Seminar 9 health care delivery system in united states of americaDr. Ankit Mohapatra
Health care organization
Health financing in US
Payment mechanism
Health expenditure
Human and physical recourses
Public health
Patient pathway into health care
Provision of services
ACA
US vs India Healthcare
Seminar 9 health care delivery system in united states of americaDr. Ankit Mohapatra
Health care organization
Health financing in US
Payment mechanism
Health expenditure
Human and physical recourses
Public health
Patient pathway into health care
Provision of services
ACA
US vs India Healthcare
The Canadian healthcare system: May 20, 2011CFHI-FCASS
This presentation was given on May 20, 2011, as an overview of healthcare in Canada to a group of American Congressional Fellows on Parliament Hill. The Fellows were in Canada on an official visit, sponsored by the Department of Foreign Affairs and International Trade Canada (DFAIT), as part of an exchange with the Parliamentary Internship Programme. The group included 20 mid- to senior career professionals from various departments in the American and some foreign Governments, professors from American universities and journalists. They also include a number of Robert Wood Johnson Foundation Fellows, who are all medical professionals.
Importance of Health Insurance: Incase you get sick or need any kind of medical attention. Can you afford to pay for a doctor’s visit without insurance? Depending on the type of doctor and practice it can cost from www.lifethenfinance.com 2 $95–$265 per visit. Insurance co-pays: $5–$50 per visit. Are you certain you won’t hurt yourself or catch some type of cold? Do you have allergies, wear contacts or need any other type of regular prescriptions? Can you afford those medications without insurance? On average prescription generic medications start around $50. Insurance co pays usually around $5–$20.
The Canadian healthcare system: May 20, 2011CFHI-FCASS
This presentation was given on May 20, 2011, as an overview of healthcare in Canada to a group of American Congressional Fellows on Parliament Hill. The Fellows were in Canada on an official visit, sponsored by the Department of Foreign Affairs and International Trade Canada (DFAIT), as part of an exchange with the Parliamentary Internship Programme. The group included 20 mid- to senior career professionals from various departments in the American and some foreign Governments, professors from American universities and journalists. They also include a number of Robert Wood Johnson Foundation Fellows, who are all medical professionals.
Importance of Health Insurance: Incase you get sick or need any kind of medical attention. Can you afford to pay for a doctor’s visit without insurance? Depending on the type of doctor and practice it can cost from www.lifethenfinance.com 2 $95–$265 per visit. Insurance co-pays: $5–$50 per visit. Are you certain you won’t hurt yourself or catch some type of cold? Do you have allergies, wear contacts or need any other type of regular prescriptions? Can you afford those medications without insurance? On average prescription generic medications start around $50. Insurance co pays usually around $5–$20.
Overview - Health Care IssuesHealth Care IssuesOpposing .docxgerardkortney
Overview - Health Care Issues
Health Care Issues
Opposing Viewpoints Online Collection, 2015
In recent years, the availability and affordability of health insurance in the United States has become
the subject of much debate. The United Nations’ Universal Declaration of Human Rights lists medical
care among the basic human rights to which all people are entitled. In 2011, however, about 17
percent of Americans had no health insurance at all. For many people who are insured, the cost of
coverage is a financial hardship. This situation has led some people to call for the government to
provide health insurance for all citizens. Others, however, are skeptical of government’s ability to
efficiently manage health insurance and oppose any plans that involve government. The issue is made
more urgent by rapidly rising health care costs that threaten to overwhelm the country’s current
system of health insurance, and the national economy in general. Health care reform has become one
of the most important issues in contemporary American politics.
The Basics of Health Care
In most developed countries, health care systems involve government control or sponsorship. For
instance, in Great Britain, Scandinavia, and the countries of the former Soviet Union, the government
controls almost all aspects of health care, including access and delivery. For the most part, health
services in these countries are free to everyone; the systems are financed primarily by taxes. Other
countries, such as Germany and France, guarantee health insurance for almost all their citizens, but
the government plays a smaller role in managing health care. Both systems are financed at least in
part by taxes on wages.
The US government, by contrast, does not pay for most of its citizens’ health care. Generally,
Americans receive health care through employer-sponsored insurance, or they arrange to pay for
insurance on their own. Like all forms of insurance, health insurance operates by pooling the
resources of a group of people who face similar risks. This creates a common fund that members can
draw upon when needed. Each person in the group pays a certain amount, called a premium, every
month. These premiums are used to cover the medical expenses of group members who become sick
or injured.
