Managed Care within Health Care covers a variety of information from nursing homes, policies, Medical, Medicare, out of pocket, and partial payment, management, contracts, government, and the Social Security State Fund. Within this working paper I will discuss a few of these mechanisms that are applied and utilized within ‘Managed Care’ today. A system within a system that brings in 25% of the United States debt.
Did you have time to read the 1,990 page healthcare bill that was recently passed through Congress? Have you since wondered about the impact that massive bill will have on the average American, health insurance providers, business owners and YOU? If yes, then join the Young Professionals of Chicago as we host a panel of diverse health care professionals that will be discussing current healthcare reform and taking questions on the impact of the United States' new healthcare policy. The distinguished panelists will also provide some insight and clarity into what this massive bill means for individuals like you. There will also be an opportunity for open networking with other young professionals before and after the discussion.
Managed Care within Health Care covers a variety of information from nursing homes, policies, Medical, Medicare, out of pocket, and partial payment, management, contracts, government, and the Social Security State Fund. Within this working paper I will discuss a few of these mechanisms that are applied and utilized within ‘Managed Care’ today. A system within a system that brings in 25% of the United States debt.
Did you have time to read the 1,990 page healthcare bill that was recently passed through Congress? Have you since wondered about the impact that massive bill will have on the average American, health insurance providers, business owners and YOU? If yes, then join the Young Professionals of Chicago as we host a panel of diverse health care professionals that will be discussing current healthcare reform and taking questions on the impact of the United States' new healthcare policy. The distinguished panelists will also provide some insight and clarity into what this massive bill means for individuals like you. There will also be an opportunity for open networking with other young professionals before and after the discussion.
Obamacare - The Patient Protection and Affordable Care Act - ACAAndrew F. Bennett
This short presentation will help bring you up to speed on the Affordable Healthcare act, eligibility requirements to buy in the online marketplace, and coverage that will be available.
Past President Franklin Roosevelt and Lyndon B. Johnson enacted ACTS and legislation to help the United States Poor to ensure they has proper health care insurance. “The Social Security Act was passed by Congress as part of President Roosevelt’s Second New Deal agenda. In signing the Act into law on August 14, 1935, Roosevelt became the first president to advocate for and create legislation for the provision of governmental assistance for the elderly at the federal level” (CSU, 2015). Considering the new policies and new developments of the country to ensure that housing, food, and work was also available. Time was surely of the essence considering it was the turn of the century and the United States was implementing new changes and programs within the United States.
Obamacare in Pictures: Visualizing the Effects of the Patient Protection and ...The Heritage Foundation
“Obamacare in Pictures: Visualizing the Effects of the Patient Protection and Affordable Care Act” shows in detail the impact of the sweeping health care law for Americans.
Obamacare - The Patient Protection and Affordable Care Act - ACAAndrew F. Bennett
This short presentation will help bring you up to speed on the Affordable Healthcare act, eligibility requirements to buy in the online marketplace, and coverage that will be available.
Past President Franklin Roosevelt and Lyndon B. Johnson enacted ACTS and legislation to help the United States Poor to ensure they has proper health care insurance. “The Social Security Act was passed by Congress as part of President Roosevelt’s Second New Deal agenda. In signing the Act into law on August 14, 1935, Roosevelt became the first president to advocate for and create legislation for the provision of governmental assistance for the elderly at the federal level” (CSU, 2015). Considering the new policies and new developments of the country to ensure that housing, food, and work was also available. Time was surely of the essence considering it was the turn of the century and the United States was implementing new changes and programs within the United States.
Obamacare in Pictures: Visualizing the Effects of the Patient Protection and ...The Heritage Foundation
“Obamacare in Pictures: Visualizing the Effects of the Patient Protection and Affordable Care Act” shows in detail the impact of the sweeping health care law for Americans.
Health for all- primary health care- millennium development goalsAhmed-Refat Refat
PHC is the essential care based on practical, scientifically sound and socially acceptable method and technology made universally accessible to individuals and families in the community through their full participation and at a cost they and the country can afford to maintain in the spirit of self reliance and self determination.
Al
A health insurance roadmap takes a look at some simple solutions to the complex issues facing health insurance, medicare, medicaid, long term care insurance, and the high cost of health expenses in retirement.
This will work because so much of this is already in place and a lot of the rest would be quick and easy to implement. As in all areas, knowledge is power. Consumers can take control of your insurance portfolio by becoming educated about insurance. Better education and understanding will lead to positive results for consumers and for the insurance industry.
Ch. 5 Paying for Health CareLearning ObjectivesAfter reading.docxcravennichole326
Ch. 5 Paying for Health Care
Learning Objectives
After reading this chapter, you should be able to:
Distinguish the benefits and shortcomings of private sources of payment for the care of vulnerable persons.
Identify the benefits and shortcomings of public sources of payment for the care of vulnerable persons.
Recognize the most common public payer options, and understand their eligibility requirements.
