State Health Insurance Case Study

Improved Essays
6. Some of the barriers and opportunities I believe impacted the implementation of the state health insurance exchange was that the exchanges were made to benefit customers both individual and group market by providing choice, transparency and convenience, in which consumers can now choose among competing health insurer providers (both private and private). Before the ACA, the insurers were deceptive; consumers are now protected by ACA regulation that ensures insurance companies that choose to sell products (plans) do not deceive consumers by protecting them. Moreover, the affordable care Act is created to provide the same information and transactional opportunity, and increase access for the un-insured or underinsured Americans to quality

Related Documents

  • Decent Essays

    Insurance company reimbursement rates are seldom available to the public. Most patients are privy to these reimbursement rates only after their claim is processed. After reviewing the charge rates and reimbursement rates of Sutter Health, a system of not-for-profit hospitals and physician groups, disparities between hospital charges and disparities between insurance reimbursements were identified. The results revealed that a hospital charges different rates for the same procedures.…

    • 290 Words
    • 2 Pages
    Decent Essays
  • Decent Essays

    Currently I am working for Blue Cross Blue Shield of Tennessee and have been there for fourteen years, it’s never a dull moment with calls coming in. I started out in the department that handled the State of Tennessee employees and worked my way through to my present position which is a Health Navigator Population Health. This department is a new one in which we call members to make sure they have all their preventive care taken care of from pap smears to the guy’s favorite prostate exam. Our mission statement is “Peace of mind through better health” (CITE HERE) this was changed recently from a very lengthy one to one members could remember more easily.…

    • 172 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    The Obamacare Affordable Care act since launching has not had one aspect of the plan be introduced to the public seamlessly. From the moment the healthcare act launched to the current status of the act there has been several complications and oversights that I feel will add to our ever growing deficit. Employers will find loopholes and will opt to pay the fines for not adhering to the Affordable care Act is much cheaper than paying for adequate health coverage. Was the impact of the small business owner ever taken into account when placing the rules and regulations for offering adequate healthcare to their employees?…

    • 105 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    Health Policy Case Study

    • 754 Words
    • 4 Pages

    1) From the case study, provide one example of each of the forms that public policies can take: laws, rules or regulations, other implementation decisions, and judicial decisions. Law: Social Security Amendment of 1965 is a public law 89-96. It was created to aid senior citizens with health insurance (Medicare) and to provide health care to indigent population and disabled (Medicaid). Rules/Regulations:…

    • 754 Words
    • 4 Pages
    Improved Essays
  • 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.…

    • 1164 Words
    • 5 Pages
    Great Essays
  • Improved Essays

    With having insurance coverage Affordable Care Act (ACT) the health care professionals will have to deal with increased patient loads, and with it definitely comes a lot of stress. Of course, every health care professional wants to help but there needs to be staff to help. There will also be an increase in the outpatient settings. There will be more patients wanting treatments for chronic illnesses who were not able to get coverage in the past. Before having insurance coverage’s a lot of patients’ would not be able to come to the hospital due to affordability issues, but since now they can afford they want to get help from medical professionals.…

    • 211 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    The reason that the Affordable Care Act got created was to help the current cost of our healthcare, provide insurance options for those who are uninsured who cannot afford current policies, and those who cannot receive insurance because of preexisting conditions. These holes within our system created a cause for concern and the Affordable Care Act was going to help cover in these holes over a period of years so not all the changes would be done at once. Insurance policies for small companies would receive tax breaks to help keep policies affordable, create insurance exchange programs so more people can find affordable insurance who are uninsured, young adults can stay on their parents’ insurance until 26, and insurance companies cannot discriminate…

    • 247 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    Natalie Dixon, information generated from government and scholastic sources have previously highlighted the continuing disparity in health care in general. Across the globe there are contrasting policies and systems that have been implemented to meet the requirements of those nations constituents. Some are remarkable in their approach to delivering health care, the quality of care and their specific level of government control. The Affordable Care Act had both its positives and negatives in its designed approach to a continuing issue, but the fact remains and has been documented that for every action there is a reaction. Some of the negativities have complicated the issue, but then again it all depends on which side of the bandwagon one wishes to address or champion in their approach.…

