service-delivery capabilities (for instance, agile and DevOps methodologies), to modernize IT foundations, to build and maintain core management competencies. (Chilukuri & Kuiken, 2017). According to the interview report from by Deloitte Center for Health Solutions, Data quality, technology, and access to skilled labor are often big barriers to analytics investments and implementation efforts. Without enterprise–wide agreement on data definitions and requirements, analytics outputs aren't…
The state of our health care is in jeopardy under President Trump. The new TrumpCare bill passed barely through the house recently amidst strong opposition from both parties. A lot of America, especially elderly and poor people, are feeling a tremendous amount of insecurity and fear about the new proposals. Outrageous premiums or even being rejected by insurance companies because of a long list of pre-existing conditions would probably become commonplace. Proponents of the repeal and replace…
world but at the same time it has one of the worst health care systems of the first world countries. This condition improved in March 23, 2010 when President Barack Obama signed the Affordable Care Act (ACA). This is the first regulatory reform made in US health care since 1965. The goal of this reform is to make more accessible medicine and health care to all those people who do not have enough income to pay the expensive cost of health insurances through public coverage. Specifically all those…
goals are to expand patient protections, make health insurance more affordable, improve the quality of health insurance and healthcare, and to curb costs. Its target is middle-class consumers that have pre-existing conditions or setting limits on care. Majority of people feel that Obama care is collapsing according to sources but those who surveyed have agreed that their premiums are lower this year. So this means that people will continue to buy insurance even though congress had eliminated…
initiatives. MACRA defines two approaches of payment to enable the change towards the goal of paying for better care value; Alternative Payment Models (APMs), and the Merit-Based Incentives Payment System (MIPS). APMs offers novel alternatives to pay health care providers for the care they give Medicare beneficiaries and incorporate accountable care organization, patient-centered medical homes, and the hustled payment prototypes. MIPS applies to physicians still billing under fee for services.…
The act was introduced to Congress on March 2, 2017. The purpose of the bill is to stop federal involvement of regulating stop-loss insurance, used by self-insured employers. Employer who self-covers the employee medical bills is allowed to cover the medical cost directly or paying the employee after the claim, instant of paying a monthly insurance premium. Furthermore, employers are fully responsible for the coverage of employees medical cost and the plans are customized according to the…
known as Obama Care. The Health Bill is a pdf on the internet that says, “The Patient Protection and Affordable Care Act will accomplish a fundamental transformation of health insurance in the United States through shared responsibility.” This is the law President Obama put in place for health insurance. Though Obama Care is affordable it is not worth having. Many people around the country have Obama Care either because they support Obama or they cannot afford other health cares. 11.7 million…
become a topic of remarkable controversy in recent decades. As medical science, technology and industry have advanced, so too has the discussion of how healthcare in America should be operated and provided to citizens, as well as how things like insurance and government assistance should be regulated and administered. While most people agree that healthcare reform should be a bipartisan effort to make medical services better and more easily available for everyone, most would also agree that this…
movement that is constantly changing. Some may say these changes occur in hopes of providing the highest quality of care without causing undue financial burden to the largest group of citizens. Unfortunately, potential changes brought on by the American Health Care Act (AHCA) may be a step backwards when considering financial hardship to the most vulnerable of society. When comparing the Affordable Care Act (ACA) with the AHCA, it would suffice to say that healthcare change has more to do with…
HIPAA Eighteen years ago the healthcare system, had a revolutionary change introducing the Health Portability and Accountability Act (HIPAA) of 1996, this law had a significant impact in both the patient and the health care provider. The HIPAA Privacy Rule, finally came effective in 1996, followed by the HIPAA Security Rule in 2003, changing the history in the practice of medicine and health insurance administration. Later, the HIPAA Enforcement Rule and the Breach Notification Rule was followed…