Understand how health care is financed for people with no health insurance coverage.
Introduction
Photo of a large group of people protesting in front of a white government building. A woman at the front left of the photo carries a sign that says, "Responsible capitalism, healthcare for all." A man at the front right of the photo holds a sign that says, "Medical bankruptcy has a face."
Courtesy of Jodi Jacobson/iStockphoto
Costly new technologies and the free-market nature of the health care industry have raised the cost of health care.
The cost of health care is rising, in part because of expensive new technologies and procedures, and in part because of the market failure of the health care industry. It has been argued that deregulation of health insurers, combined with a free market health care industry, has changed health care from a service-based structure to a commodity, or a product available for purchase. America's health care delivery system is geared toward the multibillion dollar health insurance industry rather than individual payers, many of whom lack the financial ability to cover health care expenses out of pocket, from general emergency room care to a life-threatening illness. After all, few people have $10,000 in their budgets to cover the cost of an emergency room visit for a broken arm.
Americans purchase health insurance to cover medical bills, but health insurance is too expensive for many families to afford. In 2010, 64% of the American population had private health insurance for all or part of the year. That isn't a very large majority, considering that everybody needs medical attention at some point. In that same year, 31% of the population had government-run public health insurance, and 16.3% had no health insurance at all for all or part of the year (DeNavas-Walt, Proctor, & Smith, 2011). The question across America, from Congress to kitchen tables, is how to insure all, how to tackle rising health care costs, and how to decipher a fair and equitable payee process.
Critical Thinking
What do you think will be the impact if health care costs are not addressed? What future problems do you predict?
5.1 Private Payers
The private payer sector comprises programs that provide financial access to health care, which includes insurance companies, employer-run health coverage programs, and individuals who pay for health care out of pocket. Individuals who pay for all of their health care out of pocket are rare, as the cost of health care is prohibitive. Employer-run health coverage programs are types of i ...
Indiana is participating in the federal health insurance marketplace. Gather more information and see if the marketplace is right for you. Includes local resources for Northwest Indiana.
Chapter 18 Private and Government Healthcare Systems PriMorganLudwig40
Chapter 18
Private and Government Healthcare Systems
Private and Government Healthcare Systems
In the United States, health insurance coverage is generally classified as either private (non-government) coverage or government-sponsored coverage.
Healthcare Coverage vs. Uninsured
The National Center for Health Statistics defines health insurance as public and private payers who cover medical expenditures incurred by a defined population in a variety of settings.
In the United States, the risk of becoming uninsured increases significantly for those earning low wages, the unemployed, and when employers are unable to provide insurance to workers.
Table 5-2 presents the trend of declining health insurance coverage.
Private Health Insurance
The concept of insurance is to combine the healthcare experiences of many enrollees in order to reduce expenses for any one individual to a manageable prepayment amount.
Employment-Based Plans is coverage offered through one’s own employment or a relative’s employment.
It may be offered by an employer or by a union.
Private Health Insurance Continued
Direct-Purchase/Fee-For-Service Plans are the traditional type of healthcare policy.
The physician sets a price for each type of service delivered, and then the client or insurance company pays the fee.
This type of health insurance provides the most choices of doctors and hospitals.
Private Health Insurance Continued
The two kinds of fee-for-service coverage are basic and major medical.
Basic covers some hospital services and supplies, such as X-rays and prescribed medicine.
Major medical insurance covers the cost of long-term, high-cost illnesses or injuries plus whatever basic did not cover.
Private Health Insurance Continued
Group Contract Insurance—to make hospitals and physicians products and services affordable to ordinary people in the United States.
With unmanaged care (fee-for-service) payments, healthcare providers could increase the number of single services they deliver in order to increase profit.
Private Health Insurance Continued
Managed Care—manages the cost and delivery of healthcare services, the quality of that healthcare, and access to care.
Managed care influences how much healthcare clients can use.
Health Maintenance Organizations (HMOs) are prepaid health plans.
The goal of an HMO is to provide affordable, well-organized healthcare by allowing clients to prepay (capitation payment) on a regular monthly basis for all services provided.
Private Health Insurance Continued
Including physicians’ visits, hospital stays emergency care, surgery, laboratory (lab) tests, X-rays, and therapy for all members and their families.
There may be a small co-payment for each office visit, such as $15 for a doctor’s visit or $50 for hospital emergency room treatment.
Private Health Insurance Continued
Point-of-Service Plans (POS) offer enrollees the option of receiving services from participating or nonparticipating prov ...
Empowering the Unbanked: The Vital Role of NBFCs in Promoting Financial Inclu...Vighnesh Shashtri
In India, financial inclusion remains a critical challenge, with a significant portion of the population still unbanked. Non-Banking Financial Companies (NBFCs) have emerged as key players in bridging this gap by providing financial services to those often overlooked by traditional banking institutions. This article delves into how NBFCs are fostering financial inclusion and empowering the unbanked.
when will pi network coin be available on crypto exchange.DOT TECH
There is no set date for when Pi coins will enter the market.
