Preview

Overview of Health Care

Powerful Essays
Open Document
Open Document
1163 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Overview of Health Care
Overview of Health Care
Monica Francisco
Provo College
Healthcare Policy & Regulation (HC320)

Instructor David Martini
April 06, 2015
Abstract
Good health insurance can be expensive, and is therefore often out of reach for lower and moderate income families, particularly if they are not offered health benefits through work. To make coverage obtainable for families that otherwise could not afford it and to encourage broad participation in health insurance, the Affordable Care Act (ACA) includes provisions to lower premiums and out-of-pocket costs for people with low and moderate incomes. The adequacy of this assistance will be key determinants of how many people ultimately gain coverage and whether or not lower-income people will be able to use the health insurance they obtain. In the United States, health care providers (such as doctors and hospitals) are paid by the following; Private Insurance, Government Insurance Programs, and/or People (personal, out-of-pocket funds). In addition, the government directly provides some health care in government hospitals and clinics staffed by government employees. Examples of government funded facilities are the Veteran's Health Administration and the Indian Health Service. Private insurance can be purchased from for-profit and non-profit insurance companies.
Affordable Care Act (ACA)
There are many health insurance companies in the United States, a given state tends to have a limited number and most private insurance is purchased by corporations as a benefit for employees. Costs are typically shared by employers and employees and the amount of money employers spend on an employee's health insurance is not considered taxable income for the employee. In effect, the government is subsidizing this insurance to some degree, because the government enables employees to spend less on health care, they may use health care services more, but some experts may think this arrangement increases health care costs.
People may also



References: Kaiser Family Foundation, H. (2014, October 27). Explaining Health Care Reform: Questions About Health Insurance Subsidies. Retrieved April 6, 2015, from http://kff.org/health-reform/issue-brief/explaining-health-care-reform-questions-about-health/ LEONHARDT, D. (n.d.). The Supreme Court Has the Power to Deepen a National Health Divide. Retrieved April 6, 2015. Trivedi, MD, MPH, A. (Ed.). (n.d.). Health Care Financing. Retrieved April 6, 2015, from Smith, M. (Ed.). (2013, February 1). Health insurance application denied? Here are 5 options. Retrieved April 6, 2015, from http://www.insurance.com/health-insurance/coverage/health-coverage-applicants-rejected.html Medicare Secondary Payer. (2014, January 30). Retrieved April 6, 2015, from http://www.cms.gov/Medicare/Coordination-of-Benefits-and-Recovery/Coordination-of-Benefits-and-Recovery-Overview/Medicare-Secondary-Payer/Medicare-Secondary-Payer.html

You May Also Find These Documents Helpful

  • Good Essays

    HCS 457 Week 1 DQ's

    • 650 Words
    • 3 Pages

    The federal and state governments are the largest supporters of health care services in the United States. Examples of support that our government provides include assisting those who are in need of health care with numerous options such as Medicare and Medicaid, the employment of millions of people, and billions of dollars each year for new discoveries, treatments, and cures. The government does indeed offer great assistance with programs such as Medicare and Medicaid, two of the largest programs that the government is involved in. Not only does the government provide those who are in need with Medicare and Medicaid, but there is also the Children’s Health Insurance Program (CHIP). These programs provided by the government are there to help those who cannot afford insurance. Insurance is not affordable to many families due to the economy and I feel that just because a family or an individual cannot afford insurance does not mean they should not be able to attain it. If these programs were not available, then there would be many more sick or dying people across the nation because of lack of care.…

    • 650 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    The White House. (2013). The Economic Case for Health Care Reform. Where We Are Ad Where We Are Headed. Retrieved from http://www.whitehouse.gov/administration/eop/cea/TheEconomicCaseforHealthCareReform…

    • 1324 Words
    • 6 Pages
    Powerful Essays
  • Good Essays

    Associate Level Material

    • 777 Words
    • 3 Pages

    During this year, most American receives their health coverage through the private insurance market, usually through their jobs. Many people buy their own insurance in individual market. Private health coverage products pool the risk of high health care costs across a large number of people, permitting them (or employers on their behalf)…

    • 777 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    Pros and Cons of Obamacare

    • 1707 Words
    • 7 Pages

    Obamacare is an extensive bill that completely transforms the healthcare system. The main part of the bill is the individual mandate that requires all citizens and legal immigrants to have health care coverage. If individuals do not have health insurance by 2014 there is a monetary penalty. In order to allow many Americans to obtain coverage, it outlines a major change in insurance practice in that companies are no longer allowed to deny individuals health insurance because of pre-existing conditions; individuals are able to buy into health insurance at anytime. Obamacare expands Medicaid for those who cannot afford health insurance; the expansion will supply more than 17 million more Americans with health insurance than before the bill. People who are employed can fulfill this health insurance requirement by enrolling in their employer’s plan. Health insurance must be provided through employers if the company has 10 or more employees. Small businesses will be subsidized so that they can afford to provide insurance. People without insurance through their employer will be able to buy plans through health insurance exchanges, where most will qualify for subsidies, greatly reducing the premiums. Exchanges are run by the state or non-profit organizations and require that all insurance companies offer certain plans that make it easier for Americans to determine the differences between…

    • 1707 Words
    • 7 Pages
    Powerful Essays
  • Good Essays

    References: The Henry J. Kaiser Family Foundation (2013). Focus on Health Reform – Summary of the Affordable Care Act. Retrieved from: www.kff.org.…

