RESULTS In the article, Economic Research on Direct-Purchased Health Insurance: New Models For Real Health Care Reform Linda Gorman (2009) describes the history of direct health care and how it all started. Gorman (2009) also explains that after a Great Depression took place in 1929, The American Hospital had created Blue Cross which gave individuals benefit plans. This article also talks about the advantages of direct health insurance. Goodman (2009) states “ It controls health spending by pricing individual risk, encourages substantial variation… to accomodate differences in individual risk tolerance, and provide incentives for cost minimization”. This article also describes how this type of insurance makes people care more about their …show more content…
This article was very interesting to read because it doesn’t want readers to feel that their type of health insurance is perfect, but describes what is good and bad for this specific health insurance. This article explains that direct purchase insurance can be very useful for employees because of the coverages they will receive. Pauley, Peercy, and Herring (2015) explain three types of advantages that individual health insurance has “The first benefit is that everyone can get the type of coverage that they want for themselves while group insurance has less choices. Another advantage would be that there is no guarantee that the employer is choosing the type of insurance that the individual wanted. Finally, another advantage is that the individuals doesn’t have to worry about their plans if they decide to change jobs because they are paying for it not their job”(31). Pauley, Peercy, and Herring (2015) also state that there disadvantages to individual private insurance “ First, administrative costs are higher… Second, individual insurances provide less risk pooling or premium”(31-32). Overall, this source was definitely very helpful because it covers why direct purchased insurance can be used as an advantage or disadvantage. This source also focuses on the premiums, benefits, and expenses of direct-purchased health insurance. This source relates to the newspaper article The Consequence of “No” because they both focus on the
“Americans without insurance coverage will be able to choose the insurance coverage that works best for them in a new open, competitive insurance market – the same insurance market that every member of Congress will be required to use for their insurance. The insurance exchange will pool buying power and give Americans new affordable choices of private insurance plans that have to compete for their business based on cost and quality. Small business owners will not only be able to choose insurance coverage through this exchange, but will receive a new tax credit to help offset the cost of covering their employees.
This could be controversial, if older, sicker people who need the coverage most enter the market, but younger groups decline to do so. The insurance pool will be unbalanced and the cost of coverage will rise correspondingly. The process of choosing a health insurance provider should be more consumer friendly. People covered by their employer can clear their doubt about health insurance by conversing with the Human Resource department, whereas people who buy through marketplaces or health insurance exchanges, as in the case of ACA, may not have any resource to give further explanation.
What is managed care? According to the Oxford English Dictionary, managed care is “a system of health care in which patients agree to visit only certain doctors and hospitals, and in which the cost of treatment is monitored by a managing company.” Managed care is a variety of techniques designed to reduce the cost of providing health benefits and advance the quality of care. In the United States alone, there are various managed care programs, that are ranged from more restrictive to less restrictive. As stated in the National Institutes of Health, the future of managed care is uncertain. It is enthralling to note that in spite of the advances in healthcare systems, such as our hospital’s ability to provide patients with lower cost, managed
A consumer-directed health plan (CDHP) offers lower premiums in exchange for higher patient deductibles than traditional plans. Those who adopt CDHPs are pay for most of their routine care. Its goal is to make cu...
The United States spends vast amounts on its healthcare, while falling short of achieving superiority over other developed nations. One cannot overlook that the deepening recession has left many without jobs and therefore lacking health insurance. According to Fairhall and Steadman, (2009), even though the recession is hard on all, it is worse on the uninsured due to health care and insurance cost rising faster than incomes. Nevertheless, even those with jobs are lacking in health insurance due to employers, who provide insurance, are increasingly dropping their sponsored insurance. Many find that purchasing a health policy or paying for medical care out-of-pocket is cost prohibitive. “Since the recession began in December 2007, the number of unemployed Americans has increased by 3.6 million,” (Fairhall & Steadman, 2009). In 2009 it was stated that approximately 46 million Americans were uninsured, however not all of that number is due to the inability to afford coverage. According to a 2009 story written by Christopher Weaver of Kaiser Health News, 43% of that number should be classified as “voluntarily” uninsured. This subset of uninsured Americans consist of nearly half being young and healthy; therefo...
