SCHIP stands for State’s Children Health Insurance Program introduced in January 24, 1997. The bill is part of the Balanced Budget Act of 1997 which was signed by President William Clinton in August 5, 1997 and became a public law1. The bill allows the States to designate the fund given by the federal government to families that qualifies under certain conditions. However, in September 7, 1997 it received a disapproval bill originating from the House. And in 2007, during the 110th Congressional session, the House introduced the State’s Children Health Insurance Program Reauthorization Act of 2007, H.R. 3963. The bill is introduced by the House Representative John D. Dingell and was placed under House Calendar No. 141 with one general debate2. The bill was introduced to amend ‘’Title XXI of the Social Security Act to extend and improve the Children’s Health Insurance Program and for other purposes”. It was referred under Committee on Energy and Commerce and Subcommittee on Health, and in Committees on Ways and Means, Oversight and Government Reform, House Administration, and Education...
Nelson, Bill (2013). The Senate Special Committee on Aging: The Future of Long-Term Care Policy: Continuing the Conversation. Aging.Senate.gov.
In April of 2006, the Commonwealth of Massachusetts enacted a type of universal health care. Every citizen in the commonwealth had to acquire some form of health care. Companies of eleven or more people were also required to purchase healthcare for their employees. This provides people with many options of health care, while still requiring them to have health care. Massachusetts has successfully used this system for the past four years, but it is not without problems. There is a severe lack of primary care physicians. While many of those uninsured before the plan was passed have now gained health care, they cannot find a primary physicians. This has caused a large influx in people using the emergency room for basic care rather than using a doctor more appropriate for the situation. In actuality, the health care program in Massachusetts was supposed to prevent the use of emergency rooms for non-emergency situations. Insurance is also still very expensive; the necessity for everyone to have insurance has not lowered the price of healthcare. It is also not a priority for many of those who live in the commonwealth. Those who would rather pay the tax fee do not end up buying insurance. The compulsory healthcare system of the commonwealth of Massachusetts does make insurance more readily available to their citizens, but it does not create a more affordable or more useful health care system. The commonwealth of Massachusetts has a revolutionary heath care system, but it needs to create more doctors, better affordability, and encourage more people to get ‘buy in’ to the health care plan.
It is well known that the Social Security Act of 1935 created a federally financed and federally administered retirement insurance program for people who had worked in certain sectors of the economy and had paid payroll taxes on their wages. What is less known is that the Act also created a federally financed but state-administered program called Aid to Dependent Children (“ADC,” later to become Aid to Families with Dependent Children, or “AFDC”)? As Sheldon H. Danziger and Jeffrey S. Lehman stated in “Welfare”, “When Americans speak of “welfare” or “relief” they are usually alluding to ADC and its successor programs. From the outset, the design and implementation of ADC highlighted the central conflicts of welfare policy. Issues of race, gender, work, and parenting style were, then as now, matters of great social tension”(Danziger). From 1935 to 1960 the only changes to the welfare structure was the inclusion of widows and disabled people into the social security system.
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) affects every aspect of health care from patient privacy to insurance coverage. The federal act was first passed in 1996, yet the first major rule did not go into effect until 2003, protecting patient privacy. HIPAA ultimately came into effect due to the issues regarding patient privacy, security and coverage. Another major concern for both health care workers and the public was the exchange of patient information from one facility to another. Until the relatively recent decision to enforce HIPAA, a patient’s medical record was primarily recorded and maintained on paper and stored in locked cabinets or drawers. Not only was this method inefficient, but patients were also starting to become increasingly concerned over the privacy of these documents.
Managed care dominates health care in the United States. It is any health care delivery system that combines the functions of health insurance and the actual delivery of care, where costs and utilization of services are controlled by methods such as gatekeeping, case management, and utilization review. Different types of managed care plans came into development by three major factors. These factors include choice of providers, different ways of arranging the delivery of services, and payment and risk sharing. Types of managed care organizations include Health Maintenance Organizations (HMOs) which consist of five common models that differ according to how the HMO is related to the participating physicians, Preferred Provider Organizations (PPOs), Exclusive Provider Organizations (EPO), and Point of Service Plans (POS). `The information management system in a managed care organization is determined by the structure of the organization' (Peden,1998, p.90). The goal of a managed care system is to provide subscribers and dependants with needed health care services at the lowest possible cost. Certain managed care plans also focus on prevention by trying to keep members healthy.