However, the developers are working hard to get them released as soon as possible.
Once they are available, users will be able to exchange other cryptocurrencies for Pi coins on designated exchanges.
But for now the only way to sell your pi coins is through verified pi vendor.
Here is the telegram contact of my personal pi vendor
@Pi_vendor_247
US Economic Outlook - Being Decided - M Capital Group August 2021.pdfpchutichetpong
The U.S. economy is continuing its impressive recovery from the COVID-19 pandemic and not slowing down despite re-occurring bumps. The U.S. savings rate reached its highest ever recorded level at 34% in April 2020 and Americans seem ready to spend. The sectors that had been hurt the most by the pandemic specifically reduced consumer spending, like retail, leisure, hospitality, and travel, are now experiencing massive growth in revenue and job openings.
Could this growth lead to a “Roaring Twenties”? As quickly as the U.S. economy contracted, experiencing a 9.1% drop in economic output relative to the business cycle in Q2 2020, the largest in recorded history, it has rebounded beyond expectations. This surprising growth seems to be fueled by the U.S. government’s aggressive fiscal and monetary policies, and an increase in consumer spending as mobility restrictions are lifted. Unemployment rates between June 2020 and June 2021 decreased by 5.2%, while the demand for labor is increasing, coupled with increasing wages to incentivize Americans to rejoin the labor force. Schools and businesses are expected to fully reopen soon. In parallel, vaccination rates across the country and the world continue to rise, with full vaccination rates of 50% and 14.8% respectively.
However, it is not completely smooth sailing from here. According to M Capital Group, the main risks that threaten the continued growth of the U.S. economy are inflation, unsettled trade relations, and another wave of Covid-19 mutations that could shut down the world again. Have we learned from the past year of COVID-19 and adapted our economy accordingly?
“In order for the U.S. economy to continue growing, whether there is another wave or not, the U.S. needs to focus on diversifying supply chains, supporting business investment, and maintaining consumer spending,” says Grace Feeley, a research analyst at M Capital Group.
While the economic indicators are positive, the risks are coming closer to manifesting and threatening such growth. The new variants spreading throughout the world, Delta, Lambda, and Gamma, are vaccine-resistant and muddy the predictions made about the economy and health of the country. These variants bring back the feeling of uncertainty that has wreaked havoc not only on the stock market but the mindset of people around the world. MCG provides unique insight on how to mitigate these risks to possibly ensure a bright economic future.
Currently pi network is not tradable on binance or any other exchange because we are still in the enclosed mainnet.
Right now the only way to sell pi coins is by trading with a verified merchant.
What is a pi merchant?
A pi merchant is someone verified by pi network team and allowed to barter pi coins for goods and services.
Since pi network is not doing any pre-sale The only way exchanges like binance/huobi or crypto whales can get pi is by buying from miners. And a merchant stands in between the exchanges and the miners.
I will leave the telegram contact of my personal pi merchant. I and my friends has traded more than 6000pi coins successfully
Tele-gram
@Pi_vendor_247
Even tho Pi network is not listed on any exchange yet.
Buying/Selling or investing in pi network coins is highly possible through the help of vendors. You can buy from vendors[ buy directly from the pi network miners and resell it]. I will leave the telegram contact of my personal vendor.
@Pi_vendor_247
Introduction to Indian Financial System ()Avanish Goel
The financial system of a country is an important tool for economic development of the country, as it helps in creation of wealth by linking savings with investments.
It facilitates the flow of funds form the households (savers) to business firms (investors) to aid in wealth creation and development of both the parties
how can I sell pi coins after successfully completing KYCDOT TECH
Pi coins is not launched yet in any exchange 💱 this means it's not swappable, the current pi displaying on coin market cap is the iou version of pi. And you can learn all about that on my previous post.
RIGHT NOW THE ONLY WAY you can sell pi coins is through verified pi merchants. A pi merchant is someone who buys pi coins and resell them to exchanges and crypto whales. Looking forward to hold massive quantities of pi coins before the mainnet launch.
This is because pi network is not doing any pre-sale or ico offerings, the only way to get my coins is from buying from miners. So a merchant facilitates the transactions between the miners and these exchanges holding pi.
I and my friends has sold more than 6000 pi coins successfully with this method. I will be happy to share the contact of my personal pi merchant. The one i trade with, if you have your own merchant you can trade with them. For those who are new.
Message: @Pi_vendor_247 on telegram.
I wouldn't advise you selling all percentage of the pi coins. Leave at least a before so its a win win during open mainnet. Have a nice day pioneers ♥️
#kyc #mainnet #picoins #pi #sellpi #piwallet
#pinetwork
USDA Loans in California: A Comprehensive Overview.pptxmarketing367770
USDA Loans in California: A Comprehensive Overview
If you're dreaming of owning a home in California's rural or suburban areas, a USDA loan might be the perfect solution. The U.S. Department of Agriculture (USDA) offers these loans to help low-to-moderate-income individuals and families achieve homeownership.
