Arizona Healthcare Cost Containment System: A Case Study

Great Essays
Health care access is very important. It allows all people to get care from many different places around the world. There are many ways that access to health care impacts the people who use it. Heath care access impacts, the physical, social, and mental status of people, the prevention of disease and disability, treatment of conditions, quality of life, and life expectancy (Access of Health Services, 2016). For people to have access to quality health care it is vital that health insurance provides adequate coverage, service, workforce, and provide it in a timely manner. Arizona Governor, Doug Ducey announced in 2015 the Arizona Health Care Cost Containment System (AHCCCS), which is a modernized Medicaid program for Arizona. The AHCCCS certifies …show more content…
Health care payments favor the provider rather than the care that is given to the patients. Hospitals provide more care regardless of the outcome they have on the patient. Examples of this are unnecessary tests, medication, and treatment. Modernizing the payment structure is an important part of the AHCCCS goals. Some of the strategies that the AHCCCS are providing patients and providers incentives to encourage collaboration, change the way care is delivered, improve performance by rewarding innovation and results, payment for the care outcome rather than the quantity of care, and boost collaboration in learning (Welcome to Arizona Health Care Cost Containment System (AHCCCS), 2016). The AHCCCS plans to start the discussion of the current health care delivery and how people pay for …show more content…
The Health Information Technology for Economic and Clinical Health (HITECH) act alters the Title XXX of the Public Health Service Act by accumulating more funding to increase the use of health information technologies using electronic health records and other technology (Welcome to Arizona Health Care Cost Containment System (AHCCCS), 2016). The legislation behind the HITECH is the health care workers and hospitals that use Medicare and Medicaid incentive payments that use health technology to improve the quality of

Related Documents

  • Improved Essays

    HIPAA Essay

    • 1113 Words
    • 5 Pages

    The Health Information Technology for Economic and Clinical Health Act, also known as the HITECH Act was signed into law on February 17, 2009. It was enacted as part of the American Recovery and Reinvestment Act, also known as ARRA. This Act was passed to encourage the adoption and meaningful use of health information technology (HHS, par 1) and to add changes to HIPAAs original provisions. The HITECH Act significantly modifies the Health Insurance Portability and Accountability Act, also known as HIPAA.…

    • 1113 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Affordable Care Failure

    • 754 Words
    • 4 Pages

    The United States - The Patient Protection and Affordable Care Act (ACA) of 2010 established “shared responsibility” between the government, employers, and individuals for ensuring that all Americans have access to affordable and quality health insurance. However, health insurance coverage remains fragmented, with numerous private and public sources as well as wide gaps in coverage rates across the U.S. population. The Centers for Medicare and Medicaid Services (CMS) administers the Medicare program (a federal program for those age 65 and older and the disabled, including those with end-stage renal disease) and works in partnership with state governments to administer Medicaid and the Children’s Health Insurance Program (a conglomeration of…

    • 754 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    ACO Model

    • 1089 Words
    • 4 Pages

    A major component of the 2010 Patient Protection and Affordable Care Act (ACA) is the promotion of new models for payment and care delivery that control costs while improving quality. One of the most prominent of these new models is the Accountable Care Organization (ACO). ACOs, broadly defined, are groups of health care providers and hospitals joined together as either vertically integrated systems or virtually integrated networks that are responsible for the care of a defined population of patients. A primary means through which the ACA promotes the ACO model is the Medicare Shared Savings Program (MSSP), in which ACOs contract with Medicare to provide care to beneficiaries in the Fee-For-Service program, and are financially rewarded if…

    • 1089 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Introduction The Affordable Care Act has transformed the health care system for individuals with chronic illnesses. The ACA stipulates that insurance companies can no longer discriminate against individuals with preexisting conditions (Burge, & Schade, 2014). Prior the enactment of the ACA, individuals with chronic conditions, had difficulties procuring health insurance because of their illness. Individuals with chronic conditions from low income households must have an earning about 400% below the federal established poverty guideline, which as of date is $45,960 to qualify for federally subsidized health insurance (Burge et al., 2014). Researchers estimated that approximately thirty-two million Americans with chronic conditions will have access to health care as a result of the ACA (Arora et…

    • 493 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    HITECH Legislation Paper

    • 514 Words
    • 3 Pages

    Main Question Post: Discussion 7 The HITECH Legislation The HITECH Act of 2009 objectives is to “improve the delivery of healthcare quality … coordination of services between and among … various healthcare providers” with health information technology (HIT) (McGonigle & Mastrian, 2015, p. 149). The HITECH legislation will bequeath inducements to health care organizations that demonstrate significant usage of health information technology (McGonigle & Mastrian, 2015). Health care organization exhibiting significant usage of HIT is not an effortless practice and indeed necessitate a forever trial and error of schemes. Henceforth, the intent of this week discussion is to deliberate on how the HITECH legislation has influenced my healthcare organization, how the inducements influenced the quality of care and summation of an article that has fruitfully exhibited significant usage of health information technology.…

    • 514 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    Introduction The goals of the Patient Protection and Affordable Care Act (ACA) has propelled all primary care practices into new and uncharted territory. To meet the primary goals of the ACA, primary care physicians would play a pivotal role in improving the health of Americans and lowering the costs of the health care they receive. The legislation plans to accomplish this by moving from fee-for-service to value-based reimbursement. The value of the value-based reimbursement is based on improving the quality of care as demonstrated by improved quality measures.…

