In part three of this three part series, John Dalton, Advisor Emeritus at BESLER Consulting, discusses the effects of the PPACA and the path towards achieving the triple aim.
This document summarizes public opinion and analysis surrounding the Affordable Care Act (ACA) or "Obamacare". [1] Most Americans believe the ACA will increase taxes, the federal deficit, health care costs and premiums while decreasing quality. [2] The ACA faces widespread pushback from states resisting implementation and individuals concerned about lost choices and higher costs. [3] Studies show the law is failing to meet its goals of expanding coverage and lowering costs. Significant changes to the law seem inevitable as public opposition grows.
The US spends more on healthcare than any other country, reaching $2.7 trillion in 2011 or $8,680 per person, while UK spending was 142.8 billion pounds or 9.4% of GDP. In the US, most receive insurance through employers or private purchase, while 31% use public insurance and 16% are uninsured. In contrast, UK citizens receive universal public healthcare through taxation. While the US spends more, it has lower life expectancy and poorer health outcomes than other wealthy nations, including the UK which was rated as having the most efficient and cost-effective system. The data shows clear differences between the privately-run US system and the government-run UK system.
The document summarizes the current state of universal health insurance in the United States. It discusses the fragmented nature of today's health care system and statistics on the uninsured. Research studies show that a universal single-payer system could cover all Americans for less money by reducing administrative costs. The document also briefly reviews universal health care systems in other countries like the UK, Germany, Japan, and Canada. It concludes by suggesting a universal system may be more achievable in the US than commonly believed.
Fraudulent healthcare claims decrease available funds for quality patient care in the US. While recent laws aim to prevent fraud, improper payments remain high. Current methods detect fraud after payment, which is costly to recover. Reducing fraud requires verifying provider identities upfront using analytics of identities, claims, and social networks. This "defense in depth" approach at the start of the claims process could eliminate billions lost to improper payments each year.
Analysis of the Patient Protection and Affordable Care ActKaryssa Costagliola
This document provides an analysis of the Patient Protection and Affordable Care Act (ACA). It summarizes the goals of the ACA to increase availability of healthcare and reduce costs. It also discusses some of the challenges in implementing the ACA, such as people losing subsidies due to lack of documentation, narrow networks limiting choice of providers, and effects on jobs from the employer mandate. The document also compares the US healthcare system to Canada's single-payer system and their differences in achieving universal coverage, cost containment, and other factors.
This document provides an analysis of the Patient Protection and Affordable Care Act (ACA). It discusses the goals and implementation of the ACA, including expanding health insurance coverage and controlling costs. It also examines the impacts of the ACA on various stakeholders in the healthcare system, such as hospitals, long-term care facilities, doctors, and patients. Challenges in implementing the ACA are also assessed, like increasing access to care and addressing shortages of primary care physicians.
Medical Malpractice Reform Resurrected in Congress By Floyd Arthur (PPT)Floyd Arthur
The 114th Congress has introduced the HEALTH Act to reform medical malpractice laws by imposing damages caps, limiting attorney contingency fees, and restricting punitive damages. This is similar to past bills introduced in 2005 and 2011 but never passed. Supporters argue it will reduce healthcare costs by limiting frivolous lawsuits, while opponents argue it will limit patient access to the courts and there is little evidence damages caps reduce costs. States currently regulate their own medical malpractice laws, with around half imposing some limits on damages.
Analysis of the patient protection and affordable care act paper, hcs410, hea...Paige Catizone
This document provides an analysis of the Patient Protection and Affordable Care Act (ACA). It discusses key goals and provisions of the ACA, including expanding health insurance coverage and controlling costs. It also examines the impact of the ACA on various stakeholders, such as individuals, employers, healthcare providers and facilities. Implementation challenges are outlined, such as difficulties insuring some individuals, narrow provider networks, cuts to employee hours by some employers to avoid mandates, and shortages of primary care physicians. Overall effects on the healthcare system are assessed, including changes to payment models focusing on quality rather than quantity of services.
This document summarizes public opinion and analysis surrounding the Affordable Care Act (ACA) or "Obamacare". [1] Most Americans believe the ACA will increase taxes, the federal deficit, health care costs and premiums while decreasing quality. [2] The ACA faces widespread pushback from states resisting implementation and individuals concerned about lost choices and higher costs. [3] Studies show the law is failing to meet its goals of expanding coverage and lowering costs. Significant changes to the law seem inevitable as public opposition grows.
The US spends more on healthcare than any other country, reaching $2.7 trillion in 2011 or $8,680 per person, while UK spending was 142.8 billion pounds or 9.4% of GDP. In the US, most receive insurance through employers or private purchase, while 31% use public insurance and 16% are uninsured. In contrast, UK citizens receive universal public healthcare through taxation. While the US spends more, it has lower life expectancy and poorer health outcomes than other wealthy nations, including the UK which was rated as having the most efficient and cost-effective system. The data shows clear differences between the privately-run US system and the government-run UK system.
The document summarizes the current state of universal health insurance in the United States. It discusses the fragmented nature of today's health care system and statistics on the uninsured. Research studies show that a universal single-payer system could cover all Americans for less money by reducing administrative costs. The document also briefly reviews universal health care systems in other countries like the UK, Germany, Japan, and Canada. It concludes by suggesting a universal system may be more achievable in the US than commonly believed.
Fraudulent healthcare claims decrease available funds for quality patient care in the US. While recent laws aim to prevent fraud, improper payments remain high. Current methods detect fraud after payment, which is costly to recover. Reducing fraud requires verifying provider identities upfront using analytics of identities, claims, and social networks. This "defense in depth" approach at the start of the claims process could eliminate billions lost to improper payments each year.
Analysis of the Patient Protection and Affordable Care ActKaryssa Costagliola
This document provides an analysis of the Patient Protection and Affordable Care Act (ACA). It summarizes the goals of the ACA to increase availability of healthcare and reduce costs. It also discusses some of the challenges in implementing the ACA, such as people losing subsidies due to lack of documentation, narrow networks limiting choice of providers, and effects on jobs from the employer mandate. The document also compares the US healthcare system to Canada's single-payer system and their differences in achieving universal coverage, cost containment, and other factors.
This document provides an analysis of the Patient Protection and Affordable Care Act (ACA). It discusses the goals and implementation of the ACA, including expanding health insurance coverage and controlling costs. It also examines the impacts of the ACA on various stakeholders in the healthcare system, such as hospitals, long-term care facilities, doctors, and patients. Challenges in implementing the ACA are also assessed, like increasing access to care and addressing shortages of primary care physicians.
Medical Malpractice Reform Resurrected in Congress By Floyd Arthur (PPT)Floyd Arthur
The 114th Congress has introduced the HEALTH Act to reform medical malpractice laws by imposing damages caps, limiting attorney contingency fees, and restricting punitive damages. This is similar to past bills introduced in 2005 and 2011 but never passed. Supporters argue it will reduce healthcare costs by limiting frivolous lawsuits, while opponents argue it will limit patient access to the courts and there is little evidence damages caps reduce costs. States currently regulate their own medical malpractice laws, with around half imposing some limits on damages.