Key Features of USDA Loans:
Zero Down Payment: USDA loans require no down payment, making homeownership more accessible.
Competitive Interest Rates: These loans often come with lower interest rates compared to conventional loans.
Flexible Credit Requirements: USDA loans have more lenient credit score requirements, helping those with less-than-perfect credit.
Guaranteed Loan Program: The USDA guarantees a portion of the loan, reducing risk for lenders and expanding borrowing options.
Eligibility Criteria:
Location: The property must be located in a USDA-designated rural or suburban area. Many areas in California qualify.
Income Limits: Applicants must meet income guidelines, which vary by region and household size.
Primary Residence: The home must be used as the borrower's primary residence.
Application Process:
Find a USDA-Approved Lender: Not all lenders offer USDA loans, so it's essential to choose one approved by the USDA.
Pre-Qualification: Determine your eligibility and the amount you can borrow.
Property Search: Look for properties in eligible rural or suburban areas.
Loan Application: Submit your application, including financial and personal information.
Processing and Approval: The lender and USDA will review your application. If approved, you can proceed to closing.
USDA loans are an excellent option for those looking to buy a home in California's rural and suburban areas. With no down payment and flexible requirements, these loans make homeownership more attainable for many families. Explore your eligibility today and take the first step toward owning your dream home.
How to get verified on Coinbase Account?_.docxBuy bitget
t's important to note that buying verified Coinbase accounts is not recommended and may violate Coinbase's terms of service. Instead of searching to "buy verified Coinbase accounts," follow the proper steps to verify your own account to ensure compliance and security.
how to sell pi coins in South Korea profitably.DOT TECH
Yes. You can sell your pi network coins in South Korea or any other country, by finding a verified pi merchant
What is a verified pi merchant?
Since pi network is not launched yet on any exchange, the only way you can sell pi coins is by selling to a verified pi merchant, and this is because pi network is not launched yet on any exchange and no pre-sale or ico offerings Is done on pi.
Since there is no pre-sale, the only way exchanges can get pi is by buying from miners. So a pi merchant facilitates these transactions by acting as a bridge for both transactions.
How can i find a pi vendor/merchant?
Well for those who haven't traded with a pi merchant or who don't already have one. I will leave the telegram id of my personal pi merchant who i trade pi with.
Tele gram: @Pi_vendor_247
#pi #sell #nigeria #pinetwork #picoins #sellpi #Nigerian #tradepi #pinetworkcoins #sellmypi
2. Overview of Presentation PowerPoint presentation Application Class activity Conclusion/ Questions
3. Relevance of Topic If you didn’t already know, healthcare is one of the most controversial issues going on in America today. There is a common debate going on daily about what to do with the American Healthcare system. There is no doubt about it that better healthcare is a necessity and something needs to be done to improve the situation. Everyone needs health care. Basically, if healthcare is improved and the bill is passed, in my opinion it will make plenty of individuals with out health benefits happier and stress free.
4. Personal Relevance Healthcare in the United states has in my opinion, taken a turn for the worse. I feel as though by taking the time to look into this, it will help you, as well as me, understand what exactly is going on, and also what should be done.
5. Thesis Healthcare is the United States is one of the most talked about issues in the media today. There are many aspects of healthcare that people don’t know and these aspects should be addressed.
6. What is healthcare? Healthcare-Broadly defined and includes any care, service, or supply related to the mental or physical health of an individual. http://wordnetweb.princeton.edu/perl/webwn?s=health
7. Who is eligible? Healthcare is a human right. Therefore, you can not be denied healthcare benefits. Everyone is eligible.
13. General information Most people get health insurance through their jobs or are covered through a family member's insurance. When this takes place it is called group insurance. Group insurance is generally the least expensive kind. In many cases, the individual’s employer pays part or all of the cost. Some organizations offer only one health insurance plan and others offer a choice of plans. http://www.bls.gov/oco/cg/cgs035.htm
14.
15. allow you go to the doctor of your choice and pay for services at the time of the visit.
16. The amount that your health insurance company will pay is a predetermined
21. Requires other alternatives for an insured person to use providers that are owned, managed, or under contract with the insurer.
