponsored insurance. In this respect, Massachusetts State subsidized insurance costs for the workers in the state who would otherwise be eligible for programs subsidized by the government. However, small businesses are only eligible for up to $1,000 in support per qualified worker who falls below the 300% FPL (Van der Wees et al., 2013). Under the program, the state government pays the portion of qualified workers' premiums that is equal to what the employees would be expected to pay if employees were on a subsidized plan. Additionally, under this new healthcare reform, any employer in the state who fails to provide health insurance to its workers is expected to pay what is called a ‘fair share' assessment to the government of up to $295 per worker ever.

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LECTURE Unit Objectives After completing this unit, you should be able to define moral hazard , adverse selection , and cost-shifting identify the major public programs for the financing of health care compare and contrast Medicare and Medicaid list and describe the four sub-programs of Medicare describe different reimbursement approaches for health services Unit Lecture When asked how health care services are paid for, many of us think immediately of health insurance. However, we typically don't think about the dynamics behind health insurance or the various types of programs through which it is delivered. At its most basic level, health insurance is a tool for mitigating risk. An individual purchases health insurance to mitigate the risk of having to pay an enormous medical bill in the event of sickness or injury. Those who provide health insurance—insurance companies—also work to mitigate risk, albeit from the other side. They attempt to create a risk pool containing a large number of healthy people to offset the expenses accrued by those who do get sick or injured. Premiums , the fees paid for ownership of health insurance, are used to subsidize the cost of the health care provided to those who use the insurance. Factors that insurance companies need to be mindful of include moral hazard , whereby an insured individual is more prone to seek care than if he or she were paying the medical bill him- or herself; and adverse selection , whereby insurance is mainly purchased by those most in need of it. As with any financial enterprise, if the costs of providing the product or service exceed the revenue, the company goes out of business. There are several types of insurance programs, both public and private. Together, these programs cover not only individual health services, but public health services, research, and the administration of the delivery and financing of health care in the United States. The majority of public and private expenditures—approximately 81 percent—are directed toward hospital care, provider and clinical services, long-term care, and prescription drug provision (Kovner & Knickman, 2011). As mentioned in the week 4 lecture, health insurance is a relatively new mechanism for financing health services, and it has grown substantially since the mid-1900s, when only 9 percent of the US population had health insurance (Blumberg & Davidson, 2009). Health insurance can be broken down into private and public insurance. Private health insurance is primarily employment-based, meaning that individuals receive coverage through commercial health insurance plans for which their employers either pay the premiums or subsidize them, with the employee paying the balance. Some larger employers choose to self-insure, which means that they administer their own plans and accept the financial risk of doing so. In essence, they act as the insurer of their employees. Some individuals, either through necessity or choice, opt to purchase t.

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Student Professor English 102 March 6, 2016 Toulmin Argument Essay There has always been a rise in cost of the health care thus various individuals are trying to understand the coverage options for their health coverage which has led them to search for various health care packages to save money. Amongst the controversial alternative that will enable citizens to safe money is the single payer health care. In this health package, citizens pays taxes for various health care services which are being issued by the government to every gentleman, lady as well as the child. For some times now, this system has been used in United States. Medicare, Medicaid, local state government benefits, and federal employees’ benefits all use single funds, which use private delivery. Single-payer health care system services is a framework in which the state, instead of private organizations, are responsible for all insurance bills. This system of health contract for medicinal services administrating from private associations and to public responsibility enhanced by state governments. Single payer enables the patients to choose their physicians and continue to seem them even if their financial status or jobs changes. There is no other health care services that can assure this. There is continuity of nurses and doctors, who have got to know the care about their patients, and also is critical to quality. These health care services are accessible and affordable to all. The single payer uses the savings from the administrative wastes which is approximately over $350 billion in a year for funding the coverage for all uninsured as well as improving the benefits to the insured Americans. Heath care which is delayed or denied due to cost or increasingly issues of the insurers refusing to coverage. There has always been a rise in cost of the health care thus various individuals are trying to understand the coverage options for their health coverage which has led them to search for various health care packages so as to save money. Amongst the controversial alternative that will enable citizens to save money is the single payer health care. In this health package, citizens pays taxes for various health care services which are being issued by the government. The Affordable Care Act gives Americans better health conditions by giving incentives and security set up of medical coverage changes that will, Expand scope, Hold insurance agencies responsible, Guarantee decision making, Lower services costs and Enhance the nature manning all Americans. The Affordable Care Act really alludes to two separate bills of enactment both by president Obamas administration. Both the bills grow Medicaid scope to a great many low-salary Americans and makes various upgrades to both Medicaid and the Children's Health Insurance Program. Many nations in the world have single-payer health insurance programs. In Switzerland it is believed that the idea that health-care services should be paid for a.