Health Insurance in the United States
Today, most Americans receive health insurance through their place of work. Employers typically pay
for part of the premiums. Most employer-sponsored plans are administered through payroll
contributions. People who are self-employed and those whose employers do not provide health
insurance must purchase individual health insurance. Individual plans are generally more expensive
than group plans. Certain low-income individuals and families may be eligible for Medicaid, a form of
government-sponsored health insurance. In 1997, the US government introduced the Children’s
Health Insurance Program (CHIP) to assist the children of families who do not qualify f.
YOU MUST BE KIDDING, RIGHTAmber Parker is a 46-year-old unmwalthamcoretta
YOU MUST BE KIDDING, RIGHT?
Amber Parker is a 46-year-old unmarried mother with two children, ages 16 and 17. She lives partly on alimony from her former husband and she works part-time out of her home as a medical transcriptionist for a local hospital. Last year Amber suffered severe head injuries in a hit-and-run accident when jogging. Amber's wounds have healed and she has regained her ability to speak but is not yet able to walk on her own or use her hands and arms very well. At first she required some mental health counseling. Now she still requires a daily paid caregiver to assist with her personal needs. It may be another six months before she can work again. Which one of the following aspects of her injury were covered by Amber's private health care plan?
A. Hospital stay
B. Rehabilitative care
C. Mental health
D. All of the above
The answer is “all of the above.” Amber had purchased an individual health care policy at HealthCare.gov that covers hospital, surgical, mental health, and rehabilitative care, therefore, after deductibles and copays the Affordable Care Act covered all her expenses. Individuals without health insurance can buy a health care policy on a state or federal exchange!
LEARNING OBJECTIVES
After reading this chapter, you should be able to:
Explain how the Affordable Care Act works, and how consumers shop and pay for health insurance coverage.
Distinguish among the types of health care plans.
Describe the typical features and limitations of health care plans.
Explain the fundamentals of planning for long-term custodial care.
Develop a plan to protect your income when you cannot work due to disability.
Summarize the benefits of preparing advance medical directive documents.
WHAT DO YOU RECOMMEND?
Danielle DiMartino is a 36-year-old single mother with two children, ages 10 and 14. Her 10-year-old daughter has a history of ear infections that require doctor's office visits four or five times per year. Danielle's 71-year-old mother lives with the family for financial reasons; she has hereditary high blood pressure and high cholesterol as well as diabetes. Danielle's mother has enrolled in Medicare Parts A and B.
Danielle's employer pays all or a portion of the cost for a health care plan to cover the company's workers, their spouses, and their dependents. Danielle has four options: (1) the basic HMO managed by a local university medical school/hospital with no additional cost for Danielle, but with additional cost of $122 per month to cover her children, (2) a health insurance plan with a PPO at that same medical center for an additional cost of $245 per month, (3) a traditional health insurance plan that provides access to virtually all health care providers in her community for $455 per month, and (4) a health plan with a $5000 deductible at no additional cost. Danielle's employer offers no disability income or long-term care group plan. She does receive ten sick days per year, which can accumulate if not taken. ...
Information on the history of health care in the U.S., the different health care systems of the world, and why we need the public option in health care reform.
11 Planning for Health Care ExpensesYOU MUST BE KIDDING, RIGHT.docxaulasnilda
11 Planning for Health Care Expenses
YOU MUST BE KIDDING, RIGHT?
Amber Parker is a 46-year-old unmarried mother with two children, ages 16 and 17. She lives partly on alimony from her former husband and she works part-time out of her home as a medical transcriptionist for a local hospital. Last year Amber suffered severe head injuries in a hit-and-run accident when jogging. Amber's wounds have healed and she has regained her ability to speak but is not yet able to walk on her own or use her hands and arms very well. At first she required some mental health counseling. Now she still requires a daily paid caregiver to assist with her personal needs. It may be another six months before she can work again. Which one of the following aspects of her injury were covered by Amber's private health care plan?
A. Hospital stay
B. Rehabilitative care
C. Mental health
D. All of the above
The answer is “all of the above.” Amber had purchased an individual health care policy at HealthCare.gov that covers hospital, surgical, mental health, and rehabilitative care, therefore, after deductibles and copays the Affordable Care Act covered all her expenses. Individuals without health insurance can buy a health care policy on a state or federal exchange!