22. guides a patient toward a pre-approved network of doctors and facilities,
23. Limits coverage of any treatment sought outside the network. http://www.salary.com/personal/layoutscripts/psnl_articles.asp?tab=psn&cat=cat011&ser=ser031&part=par094
24. Plans cont. Point-of-service plans (POS) Based on the basic managed care foundation Lower medical costs in exchange for more limited choices required to choose a primary care physician to monitor your health care (must be chosen from within the health care network) paperwork is completed for you. http://www.salary.com/personal/layoutscripts/psnl_articles.asp?tab=psn&cat=cat011&ser=ser031&part=par094
25. Organizations Health maintenance organizations (HMO) pay a fixed monthly fee called a premium you choose a primary care physician, who is then responsible for your health care as well as for making referrals to specialists and approving further medical treatment. co-payment ( usually required) care received outside of the health care network is not covered http://www.salary.com/personal/layoutscripts/psnl_articles.asp?tab=psn&cat=cat011&ser=ser031&part=par094
26. Organizations Preferred provider organizations (PPO) Similar to HMO Pay a fixed monthly fee (premium) primary care physician is not required If you need or want health care from outside the network, you should expect to pay a higher co-payment or co-insurance than if the provider were from within the PPO network http://www.salary.com/personal/layoutscripts/psnl_articles.asp?tab=psn&cat=cat011&ser=ser031&part=par094
27. Why aren’t people covered? If everyone is eligible for healthcare benefits, then why are so many people not covered? COST!!!! “ I just don’t have the money” http://www.flickr.com/photos/27631166@N04/2966942158/ (Torr)
28. So why NOT have Insurance? http://facts.kff.org/upload/jpg/enlarge/5_Reasons_for_not_Having_Health_Insurance.jpg
29. What played a role in the loss of Insurance? cost lost job or a change in employment Medicaid benefits stopped ineligibility for family insurance coverage due to age or leaving school
30. How cost of insurance impacts others. “My paycheck after taxes is $350 to $400 every two weeks. For health insurance, they would deduct $60 from each paycheck. I would be left with $290, which is not a lot to deal with. If I could afford the insurance, I would take the children to the doctor more often. Lucky for me, they are healthy children.” –Rita J. Carrillo (Torr)
32. Can you keep your insurance if you lose your job? State and federal regulations protect you from losing your health coverage in the event you lose your job. Unfortunately, they offer little protection from high premium costs. However, jobless workers may get help paying for these premiums as part of the economic stimulus bill. http://money.cnn.com/magazines/moneymag/money101/lesson16/index.htm
34. What’s available for the jobless? COBRA Insurance-Continuation of benefits under a previous employer's plan after an employee is terminated from his/her previous employer. Provides continuity of full care, but not necessarily affordable health insurance. Available 30 days after the date of termination Only covered for one year Pay comes out of pocket from the individual http://www.cobrainsurance.com/COBRA_Law.htm http://farm1.static.flickr.com/95/272829684_b371845117.jpg
35. What does COBRA insurance cover? Inpatient and outpatient hospital care Physician care Surgery and other major medical benefits Prescription drugs Dental care Vision care Life insurance is NOT covered under COBRA http://www.essortment.com/all/cobrainsurance_rgpl.htm http://planetgreen.discovery.com/home-garden/images/2008-10/prescription-drugs.jpg
36. Scenario “ When you walk in to the doctor’s office, the first thing they say is: “How will you pay? What insurance do you have?” - Mildred Davis “ I have to go to the bank before I go to the doctor.” - Mildred Davis In January 2006, Mildred Davis, who was 48 years old at the time, received an emergency Hysterectomy after several weeks of uterine bleeding. She received a hospital bill for $8,000 and a doctor bill for $2,000. (Torr)
37. Private Health Insurance May be purchased by individuals. Cost of health insurance varies by: group individual based on a fee schedule set by the insurance company. Rates are often influenced by: age geographical region. http://www.american.com/archive/2008/october-10-08/obamas-plan-to-end-private-health-insurance/FeaturedImage
39. Types of Government insurance Medicaid Medicare SCHIP (State Children’s Health Insurance Program) TRICARE or CHAMPUS (Civilian Health and Medical Program of the Uniformed Services) VA (Department of Veterans Affairs) State Plans IHS (Indian Health Service)
40. Medicaid Medicaid- Joint federal and state health care welfare program for qualifying low-income individuals and families. http://lonestarpolitics.files.wordpress.com/2009/10/medicaid.jpg
41. Medicare Medicare- Federal health care insurance program for people 65 years of age or older and certain people with long-term disabilities under 65 years of age. http://myaspenderm.com/wp-content/uploads/2009/10/medicare-logo.jpg
42. SCHIP (State Children’s Health Insurance Program) SCHIP (State Children’s Health Insurance Program)- Joint federal and state health care insurance program for low-income children whose parents do not qualify for Medicaid coverage and can’t afford to buy private insurance. http://aspe.hhs.gov/health/schip/schip4c.jpg
43. TRICARE or CHAMPUS (Civilian Health and Medical Program of the Uniformed Services) TRICARE or CHAMPUS (Civilian Health and Medical Program of the Uniformed Services)- Military health care program for active duty and retired members of the military, their families, and survivors. http://www.triwest.com/unauth/newContent/newImages/aboutTriWest/logoTricareHiRes.jpg
44. VA (Department of Veterans Affairs) VA (Department of Veterans Affairs)- Military health care program that provides medical assistance to eligible veterans of the Armed Forces. http://www1.whdh.com/images/news_articles/389x205/070312_Department_of_Veterans_Affairs_logo.jpg
45. State Plans State Plans- State sponsored health insurance plans for low-income individuals without other insurance http://farm3.static.flickr.com/2650/3772943398_e38d3fbcdd.jpg
