State Children's Health Insurance Program

times. For example, when my little brother broke his leg, expenses would’ve been around $10 000! But OHIP covered almost all of it, and the rest was covered by insurance. But this was nothing, when my elder brother was diagnosed with cancer, the total expenses for his chemotherapy was about $100 000. This was again covered by OHIP and insurance. To conclude, I am very happy to live in a country where healthcare is offered at no charge. My family would have been in serious trouble if we were…

more. In a Kaiser Health monthly poll (see Note to Reader comment below) from November, 74% of Americans and half of Republicans want the ACA to continue. But, if you dig deeper, the Republican voters heavily favor almost all features of the ACA except those dealing with the mandates for coverage for the employer and individual. 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…

Health care administrators direct the operation of health systems, hospitals, and other sorts of businesses. They are responsible for staff, programs, services, budgets, facilities, collaborations with other organizations, and other supervisory functions. Unlike physicians, health care administrators do not interact with patients directly daily. Rather, they help shape policy, act as change agents, and direct health-related industries by supporting the improvement of the health care system to…

using both primary and secondary patient data, insurance, and provider and the revenue cycle is vital in creating compliant and efficient reimbursement processes. The revenue cycle is divided into four which are preclaims activities, claims processing, account receivable and claims reconciliation and collection. The preclaims submission is the first process in the cycle which begins with patient case management and preregistration such as collection insurance information before patient arrives…

The Office of the Inspector General (OIG) was established in 1976 with the goal to restrain frauds, abuses, and wastes in healthcare services for Medicare, Medicaid, and other Health and Human Services. OIG advises healthcare organizations to follow the OIG guidelines on establishing effective compliance and ethical policies. The policies will help organizations to identify and stop inappropriate performance from happening. The content of each policy will be determined by individual healthcare…

of the largest contributors to the enormous growth in national health care costs. Readmissions are the result of several difference aspects from incomplete treatment, poor post-acute care, lack of coordination in discharge planning, or even the unavailability of social supports. Recently the Center for Medicare and Medicaid (CMS) began penalizing hospitals for avoidable readmissions as part of the hospital readmission reduction program supported by the Affordable Care Act (ACA). Now that these…

Improving the health care system can play a crucial role in the delivery of safe, cost effective patient care. Many governing bodies mandate quality improvement in healthcare. Quality improvement initiatives are a result of systems failure. A thorough investigation into the failure can reveal where and how the system can make improvements. Collection of data is essential for evaluation of quality improvement measures. This document will examine a quality improvement issue with…

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…

healthcare system in the United States is facing many changes in the coming years as the population ages. The change in our population has lead to an increase in healthcare costs as more Americans enter the health care system with declining functional performance, mental impairments, and chronic conditions. With the implementation of the Affordable Care Act and the emphasis on decreasing healthcare expenditures, our healthcare delivery system is shifting to a health and wellness approach. With…

Since my decision that Indiana would join the multi-state legal challenge to the new federal health care law, many Hoosiers have called or e-mailed my office with questions. Let me now explain why Indiana had to join the challenge. Since my decision that Indiana would join the multi-state legal challenge to the new federal health care law, many Hoosiers have called or e-mailed my office with questions. Let me now explain why Indiana had to join the challenge. Q. What gives you the authority to…