Analysis of the patient protection and affordable care act paper, hcs410, hea...Paige Catizone
This document provides an analysis of the Patient Protection and Affordable Care Act (ACA). It discusses key goals and provisions of the ACA, including expanding health insurance coverage and controlling costs. It also examines the impact of the ACA on various stakeholders, such as individuals, employers, healthcare providers and facilities. Implementation challenges are outlined, such as difficulties insuring some individuals, narrow provider networks, cuts to employee hours by some employers to avoid mandates, and shortages of primary care physicians. Overall effects on the healthcare system are assessed, including changes to payment models focusing on quality rather than quantity of services.
The document compares healthcare systems in several countries including Canada, France, Germany, the UK, and the US. Some key points of comparison are:
- Canada has a single-payer universal healthcare system funded through taxation. Each province administers its own plan.
- France has a hybrid public-private system where the government pays about 80% of costs and private insurance covers the rest.
- Germany has a social insurance model where citizens purchase insurance from nonprofit sickness funds based on income.
- The UK has a socialized system where the tax-funded National Health Service provides public coverage and options.
- The US has a mixed system with public options like Medicare/Medicaid and private insurance.
June 8, 2013 CAPG Presentation--Medicare AdvantageGalen Institute
The document discusses Medicare Advantage plans as an overlooked cornerstone of healthcare reform. It provides the following key points:
- Medicare Advantage plans allow beneficiaries to enroll in private health plans that provide all Medicare benefits, often including prescription drug and additional services. Over a quarter of Medicare beneficiaries have voluntarily enrolled in these plans.
- Medicare Advantage plans help control costs. Spending on the Medicare prescription drug benefit declined by nearly 40% compared to initial estimates, and average monthly drug premiums are far below what was originally forecast.
- Changing Medicare to provide subsidies to purchase approved private plans, as Medicare Advantage does, could help address the program's long-term financial challenges as the number of beneficiaries increases rapidly
This document provides a summary of key points from a presentation on health reform given by Grace-Marie Turner of the Galen Institute. The presentation discusses Americans' mixed views on the Supreme Court decision on the ACA, criticisms of the individual mandate, projections that the law will increase costs and the number of uninsured, and concerns of physicians and the impact on Medicare. It also covers next steps in legislation, regulation, and the legal and political environment in 2012.
This presentation provides a history of the US healthcare system from the 1900s to the present. It discusses key events and legislation that shaped the system such as the establishment of organized medicine in the 1900s, the first health insurance program in 1929, Medicare and Medicaid in 1965, and the Affordable Care Act in 2010. The presentation also examines stakeholders, financial, legal, ethical and regulatory aspects of the current system.
The document discusses the different types of health insurance in the United States. The majority (49%) have private insurance through their employer, while 13% have Medicare, 18% have Medicaid, and 11% are uninsured. Medicare covers those over 65 and is run by the federal government, while Medicaid provides coverage for low-income families and is administered by each state. Private insurance through an employer is most common but may not cover all conditions, and individual plans are increasingly expensive, contributing to the number of uninsured.
Presentation to Kentucky Association of Health UnderwritersGalen Institute
The document discusses the impacts and future of the Affordable Care Act, including that it will increase health care costs, many will lose their current health insurance plans, and there is widespread pushback against the law from doctors, employers, and states who argue it will have negative economic consequences. The document also outlines ongoing legal and political challenges to the law.
The USA healthcare system provides high quality care to patients with adequate insurance. These patients have access to advanced hospitals and highly skilled professionals. However, the system is also very expensive. Many rely on employment-provided insurance, government programs like Medicaid and Medicare, or private insurance. The US leads in medical innovation due to large public and private investments in research and development. But the uninsured can face high medical costs and even debt collection if they suffer from a serious illness or injury. The high cost of care, especially for drugs, is a major concern for patients, particularly the elderly who rely on Medicare.
Politics and Health Reform:Lessons From a Year in Washington, D.C.UWGlobalHealth
This document summarizes the history of health reform efforts in the United States from the late 19th century to 2009. It discusses how a national health insurance system has been proposed since the 1880s but consistently opposed by groups like the AMA and insurance industry. The US now spends over twice as much per capita on healthcare as other OECD countries but has lower life expectancy and more administrative waste. Creating a universal, publicly financed system could reduce costs while improving access and outcomes.
The document discusses a legislative post audit report on the potential costs and savings of expanding access to state-funded substance abuse treatment programs in Kansas. The summary estimates that serving an additional 4,500 to 7,000 individuals would cost the state $7 million to $11 million. While treatment could reduce spending on other services by $1 million to $7 million, this would not fully offset the cost of expanded treatment. The report found that increased substance abuse treatment in Kansas is unlikely to achieve significant net savings for the state based on the estimated costs of treatment and limited estimated savings for other state services.
May 15, 2013 Medicaid and Government Pricing CongressGalen Institute
The document summarizes the current state of health reform in the United States. It discusses how most Americans support the goals of expanding access and making coverage more affordable and stable, but that many view the Affordable Care Act as changing too much. It also examines issues like the impact on pharmaceutical companies, Medicaid expansion in states, and challenges in implementing the many regulations. Overall it analyzes both support for and ongoing questions around the ACA as reform continues.
The document compares public and private health care systems around the world. It provides details on systems in countries like the UK, Mexico, Germany, Canada and the US. Public health care in Canada began in 1946 when Saskatchewan introduced free health care. Key acts in 1966 and 1984 further established Canada's national Medicare system. While Canada spends less per capita on health care than the US, it ranks higher in terms of quality and life expectancy.
The document discusses public opinion on health care reform in the United States. It summarizes polls finding that while a majority of Americans disapprove of the Affordable Care Act overall, most support keeping popular provisions like coverage for pre-existing conditions and allowing young adults to stay on their parents' plans. The document also notes divisions in Congress and among states on strategies to repeal or limit the federal health care law.
The document discusses the history and implementation of the Affordable Care Act (ACA) in the United States. It passed in 2010 with the goals of increasing access to healthcare and reducing costs. While it helped reduce the uninsured rate, there have been ongoing issues with the healthcare exchanges and limited provider networks. The execution of the ACA has contributed to a shortage of primary care doctors due to compensation rates and impacted jobs and small businesses with its coverage mandates. Educating new doctors and nurses will take years to address the increased demand caused by the ACA.
Case analysis of the affordable care act power point, hcs410, hcs organizatio...Paige Catizone
The document discusses the history and implementation of the Affordable Care Act (ACA) in the United States. It passed in 2010 with the goals of expanding access to health insurance and reducing costs. While it helped reduce the uninsured rate, challenges remain around ensuring access to care, containing costs, and addressing shortages in healthcare providers and resources. Ongoing debates surround the impacts of the ACA on jobs and religious freedom. Solutions proposed include expanding provider networks, addressing compensation imbalances, and increasing incentives and funding for medical education.