46. IHS (Indian Health Service) IHS (Indian Health Service)- Health care program distributed by the Department of Health and Human Services for eligible American Indians. http://www.ihs.gov/GeneralWeb/HelpCenter/DevComm/Resources/images/Logo_anti_alias.gif
47. Opting for pay over insurance Nationwide, about half of all uninsured workers are either self-employed or working in businesses that have fewer than twenty-five employees. When certain coverage is available in these companies, the employees are then required to pay a large share of the cost. “It’s one or the other, a pay raise or health insurance.” – Sal Z. Valiani (Torr) http://kingston21.files.wordpress.com/2009/04/confusion-new.jpg
48. Universal Health Care What is it? The belief that all citizens should have access to affordable, high-quality medical care. http://topnews.co.uk/24692-uhs-agrees-purchase-psychiatric-solutions
49. Structure of Universal Health Care Universal health care programs require some form of government involvement through: legislation mandates regulation The laws passed determine what type of care must be provided as well as to whom
50. Children’s Health Care “ Children are one third of our population and all of our future.” -Select Panel for the Promotion of Child Health,1981 http://www.fcs.uga.edu/ext/ccqm/resources/index/index_img.jpg
51. Benefits for Children Can make a lasting difference in a child’s life Provides both physical and developmental benefits Improved school performance Long-term savings in health care costs
52. Did you know…. Check-ups, shots, and regular dental care are needed to help keep children healthy? Children with health insurance are more likely to be healthy than children without health insurance? Children with health insurance miss less days from school? Healthy children do better in school? Children without health insurance are less likely to be treated for ear infections which can lead to lifelong hearing loss? Children with asthma who receive basic medical care experience far less asthma-related attacks and emergency room visits?
53. Facts vs. Myths Myth: The U.S. has the best health care system in the world. Fact: The U.S. has among the worst health statistics of all rich nations. The U.S. ranks near the bottom of list of international comparisons. Part of the problem is that there is more profit in a cure than in the prevention of an illness. Another part of the problem is that America has the highest level of poverty and income inequality among all rich nations. Therefore, poverty affects a person’s health much more than the other problems. The U.S. does not have the best health care system in the world. It has the best emergency care system in the world http://www.huppi.com/kangaroo/L-healthcare.htm
54. What can be done? The following can be done to improve health care coverage in America: Reach out to families without health insurance and let them know about programs that will work in their advantage Support universal health care coverage. Contact your representatives in government and let them know that you support the continued funding and expansion of health care coverage for all in America.
55. Who’s covered? Percent of population covered by public health care: France, Austria 99% Switzerland, Spain, Belgium 98% Germany 92% Netherlands 77% United States 40% http://www.huppi.com/kangaroo/L-healthcare.htm
56. Life expectancy Men Countries Women Japan 76.2 82.5 72.9 81.3 France 74.1 81.3 Switzerland Netherlands 73.7 80.5 Sweden 74.2 80.4 Canada 73.4 80.3 Norway 73.1 79.7 United States 71.6 78.6 72.2 77.9 Denmark http://www.huppi.com/kangaroo/L-healthcare.htm
57. Ask yourself this….. If you needed heart surgery, would you prefer to have the surgery done in China, Japan, France, or the United States? Keep in mind that a Countries health care system may extend the life of a percentage of a population.
58. The people’s word…. Percent of people who believe their health care system needs fundamental change: United States 60% Sweden 58% United Kingdom 52% Japan 47% Netherlands 46% France 42% Canada 38% (Torr)
59. The future… If America wants to start its road to improvement, it must not only pass universal health care, but reduce poverty as well. http://www.flickr.com/photos/seiuhealthcare775nw/3584425251/ http://www.healthcareproblems.org/
60. Something to think about…. Did you know that depending on where you live, your social economic status, race, or gender, the quality of medical treatment you receive can vary dramatically? http://www.healthpaconline.net/health-care-statistics-in-the-united-states.htm
61. Jobs Health care is among today’s fastest-growing and most exciting industries. Between 2004-2014, according to the U.S. Department of Labor, more new jobs-about 3.6 million- will be created in health care than in any other industry. (Marmor)
62. Democrats Openly advocate price control, which expands health benefits among everyone “ Here we are at peak economic performance, and we are being told that we cannot provide health coverage for everyone. If not now, when?” – Senator Paul Wellstone (Minnesota) Introduced a bill that would give states large sums of federal money to help achieve the goal of universal insurance coverage (Torr)
63. Republicans Opposed to price control, which play a role ways to expand coverage among everyone. Want to create tax breaks to help people buy private insurance Want to create “Health Marts” which offer insurance to self employed people and businesses with fewer than 500 employees (Torr)
64. The Healthcare Bill Health reform will make health care more affordable, make health insurers more accountable, expand health coverage to all Americans, and make the health system sustainable, stabilizing family budgets, the Federal budget, and the economy. http://assets.nydailynews.com/img/2009/11/27/alg_health_care_bill.jpg
65. Advantages Affordable? How? Cutting down premium costs for tens of millions of families and small business owners who are priced out of coverage today (middle class). Helps 32 million Americans afford health care who do not get it today. Makes coverage more affordable for many more people Under the plan, 95% of Americans will be insured.