LEARNING OBJECTIVES
After reading this chapter, you should be able to:
Explain how the Affordable Care Act works, and how consumers shop and pay for health insurance coverage.
Distinguish among the types of health care plans.
Describe the typical features and limitations of health care plans.
Explain the fundamentals of planning for long-term custodial care.
Develop a plan to protect your income when you cannot work due to disability.
Summarize the benefits of preparing advance medical directive documents.
WHAT DO YOU RECOMMEND?
Danielle DiMartino is a 36-year-old single mother with two children, ages 10 and 14. Her 10-year-old daughter has a history of ear infections that require doctor's office visits four or five times per year. Danielle's 71-year-old mother lives with the family for financial reasons; she has hereditary high blood pressure and high cholesterol as well as diabetes. Danielle's mother has enrolled in Medicare Parts A and B.
Danielle's employer pays all or a portion of the cost for a health care plan to cover the company's workers, their spouses, and their dependents. Danielle has four options: (1) the basic HMO managed by a local university medical school/hospital with no additional cost for Danielle, but with additional cost of $122 per month to cover her children, (2) a health insurance plan with a PPO at that same medical center for an additional cost of $245 per month, (3) a traditional health insurance plan that provides access to virtually all health care providers in her community for $455 per month, and (4) a health plan with a $5000 deductible at no additional cost. Danielle's employer offers no disability income or long-term care group plan. She does receive ten sick days per yea ...
CHAPTER 1History of the U.S. Healthcare SystemLEARNING OBJECTI.docxmccormicknadine86
CHAPTER 1
History of the U.S. Healthcare System
LEARNING OBJECTIVES
The student will be able to:
■ Describe five milestones of medicine and medical education and their importance to health care.
■ Discuss five milestones of the hospital system and their importance to health care.
■ Identify five milestones of public health and their importance to health care.
■ Describe five milestones of health insurance and their importance to health care.
■ Explain the difference between primary, secondary, and tertiary prevention.
■ Explain the concept of the iron triangle as it applies to health care.
DID YOU KNOW THAT?
■ When the practice of medicine first began, tradesmen such as barbers practiced medicine. They often used the same razor to cut hair as to perform surgery.
■ In 2014, the United States spent 17.5% of the gross domestic product on healthcare spending, which is the highest in the world.
■ As a result of the Affordable Care Act, the number of uninsured is projected to decline to 23 million by 2023.
■ The Centers for Medicare and Medicaid Services predicts national health expenditures will account for over 19% of the U.S. gross domestic product.
■ The United States is the only major country that does not have universal healthcare coverage.
■ In 2002, the Joint Commission issued hospital standards requiring them to inform their patients if their results were not consistent with typical care results.
▶ Introduction
It is important as a healthcare consumer to understand the history of the U.S. healthcare delivery system, how it operates today, who participates in the system, what legal and ethical issues arise as a result of the system, and what problems continue to plague the healthcare system. We are all consumers of health care. Yet, in many instances, we are ignorant of what we are actually purchasing. If we were going to spend $1,000 on an appliance or a flat-screen television, many of us would research the product to determine if what we are purchasing is the best product for us. This same concept should be applied to purchasing healthcare services.
Increasing healthcare consumer awareness will protect you in both the personal and professional aspects of your life. You may decide to pursue a career in health care either as a provider or as an administrator. You may also decide to manage a business where you will have the responsibility of providing health care to your employees. And last, from a personal standpoint, you should have the knowledge from a consumer point of view so you can make informed decisions about what matters most—your health. The federal government agrees with this philosophy.
As the U.S. population’s life expectancy continues to lengthen—increasing the “graying” of the population—the United States will be confronted with more chronic health issues because, as we age, more chronic health conditions develop. The U.S. healthcare system is one of the most expensive systems in the world. According to 2014 statistics, the ...