The United States spends more on healthcare as a percentage of GDP than other countries like the UK, Spain, and Japan, yet has many uninsured citizens. Around 46 million Americans lack health insurance due to factors like unemployment, lack of employer coverage, or existing illnesses. Hispanics have the highest uninsured rates at around 32%. The Affordable Care Act aimed to expand coverage, reduce costs, and make healthcare more equitable and accessible. However, there is ongoing debate around the appropriate role of government in healthcare and whether reform will reduce costs or freedom of choice as opponents argue it increases spending and control.
The document discusses ObamaCare and efforts to shape public opinion about the healthcare law. It notes that while supporters highlight some popular provisions, polls show most Americans view the law negatively and think it will increase costs and hurt the healthcare system. The document also outlines criticisms of the law, including that it will lead more employers to drop coverage, impose new taxes, and add extensive new regulations and bureaucracy. It argues Americans want affordable, high-quality healthcare but that ObamaCare will make healthcare less affordable and drive up costs.
The document summarizes key aspects of the current US healthcare system and policies. It outlines the various public and private entities involved in healthcare financing, including Medicare, Medicaid, private insurers, and programs for veterans and native Americans. It discusses how the majority of healthcare is financed through public/private insurers and employers. The Affordable Care Act aimed to provide coverage for the uninsured. Future healthcare models may focus on reducing costs through telemedicine, accountable care organizations, and addressing patients' long-term needs.
Healthcare oligopoly is Affecting u.s. economy convertedRoyJMeidinger
The document provides an overview of rising healthcare costs and declining outcomes in the United States compared to other developed nations. It notes that while the US spends much more per capita on healthcare, it has lower life expectancy and rates of preventable deaths than peers. The high costs are driven by administrative waste, high prices, and lack of cost control. The document argues that healthcare costs are a major burden on the US economy and individuals, and that reforms are needed to reduce costs while improving access and outcomes for all Americans.
This document discusses concerns about government-run healthcare based on experiences in other countries and proposed legislation. It notes high costs, taxes, and fines associated with the proposals. Waiting times, denial of care, and doctor shortages are presented as issues with government-run systems in places like Canada and the UK. Alternatives are suggested that focus on helping those who cannot afford coverage rather than overhauling the entire system.
The document discusses the Triple Aim initiative in the Edmonton Zone. The Triple Aim is a collaborative with the Institute for Healthcare Improvement that aims to 1) improve population health, 2) improve care experiences, and 3) reduce costs. It focuses on understanding and meeting the needs of those in the top 5% of healthcare costs, including those experiencing homelessness or other social determinants of health issues. Challenges include transitions of care between providers and systems not sharing information well. The initiative uses case management and integrated services to improve outcomes while reducing costs over time for those engaged in the program. Learning includes the importance of permanent supportive housing and other community services for reducing acute care utilization and costs.
Use Well-Crafted Aim Statements To Achieve Clinical Quality ImprovementsHealth Catalyst
Too often, hospitals and health systems stop at developing broad clinical quality improvement statements that come up short of achieving their desired goals. What’s missing are clearly defined improvement objectives in the form of aim statements that take into account the effects on other areas of the organization: patient safety and satisfaction, physician engagement, and financial contribution. Aim statements help articulate the problems that add value for patients and the organization, but good data, and the analytics tools required to understand the data, are essential to illuminating high-value problem areas. Additionally, aim statements must stick to the SMART guidelines: Specific, Measureable, Achievable, Relevant, and Time-bound.
The document compares healthcare systems in several countries including Canada, France, Germany, the UK, and the US. Some key points of comparison are:
- Canada has a single-payer universal healthcare system funded through taxation. Each province administers its own plan.
- France has a hybrid public-private system where the government pays about 80% of costs and private insurance covers the rest.
- Germany has a social insurance model where citizens purchase insurance from nonprofit sickness funds based on income.
- The UK has a socialized system where the tax-funded National Health Service provides public coverage and options.
- The US has a mixed system with public options like Medicare/Medicaid and private insurance.
June 8, 2013 CAPG Presentation--Medicare AdvantageGalen Institute
The document discusses Medicare Advantage plans as an overlooked cornerstone of healthcare reform. It provides the following key points:
- Medicare Advantage plans allow beneficiaries to enroll in private health plans that provide all Medicare benefits, often including prescription drug and additional services. Over a quarter of Medicare beneficiaries have voluntarily enrolled in these plans.
- Medicare Advantage plans help control costs. Spending on the Medicare prescription drug benefit declined by nearly 40% compared to initial estimates, and average monthly drug premiums are far below what was originally forecast.
- Changing Medicare to provide subsidies to purchase approved private plans, as Medicare Advantage does, could help address the program's long-term financial challenges as the number of beneficiaries increases rapidly
This document provides a summary of key points from a presentation on health reform given by Grace-Marie Turner of the Galen Institute. The presentation discusses Americans' mixed views on the Supreme Court decision on the ACA, criticisms of the individual mandate, projections that the law will increase costs and the number of uninsured, and concerns of physicians and the impact on Medicare. It also covers next steps in legislation, regulation, and the legal and political environment in 2012.
This presentation provides a history of the US healthcare system from the 1900s to the present. It discusses key events and legislation that shaped the system such as the establishment of organized medicine in the 1900s, the first health insurance program in 1929, Medicare and Medicaid in 1965, and the Affordable Care Act in 2010. The presentation also examines stakeholders, financial, legal, ethical and regulatory aspects of the current system.
The document discusses the different types of health insurance in the United States. The majority (49%) have private insurance through their employer, while 13% have Medicare, 18% have Medicaid, and 11% are uninsured. Medicare covers those over 65 and is run by the federal government, while Medicaid provides coverage for low-income families and is administered by each state. Private insurance through an employer is most common but may not cover all conditions, and individual plans are increasingly expensive, contributing to the number of uninsured.
Presentation to Kentucky Association of Health UnderwritersGalen Institute
The document discusses the impacts and future of the Affordable Care Act, including that it will increase health care costs, many will lose their current health insurance plans, and there is widespread pushback against the law from doctors, employers, and states who argue it will have negative economic consequences. The document also outlines ongoing legal and political challenges to the law.
The USA healthcare system provides high quality care to patients with adequate insurance. These patients have access to advanced hospitals and highly skilled professionals. However, the system is also very expensive. Many rely on employment-provided insurance, government programs like Medicaid and Medicare, or private insurance. The US leads in medical innovation due to large public and private investments in research and development. But the uninsured can face high medical costs and even debt collection if they suffer from a serious illness or injury. The high cost of care, especially for drugs, is a major concern for patients, particularly the elderly who rely on Medicare.