    • 1109 Words
    • 5 Pages
    Great Essays
  • Improved Essays

    With the many different facts involved in this complex approach, the regulations that provide meaningful use (MU) have a profound impact on the effectiveness of the endeavor to produce better health care. Rouse defines meaningful use attestation as follows "Meaningful use attestation, in a health information technology (HIT) context, is a process that documents that an organization or individual has successfully demonstrated meaningful use and is successfully fulfilling the requirements for electronic health records (EHR) and related technology. " The stages of MU build upon the previous stage. Meaningful Use Stage 1 Lundy defines the spirit of the Health Information Technology for Economic and Clinical Health Act (HITECH) and meaningful use (MU) as "The Health Information Technology for Economic and Clinical Health Act (HITECH) was intended to encourage physicians not just to adopt EHRs, but to use them in what the federal government described as a "meaningful" way.…

    • 625 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    The article I have chosen is the Legal Challenges to Managed Care Cost Containment Programs: An Initial Assessment by the Health Affairs (Jacobson, 1999). It was written to provide an assessment of how costs have ruled in litigation affecting managed care cost containment initiatives. The recent changes in the health care delivery system, especially the cost containment initiatives introduced by managed care organizations (MCOs), depends largely on whether these efforts can lower health costs without reducing quality the of care (Jacobson, 1999).…

    • 118 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    DESPITE HIPPA’S HITECH ACT, CYBERATTACKS CONTINUE TO RISE HIPPA’s HITECH Act and the Omnibus rule were enacted to prevent data breaches in healthcare; however, healthcare data breaches are on the rise. Since its enactment in 1996, several provisions have been incorporated into the original Health Information Profitability and Accountability Act (HIPAA), one of which is the Health Information Technology for Economic and Clinical Health Act (HITECH): In 2009, The U.S. Department of Health and Human Services (HHS) enacted the American Recovery and Reinvestment Act, which includes the HITECH Act. On March 26,2013, HHS enacted a final Omnibus rule to implement several provisions of the HITECH Act. These provisions aim to strengthen the confidentiality…

    • 807 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Diabetes Advisory Council

    • 1484 Words
    • 6 Pages

    Diabetes Advisory Council To improve the quality of patient care and overall health care status while decreasing healthcare costs is a major goal that keeps on being a challenge to many healthcare organizations throughout the United States. In this growing society, working with the community as a health professional in a primary care setting incentives can be created and implemented for positive patient outcomes. One of the biggest impacts in healthcare that has brought a significant change since Medicare is the Affordable Care Act. This shift in healthcare reform has brought many positive changes to many people who had no healthcare insurance and are living with a chronic healthcare condition.…

    • 1484 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Health care costs are increasing every year, for a collection of reasons that range from the boring to the scandalous. For example, there’s a new move toward crazy expensive drug prices, like the $84,000 hepatitis C drug that singlehandedly accounted for 13% of the increase in drug spending in 2014. Lots of “specialty” drugs were born when manufacturers realized they could charge whatever they want. Expensive drugs are mostly paid for by insurance, and drug companies like it that way: the patient gets free or cheap drugs, and the insurance company foots the gigantic bill. Of course, that means we all pay for it in the end, through high premiums.…

    • 597 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    The Oregon Experiment The Oregon Medicaid program gave policymakers a unique snapshot of what could happen to the nation when Medicaid coverage increased with the ACA. In 2008, Oregon initiated an expansion of their Medicaid program. The limited expansion of the Medicaid program used a lottery drawing from a waiting list of low-income adults (Taubman, Allen, Wright, Baicker, & Finkelstein, 2014). The expansion program was for the Oregon Health Plan (OHP) Standard, which provided benefits to low-income adults who were not categorically eligible for Oregon’s traditional Medicaid program (Taubman et al., 2014). Background…

    • 687 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    CMS is the Centers for Medicare and Medicaid Services. It was formerly known as the HCFA. That stands for Health Care Financing Administration. The Medicare/Medicaid legislation was passed in 1964. There are predetermined rates depending of services or facilities.…

    • 224 Words
    • 1 Pages
    Improved Essays
  • Great Essays

    Behavioral health and mental health are sometimes used interchangeably, but behavioral health extends beyond mental health and encompasses a broad array of psychiatric and/or psychological services provided in many different settings. Behavioral healthcare is used to describe the connection between behaviors and the health and well-being of the mind, body, and spirit. It can include behaviors, such as habits like eating or drinking, that impact humans over time or immediately either physically or mentally. It can also refer to much broader factors such as dealing with stress over long periods of time or living in overpopulated areas. When it comes to these behaviors, some are controllable and some are not.…

    • 1257 Words
    • 6 Pages
    Great Essays
  • Superior Essays

    Identify The How Health Information Technology (HIT) Can Be Used To Engage Patient, Improve Patient Outcomes, Provide Better Patient Care, And Lowering Cost. Patient engagement has become a critical pillar in the healthcare sector today. There is much emphasis on patient engagement, and healthcare providers are making all efforts to ensure that patients get engaged in their healthcare process. The healthcare providers have seen the need of putting the patients at the center of the healthcare process.…

    • 1043 Words
    • 5 Pages
    Superior Essays

Related Topics