Hcs 235 Week Health Care Utilization Paper - 1067 Words

Health Care Utilization Paper HCS/235: Health Care Delivery in the U.S. Health Care Reform The Patient Protection and Affordable Care Act of 2010 (PPACA) was designed to decrease health care costs and require health care access to all U.S. citizens. The Act has the potential for reducing the cost of health care in the United States; however, with many risks which could possibly strain the health care system, increase debt, and decrease the quality of care many are concerned. Access to Care The PPACA was enacted in 2010; however, the Act was not completely implemented right away. The health care reform has been dispersing provisions as the years progressed. Provisions such as simply investing in new resources to fight against†¦show more content†¦Utilization Utilization management has taken a key role in the health reform act because it evaluates the need, appropriateness, and the efficiency of the health care services which will be used by the covered individual. Health insurance plans are pressured to find ways to reduce plan costs and improve the quality of care provided to their members. Utilization management efforts have reduced inappropriate services and high medical costs just by taking some time to review pre-authorizations instead of providing clinically inappropriate, out-of-network services which prevents the accurate care for patient and increases cost for plans. Today’s decision-making and support of utilizations for members are perfor med in real-time. Real-time utilization achieves the decrease of unnecessary expenses and improves member’s health. Use of unnecessary services increases the cost for plans and limits them on the amount of services they can provide to members who are in dire need of them. Universal Health Care Achieving the goal of providing health care benefits for all U.S. citizens is a goal that is not new in our health care system and still lingers to be resolved by government officials. The health reform act’s provisions are stated to achieve these goals. The MedicaidShow MoreRelatedJohn Q776 Words   |  4 PagesA Look at John Q HCS/235 History of Health Care Utilization in the US November 20, 2013 Brett Robinson A look at John Q Too poor to afford private health care insurance coverage, but lucky enough to qualify for Medicaid John Q faces yet another challenge. John’s father recently suffered a heart attack which brought into question his own mortality. John like many Americans is a working class man who works full time but still under the poverty level and into a substandard and overworked MedicaidRead MoreHealth Care Utilization Paper1143 Words   |  5 PagesHealth Care Utilization Paper Class: HCS/235 Health Care Delivery in the U.S. Option Chosen: 2 John Q In this paper we will discuss John Q. and Medicaid. John recently moved into a rural community and works a full time job. John is eligible for Medicaid due to his low income and needs to see a doctor since he has high blood pressure and recently his father had a heart attack. He has local doctors but none of them except Medicaid and the closest one he can find is a 40 minute drive awayRead MoreContemporary Issues in Management Accounting211377 Words   |  846 Pagescondition on any acquirer British Library Cataloguing in Publication Data Data available Library of Congress Cataloguing in Publication Data Data available Typeset by SPI Publisher Services, Pondicherry, India Printed in Great Britain on acid-free paper by Antony Rowe Ltd., Chippenham, Wiltshire ISBN 0–19–928335–4 978–0–19–928335–4 ISBN 0–19–928336–2 (Pbk.) 978–0–19–928336–1 (Pbk.) 1 3 5 7 9 10 8 6 4 2 3 FOREWORD ‘ Michael Bromwich is an exemplar of all that is good about the BritishRead MoreMerger and Acquisition: Current Issues115629 Words   |  463 Pagesprinted on paper suitable for recycling and made from fully managed and sustained forest sources. Logging, pulping and manufacturing processes are expected to conform to the environmental regulations of the country of origin. A catalogue record for this book is available from the British Library. Library of Congress Cataloging-in-Publication Data Mergers and acquisitions : current issues / edited by Greg N. Gregoriou and Karyn L. Neuhauser. p. cm. Includes index. ISBN 0-230-55379-6 (alk. paper) 1. ConsolidationRead More1000 Word Essay85965 Words   |  344 Pageslist will not be approved for AER assistance without the specific prior approval of HQ AER. (AR 930-4 Aug 1994 / 2-8 / PDF 9) What is the AER Motto? Page 11 / 389  © Copyright 1999-2012 ArmyStudyGuide.com Version 5.3 Helping the Army Take Care Of its Own (AR 930-4 Aug 1994 / 1-6 / PDF 5) The minimum amount that can be contributed to AER through allotment is what amount? 1 dollar each month for 3 months How is AER funded? Through Voluntary Contributions from Soldiers (tax free), through