Politics and Health Reform:Lessons From a Year in Washington, D.C.UWGlobalHealth
This document summarizes the history of health reform efforts in the United States from the late 19th century to 2009. It discusses how a national health insurance system has been proposed since the 1880s but consistently opposed by groups like the AMA and insurance industry. The US now spends over twice as much per capita on healthcare as other OECD countries but has lower life expectancy and more administrative waste. Creating a universal, publicly financed system could reduce costs while improving access and outcomes.
The document discusses a legislative post audit report on the potential costs and savings of expanding access to state-funded substance abuse treatment programs in Kansas. The summary estimates that serving an additional 4,500 to 7,000 individuals would cost the state $7 million to $11 million. While treatment could reduce spending on other services by $1 million to $7 million, this would not fully offset the cost of expanded treatment. The report found that increased substance abuse treatment in Kansas is unlikely to achieve significant net savings for the state based on the estimated costs of treatment and limited estimated savings for other state services.
May 15, 2013 Medicaid and Government Pricing CongressGalen Institute
The document summarizes the current state of health reform in the United States. It discusses how most Americans support the goals of expanding access and making coverage more affordable and stable, but that many view the Affordable Care Act as changing too much. It also examines issues like the impact on pharmaceutical companies, Medicaid expansion in states, and challenges in implementing the many regulations. Overall it analyzes both support for and ongoing questions around the ACA as reform continues.
The document compares public and private health care systems around the world. It provides details on systems in countries like the UK, Mexico, Germany, Canada and the US. Public health care in Canada began in 1946 when Saskatchewan introduced free health care. Key acts in 1966 and 1984 further established Canada's national Medicare system. While Canada spends less per capita on health care than the US, it ranks higher in terms of quality and life expectancy.
The document discusses public opinion on health care reform in the United States. It summarizes polls finding that while a majority of Americans disapprove of the Affordable Care Act overall, most support keeping popular provisions like coverage for pre-existing conditions and allowing young adults to stay on their parents' plans. The document also notes divisions in Congress and among states on strategies to repeal or limit the federal health care law.
The document discusses the history and implementation of the Affordable Care Act (ACA) in the United States. It passed in 2010 with the goals of increasing access to healthcare and reducing costs. While it helped reduce the uninsured rate, there have been ongoing issues with the healthcare exchanges and limited provider networks. The execution of the ACA has contributed to a shortage of primary care doctors due to compensation rates and impacted jobs and small businesses with its coverage mandates. Educating new doctors and nurses will take years to address the increased demand caused by the ACA.
Case analysis of the affordable care act power point, hcs410, hcs organizatio...Paige Catizone
The document discusses the history and implementation of the Affordable Care Act (ACA) in the United States. It passed in 2010 with the goals of expanding access to health insurance and reducing costs. While it helped reduce the uninsured rate, challenges remain around ensuring access to care, containing costs, and addressing shortages in healthcare providers and resources. Ongoing debates surround the impacts of the ACA on jobs and religious freedom. Solutions proposed include expanding provider networks, addressing compensation imbalances, and increasing incentives and funding for medical education.
The United States spends more on healthcare as a percentage of GDP than other countries like the UK, Spain, and Japan, yet has many uninsured citizens. Around 46 million Americans lack health insurance due to factors like unemployment, lack of employer coverage, or existing illnesses. Hispanics have the highest uninsured rates at around 32%. The Affordable Care Act aimed to expand coverage, reduce costs, and make healthcare more equitable and accessible. However, there is ongoing debate around the appropriate role of government in healthcare and whether reform will reduce costs or freedom of choice as opponents argue it increases spending and control.
The document discusses ObamaCare and efforts to shape public opinion about the healthcare law. It notes that while supporters highlight some popular provisions, polls show most Americans view the law negatively and think it will increase costs and hurt the healthcare system. The document also outlines criticisms of the law, including that it will lead more employers to drop coverage, impose new taxes, and add extensive new regulations and bureaucracy. It argues Americans want affordable, high-quality healthcare but that ObamaCare will make healthcare less affordable and drive up costs.
The document summarizes key aspects of the current US healthcare system and policies. It outlines the various public and private entities involved in healthcare financing, including Medicare, Medicaid, private insurers, and programs for veterans and native Americans. It discusses how the majority of healthcare is financed through public/private insurers and employers. The Affordable Care Act aimed to provide coverage for the uninsured. Future healthcare models may focus on reducing costs through telemedicine, accountable care organizations, and addressing patients' long-term needs.
Healthcare oligopoly is Affecting u.s. economy convertedRoyJMeidinger
The document provides an overview of rising healthcare costs and declining outcomes in the United States compared to other developed nations. It notes that while the US spends much more per capita on healthcare, it has lower life expectancy and rates of preventable deaths than peers. The high costs are driven by administrative waste, high prices, and lack of cost control. The document argues that healthcare costs are a major burden on the US economy and individuals, and that reforms are needed to reduce costs while improving access and outcomes for all Americans.
This document discusses concerns about government-run healthcare based on experiences in other countries and proposed legislation. It notes high costs, taxes, and fines associated with the proposals. Waiting times, denial of care, and doctor shortages are presented as issues with government-run systems in places like Canada and the UK. Alternatives are suggested that focus on helping those who cannot afford coverage rather than overhauling the entire system.
The document discusses the Triple Aim initiative in the Edmonton Zone. The Triple Aim is a collaborative with the Institute for Healthcare Improvement that aims to 1) improve population health, 2) improve care experiences, and 3) reduce costs. It focuses on understanding and meeting the needs of those in the top 5% of healthcare costs, including those experiencing homelessness or other social determinants of health issues. Challenges include transitions of care between providers and systems not sharing information well. The initiative uses case management and integrated services to improve outcomes while reducing costs over time for those engaged in the program. Learning includes the importance of permanent supportive housing and other community services for reducing acute care utilization and costs.
Use Well-Crafted Aim Statements To Achieve Clinical Quality ImprovementsHealth Catalyst
Too often, hospitals and health systems stop at developing broad clinical quality improvement statements that come up short of achieving their desired goals. What’s missing are clearly defined improvement objectives in the form of aim statements that take into account the effects on other areas of the organization: patient safety and satisfaction, physician engagement, and financial contribution. Aim statements help articulate the problems that add value for patients and the organization, but good data, and the analytics tools required to understand the data, are essential to illuminating high-value problem areas. Additionally, aim statements must stick to the SMART guidelines: Specific, Measureable, Achievable, Relevant, and Time-bound.
Healthcare Retrospect Part 2: Skyrocketing Costs and the Emergence of Rate S...BESLER
This document provides a brief history of health care reform efforts in the United States from the 1970s through the 1990s. It describes proposals and actions at both the national and New Jersey state levels, including Nixon's proposals for limited reform and Medicaid expansion, the establishment of hospital rate setting in New Jersey, implementation of diagnosis-related groups (DRGs) for inpatient payments, and Clinton's failed attempt at comprehensive reform in the 1990s. The overarching theme is the rise in health care costs driving attempts to control costs through various payment mechanisms at both the state and national levels over this period.