66. Advantages cont. The new healthcare bill sets up a new competitive health insurance market giving millions of Americans the same choices of insurance that members of Congress will have. http://files.motherinchief.com/uploaded_images/choices-760701.jpg
67. MORE ADVANTAGES! Keeps premiums down and prevents insurance industry abuses and denial of care. How does it do this? brings greater accountability to health care by laying out commonsense rules of healthcare so nothing goes misunderstood.
68. EVEN MORE ADVANTAGES!! The new healthcare bill will end discrimination against Americans with pre-existing conditions unlike before. http://www.torontorealtyblog.com/wp-content/uploads/2009/08/discrimination.jpg
69. Okay, this is the last advantage!!!!! Puts our budget and economy on a more stable path by: reducing the deficit by more than $100 billion over the next ten years Cut government overspending http://www.growyourbusinessnetwork.com/wp-content/uploads/2009/09/real-estate-overspending3.jpg
70. Disadvantages Higher taxes Higher insurance premiums Higher health care cost Longer waiting times Decreased quality of care for people who already have health insurance
73. Conclusion I went into this project not knowing much of anything about healthcare. After doing extensive research, I found out many things that I didn’t know before. Hopefully after watching this presentation, you are greatly informed on health care as well.
74. Work cited Torr, James D, Bruno Leone, and David M Haugen, Eds. Health Care Opposing Viewpoints. San Diego CA, Greenhaven: David L. Bender, 2000. Print. Yount, Lisa. Patient's Rights in the Age of Managed Health Care. Vol. 1. New York NY: Facts On File, Inc., 2001. Print. 1 vols. Newman, Alex. "EXAMINING HEALTHCARE: A look around the globe at nationalized systems." New American, The. 15 Sep 2008. 10. eLibrary. ProQuest LLC. UPPER MERION AREA HIGH SCHOOL. 02 Dec 2009. http://elibrary.bigchalk.com. Marmor, Ted. "Health Care: What Ought to be Done?." Dissent. 3 2004. 61. eLibrary. ProQuest LLC. UPPER MERION AREA HIGH SCHOOL. 02 Dec 2009.
75. Work cited Romanow, Roy. "Health Care." Time; Canadian edition. 17 Nov 2003. 26. eLibrary. ProQuest LLC. UPPER MERION AREA HIGH SCHOOL. 02 Dec 2009. <http://elibrary.bigchalk.com>. Office of Congressman Chaka Fattah. "Healthcare: Public Option Mirrors Other Government Insurance Plans." PR Newswire. 21 Aug 2009. n/a. eLibrary. ProQuest LLC. UPPER MERION AREA HIGH SCHOOL. 02 Dec 2009. <http://elibrary.bigchalk.com> Zuckerman, Mortimer B. "The 'Reform' That Ate America." U.S. News & World Report. 01 Dec 2009. 96. eLibrary. ProQuest LLC. UPPER MERION AREA HIGH SCHOOL. 02 Dec 2009. <http://elibrary.bigchalk.com>
76. Work cited http://www.tbclubbock.org/cms/images/stories/children_church.jpg http://homesforheroes.files.wordpress.com/2009/05/elderly-couple.jpg http://www.bls.gov/oco/cg/cgs035.htm http://www.salary.com/personal/layoutscripts/psnl_articles.asp?tab=psn&cat=cat011&ser=ser031&part=par094 http://www.flickr.com/photos/27631166@N04/2966942158/
77. Work cited http://dictionary.reference.com/ http://www.nytimes.com/2010/04/19/health/policy/19doctors.html http://assets.nydailynews.com/img/2009/11/27/alg_health_care_bill.jpg http://files.motherinchief.com/uploaded_images/choices-760701.jpg
Editor's Notes
A lot of people do not know what health care really is. Even though this topic is in the media almost everyday, many people are blind to the fact that healthcare applies to a person’s everyday life in order to live a healthy life. In every environment it is important to be healthy. For example, in the work place, it is important to be healthy enough to show up for work everyday. If a person were to get sick today or tomorrow and they have no health insurance, it may be impossible for that individual to show up to work the next day.
This slide gives a general understanding on who is eligible for healthcare. Seeing as though people can not be denied healthcare, everyone is eligible and can receive treatment. This slide is informal to others because if you didn’t know if you could be covered, after reviewing this slide you will come to recognition that you can.
