Andrew Rider of Michigan Insurance Company referred this file for medical case management. Instructions were given to meet with Chris Simonson and assist with coordination of appropriate and related medical care, and identify needs to facilitate recovery. INTERVIEW SETTING On 8/25/16 I met Mr. Simonson at the office of Mid Michigan Orthopedics. Mr. Simonson drove independently to the appointment.…
Medicare (Title 18) is a program that provides health care to individuals who are 65 years or older, disabled, or suffer from kidney failure. Medicare has a basic four-part structure: Part A, which is hospital insurance, Part B, which is supplementary medical insurance, Part C, which is Medicare advantage, and Part D, which is prescription drug coverage. Part A and B make up what is known as traditional Medicare. Part A concerns hospital insurance, this is financed by payroll taxed through employers and employees. Part A pays for a portion of inpatient hospitalization, nursing care, home health care, and hospice.…
The upcoming legislation scheduled a hearing for the Minnesota Compassionate Care Act. This act (also known as Death with Dignity act) giving the right for patients to legally choose PSA as their final choice. However, this is only allowed with a certain set of specific rules in order to be granted permission. First, they must be over 18 years old and a Minnesota resident. Secondly they must be able to be mentally capacity of making health decisions.…
The landscape for transgender healthcare has been radically impacted by the passage and implementation of the Affordable Care Act [ACA]. The ACA paved the way for the state and country to address the discrimination and barriers to accessing care that many transgender people have experienced. Over the past few years there have been significant changes to trans-specific healthcare coverage, which can be attributed to the clarification of Senate Bill 2 and the state and federal mandates. In this paper I will discuss the laws more in-depth, how they affect Kaiser Permanente specifically, and some recommendations on how to support fully inclusive healthcare. Background…
Abstract This proposal looks to introduce the readers to a new legislations that will allow all citizens to have equal access along with fair access to a health care system. This plan will outline many key areas that will allow for employers to gain benefits for having coverage options for both full and part-time workers. In addition, this proposal will set a guideline to allow for an equal cost healthcare system for everyone that wishes to have coverage. The current plan, the Affordable Care Act, will be discussed throughout this proposal discussing how this plan is detrimental for the American people and the economy.…
The Affordable Care Act ( ACA) was initially created so that low-income families could receive health care benefits. This led to a court case between the National Federation of Independent Business and Kathleen Sebelius, where the Affordable Care Act was questioned its constitutionality. The National Federation of Independent Business v. Sebelius allowed people to be aware of the current healthcare issues and how the court case impacted the healthcare system. Primarily, the introduction of the court case enabled the awareness of healthcare issues in the United States.…
The provisions of Affordable Care Act (ACA), include waiver that provide republicans a loop hole to strip down the ACA and make the policy ineffective. It creates an alternative approach to expanding medical coverage by individual mandate or premium tax credits to health care plans. From a republican stand point section 1115 allows the sectary of health and human resources to waive major portions of the ACA. For example, the case of Burwell vs. Hobby Lobby, where the ACA made the mandate that a company of more than 50 employees should cover conceptive measure. Later, the Supreme Court of the United States (SCOTUS) ruled in favor in Hobby Lobby, can be used to remove provisions of the ACA to favor more concretive views of the republican party.…
Why the Affordable Care Act must be Repealed By: Robert J. Andrea Do you currently own health insurance? If you answered no, enroll soon, it is the law. On March 23, 2010, United States president Barack Obama signed the Affordable Care Act, more easily recognized as the ACA, or Obamacare. The act was theoretically put into effect in efforts to allow citizens to have a greater input in the health insurance process, according to the introduction of the first section of the act (U.S. Government Printing Office, 1).…
According to the article, Health Coverage Under the Affordable Care Act explains the ways coverage through employers to help improve access and quality for employers and employees in the workplace. The ACA has projected to support and cover those with chronic medical illnesses. Where they can choose coverage in the employer’s plan or choose to unsubsidized insurance through another exchange from a non-group market. Providing eligibility for a tax credit because employees pay more than 9% of income for the premium in the employer’s plan to help them with better quality of care even during their employment.…
The Affordable Care Act was meant to serve the uninsured, and according to studies many are worse off than before. It's ironic how the elderly and the poor were supposed to benefit most from Obamacare yet they’re the ones who will be affected by the new tax (Brase). Obamacare's goal is for everyone to be insured. If a person is uninsured and doesn't obtain an exemption, then one must pay a fine (DeMichele).…
For employees with very low-income employees, whom cannot afford their employer’s coverage, will become eligible for health care, without any penalty for employers. The Affordable Care Act also created new protections to ensure your insurance plan covers you when you need it and enhances these protections by eliminating limits on the amount of benefits you can receive. By doing so, one will be rewarded with quality of care, rather than the quantity of care. Another benefit from the ACA is, it will help against health care fraud and small business tax credits. Other positive benefits include strengthening Medicare with yearly wellness visits for Medicare recipients, and holding insurance companies accountable and require the insurers justify any premium increase of 10% or…
Many refuse to buy insurance and feel it is not needed therefore they will be penalized. The penalties will be added onto the tax paid to the IRS at the end of each tax year if the person filling the return did not sign up for Obamacare (CCH, 254). For those that cannot afford Obamacare or another form of health insurance may be able to apply for medicaid to avoid being charged with the tax. The penalty is a low percentage of a households income and can be paid easily for those who choose not to purchase insurance (Barr,…
A major critique of the Affordable Care act pertains to the subsidies the policy has made accessible to low income, since they believe they are being taking advantage of. However, subsidies are the reason millions of people could pay for the Affordable Care Act, and without it many Americans wouldn’t be insured. Luhby implies, “Most Obamacare enrollees aren’t paying the whole full price. Few people pay the full original price for their health insurance due to subsidies. A majority of the 10.2 million enrollees collect federal subsidies, which lower the original price to maximum of 9.6% of their income.”…
Intended Outcomes Anticipated project results include increased awareness of the benefits and requirements of the ACA, increased enrollment of minority populations in private insurance through the Marketplace or Medicaid/CHIP, and increased awareness of health disparities and available resources designed to address, develop, or improve health equity. The Intervention The project uses a multi-lingual/multi-cultural team to conduct ACA-related outreach, provide education on the Health Insurance Marketplace, utilizes health information resources and brochures from Health and Human Services (HHS) and Centers for Medicare and Medicaid Services (CMS) websites, and assists with enrollment, completion of the application to determine eligibility, and…
Job seekers may be a little weary when it comes to taking a position with a small business for fear of a lack of benefits. This is not a reason to worry, though, for small business owners have the means of seeking out and securing benefits for their employees. Among the various elements of a comprehensive benefits package, it is usually the health benefits offered to members of a staff that keep them interested in working for a company. Appropriate health insurance is essential for employee satisfaction and retention.…