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· 7.4 Assignment: Comparing Between-subjects and Within-subjects Research Design or locate a published study that illustrates application of between and within subjects design. Explain the merits of each and the limitations of each (between and within). Indicate which you believe is more informative of the results. · Demonstrate understanding of the task and be able to address requirements using creativity and application of research design knowledge. · Must demonstrate ability to analyze existing research to compare strengths and limitations of between-subjects and within-subjects analysis. 1 Course Learning Outcomes for Unit I Upon completion of this unit, students should be able to: 1. Compare and contrast health services organizations within the healthcare system. 1.1 Explain the primary organizational components of the healthcare system and the commonalities and differences among health services organizations. Reading Assignment Chapter 2: Why and How Health Care Organizations Need to Change, pp. 13-34 Chapter 11: Leading Change: First Steps in Employing Strategic Intelligence to Get Results, pp. 259-310 Unit Lesson The Ideal Health System Imagine you are now the Secretary of Health and Human Services; you have a magic wand and you can create the perfect healthcare system. What components would it have? Would it include: 1. improving health outcomes for individuals, families and communities, 2. defending your population against threats to their health, 3. protecting your population against financial the consequences of bad health, 4. providing access to all with equality and no disparity, and 5. making it possible for people to make decisions in their own plans of care as well as have input into the decisions that affect your country’s overall health system? If you answered yes to these components, your definition matches the World Health Organization’s Components of a Healthcare System (2010). How This Course & Content Have Real-Word Application We are witness to history and are living in one of the most active times in our country’s history for healthcare reform. In 1966, the Medicare Act was signed into law by President Johnson, the most significant piece of healthcare legislation in our country to that point. Fast forward from 1966 to 2010 and the passing of the Affordable Care Act, which arguably is the second most impactful piece of legislation on U.S. health care since the Medicare Act. Medicare has grown significantly since 1966 and is now about 14% of our national budget, covering 47 million Americans (Kaiser Family Foundation, 2015). Government health plans (Medicare, Medicaid, Tri-Care, Veteran’s Administration) are growing and are on pace to insure more lives in the near future than lives covered by commercial plans (Cigna, United, Blue Cross, etc.) Speaking of this growth, Sylvia Burwell, Health & Human Secretary Director, announced that by 2018 the Centers for Medicar.

