BHA-FPX 4112 Assessment 3 National Health Insurance in the United States

BHA-FPX 4112 Assessment 3 National Health Insurance in the United States

BHA-FPX 4112 Assessment 3 National Health Insurance in the United States

National Health Insurance in the United States Sample Paper

Introduction

  • The United States does not have a universal health insurance coverage
  • Nearly 92% of the population had insurance coverage in 2018.
  • About 27.5 million people (8.5% of the population) have no access to insurance coverage, thus are uninsured (Keisler-Starkey & Bunch, 2021 BHA-FPX 4112 Assessment 3 National Health Insurance in the United States).
  • Medicare and Medicaid Acts of 1965 remain the only government-initiated insurance programs accessible to the public.
  • US citizens can access private insurance coverage in the form of employment-based plans, direct purchase, and TRICARE.
  • Alongside Medicaid and Medicare, the Civilian Health and Medical Program of Hd Department of Veterans Affairs is a public insurance coverage.
  • The US spends almost twice the OECD average expenditures for healthcare ( Nunn, Parsons & Schambaugh,  2020).

BHA-FPX 4112 Assessment 3 National Health Insurance in the United States

The Impact of Medicare and Medicaid

  • The US government enacted Medicare and Medicaid in 1965 through the social security act
  • Before 1965, only employees accessed employer-sponsored health insurance introduced in 1920s
  • Medicare ensures a universal right to healthcare for persons aged 65 and older
  • Medicaid provides cover to low-income families, the visually impaired, and individuals with disabilities.
  • Medicaid and Medicare inspired the enactment of Children’s Health Insurance Program (CHIP) of 1997.
  • The Affordable Care Act (ACA) of 2010 required states to expand  Medicaid to address the problem of uninsured population. BHA-FPX 4112 Assessment 3 National Health Insurance in the United States

Impact of Medicare and Medicaid Continued

  • Medicare and Medicaid policies have significantly reduced the number of uninsured and underinsured populations.
  • Some states operate the Children’s Health Insurance Program (CHIP) as an extension of Medicaid.
  • Many states expanded Medicaid in 2014 to incorporate additional provisions, including:
  • Extending coverage to young people.
  • Expanding Medicaid eligibility to accommodate the uninsured population.
  • Open health insurance marketplace (Tikkanen et al ., 2020 BHA-FPX 4112 Assessment 3 National Health Insurance in the United States).

The Feasibility of Expanding Medicare and Medicaid

  • Every American should have equal access to affordable healthcare services regardless of their socio-economic or demographic diversities
  • Over 28.7 million people (8.9 % of the total population) have no access to health insurance covers .
  • The number number of uninsured people is set to increase to 37.2 million by 2028 due to affordability issues and complexities in the US insurance markets.
  • Expanding Medicare and Medicaid would fulfill the triad goals of accessibility, affordability, and equity (Shrank et al., 2021 BHA-FPX 4112 Assessment 3 National Health Insurance in the United States)
  • Expanding Medicare and Medicaid will enable states to collaborate with the national government to strength insurance marketplaces to provide people with multiple options.

The Implications of National Health Insurance

  • The national health insurance has implications on care accessibility, utilization, technological advancements, cost, and economic growth.
  • The United States does not have universal health insurance cover.
  • Not all Americans are eligible to Medicare and Medicaid insurance covers-an aspect that limit accessibility and care utilization.
  • Medicaid expansion has ushered an era of technological advancements to accommodate increased demand and enhance processes (Suennen et al., 2021).
  • An absence of a universal health care results in poospending patterns, increasing the cost of care and hampering economic growth (Zieff et al., 2020 BHA-FPX 4112 Assessment 3 National Health Insurance in the United States).

Pros and Cons of National Health Insurance in the US

Pros

  • Medicaid expansion provide opportunities for increased insurance coverage
  • Medicare and Medicaid address health disparities by promoting accessibility, equity, and affordability (Shrank et al., 2021).
  • Medicaid expansion facilitates technological advancements (Suennen et al., 2021).
  • National government’s involvement in controlling national health insurance reduce competition for private insurance providers, reducing the likelihood of manipulating consumers.