    • 533 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    In the Clinton health care reform case, the primary interest groups were the Big Five, Business Roundtable, National Federation of Independent Business (NFIB), and Health Insurance Association of America (HIAA). The Big Five was the strongest supporter of the health care reform while the NFIB and HIAA were the strongest opponents of the proposal. The Business Roundtable was predictable to be favorable to the proposal; however, several members favored a newer proposal (Cooper-Gandy) which they showed more support. The HIAA represented smaller businesses and opposed health care reform because small business owners could not cover the costs of health insurance for all employees.…

    • 744 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Managed Care Case Study

    • 728 Words
    • 3 Pages

    1. There are two main types of third party payers: private insures and public programs. Private payers sell insurance as a product in order to invest into health benefits, where the provider gets paid for the delivered healthcare service. Commercial insurers, Bleu Cross Blue Shield and self-insures are the main private insures in the country. BCBS is a set of independent companies that are required to follow the rules of the main nationwide association in order to be part of it.…

    • 728 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Medicaid: A Case Study

    • 281 Words
    • 2 Pages

    Application: Give an example either real life, metaphor, poem, analogy that exemplifies the consequences of the population trends for healthcare including how healthcare is financed. I believe that the Medicaid programs are necessary in many cases to provide support to those that are eligible for the coverage. Medicaid pays for care rendered in governmental hospitals, clinics, and emergency rooms (Williams & Torrens, 2008). This is a great benefit to those that truly need the coverage.…

    • 281 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Obamacare: A Case Study

    • 758 Words
    • 4 Pages

    The development of Obamacare helps to increase the utilization of health care, improve the quality, and makes healthcare more affordable. Another factor that may affect health care providers is more providers may be willing to accept Medicaid insurance. Overall, Obamacare will increase business and the use of services, which will most likely cause a decrease in the cost of health care services. Policy implementation: The beginning phase for the implementation of Obamacare is rulemaking.…

    • 758 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Obamacare Federalism

    • 1087 Words
    • 4 Pages

    When Obamacare first passed in 2010, it was expected that each state would run its own marketplace, different from HealthCare.gov, this is not the case though, since many of the states decided to let the national government take care of the marketplace and to use the federal system. There are multiple reasons for this transition to a sole federal system and marketplace. One of the reasons is that state budgets do not have enough money in order to build the infrastructure it needs, and grants are virtually unavailable, so many states are moving towards just using HealthCare.gov. Another reason is the recent Supreme Court case King v. Burwell which decided that health insurance consumers can receive federal subsidies regardless of their state’s role in running their insurance market, so fewer states are offering alternative options to the federal system. This court case essentially cuts out the need for an individual state system, when there is a perfectly fine functioning governmental federal system one.…

    • 1087 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    Insuring the Uninsured: Where Should Undocumented Immigrants Stand The United States has maintained a tolerate-hate relationship with undocumented immigrants, and really immigrants in general. According to Pedraza and Rumbaut (1996) history has shown that their presence is necessary for economic development, especially in the labor workforce that has remained undesirable to native residents. However as Hilfinger-Messias, McEwen, and Boyle (2015) explain, more often then not when immigrants become increasingly visible in society nativism resurfaces exclusionary tendencies, and immigration policies become increasingly prohibitive and strict, especially when the U.S. economy is unstable. Even with regulations restricting illegal immigration Pedraza & Rumbaut (1996) highlight undocumented workers continue to arrive in hopes of…

    • 1351 Words
    • 6 Pages
    Superior Essays
  • Decent Essays

    The Affordable Care Act is not perfect and is complex, but it is actually working even though it has been hamstrung and is not fully implemented in 19 states. Given…

    • 262 Words
    • 2 Pages
    Decent Essays