Business records are created through transactions and meet regulatory requirements. They are stored in various formats, including paper, servers, optical media, and video. Records can be internal or external, transactional or reference, and have different retention periods depending on their administrative, legal, or historical value. The records lifecycle includes creation, distribution, use, maintenance, and disposition. Records can be physical or electronic, with electronic formats including email, wikis, blogs, podcasts, webinars and tweets.
Appropriate Level of Care and the 2– Midnight Rule Where It Stands as of NOWBESLER
This article from the December 2014 issue of the Lone Star Express, a publication of the Lone Star chapter of HFMA, reviews the current state of the 2-Midnight rule. It reviews key elements of the rule, the focus of Medicare documentation requirements, and best practices for compliance.
Healthcare Retrospect Part 1: All Americans Were UninsuredBESLER
In part one of this three part series, John Dalton, Advisor Emeritus at BESLER Consulting, provides a look at the state of healthcare in America from the 1930s through the 1960s.
Published January, 2017 - First Illinois Speaks
Author: Maria C. Miranda, FACHE, Director, Emerging Payment Models
Introduction: While the Comprehensive Care for Joint Replacement (CJR) program is positioned as a “test,” given the infrastructure being put in place by the Centers for Medicare and Medicaid Services (CMS) to run the program, CJR is likely just the start of a larger effort by CMS to implement additional mandatory bundled payment programs. Therefore, it’s very important that hospital financial stakeholders become familiar with CJR even if their hospital isn’t currently a participant.
1. The document provides population data including number of electors, total votes polled, and voter turnout percentages for various administrative constituencies (ACs) in Uttar Pradesh, India.
2. The data is broken down by gender and includes totals for multiple districts and their constituent ACs. Voter turnout percentages for males, females, and overall are provided.
3. Overall voter turnout in Uttar Pradesh was approximately 74% for males, 73% for females, and 74% overall across the state. There was variation across districts and ACs with some having turnout over 70% and others under 60%.
The document summarizes an event hosted by SheSays Singapore where the CEO of Aegis Media Singapore, Audrey Kuah, answered questions about the differences between startup and corporate culture. Lizi Hamer, Meera Navaratnam, Grace Clapham, and Cam Schu were also mentioned as attendees. The last part provided a networking tip about focusing on helping others rather than asking for favors.
This chapter discusses how to create and format information graphics in PowerPoint 2013, including inserting and formatting SmartArt graphics, charts, and tables. It covers how to convert text to a SmartArt graphic, change chart and table styles, rotate charts, separate pie slices, add borders and images to tables, and align text in cells. The chapter aims to help users present data visually through the use of SmartArt, charts, and tables.
Dokumen tersebut merupakan slaid promosi untuk perniagaan jaringan pemasaran BESTMobile yang menawarkan pelbagai insentif dan bonus untuk menarik lebih ramai ahli serta meningkatkan pendapatan mereka.
HFMA Colorado chapter newsletter, July 2016. While the Comprehensive Care for Joint Replacement (CJR) program is positioned as a “test,” given the infrastructure being put in place by CMS to run the program, CJR is likely just the start of a larger effort by CMS to implement additional mandatory bundled payment programs. Therefore, it’s very important that hospital financial stakeholders become familiar with CJR even if their hospital isn’t currently a participant.
We Turn and Face the Changes - The S-10 Emerges as a Proxy for PaymentBESLER
The Federal Fiscal Year 2017 Hospital Inpatient Prospective Payment System (IPPS) final rule issued a postponement for using data from Worksheet S-10 of the Medicare cost report to determine Medicare Disproportionate Share Uncompensated Care payments.The Centers for Medicare and Medicaid Services originally intended to incorporate WS S-10 in the methodology beginning next October (FFY 2018). However, due to copious and thoughtful observations from commenters, CMS has again put WS S-10 on hold while a number of issues surrounding fairness, consistency and accuracy are deliberated. The hospital community will be engaged in future rulemaking and CMS anticipates WS S-10 will be used for UC payments no later than FFY 2021 (using WS S-10 from cost reports beginning in FFY 2017).So join us as we take a look at the S-10’s key issues and what could have been if the S-10 was employed to determine UC payments sooner rather than later.
The American Health Care System - Long PaperDivya Kothari
The document discusses the evolution of the American healthcare system from a state-run Medicaid program to the current system established under the Affordable Care Act (ACA). It outlines some of the key stakeholders in the new system, including healthcare providers, insurance companies, the government, and recipients. It also analyzes some of the risks and challenges that each of these stakeholders face, such as high costs, eligibility determination issues, security risks with sensitive health data, and rising insurance premiums and deductibles. The implementation of the ACA website in particular faced major technical issues that highlighted systemic risks when large-scale technology projects are not properly planned and coordinated.
The health care debate - up to date as of June 15, 2017
1) Health care troubles, 2) ACA accomplishments and problems, 3) 20 AHCA characteristics and problems, 4) Single payer as solution
Analysis of the Patient Protection and Affordable Care Act Paper, HCS410, hea...Paige Catizone
This document provides an analysis of the Patient Protection and Affordable Care Act (ACA). It discusses key goals and provisions of the ACA, including expanding health insurance coverage and controlling costs. It also examines the impact of the ACA on various stakeholders, such as individuals, employers, healthcare providers and facilities. Implementation challenges are outlined, such as difficulties insuring previously uninsured individuals, narrow provider networks, and workforce shortages exacerbated by the increase in insured patients. Overall effects on the US healthcare system are assessed.
The Affordable Care Act (ACA) impacts kidney dialysis patients in several key ways. It prohibits denial of health insurance coverage due to preexisting conditions like kidney disease. It expands Medicaid eligibility and requires insurers to cover essential health benefits including dialysis. The ACA standardizes copays for dialysis patients based on income and sets reimbursement rates for dialysis facilities. It also aims to reduce overall healthcare costs while expanding access to coverage and care for chronic conditions like kidney failure treated through dialysis.
The Affordable Care Act has significantly reduced the uninsured rate in the United States and improved access to care, financial security, and health outcomes. Since the law was passed in 2010, the uninsured rate has declined by 43% due to reforms that expanded coverage. However, opportunities remain to further improve the US healthcare system by continuing to implement health insurance marketplaces and delivery system reforms, increasing subsidies, and reducing prescription drug costs. Overall experience with the ACA demonstrates that meaningful policy change is possible.
This document is a letter from Republican physicians in Congress providing 10 facts about the challenges facing the Medicare program. It summarizes that Medicare costs have grown unsustainably, the program will face insolvency in the near future, and reforms are needed to strengthen and protect Medicare for current and future seniors. The letter aims to further an informed discussion about adopting bipartisan solutions to these issues.
The document discusses the history and context around why the United States does not have universal healthcare. It traces the evolution of the healthcare system from the early 1900s through various reforms. While many argue universal healthcare could help prevent deaths and bankruptcy, others believe it would burden taxpayers as it is not free. Historically, the US healthcare system has undergone shifts between private and public involvement through reforms. Legislatively, the checks and balances system and power of private sectors have made it difficult for universal healthcare legislation to pass due to concerns over costs and government control of the economy.