Luckily under the new health care reform law, most people will receive help paying for their healthcare premiums and cost-sharing expenses that people with insurance have to pay out of pocket for doctor visits, and prescription medicine. Families and individuals will be able to receive this assistance with incomes between one hundred and four hundred percent of the federal poverty line. One hundred to four hundred percent makes up at about $23,000 to $94,000 a year assume this is for a family of four.
Everyone though out the United States are being to have some sort of health insurance since legislations passed the patient protection affordable care act that began in the beginning of 2014. The reform act basically states all people have to have some type of health insurance and if they fall to have the minimal required insurance then will face a tax penalty. However, with the written laws the information is difficult to understand and even more difficult to interpret what the impact will be if people fail to comply and get insurance (Suelzer). Although the coverage is mandatory there is a loophole in the act making some people exempt from being required to have health insurance. Individuals who have a religious belief,
Most people rely on their employers to provide them with health insurance, but with many health care is not available through the employers. Many small businesses can simply not afford the high cost of health care, or it may be available, but the employee needs to pay the entire premiums. A lot of employers are utilizing part time employees, the part time employees are usually not qualified for benefits, like health insurance. This is very unfortunate for these part timer’s not only because they will not get benefits such as health insurance, but also they probably have a slim chance of going full time because of the health insurance dilemma. Business owner’s need to assess what is good for them financially, and having plenty of part time employees who do not require insurance is probably the most cost effective method to keep the Business up and running.
The steady rise of healthcare costs and the ever increasing cost of health insurance premiums are making it harder and harder for employers to pay healthcare premiums for their employees. In the past, it was almost a given that employers picked up the tab for health insurance coverage. The health coverage was usually exceptional with little or no money paid out of pocket by the individual for the insurance premiums. Those appear to be the “good old days”, with fewer and fewer employers shelling out money for health insurance premiums and demanding a larger percentage to be paid by the employee. Other employers are simply unable to financially provide healthcare coverage for their employees and have stopped all together.
Ans 1) To mandate the insurance or not is a big question to be answered and still there are a lot of problems associated with mandating the Health Insurance in United States. A lot of views have been given by people regarding whether there is need of mandating the Health Insurance or not.
The implementation of a universal health care system in the United States is an important challenge that needs to be overcome. There are numerous amount of editorial that argue on both sides of the debate. Some people argue that a universal health care system would bring costs down and increase access to care while others argue that a universal health care system would be too expensive and reduce the quality of care. The correct answer requires intensive understanding and economics to overcome, the arguments must be examined for a proper answer.
Millions of Americans are without health insurance in the United States due to many factors such as unemployment, the cost of insurance and insurance companies denying coverage due to pre-existing conditions. The United States does not provide health care to its citizens the way the rest of the industrialized world does. Instead of providing coverage for all it institutes market-based options, in which some receive coverage from their place of employment, another options are purchasing individual plans and some can obtain coverage through public programs like Medicaid. The United States is the only westernized industrial nation without a universal health care system.
Then came the question, should the employer be the one responsible for providing health insurance. While everyone on the panel could agree that our health care system in 2008 was broken, most seemed opposed to the alternative solution of universal healthcare. There is an incentive to the company to offer health insurance to a human being that may receive the opportunity to receive health insurance from another company. However, taking health insurance responsibility away from the employer and making it the government’s responsibility would increase availability and possibly eliminate freedom of
Since the 60s, government budgets have been influenced by the need to finance healthcare especially the cost of Medicare and Medicaid benefits. According to CMS’ National Health Expenditure Projections , total health care expenditures have grown by an average of 2.5 percentage points faster per year than the nation‘s Gross Domestic Product. For about 60 percent of workers who receive some form of health care coverage from their employers, the cost of their health insurance premiums and out-of-pocket expenses have increased significantly faster than their own wages; and between 1999 and 2008, both average health insurance premiums and out-of-pocket costs for deductibles, co-payments for medications, and co-insura...
Health insurance facilitates entry into the health care system. Uninsured people are less likely to receive medical care and more likely to have poor health. Many Americans are foregoing medical care because they cannot afford it, or are struggling to pay their medical bills. “Adults in the US are more likely to go without health care due to cost” (Schoen, Osborn, Squires, Doty, & Pierson, 2010) Many of the currently uninsured or underinsured are forced accept inferior plans with large out-of-pocket costs, or are not be able to afford coverage offered by private health insurers. This lack of adequate coverage makes it difficult for people to get the health care they need and can have a particularly serious impact on a person's health and stability.