This slide reflects on the general information about what healthcare is. This slide explains the topic of healthcare more in dept and gives me a foundation to talk about the upcoming slides about the different healthcare plans and types. Generally group insurance is cheaper but also a family plan is around the same price. A family plan is basically the same thing as group insurance in that if one member is insured, then their immediate family within that household can also use their coverage.
This slide talks about one of the five plans and organizations. The amount you pay to visit the doctor solely depends on who are insured by. Filling out forms is possible but not always considered. All medical expenses and documentation is up to you.
Managed care coverage is another type of plan. This specific plan is similar to the others. In this slide I am comparing MCC with the HMO, PPO, and POS coverage. MMC is similar because the coverage recommends certain providers that are up to your standard and what you can afford. If you were to receive treatment from any other network not covered by Managed care, then this coverage will not cover the expenses.
POS plans has the same standards as the previous slide (MCC). This plan looks out for the best interest of the individual. They steer the individual towards a lower medical cost rather than a more expensive facility. The physician an individual would want to see has to be chosen from within the network that POS plans cover. Unlike the Indemnity, in this plan paperwork and medical records and service fees are completed for you.
HMO is very common in the US. Each moth you will receive a bill that will then have to be paid. The individuals choose which physician they would like to see. After that, that physician is then responsible for everything. A co-payment is usually required before you see the doctor. Any care received outside of the network is not covered. This basically means that if a person were to go to a hospital which does not take HMO, they can still be seen but, they have to pay the full amount of that visit and any procedure that took place that day.
Everyone excepts PPO’s. This is generally the best type of organization.
Many people cannot afford health insurance which is why so many are left uncovered. Certain companies only offer certain types of insurance that cover different coverage's. For example, some only cover dental, vision, specialty care ect…. A lot of companies don’t pick up deductibles, which means the employer has to pay but so much into the insurance. The major problem is that the cost for coverage Is crucial. The number of workers offered health insurance by their employers has increased in the last decade. The portion of workers who accept certain offers has declined. The major reason for this is the cost.
This chart shows a visual on why so many people were not covered. The main reason as you can see is the cost. Also, note that some people feel as though they don’t need health insurance.
Shows again the top four reasons on why many people in the United States went with out health care insurance. Note the top reason being the cost is too high.
This quote explains what a women went through because she did not have health insurance. This goes to show how important it is that an individual be covered in all aspects. Because she is not covered, her children cannot get the care they would need if they were to get very sick, which means, as a mother and the primary care giver for her family she wouldn’t be full filling her major deeds without paying a fortune,
Is there still hope for people who have lost their job to still have healthcare coverage in the near future?
This slide explains what would happen if a person were to lose their job. The loss of jobs doesn’t stop you from getting health insurance, but it makes it much more difficult when it comes to how to pay for your treatments.
Breaks down exactly what COBRA is and what each letter stands for.
These scenarios show exactly how important and expensive it is to have health insurance, cost is again why many people went with out coverage.
These are the top 4 private health insurers in the United States
The money that funds this type of healthcare insurance use federal money from the bill to set up their own single-payer plans.
Sal Z. Valiani, operated four dry-cleaning shops, said that he was offered health insurance long ago and even paid half of the cost. But, he said, employees repeatedly asked him not to deduct their share of the premiums from their wages. Paying large sums of money for health insurance is a financial burden on an individual.
Nearly 9 million children are uninsured and millions more are underinsured because of rising medical costs.
I believe that this shows how controversial the top of health care is in the United States today. Many people have their own personal opinions on it therefore, there is a lot of speculation on how good our health care system is as Americans living in the United States.
Three things that can be done to better the Health care system on your own.
Take notice to the fact that only 40percent of the united states is covered by health insurance. This means that 60 percent is NOT covered. This is a growing problem in America today. Compared to other countries, we are in the bottom ranks.
Life expectancy plays a large roll in the health care of a country. Obviously, better care means a person has the potential to live longer than your average third-world countries. Take notice that compared to Japan, the U.S.’s life expectancy is more than three times lower. Obviously, this says a lot about out care here.
This slide will get the audience thinking more in dept about the way our healthcare system is today. The three countries (China, Japan, and France) are top ranked when it comes to Health care. These countries health care systems are superior to ours. The answer is obvious here. Most people would veer towards the country that has the highest life expectancy when you review the statistics.
Compared to Canada, more people believe that the U.S. needs a change for the better. These statistics shows exactly what the United States as a whole needs. A change.
Gives a suggestion on what needs to be the first step to a better health care issue. The government needs to reduce poverty first and for most. They need to put the unemployed to work and create more jobs.
The color of an individuals skin or ethnic background justifies the treatment in health care that you receive. Sounds crazy doesn’t it? But very true. Many people are blind to the fact that racism is still a major force amongst Americans today.
Explains what the future is going to bring in the field of healthcare. The demand for doctors are rising in the US. Even though health care is taking a plung in America today, the future in the health care field is looking good.