This document discusses health care reform in the United States. It provides background on universal health care systems originating in Germany and Britain in the late 19th/early 20th centuries. It then discusses the Patient Protection and Affordable Care Act passed in 2010 in the US, which aimed to expand health insurance coverage. The document notes criticisms of both the German and US healthcare systems. It argues the German system distributes care fairly through government involvement, unlike the US approach of developing mass assistance programs and stating government should not control them.
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The document discusses the history of health care reform debates in the United States. It provides background on past reform efforts and outlines some of the key provisions and goals of the Affordable Care Act signed into law in 2010, including expanding access to health insurance coverage and aiming to reduce overall health care costs. The document also notes that health care reform remains a vital political issue and that significant obstacles have prevented major changes since 1965.
The Affordable Care Act touches the lives of most Americans. In fact, nearly 21 million will be at risk if Obamacare is struck down, and may even lose health insurance completely if the law is ruled unconstitutional. This webinar will discuss what the outcome may be if ACA is repealed.
Obamacare, Trump Care or no care? The debate about who pays to keep America healthy rages on with no end in sight. It might even become a huge talking point in the next presidential election, as some are pushing for Medicare-for-all coverage. Confused? I know I am. Here is the first of a series of summaries about US health care.
North Oakland Tea Party Presentation 8.23.12MattMcCord
This document discusses government-centered versus patient-centered healthcare and argues for a transition to a more patient-centered model. It summarizes some key provisions and costs of the Affordable Care Act and cites studies showing increased costs in Massachusetts. The document advocates for health savings accounts with high-deductible plans and direct primary care practices as an alternative that would give patients more control and reduce costs. It concludes that adopting these reforms could help citizens and the country by moving away from a government-dominated system and prioritizing patient-centered care instead.
The document discusses Medicare spending in the United States. It reports that Medicare spending was reduced to 0.2% in 2013 compared to 1.8% between 2009-2012. This decrease may have resulted from the recession limiting spending, delivery system reforms to improve quality while reducing local costs, or a focus on patient-centered care. Statistical data from Medicare budget reports is cited to support the claims around reduced spending.
The document discusses the effects and implementation of the Affordable Care Act (ACA) in the United States. It covers several topics:
- The goals of the ACA were to expand availability of health insurance and control costs, but it has faced many challenges in implementation.
- Hospitals and healthcare providers have had to change how they operate to focus more on quality of care rather than quantity of patients.
- The ACA could help address shortages in primary care doctors and nurses by increasing funding for education incentives, but it will take time for these measures to have an effect.
- Coverage expansions under the ACA have increased demand for care while supplies of doctors and other providers remain limited
This document discusses various issues with the US healthcare system and alternatives for reform. It notes that incremental reforms at the state level have failed to achieve universal coverage. A public option is criticized for not achieving significant cost savings due to private insurers still playing a large role. Single-payer national health insurance is presented as an alternative that could reduce bureaucracy costs by $400 billion while providing comprehensive, secure coverage for all Americans.
The document discusses health care reform in the United States, known as the Affordable Care Act or Obamacare. It was signed into law in 2010 with the main goal of ensuring affordable health insurance is available to all US citizens. Key aspects of the law include prohibiting denial of coverage due to pre-existing conditions for those under 19 and allowing coverage for children under parents' plans until age 26. The law also expanded Medicare and added new benefits while fighting fraud and improving care. Both positives and criticisms of the law are discussed.
This document provides an overview of the Patient Protection and Affordable Care Act (PPACA). It discusses the long history of healthcare reform efforts in the United States stretching back over a century. It also outlines the major components and provisions of the PPACA, including the creation of health insurance exchanges, expanded Medicaid eligibility, subsidies for individuals and businesses, and improvements to the quality and performance of the healthcare system. The PPACA builds upon but also differs from healthcare reform proposals put forth by previous administrations such as President Clinton's 1993 plan, which included a more regulatory approach with greater government involvement in the industry.
Intensive Care for Medicaid McQ Quarterly 2005Craig Tanio
This document summarizes a McKinsey report analyzing the unsustainable growth of Medicaid costs in the United States. It finds that by 2009, Medicaid will consume more than 75% of new state revenue in some states and 25-50% in many others. While opportunities exist to capture savings, actually doing so will require difficult decisions and creative leadership given political and structural challenges. Reform is needed to put Medicaid on a more stable long-term footing while still serving those in need.
Similar to Healthcare Retrospect Part 3: Achieving The Triple Aim (19)
The 2021 Hospital Inpatient Prospective Payment System (IPPS) Final Rule has been issued and changes are on the way that can affect your organization’s Medicare reimbursement. As part of our commitment to help protect and enhance your Medicare revenue, we’ve developed this expert analysis of the FY 2021 IPPS Final Rule to quickly give you insight into the most important changes. BESLER remains your trusted advisor and we look forward to helping you identify areas of revenue opportunity for your facility.
BESLER Easy Work Papers - HFMA Peer Review Key FindingsBESLER
The document discusses the results of a survey conducted as part of Healthcare Financial Management Association’s (HFMA) Peer Review program evaluation process. The survey asked current and prospective clients about various aspects of a healthcare product or service. Across all categories, the product received mean scores ranging from 4.31 to 5, indicating high levels of client satisfaction with recommendations, productivity enhancements, implementation smoothness, data accuracy, ease of installation, sales staff, ease of use, value, and technical support.
The 2020 OPPS Final Rule makes several changes to Medicare reimbursement rates and policies for hospital outpatient departments. Key changes include a 2.6% increase in OPPS payment rates, removal of some procedures from the inpatient only list, changes to device pass-through payments and 340B drug payments, and the adoption of a new quality measure for ambulatory surgical centers. The rule also implements prior authorization for certain frequently furnished clinic visit services to control unnecessary volume increases.
The document summarizes changes to Medicare Severity Diagnosis Related Groups (MS-DRGs) and ICD-10 codes for 2019 and provides an outlook for 2020. In 2019, 15 MS-DRGs were deleted and 19 were added, and there were 435 ICD-10 code changes. For 2020, 28 MS-DRGs were deleted and 28 added, along with 252 new ICD-10 diagnosis codes and 1,660 deleted ICD-10 procedure codes. The biggest changes related to peripheral ECMO and transcatheter mitral valve repair. The areas most impacted by severity shifts were various body systems and factors influencing healthcare status. Two DRGs were removed from the transfer policy list while three new ones did not
2020 Inpatient Prospective Payment System (IPPS) Final Rule Summary - BESLERBESLER
The 2020 Hospital Inpatient Prospective Payment System (IPPS) Final Rule has been issued and changes are on the way that can affect your organization’s Medicare reimbursement.