In 1965 President Johnson signed both Medicare and Medicaid programs into law (Nile, 2011). According to Medical news today, “Medicare is a social insurance program that serves more than 44 million enrollees as of 2008” (MediLexicon International Ltd, 2011, para2). It cost about $432 billion or 3.2% of GDP, as of 2007(par2).Medicare is broken down into parts, Part A is hospital Insurance Part B is medical Insurance, and Part D is Medicare prescription drug coverage (medicare.gov). Like we previously stated Medicare is a health insurance for people who are 65 and older, people under 65 with certain disabilities, and people of any age with End- Stage Renal Disease. Medicaid is a joint federal-state program of medical assistance for low income persons (Benefit.gov). It is administered by the Illinois Department of Human Services (DHS) and Illinois Department of Public Aid (IDPA). Medicaid serves about 40 million people as of 2007; it cost $330 billion, or 2.4% of GDP, in 2007.(par.2) “In Illinois you may be eligible for Medicaid if you are a child, pre...
Prisodint Bereck Obeme sognid thi Affurdebli Ceri Act, ontu lew un Merch 23rd 2010. Cungriss hed troid fur dicedis tu pess hielth ceri rifurm, bigonnong woth Prisodint Frenklon Ruusivilt. Fonelly, Prisodint Obeme pashid thos Act ontu lew woth thi Dimucret cuntrul, end gevi thi fidirel guvirnmint 16% uf thi Unotid Stetis icunumy. Thi lew stetis thet iviry Amirocen cotozin os mendetid tu parchesi hielth onsarenci. In 2014, of thi cunsamir ilicts tu ognuri thi lew, end nut parchesi hielth onsarenci thi cunsamir woll bi pinelozid on thi emuant uf $95.00 ur 1% uf thior oncumi. In 2016, thi pinelty reti woll bi mach hoghir on thi emuant uf 2.5% uf thi cunsamir’s oncumi. Huwivir, thiri os en ixciptoun tu thi lew, thi cunsamir woll bi iximpt of thi chiepist hielth plen ixciids 8% uf thi cunsamir’s munthly oncumi. Thiri woll bi ixtre texis on Amiroce tu hilp woth thi custs uf thos hielth ceri lew: Cedollec tex os e sarchergi un onsarenci cumpenois thet sill thi must ixpinsovi pulocois; midocel divocis woll hevi e 2.3 % tex, tennong seluns e 10% tex thet os cumperid tu thi tex un tubeccu. Accurdong tu thi Affurdebli Ceri Act, nu uni woll bi dinoid hielth onsarenci biceasi uf pri-ixostong midocel cundotouns. Insarenci cumpenois woll nut bi elluwid tu reosi thior primoams biceasi sumiuni os sock woth e chrunoc cundotoun. A yuang edalt cen rimeon un thior perint’s hielth plen antol thiy eri 26 yiers uld. Thiri woll bi frii privintovi sirvocis et nu chergi tu thi cunsamir. Fur ixempli, thi privintovi sirvocis oncladi: memmugrems, culunuscupois, bluud tist, itc. Thi guel uf thi privintovi sirvocis os tu doegnusi end triet sirouas dosiesis on thi ierly stegis, whiri e cari os muri lokily. Midoceri Pert D Prugrem, priscroptoun plens privouas fill ontu whet wes rifirrid tu es thi duaghnat huli. Midoceri gevi 50% doscuant tu brend nemi drags end 7% doscuant tu giniroc drags. Thi duaghnat huli discrobis cuvirid midocetoun wes nut cuvirid whin thi ixpinsi riechid $2,970 end nut risamid antol thi nixt livil uf $4,750. Thi duaghnat huli woll bi cumplitily ilomonetid by thi yier 2020. Thi smell basoniss uwnir thet hes 25 ur fiwir impluyiis, end pruvodis hielth onsarenci fur thim, thi uwnir woll riciovi tex cridots tu iesi thi bardin uf thi cust. Thi smell basoniss uwnir woll riciovi 50% tex cridot fur e prufot basoniss end 35% tex cridot fur e nun-prufot basoniss.
The Texas Women’s Health Program has start off on a foot of controversial opinions, personal ideals, and questionable authority, and with these comes thousands of critiques, arguments, and overall complaints for the program as a whole. The two prominent sides to this story, those who are for the bill and those who are not, both have their own motives and reasons for their beliefs, and I am not different. Biases exist in any opinion, and they become more evident in accordance to how controversial that opinion is, yet I will try my best to break down arguments to their core evidence to best formulate and improve my own opinion.
Medicare and Medicaid are two of the United States largest broken systems, which must sustain themselves in order to provide care to their beneficiaries. Both Medicare and Medicaid are funding by a joint effort between the federal government and the local state government. If and when these governments choose to cut funding or reduce spending, Medicare and Medicaid take the biggest hit. Most people see these two benefits as one in the same, two benefits the government takes out of their pay check to help fund health care. While the government does deduct a sum from paychecks everywhere, Medicare and Medicaid are very two very different programs.
