Professional Issues that Affect Clinical Mental Health Counselors One of the biggest issues if the desire is to practice with any kind of medical scope, Medicare will pay a Licensed Clinical Social Worker (LCSW) in many cases, more than they will pay any Licensed Professional Counselor (LPC), and in some cases they will not pay an LPC at all. Many LPC’s are able to practice under the umbrella of community mental health agencies and in that aspect, they are able to take Medicaid for payment. However, once licensure is complete, many states will not bill for mental health services to a private LPC practitioner under Medicaid services (Sturm and Gibson, 2012). There is a gross discrimination here that often leaves the poorest and those most
Government: The politica... ... middle of paper ... ...es ought to be something you seize seriously. That is what condition insurance is all about — obscuring the expenses that come alongside stopping illness and staying healthy, and being ready for the worst that might happen. 3. The individual mandate is vital for concluding discrimination in health-insurance marketplaces, the key accomplishment of health-care reform. It won’t apply to the majority of Americans, who by now have the health insurance, and it will not force anybody to buy insurance if they couldn’t afford it, but removing the mandate will lead to a health-care reform that is less efficient.
In "Can You Really Keep Your Health Plan? The Limits of Grandfathering Under the Affordable Care Act”, Elizabeth Leonard explains that the grandfathering rule does not apply to many citizens. This is a serious flaw considering that early on President Barrack Obama had promised the country that if they wanted to keep their plan then they could. Not only was this false but it also caused a major problem for many Americans. The act was supposed to help the citizens without any insurance but now it is ac... ... middle of paper ... ... on.
According to the Associated Press, "Consumers who have been denied a treatment that the HMO says is not covered, or who inadvertently fail to follow HMO guidelines in seeking treatment and are therefore denied reimbursement, will continue to have little recourse."  Basically not much is being solved or controlled. HMO's and managed care programs have been subjected to countless regulations and attempted reforms. HMO's are a combination of doctors and insurance companies that are formed into one organization. They provide treatment to their members at a fixed cost and decide on treatment based on the severity of the patient's ailments.
The Healthcare Industry of America: An investigative look at HMO's It's no secret that Health Maintenance Organizations, known as HMO's, have made healthcare affordable for many Americans, but at what risks? Most employers offer some type of health care plan that is an HMO. Let's face it, given the choice among insurance coverage through your employer, in which he pays half the costs, or acquiring private insurance coverage outside your employer, most Americans choose to go with employer-provided HMO's. Why then, has there been so much controversy with HMO's? An HMO is an organization whereby the subscriber, or patient, is allowed to choose a medical provider from a list of doctors within a certain medical group.
A co-payment is a specified amount that the insured must pay the healthcare provider at every visit. A coinsurance is a percentage of the total medical bill that the insured must pay for a healthcare service. As a way of protecting the insured against extreme out-of-pocket costs, some policies include an out-of-pock... ... middle of paper ... ...t quickly to have a competitive advantage. Also, said companies may not employ actuaries on a full-time basis. For example, some companies may only employ the assistance of an actuary on a consulting basis for some large scale projects.
Medicare is a federal program that aims to provide health insurance to needing individuals. To be eligible individuals need to be 65 years of age or older but individuals under 65 years can be eligible for Medicare in cases involving serious disabilities. This program is funded by the federal government as it is a federal program. Often times Medicare gets confused with Medicaid. Although these programs are similar because they aim to help people with medical problems they differ in their target populations.
Health care should not be considered a right because it is not listed in the Bill of Rights in the US Constitution. The Bill of Rights lists people's rights that the government cannot infringe upon services or material goods that the government must ensure for the people. If everyone on this planet were to have health care the prices of things would be outrageous, and it wouldn’t change. The reason being is because it would be a necessity and people would want it so it would be in high demand. The pros and cons of health care do have their good ways and they do have their bad ways but they work together.
According to page 10 of the text, “Essentials of the U.S. Health Care System,” Americans believe that there should be no central governing agency; however, majority of Americans believe the government should create standards that providers have to abide by. The U.S. health care system currently does not treat prices as a free market would. In a free market, patients would have the price and quality information ahead of time; however, patients would be required to pay the costs. The U.S. health care system is unlike a free market is this situation. The U.S. system contains insurance, which takes a majority of the cost from the patient; however, this part of the system leads to hidden pricing (Shi & Singh, 2017, p. 15 & 16).
Governor Jindal would be failing the state of Louisiana by resisting Medicaid expansion and leaving millions of residents without healthcare. Although some parents are irresponsible, the child should not have to suffer due to their parents’ choices. Also, the elderly should not have to suffer because they will need Medicare benefits once they are unable to work and care for themselves. As the Governor of this state, his job should be to protect and help the residents of Louisiana, not hurt those with lower incomes. Medicaid is not hurting the state, but resistance to the Medicaid expansion would not be the better choice.