As part of our commitment to help protect and enhance your Medicare revenue, we’ve developed this expert analysis of the FY 2020 IPPS Final Rule to quickly give you insight into the most important changes.
Research Report - Insights into Revenue Cycle ManagementBESLER
The findings in this report are based on online research conducted in October 2018 among 102 respondents employed in leadership roles within finance, revenue cycle, reimbursement and HIM in U.S. hospitals and acute-care facilities.
With hospitals and acute-care facilities under increasing pressure to optimize the revenue cycle, BESLER and HIMSS Media conducted a new study to identify the biggest industry challenges and potential opportunities for improvement. The study included over 100 respondents employed in leadership roles within finance, revenue cycle, reimbursement, and health information management (HIM) in U.S. hospitals and acute-care facilities.
2019 outpatient prospective payment system final rule key pointsBESLER
- The 2019 OPPS Final Rule updates Medicare payment rates and policies for hospital outpatient departments, with an overall 1.35% increase in payment rates. Key changes include expanding comprehensive APCs to include new ENT and vascular procedures, removing some procedures from the inpatient only list, and modifying device-intensive procedure criteria.
2019 inpatient prospective payment system final rule key pointsBESLER
The 2019 Hospital Inpatient Prospective Payment System (IPPS) Final Rule has been issued and changes are on the way that can affect your organization’s Medicare reimbursement.
As part of our commitment to help protect and enhance your Medicare revenue, we’ve developed this expert analysis of the FY 2019 IPPS Final Rule to quickly give you insight into the most important changes.
BESLER Transfer DRG Revenue Recovery Service HFMA Peer Review key findings - 02BESLER
Healthcare Financial Management Association’s (HFMA) Peer Review designation spotlights healthcare products and services that objectively earn top ratings during a thorough evaluation process. Part of the evaluation process prior to designation is surveying the product’s current clients and prospects on a variety of topics that measure quality and effectiveness.
BESLER Transfer DRG Revenue Recovery Service HFMA Peer Review key findingsBESLER
Healthcare Financial Management Association’s (HFMA) Peer Review designation spotlights healthcare products and services that objectively earn top ratings during a thorough evaluation process. Part of the evaluation process prior to designation is surveying the product’s current clients and prospects on a variety of topics that measure quality and effectiveness.
Creating A New Mindset - Fully Embracing Revenue IntegrityBESLER
Revenue Integrity is an exciting addition to the existing healthcare revenue cycle process. Revenue Integrity brings together a holistic focus on our responsibility to ensure appropriate billing and compliance in all financial aspects of healthcare.
Revenue Integrity has ushered in an elevated level of awareness to healthcare financial organizations along with improved healthcare delivery.
Although, Revenue Integrity is still fairly new, it has proven to be a catalyst for change both in the financial and clinical functions of hospitals and doctors’ offices.
Electronic health record (EHR) implementations can be operationally invasive and can have significant financial implications. Organizations may see a reduction in net revenue, an increase in accounts receivable days and a slowdown in cash collections. With several NJ providers in the process of moving to an Epic HIS and EHR environment, preserving net revenue, maintaining consistent cash and ensuring accurate financial reporting should be among the provider’s primary conversion goals. We have worked with several providers throughout the country who have undergone a recent Epic conversion and thought it would be beneficial to share conversion lessons learned from these providers. A consistent phrase in the Epic conversion world is ”Big Bang,” indicating that every module that’s been purchased is implemented at the same time. The conversion timeline is an eighteen month journey and has been described as a conversion like no other. More and more providers are moving towards the “Single Billing Office” (SBO) solution, meaning hospital, physician and potentially other entities such as home health appear on a single statement. This alone is a significant change for hospital providers.
Uncertain future of medicare pass throughs and add-onsBESLER
Very few items are still settled on your cost report. With so many changes resulting from the ACA and other potential initiatives being discussed every day, your organization should be acutely aware of the total amount of Medicare Revenue that is at risk. There is talk of eliminating, greatly reducing or completely altering payment methodologies that hospitals have become so reliant on for so long. Revenue potentially at risk includes Medicare Bad Debt, Nursing Allied Health, Graduate Medical Education, Wage Index adjustments, and Transplant.
The benefits of revenue cycle and compliance collaborationBESLER
This presentation highlights the importance of the working relationship between hospital Revenue Cycle and Compliance teams. This complimentary partnership can become seamless by utilizing the data analytics obtained from 835 and 837 data sets, Return to Provider (RTP), CERTs, Readmissions, ZPICs, HACs, RACs and Transfer DRGs. The combination of this data can assist in quickly identifying and resolving issues prior to provider submission, reducing days in AR and improving cash in the door.
The Uncertain Future of Medicare Add-Ons and Pass-ThroughsBESLER
With so many changes resulting from the Patient Protection and Affordable Care Act (ACA) and other potential initiatives under consideration, a significant amount of your organization’s future Medicare revenue may be at risk. The trend to reduce and/or revamp payment methodologies comes at a time when hospitals face shrinking or non-existent margins. Revenue sources potentially on the chopping block include Medicare Bad Debt, Nursing Allied Health, Graduate Medical Education, Wage Index adjustments, and transplant, to name a few. Additionally, the Office of Inspector General (OIG) continues to add reimbursement-related topics to its annual Work Plan, expanding the areas for potential paybacks or penalties.
The LACE index identifies patients that are at risk for re-admission or death within thirty days of discharge. It incorporates four parameters. "L" stands for the length of stay of the index admission. "A" stands for the acuity of the admission. Specifically, if the patient is admitted through the Emergency Department vs. an elective admission. "C" stands for co-morbidities, incorporating the Charlson Co-Morbidity Index. "E" stands for the number of Emergency Department visits within the last 6 months.
LACE sores range from 1-19 and as mentioned above predict the rate of re-admission or death within thirty days of discharge. Below is an example of how to calculate the LACE index. A score of 0 - 4 = Low; 5 - 9 = Moderate; and a score of ≥ 10 = High risk of re-admission.
A look at strategies for lowering hospital readmissions across the continuum of care.
Hospital readmissions are a multi-dimensional problem. No single player or entity is entirely responsible for reducing excess readmissions. By improving our understanding of each touch point along the patient care continuum, strategies can be developed that ultimately reduce total readmissions.
This paper explores the roles of patients and providers in reducing readmissions and reviews several strategies that each can implement to help reduce readmission rates.
-Which patients are at high risk of hospital readmission?
-Comprehensive discharge planning strategies
-The physician’s role in lowering hospital readmission rates
-Optimizing communications handoffs between providers
-Building patient-centered transitional care models
-End of life planning
The story of Dr. Ranjit Jagtap's daughters is more than a tale of inherited responsibility; it's a narrative of passion, innovation, and unwavering commitment to a cause greater than oneself. In Poulami and Aditi Jagtap, we see the beautiful continuum of a father's dream and the limitless potential of compassion-driven healthcare.