Cons

  • Lack of competition in Insurance marketplaces hamper the cost-effectiveness of Insurance premiums

Pros and cons of National Health Insurance Cont’d

  • Lack of a universal health insurance exercebates disparities within social determinants of health
  • The United States spends far more per Capita on health care than other wealthy countries without the plausibility of improving care (Crowley et al., 2020).
  • Variations in deductibles, copayments, premiums, and coinsurance among insurance providers increase their costs, limiting affordability.
  • Healthcare reimbursement models for the national health insurance remain a primary concern.
  • Policymakers in the healthcare sector should reform the national insurance by changing reimbursement models and encouraging market competitiveness. BHA-FPX 4112 Assessment 3 National Health Insurance in the United States

Necessary Reimbursement Changes for the National Health Insurance

  • Up to today, the US uses the national health insurance model to fund the Medicare coverage.
  • Private insurance and out-of-pocket models are common ireimbursement models in US.
  • The Bismarck system (social insurance model) applies to the employer-sponsored insurance in the country.
  • Policymakers should change these models to accommodate advanced reimbursement systems such as the single-payer model, capitation, and the bundled, value-based payment system.

Operational Changes for Transitioning to Universal Healthcare Insurance

  • Transitioning to universal health care significant upfront cost rated to physical and infrastructural change (Zieff et al., 2020 BHA-FPX 4112 Assessment 3 National Health Insurance in the United States).
  • Healthcare professionals should collaborate with hospital insurers, patients, and governements to ensure effective transitioning.
  • The state and federal government should collaborate to address healthcare disparities.
  • Transforming outpatient specialist care is essential for enhancing care coordination andaddress disparities.
  • Capitating payment for healthcare insurance is a step towards achieving value-based purchasing system (Shrank et al., 2021).

Conclusion

  • Every American should have access to affordable and quality care
  • Medicaid and Medicare are the primary public insurance coverage that cater for older adults, low-income families, and people with disabilities.
  • The absence of a universal health insurance leads to high premiums, coinsurance, and copayments, contributing to inequalities and inaccessibility.
  • The country should transform thexisting reimbursement models to accommodate advanced options such as single-payer model, capitating payment, and value-based purchasing.
  • These options require interdisciplinary and stakeholder collaboration. BHA-FPX 4112 Assessment 3 National Health Insurance in the United States

BHA-FPX 4112 Assessment 3 National Health Insurance in the United States References

Assessment 3 Instructions: National Health Insurance in the United States

Create an 8-12-slide PowerPoint that presents a potential pathway and plan to implement a national health insurance program in the United States. BHA-FPX 4112 Assessment 3 National Health Insurance in the United States

As you explore the physician services market and the hospital market, you will have an opportunity to explore concepts such as supplier-induced demand and cost shifting. The efficiency of physician and hospital services will be explored, as well as price competition of both physicians and hospitals. Since the price that a hospital or physician charges for services is rarely paid, you will have the opportunity to think about the relevance of price and why we even have prices today.

National health insurance is a highly debated topic in the United States. This assessment focus on creating an outline for a plausible national health insurance program, which will bring into consideration a number of factors, such as financing structure of national health insurance, and think about the advantages and disadvantages of a single-payer system, employee mandates, and refundable tax credits. You will have an opportunity to look at our neighbor, Canada, and compare the Canadian health system to that of the United States. What are some of the benefits of the Canadian health care system and do those benefits outweigh the costs, such as longer wait times? As you finalize your assessment you will pick a side—for or against—national health insurance. BHA-FPX 4112 Assessment 3 National Health Insurance in the United States

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

Competency 1: Analyze historical perspectives and current trends in the health care industry.

Explain how legislation has supported or failed to support national health insurance in the United States.

Competency 2: Assess the United States health care system from an economic perspective.

Analyze the implications of national health insurance on access, utilization, technological advancements, cost, and growth in the United States.

Competency 3: Analyze the evolving economic reimbursement trends, methods, and technology.