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Follow all instructions to the letter..... Discussion Board forums Students will participate in Eight Discussion Board forums. First, students will post an original thread of 450 words or more. Three additional sources beyond the course material (i.e. textbook, readings, and presentations) are required for the original thread. Add a biblical reference within the post. DB 1: Regardless of the philosophical approach one embraces with regard to the criminal justice system (due process vs. crime control, consensus or conflict model, or individual rights vs. public order), the police, courts, and correctional components must operate within a multicultural society; a society that embraces lifestyle diversity. Beginning with the material conveyed in the assigned reading and presentation, discuss how multiculturalism and diversity impact the application of those philosophical approaches by the criminal justice groups (police, courts, and correctional) charged with achieving justice. Expand upon the provided material with scholarly research to support your position. Finally, integrate within your discussion the impact of a Judeo-Christian viewpoint on the implementation of criminal justice to today’s society. · Textbook Readings Schmalleger: ch. 1 DB 2: The mission of policing was described by the author as covering 6 key areas: enforcing the law, apprehending offenders, preventing crime, predicting crime, preserving the peace, and providing services. With the advent of various forms of terrorism and transnational crime, the police mission has expanded beyond the traditional borders of burglaries and domestic disputes. Beginning with the material conveyed in the assigned reading and presentation, select 2 scholarly articles from the university criminal justice databases, and integrate those resources to discuss the use of intelligence-led policing (ILP) and the development of fusion centers to equip law enforcement for their expanded mission. Finally, integrate within your discussion the impact of a Judeo-Christian viewpoint on ILP and the development of fusion centers. · Textbook Readings Schmalleger: ch. 6 Article Readings Choose two scholarly articles pertinent to policing. These articles must be published within the last three years.They should help you as you write your Discussion Board forum for this module/week. Required Book: Schmalleger, F. (2011). Criminal justice today: An introductory text for the 21th Century (11th ed.). Upper Saddle River, NJ: Prentice Hall. ISBN: 1256297259 (CUSTOM). .

Follow all instructions to the letter.....Discussion Board for.docx

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Follow all directions to the letter. Do not miss anything from the instructions. Here are the assignments: 1. Discussion Board Forum: Topic: Choose a business issue such as job dissatisfaction, narcissism, learning theories, etc. from your own professional work experience or peer-reviewed journal articles. Apply a total of 2 concepts (such as mental models, the grapevine, Fiedler contingency model, etc.) from chapters 10–14 to the issue you are discussing. Keep in mind that chapters 10–14 deal with work teams, organizational communication, leadership, and politics, so find a scenario that is most applicable in those regards. Discuss the scenario and apply 2 core concepts from chapters 10–14. APA Format: Must be at least 500- 750 words. Required BOOKS American Psychological Association. Publication manual of the American Psychological Association (Current ed.). Washington, DC: Author. Kroeger, O., Thuesen, J. M., & Rutledge, H. (2002). Type talk at work: How the 16 personality types determine your success on the job (2nd ed.) . New York, NY: Dell Publishing. ISBN: 9780440509288. Robbins, S. P., & Judge, T. A. (2009). Organizational behavior (Custom ed.). Upper Saddle River, NJ: Prentice Hall. ISBN: 9780555012277. 2. Article review Instructions: APA Format. Include an overview of the problem area discussed in the article. Summarize any theories or conclusions reached by the author. Briefly provide your own assessment of the article, evaluating its strengths and weaknesses. Explain how the article relates contributes towards the field of conflict management. Each Article Review should be no more than two pages (double-spaced) Assignment: For your Fifth Article Review, you may choose either Article 14 or Article 16 from the Helmick & Petersen text. 3. Essay Instructions Using the essay topics provided below, write a 5 page paper essay (using 1 topic from below ). that deal directly with the issue you have selected. You may develop the topic in any way you wish. You may use any materials presented as part of the course content to back up your opinions. The remaining essay topics should be used as a study guide for the final exam. Please use APA style for your Works Cited section and all formatting within your paper. Topic Choices 1. Elaborate on the four Gs of peacemaking as identified by Sande. Use the following references for support: I Cor. 10:32, Matt. 7:5, Gal. 6:1, Matt. 5:24, Eph. 4:1–4, Eph. 4:29–32, Phil. 4:5–10, Col. 4:5–6. 2. Using all class texts and lecture notes, define conflict. Your answer should be exhaustive and identify characteristics from several definitions. In addition, discuss at least three metaphors of conflict that help to explain how people may view conflict. Why are so many words and metaphors negative when they define conflict? 3. Sande claims that conflict situations may be an opportunity to “Glorify God.” Explain the validity of his argument and give 1 illustration of how yo.

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