Quality health care should be a national priority. It should not be optional, seasonal, limited, or expensive. Rather, it should be mandatory, lifetime, efficient and affordable. Quality health care is a government responsibility. The government, through the Department of Health and Human Services should lead in promoting efficient health care to each of its citizens…
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This paper reviews the proposed rule by the Centers for Medicare & Medicaid Services (“Medicare program; Medicare shared savings program: Accountable care
organizations,” 2011) on the formation of Accountable Care Organizations (ACOs). The establishment of ACOs has been included in the revised Patient Protection Affordable Care Act (PPACA) under SEC 1899 Medicare Shared Savings Program. Following this, the CMS has published its proposed rules on May 31, 2011. The publication details the requirements for establishing ACOs, agreement procedures, regulations, and so on. This paper reviews the rule proposed by the CMS and analyzes the reliability and applicability of ACOs in the present health care system.
Background of the Study
Physical health is a precious and priceless possession that every person must value. Exercising regularly, eating a healthy diet, drinking safe water, and staying away from vices are some basic ways people can do to preserve their health. There are many other ways to stay healthy; however, such ways can be very costly such as relieving oneself of stress by going regularly to a spa and massage center, enjoying recreational activities, and keeping an organic garden. Nowadays, it is better to take the necessary precautions to stay healthy and stay away from costly hospitalization and medication. In order to avoid costly and unplanned hospital costs in the future, many people also resort to medical insurances through managed care systems provided usually by Health Maintenance Organizations (HMOs). With HMOs, patients are assured to avail of health services according to the plan they subscribe to. HMOs offer out-patient services, laboratory examinations, medications, physical examinations and hospitalization benefits based on the pre-arranged membership plan. Thus, members can easily access health care service even without money at hand. When hospitalized, patients enjoy the benefits covered by their plan including free checkup with a specialist contracted by the HMO, free or largely discounted hospitalization, free laboratory examinations, home medications, and so on. However, patients under the HMOs have limited benefits according to the coverage of the plan they avail of. Likewise, patients cannot choose the health care providers that would attend to their needs; instead, they will have to access services from those providers (doctors and hospitals) that are connected with their HMO or insurance agency. The benefits that HMOs provide are valuable. People under the HMO can expect to be attended to immediately upon presenting their membership cards to hospitals or clinics covered by their insurance agency. Moreover, HMOs have a wide coverage, thus looking for a hospital or health care provider is not difficult. The existence of HMOs since the 90s has established their credibility and success in providing quality service. The satisfaction surveys conducted (“
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United States Health Care Reform and Accountable Care Organizations
It goes on to discuss the implementation of the recent Affordable Care Act and the changes it will bring along with it, more specifically the benefits. The issues this paper touches upon are of extreme importance because they are related to sensitive issues of health and the provision of medical assistance to the American people.
Lack of prioritizing medical care and safety ideology to patients has reduced the services offered and the level of treatment. Nations all over the world have implemented patient safety standards as a first priority. Patients are given the best care and service to increase the life expectancy of living beings.
Those who receive care, address their primary care physician as opposed to a mental health professional, such as a psychiatrist or a psychologist. This traditional ‘as-needed’ approach to mental health treatment has proven to be inadequate in addressing the needs of mentally ill persons.
First, the organization uses employer contribution technique, whereby premium costs that were contributed by the employers were reduced by an average of $480 for the employers that made a fixed dollar contribution and granted their employees at least three plans, without considering the plan chosen.
The Joint Commission (TJC) has formulated and implemented many policies on health care accreditation that has stimulated the quest by analyst to determine whether it was essential or has outlived its purpose. This has been brought forth by the fact that there are many issues that continue to affect the healthcare organizations, which has raised questions on the credibility of the organization that offer the healthcare services (The Joint Commission, 2010).
itioners ensure the provision of medical services and other healthcare related services to the public by coordinating and communicating with professionals of healthcare. For instance, healthcare practitioners enlighten members of the community on measures to take to ensure they
This research paper is particularly dealing with the core components of improving quality and the efficiency of health care. All of the components are deeply analyzed and evaluated on the basis of the data
The CHCQ’s mission for Health Care Quality is to propel examination and grant that advances confirmation based care, with increased thoughtfulness regarding the needs of the underserved. At the point when an ACO succeeds in both conveying amazing care and spending health care resources all the more shrewdly, it will partake in the reserve funds it accomplishes for the Medicare program.
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