Explain the necessary reimbursement changes that would be required to transition to national health insurance in the United States. BHA-FPX 4112 Assessment 3 National Health Insurance in the United States

Competency 4: Analyze how economic and stakeholder influences affect operational planning and decision making.

Explain the necessary operational changes that would be required to transition to national health insurance in the United States.

Competency 5: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others and is consistent with expectations for health care professionals.

Write following APA style for in-text citation, quotes, and references.

Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.

Context

For almost a century, the U.S. health care system has been a hot topic of debate and a central issue in all political agendas. Many argue that the United States should have national health insurance, similar to Canada, so care is accessible to everyone. Others argue that national health insurance leads to longer wait times and decreased quality.

BHA-FPX 4112 Assessment 3 National Health Insurance in the United States Instructions

In this assessment, you will consider everything you have learned in this course, including the history of the U.S. health care system, reimbursement methodologies, technology, and operational concerns. Make an argument, grounded in research, for whether or not the United States should implement national health insurance. Reviewing the media piece National Health Care Trade-Offs | Transcript before beginning your assessment may help you to better understand what areas of a national health insurance program you believe are most important, as well as the trade-offs needed to pursue your priorities.

Also, make sure to consult the scoring guide to make sure you are meeting the communication criteria and achieving at your desired rubric level. BHA-FPX 4112 Assessment 3 National Health Insurance in the United States

Create an 8–12 slide PowerPoint within the context of a brown bag session for colleagues at your current organization or an organization for which you would like to work. The goal of this session is to share innovations and ideas on a truly national health insurance system in the United States, as well as the legislative, economic, and logistical considerations and trade-offs of your plan.

Include the following in your PowerPoint:

  1. Explain how legislation has supported or failed to support national health insurance in the United (Competency 1)
    1. Discuss the impact of Medicare and Medicaid on the health care
    2. Determine the feasibility of expanding Medicare and Medicaid into a national health insurance available for all
  2. Analyze the implications of national health insurance on access, utilization, technological advancements, cost, and growth in the United (Competency 2)
    1. Identify access, utilization, technology, cost, and growth concerns resulting from national health. BHA-FPX 4112 Assessment 3 National Health Insurance in the United States
    2. Analyze the pros and cons of national health insurance in the United States and determine the feasibility of national health insurance in the United States based on the pros and
    3. Explain the necessary reimbursement changes that would be required to transition to national health insurance in the United (Competency 3)
      1. Apply the reimbursement methods of national health insurance to the United States health care
      2. Determine the feasibility of those reimbursement methods in the United States health care
    4. Explain the necessary operational changes that would be required to transition to national health insurance in the United (Competency 4)
  1. Apply the operational practices of national health insurance to the United States health care
  2. Explain how the practices of physicians, hospitals, insurers, patients, and the government would each change to transition to national health
  3. Determine the feasibility of those operational changes in the United States health care
  1. Write following APA style for in-text citation, quotes, and (Competency 5)
    1. Determine the proper application of APA formatting requirements and scholarly writing
    2. Assess the relevance and credibility of information
  2. Write clearly and logically, with correct use of spelling, grammar, punctuation, and (Competency 5)
    1. Apply the principles of effective. BHA-FPX 4112 Assessment 3 National Health Insurance in the United States
    2. Determine the proper application of the rules of grammar and

Submission Requirements

Written and visual communication: Ensure content is clear, with correct spelling, grammar, and syntax, and well organized to support orderly exposition of content. The writing and visuals should enhance the message. Avoid errors that detract from the message.

PowerPoint slide formatting:

Write each slide, except the title and references slides, with a bold headline and up to seven bullet points. Use as few words in each bullet point as needed to convey your message. Think of them as subheadings. Enter all details and supporting information in the Notes area below the slides. BHA-FPX 4112 Assessment 3 National Health Insurance in the United States

Length: Compose 12–18 slides.

References: Cite at least three current scholarly or professional resources.

APA formatting: Use APA style for references and citations. Remember to use in-text citation just as you would in a paper-style written assignment. You may find it helpful to consult the following resources:

APA Style and Format.

SCORING GUIDE

Use the scoring guide to understand how your assessment will be evaluated.

VIEW SCORING GUIDE