Retrieved from httpwww.socialwelfarehistory.comrecollections.docxronak56
Retrieved from: http://www.socialwelfarehistory.com/recollections/current-issues-and-programs-in-social-welfare/ 1
Bottom of Form
Current Issues and Programs in Social Welfare
by Dr. Jerry Marx, Social Work Department, University of New Hampshire
Social Insurance Programs
Social Security
American social welfare, thanks to Franklin Delano Roosevelt and the Social Security Act of 1935, is furthered currently by two major categories of cash support programs: social insurances? and public assistance?.1 Social insurances are based on the prior earnings and payroll contributions of an individual, while public assistance, commonly known as “welfare,” is based on the financial need of an individual. The primary social insurance programs today in America are Old Age, Survivors, and Disability Insurance, Unemployment Insurance, and Workers Compensation.
Let’s begin with ((Old Age, Survivors, and Disability Insurance)), commonly referred to as “social security.” Social security, like other social insurances, is an example of a “universal” program, because American citizens are entitled to participate in the program as a social right.2 In other words, program participation in not based on financial need. Social security constituted one-fifth of all federal government spending in 1995.3 In that year, a total of $332.6 billion was spent on the program. Funding for social security actually comes from a payroll tax, which is shared in an equal proportion by the employer and employee. A practice begun during the Nixon Administration, social security benefits are adjusted when the cost of living increases.4
To receive benefits, a person must contribute payroll taxes during their working years.5 Those individuals contributing payroll taxes for a minimum of 10 years (i.e., 40 quarters in social security eligibility terms) are covered permanently under the program. Individual benefit levels are determined by the level of covered earnings (i.e., how much money paid in) and the age of retirement.
The “disability insurance” part of social security assists adults between the ages of 18 and 64 who are unable to engage in substantial employment.6 When the individual turns 65 years of age, “disability benefits” automatically become “old-age” benefits. To receive disability benefits, an individual must show medical proof of a disability and proof that the disability prevents “gainful employment.” “Survivors insurance” covers children under 18 years of age, dependent parents, and dependent widowers or widows. These categories of recipients receive benefits when an insured worker dies.
A fundamental point to remember is that social security is a very effective anti-poverty program! Most recipients are raised above the poverty line by social security. In 1992, only 14% of people aged 65 or older lived in poverty in the United States – thanks in large part to social security benefits!7
Unemployment Insurance
Unemployment insurance is a second major social insurance progra ...
Getting Health Insurance on the Cheap Courtesy of ObamaCareRiczo and Co.
This power point presentation should be helpful for anyone considering purchasing health insurance as required by the new healthcare law, the Affordable Care Act. The individual mandate goes into effect January, 1, 2013.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
Francesca Gottschalk - How can education support child empowerment.pptxEduSkills OECD
Francesca Gottschalk from the OECD’s Centre for Educational Research and Innovation presents at the Ask an Expert Webinar: How can education support child empowerment?
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
Normal Labour/ Stages of Labour/ Mechanism of LabourWasim Ak
Normal labor is also termed spontaneous labor, defined as the natural physiological process through which the fetus, placenta, and membranes are expelled from the uterus through the birth canal at term (37 to 42 weeks
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
Biological screening of herbal drugs: Introduction and Need for
Phyto-Pharmacological Screening, New Strategies for evaluating
Natural Products, In vitro evaluation techniques for Antioxidants, Antimicrobial and Anticancer drugs. In vivo evaluation techniques
for Anti-inflammatory, Antiulcer, Anticancer, Wound healing, Antidiabetic, Hepatoprotective, Cardio protective, Diuretics and
Antifertility, Toxicity studies as per OECD guidelines
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
Unit 8 - Information and Communication Technology (Paper I).pdf
Health system in USA
1.
2. * Majority people in USA (49%) have private health insurance
–the most usual through the employer- 13% is covered by
Medicare and 18% by Medicaid. 11% (50 millions people)
have not any health insurance.
3. * There are several kinds of public health
insurance. The most important are Medicare
and Medicaid.
4. * Medicare covers people over 65 years old and the
US federal government is single payer.
* This health insurance doesn’t cover preventive
medicine or some services like oculists or dentists.
5. * Medicaid is dedicated to low income families. This
health insurance is managed by each state. So there
are 51 different Medicaid programmes.
6. *The most usual is the
private health insurance
through an employer. For
example if you work for a
company, the company
pays your health
insurance. The problem is
maybe this health
insurance could not cover
all kinds of diseases.
7. * But you can get an
health insurance by
yourself (especially if you
have precarious jobs).
This kind of health
insurance is more and
more expensive. Last
years they increased by
87%. This explains why
there are a lot of people
without any kind of
health insurance.