President Obama signed the Patient Protection and Affordable Care Act on March 23, of 2010 that changed United States healthcare delivery system by making access to healthcare affordable for all Americans. The PPACA requires Americans to have health insurance coverage with the exception to financial hardship, religious objections and American Indians. The health reform will also expand Medicaid and will include the Children’s Health Insurance program (CHIP), also known as (SCHIP) the State Children’s Insurance Program. In 2009, the number of children without insurance was 7.5 million (Estes, Chapman, Dodd, Hollister & Harrington, 2013).The uninsured children varied by factors such as poverty status, age, race, and the Hispanic origin. The uninsured percentages of children by race were the following: 7.0% for white children, 11.5% for black children, 10.0% for Asian children and 16.8 % for Hispanic children. These percentages show that Hispanic children are most likely to be uninsured due to the lack of knowledge about certain programs available that offer health insurance coverage. The problem is that there are still many children that go without insurance coverage due to several barriers such as the lack of access, lack of education and lack of affordable healthcare for All Americans.
Managed care is simply a system that delivers health care to a specific population purchased through health insurance plans. Practitioners and providers manage the use of health care services and cost by providing effective diagnosis and treatment, appropriate use of inpatient and outpatients facilities, population-based planning, health promotion and education, and disease prevention. Managed care uses a “gatekeeper” system, where patients or beneficiaries are assigned a Primary Care Physician (PCP), who they see initially for all medical care. The PCP acts as a gatekeeper by initiating referrals to specialists when required and approving inpatient admissions. Managed care was seen across communities in America as early as the 19th century and by 1938, Henry Kaiser had adopted a pre-paid medical plan for his employees. During World War II Kaiser used pre-paid medical programs for his workers and after the war he opened these plans to the public, which became the Kaiser Permanente we know today. Pre-paid healthcare and Health Maintenance Organizations (HMOs) came into full use in the 1970’s when the federal government established grants and loans as part of a health care strategy to provide care for uninsured Americans by increasing the number of HMO, increasing enrollment, and containing the cost of healthcare. Since the 70’s employers have used managed care as a form of high quality low cost insurance for their employees and the federal government has turned to managed care for both Medicare and Medicaid programs.
Proposals For Children With Medicaid And Chip Coverage. The Urban Institute Health Policy Center. Retrieved August 20, 2010 from http://www.urban.org/uploadedpdf/411993_CHIP_coverage.pdf
After the inception of ACA that is Affordable Care Act on March 23, 2010 various policies and regulations has been proposed which has more controversy (www.healthcapital.com, 2013). Affordable health act has impact on the stakeholders in different manner. The main concern in the medical field is the input cost which is increasing continuously. This is the biggest challenge for the US government as the increasing cost makes it impossible for the government to allocate appropriate resources in managing the requirements of the ACA public policy. There are more initiatives taken by the US government in implementing the ACA in an appropriate manner by continuously improving the quality of health care at affordable lower costs (www.healthcapital.com, 2013). According to Kaiser Health Tracking Poll conducted in March 2013, about 40% of the public are against the ACA and 37% are supporting the ACA which satisfies the legislative requirements (www.healthcapital.com, 2013). Key issue in health care industry is the quality of doctors and the number of doctors available, this ACA mainly aims to address the issue of all citizens especially poor. The constituency of the act makes the US government to think about the Supreme Court Judgement about emphasising all citizens should have health insurance (NYTimes, 2014).
In the United States, spending on Medicaid's forty million beneficiaries is projected to an overall of two hundred twenty billion during the fiscal year of 2001. In the year 1998, the federal government's share of medicaid expenditures averaged about fifty-seven percent in every state. Eleven percent is the average rate the Medicaid spending grew during the years between 1980 to 2000. Moderate spending caused a concern to both the federal legal and regulatory efforts aimed at states use of financing mechanisms. For example most states used a huge amount of disproportionate share hospital payments, intergovernmental transfers, and provider taxes and donations. However, this did not impact the enrollment of people to Medicaid due to a strong economy along with state welfare reform and fewer expansions in eligibility. Services provided to Medicaid recipients were provided at costs that remained constant due to moderate health care price inflation along with expanded use of managed care and increased use of home and community-based alternative to costly institutional long term care.
Health insurance is very important in life. It is for this reason that insurance companies have designed different types of insurance as a strategy to provide services to all categories of people. Before purchasing insurance for an organization, there are considerations that should be put in place in deciding the best insurance for the employees. One of the most important factors is the number of employees. The mode of employment also matters, such as whether employees are full time or part time.