    • 858 Words
    • 3 Pages
    Good Essays
  • Better Essays

    Assignment 1

    • 1535 Words
    • 7 Pages

    Despite the fact that United States is the most affluent country in the world, a significant portion of its citizens have inadequate access to medical care. The barriers to obtaining health care are numerous; perhaps the most difficult hurdle to overcome is the lack of financial resources to pay for it. But the problem of lack of access to health cares for large segments of the population. The largest barrier to obtaining needed care is the lack of financial means to obtain it. The uninsured the underinsured cannot be stereotyped for they include many people who are employed, the elderly, children, minorities, person with handicaps, pregnant women, and other vulnerable populations. A lack of insurance does not translate in some cases to a lack of access to medical care, but it does have a clear impact upon access of health care.…

    • 1535 Words
    • 7 Pages
    Better Essays
  • Satisfactory Essays

    Health Care Summary

    • 324 Words
    • 2 Pages

    Health Care Administration is a profession I found myself drawn to. Early in my career I believed I wanted to be an attorney. As I entered college and began doing research, working with an attorney, I found that I had a knack for research and talking with people so I became a paralegal. When I graduated in 1999 as a paralegal, I fell on hard times, had children, but I did a lot of freelance work for different attorneys in the area. At this point, health care was not something I was looking to as a profession. In 2001, I came across a health care professional and after talking with her she said how she sees the potential within me to be in health care. At this point I was offered a job as a secretary within the infectious disease department at one of the major hospitals in Mississippi. This job started my 10 year journey to the introduction of my career in health care. As years went on, I realized that my calling is health care but I was confused as to what I actually wanted to do. In 2007, I entered and was accepted into the LPN program. I made it all the way to the last semester and I realized that health care administration was the key for me. Upon my more research I found University of Phoenix Health Care Administration Program and I have loved it from day one.…

    • 324 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Affordable Care ACT

    • 871 Words
    • 4 Pages

    The patient protection and Affordable Care Act of 2010 (ACA) is expected to have a major impact on the financing of healthcare, principally by expanding insurance coverage to approximately 32 million of the current 50.7 million uninsured by 2014. If the goal is reached, 95% of all Americans will have health insurance (Kovner& Knickman, 2011). The Affordable Care Act will expand coverage in two key ways: expanding Medicaid eligibility and through a blend of subsidies and mandates that encourage the working class to purchase affordable insurance coverage in the private market. Medicaid eligibility rates will be expanded so that most people who earn less 133% of the federal poverty level will be covered.…

    • 871 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Reflecting on Sources

    • 1728 Words
    • 7 Pages

    Directions: Complete each section of the Pre-Interview Worksheet below. Although students are not required to conduct an interview as research for the final project, the process of thinking about potential questions and responses related to the final project topic will help stimulate further ideas and questions related to conducting relevant and reliable research. Of course, you may also decide to interview the person discussed here or another appropriate subject and use the material in your upcoming projects as a primary source.…

    • 1728 Words
    • 7 Pages
    Good Essays
  • Powerful Essays

    Voelker, Rebecca. (2014). Community Health centers and their patients take a big hit in Medicaid opt-…

    • 4410 Words
    • 13 Pages
    Powerful Essays
  • Good Essays

    Essay On Obama Care

    • 446 Words
    • 2 Pages

    In this way, those living below the poverty line will be a majority of the costs provided by the government; while middle and upper classes can partially pay for Obamacare through their income or by having a private health insurance plan. This is how the costs of Obamacare are primarily funded through tax revenue at the federal…

    • 446 Words
    • 2 Pages
    Good Essays
  • Better Essays

    Affordable Care Act is the notion of affordability and the role of health insurance in making otherwise unaffordable health care affordable (Nyman and Trenz 264). The Affordable Care Act gives every American a right to health care through Obamacare. Millions of Americans have benefitted by receiving insurance coverage through the ACA. Many of these people were unemployed or had low-paying jobs. Some could not work because of a disability or family obligations. Others could not get decent health insurance because of a pre-existing medical condition, such as a chronic disease. The ACA has been highly controversial, despite the positive outcomes. Even though, the…

    • 1074 Words
    • 5 Pages
    Better Essays
  • Good Essays

    The inadequate reimbursement to doctors by government insurance substantially increases private insurance prices. Back in 2009, cost shifting of over $88 billion of payment from Medicaid and Medicare beneficiaries already added more than $1,500 extra per year in premiums and $1,800 extra in total out-of-pocket costs to every family of four with private insurance. According to the Green Mountain Care Board, the primary regulator of health care in Vermont, the cost of hospital services shifted from those on government insurance to the privately insured population in that state alone has grown from $154 million in 2005 to nearly triple that amount, now over $400 million in 2014. As a consequence of the regulations of Obamacare, private insurance is headed for becoming affordable only to the affluent, particularly ironic given that this administration tries to portray itself as reducing…

    • 486 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Fiscella, K. (2011, March 09). Health Care Reform and Equity: Promise, Pitfalls, and Prescriptions. Retrieved March 19, 2011, from http://www.medscape.com/viewarticle/736209…

    • 824 Words
    • 4 Pages
    Good Essays
  • Good Essays

    The main purpose of the ACA was to make health care more accessible to everyone. Although the ACA has made some historic contribution to the health care plan, such as people with pre-existing conditions could now be covered under the new guidelines of the ACA. Many people still face an uphill battle to obtain health care (Shin & Regenstein 2016). Many low-income, under insured, publicly insured, immigrants, vulnerable people and families depend on safety net providers for their health care need (Shin & Regenstein 2016). Many community centers, public hospital and non-profit hospital have become safety net facilities for the low-income and uninsured at an even higher rate since the ACA went into effect. The ACA has expanded the Medicaid program, which gives healthcare to 70 million more people who had no form of health insurance before the plan existed, as well as 11.7 million people are covered under the marketplace plan. However, the law has failed to recognize how important safety net facilities are to the uninsured and low-income…

    • 1038 Words
    • 5 Pages
    Good Essays