Solution manual for managerial accounting 18th edition by ray garrison eric n...rightmanforbloodline
Solution manual for managerial accounting 18th edition by ray garrison eric noreen and peter brewer_compressed
Solution manual for managerial accounting 18th edition by ray garrison eric noreen and peter brewer_compressed
Research, Monitoring and Evaluation, in Public Healthaghedogodday
This is a presentation on the overview of the role of monitoring and evaluation in public health. It describes the various components and how a robust M&E system can possitively impact the results or effectiveness of a public health intervention.
Test bank clinical nursing skills a concept based approach 4e pearson educati...rightmanforbloodline
Test bank clinical nursing skills a concept based approach 4e pearson education
Test bank clinical nursing skills a concept based approach 4e pearson education
Test bank clinical nursing skills a concept based approach 4e pearson education
At Malayali Kerala Spa Ajman we providing the top quality massage services for our customers.
Our massage center prioritizes efficiency to ensure a quality massage experience for our clients at Malayali Kerala Spa Ajman. We offer a convenient appointment system and precise massage services.
Reach us at Villa No 7, Near Ammar Bin Yasir Street Al Rashidiya 2 - Ajman - United Arab Emirates.
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Ensure the highest quality care for your patients with Cardiac Registry Support's cancer registry services. We support accreditation efforts and quality improvement initiatives, allowing you to benchmark performance and demonstrate adherence to best practices. Confidence starts with data. Partner with Cardiac Registry Support. For more details visit https://cardiacregistrysupport.com/cancer-registry-services/
VEDANTA AIR AMBULANCE SERVICES IN REWA AT A COST-EFFECTIVE PRICE.pdfVedanta A
Air Ambulance Services In Rewa works in close coordination with ground-based emergency services, including local Emergency Medical Services, fire departments, and law enforcement agencies.
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nursing management of patient with Empyema pptblessyjannu21
prepared by Prof. BLESSY THOMAS, SPN
Empyema is a disease of respiratory system It is defines as the accumulation of thick, purulent fluid within the pleural space, often with fibrin development.
Empyema is also called pyothorax or purulent pleuritis.
It’s a condition in which pus gathers in the area between the lungs and the inner surface of the chest wall. This area is known as the pleural space.
Pus is a fluid that’s filled with immune cells, dead cells, and bacteria.
Pus in the pleural space can’t be coughed out. Instead, it needs to be drained by a needle or surgery.
Empyema usually develops after pneumonia, which is an infection of the lung tissue. it is mainly caused due in infectious micro-organisms. It can be treated with medications and other measures.
2024 Media Preferences of Older Adults: Consumer Survey and Marketing Implica...Media Logic
When it comes to creating marketing strategies that target older adults, it is crucial to have insight into their media habits and preferences. Understanding how older adults consume and use media is key to creating acquisition and retention strategies. We recently conducted our seventh annual survey to gain insight into the media preferences of older adults in 2024. Here are the survey responses and marketing implications that stood out to us.
As Mumbai's premier kidney transplant and donation center, L H Hiranandani Hospital Powai is not just a medical facility; it's a beacon of hope where cutting-edge science meets compassionate care, transforming lives and redefining the standards of kidney health in India.
The Importance of Black Women Understanding the Chemicals in Their Personal C...bkling
Certain chemicals, such as phthalates and parabens, can disrupt the body's hormones and have significant effects on health. According to data, hormone-related health issues such as uterine fibroids, infertility, early puberty and more aggressive forms of breast and endometrial cancers disproportionately affect Black women. Our guest speaker, Jasmine A. McDonald, PhD, an Assistant Professor in the Department of Epidemiology at Columbia University in New York City, discusses the scientific reasons why Black women should pay attention to specific chemicals in their personal care products, like hair care, and ways to minimize their exposure.
The Importance of Black Women Understanding the Chemicals in Their Personal C...
Healthcare Retrospect Part 3: Achieving The Triple Aim
1. A Brief History of Health
Care Reform
Healthcare Retrospect Part 3: Achieving The Triple Aim
John J. Dalton, FHFMA
Senior Advisor Emeritus
2. 1990s
Here’s the real story of the
1990s – the rapid growth of
managed care. In New Jersey,
it began with US Healthcare’s
primary care gatekeeper
model in Burlington County
and spread rapidly throughout
the state.
3. 1990s
The Institute of Medicine’s
1999 report stating that as
many as 98,000 preventable
deaths occurred in hospitals
each year was a much
needed wake-up call to the
industry. CLABSIs, CAUTIs and
SSIs become part of the
Board of Trustees dashboard.
4. The Third Millennium
• 2003 – President George W. Bush signs the
Medicare Prescription Drug, Improvement,
and Modernization Act (MMA), now Medicare
Part D, sometimes described as the full
employment act for insurors and Big Pharma.
• While it provided prescription drug coverage
to seniors, it prohibited Medicare from
negotiating discounts from drug companies.
6. The Third Millennium
2008 Presidential Campaign
• John McCain’s proposals included tax credits -
$2,500 for individuals and $5,000 for families who
do not subscribe to or do not have access to health
care through their employer. To help those denied
coverage by insurance companies due to pre-
existing conditions, McCain proposed working with
states to create what he called a "Guaranteed
Access Plan."
• Barrack Obama calls for creating a National Health
Insurance Exchange including private insurance
plans and a Medicare-like government run option
with coverage guaranteed regardless of health
status; require parents to cover their children, but
no requirement for adults to buy insurance.
7. 2010 - PPACA
Modeled on Massachusett’s
Romneycare, the Patient
Protection and Affordable
Care Act was signed into
Law by President Obama on
March 23, 2010.
8. 2016 - PPACA
Love it or hate it, Obamacare is here to stay. Here’s why:
1. 18.2% of Americans uninsured at enactment; 10.4% in 2014
2. Young adults remain on parents’ policy until age 26; more than 2
million have gained coverage
3. No more coverage denials due to pre-existing conditions
4. Coverage rescinded only for fraud or misrepresentation
5. Health exchanges won’t be going away; Accenture projects that
by 2018 private exchange enrollment will hit 40 million
6. Even with 22 states not participating, enrollment in Medicaid
and CHIP has grown 26% by nearly 11 million people
7. Hospitals with the highest rates of hospital-acquired conditions
now receive reduced payments
8. Quality is up and infection rates are down. From 2008-2013,
CLABSIs are down 46% and SSIs are down 16%.
9. 2016 – the Triple Aim
PPACA has bent the cost curve, but
much remains to be done. The U.S. has
the best-equipped hospitals and the
most thoroughly trained physicians in
the world, yet our outcomes trail other
developed countries and the gap is
growing.
We must go beyond our comfort zones
to provide improved care for our
patients and better health for the
populations we serve. Only then can
the per capita cost of care be reduced.
10. Contact Information
BESLER Consulting
3 Independence Way, Suite 201
Princeton, New Jersey 08540
Phone: 609.514.1400
Toll Free: 877.4BESLER
Fax: 609.514.1410
www.besler.com