Can we improve outpatient outpatient services?
Explain how healthcare exchanges change the concept of outpatient treatment. Many clinical information systems now embed practice guidelines and clinical pathways into their electronic medical record systems. Discuss some of the advantages and disadvantages of this. Describe demand management and how it can increase consumer involvement in care.
Should we move from outpatient clinics to shared care?
Apr 04, 2022 · How do healthcare exchanges change the concept of outpatient treatment? How do healthcare exchanges change the concept of outpatient treatment? Please support your discussion with facts, relevant examples, and at least two citations from the readings or peer-reviewed professional nursing literature.
How have outpatient visits changed over the years?
Oct 06, 2018 · How will healthcare exchanges change the concept of outpatient treatment? Please support your discussion with facts, relevant examples, and at least two citations from the readings or peer-reviewed professional nursing literature. 2Question description. Discussion question: write 2 paragraphs with at least one reference
Why has outpatient care increased 33% in seven years?
Through competition the companies are able to lower premiums, making them. affordable to the majority of the citizens. Healthcare exchanges have completely changed the. outpatient concept. According to the Affordable Care Act, all health care insurance companies should. promote preventive health care to all US residents.
What are exchanges in healthcare?
A health insurance exchange, otherwise known as a health insurance marketplace, is a comparison-shopping area for health insurance. Private health insurance companies list their health plans with the exchange, and people comparison shop on the exchange from among the available health plan listings.Oct 10, 2021
What is the purpose of a healthcare exchange?
"An Exchange is a mechanism for organizing the health insurance marketplace to help consumers and small businesses shop for coverage in a way that permits easy comparison of available plan options based on price, benefits and services, and quality.
What are the primary goals of health insurance exchanges?
The law has 3 primary goals: Make affordable health insurance available to more people. The law provides consumers with subsidies (“premium tax credits”) that lower costs for households with incomes between 100% and 400% of the federal poverty level (FPL).
What are health exchanges designed to offer?
The Affordable Care Act (ACA) requires that health insurance exchanges be established in every state by January 1, 2014. The central purpose of these new Marketplaces is to enable low and moderate income individuals, and small employers to obtain affordable health coverage.
Why were exchanges implemented by the Affordable Care Act?
The exchanges are intended to increase competition among insurers and focus that competition on value and price. A number of provisions of the ACA should help to facilitate this objective. Administrative costs. The ACA requires exchanges to fulfill a number of administrative functions that will add to their costs.Jul 15, 2010
What does health off-exchange mean?
What is an off-exchange health plan? An off-exchange plan is a health insurance policy that is purchased directly from an insurance company or through an agent or broker, outside of the official ACA-created health insurance exchange. (Note that agents and brokers also help people enroll in on-exchange plans.)
What's the difference between on exchange and off-exchange?
If you buy your health insurance through the health insurance exchange in your state (on your own, or with the help of a broker or enrollment counselor), it is considered an "on-exchange" plan. If you buy it directly from the insurance company (on your own, or with the help of a broker), it's off-exchange.Apr 24, 2021
What are the exchanges mandated by the Affordable Care Act?
The ACA establishes two types of insurance exchanges: the American Health Benefits Exchange (AHBE) for individual purchasers and the Small Business Health Options Program (SHOP) for businesses with fewer than 100 employees, although until 2016, states retain the discretion to limit eligibility to businesses with fewer ...May 1, 2013
What are the exchanges mandated by the Affordable Care Act quizlet?
The ACA requires the establishment of "exchanges," which are: state-based marketplaces where consumers can obtain ACA-compliant health plans. subsidies to purchase private health insurance. government-based marketplaces for Medicaid coverage.
What are state based exchanges?
A State-Based Marketplace (SBM) is a government agency offering subsidized Obamacare plans for the state, similar to Healthcare.gov but created and maintained by the individual state. SBMs assist citizens and legal residents with applying for marketplace coverage in order to comply with the Affordable Care Act (ACA).Oct 30, 2020
What federal legislation created health insurance exchanges that provide individuals with an ability to purchase insurance?
The Patient Protection and Affordable Care Act (ACA; P.L. 111-148, as amended) required health insurance exchanges to be established in every state.Feb 16, 2021
What group are SHOP Exchanges specifically designed to serve?
A SHOP is designed specifically for employer-sponsored health insurance coverage, whereas the individual Exchanges are designed for individual health coverage that is not tied to one's employment.
Explain how healthcare exchanges change the concept of outpatient treatment
Explain how healthcare exchanges change the concept of outpatient treatment. Many clinical information systems now embed practice guidelines and clinical pathways into their electronic medical record systems. Discuss some of the advantages and disadvantages of this. Describe demand management and how it can increase consumer involvement in care.
Regulatory Environment
Explain how healthcare exchanges change the concept of outpatient treatment. Many clinical information systems now embed practice guidelines and clinical pathways into their electronic medical record systems. Discuss some of the advantages and disadvantages of this. Describe demand management and how it can increase consumer involvement in care.
How do healthcare exchanges change the concept of outpatient treatment?
How do healthcare exchanges change the concept of outpatient treatment? Please support your discussion with facts, relevant examples, and at least two citations from the readings or peer-reviewed professional nursing literature. See the Nursing Syllabus Standards & Policies Document for Discussion Participation Guidelines & Grading Criteria.
ANSWER
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How is health care funded?
Health care in the United States is financed by a combination of public and private insurance, employers, and out-of-pocket payments by individuals. In 2015, 37 percent of the US population received health care through a public insurance program at some point during the year.
What is the health care delivery system?
The health-care delivery system in the United States consists of an array of clinicians, hospitals and other health-care facilities, insurance plans, and purchasers of health-care services, all operating in various configurations of groups, networks, and independent practices (IOM, 2003).
What is Medicare for 65 years old?
Medicare is a national health insurance program for people over 65 years old, people who have end-stage renal disease or amyotrophic lateral sclerosis, and people who have long-term disabilities once they have qualified for Social Security Disability Insurance (SSDI).
How much did Medicare cost in 2016?
In 2016, Medicare benefit payments totaled $675 billion and accounted for 15 percent of the federal budget, according to a report by the Kaiser Family Foundation (2017a). Medicaid is a means-tested public insurance program that is jointly funded by the federal and state governments, but is administered by the states.
When was the Affordable Care Act signed into law?
Most important among them was the Patient Protection and Affordable Care Act (ACA), which was signed into law on March 23, 2010. The ACA was the largest federal health policy initiative since the creation of Medicare and Medicaid.
What was the goal of the ACA?
A major goal of the ACA was to extend health insurance coverage to 32 million uninsured people in the United States. The plan had two major components: expansion of the Medicaid program and new structures to support the individual and small-group health insurance markets.
Who is eligible for medicaid?
Eligibility categories include low-income children and their families, low-income people who are 65 and older, and low-income adults and children who have disabilities. Some states voluntarily extended Medicaid to other eligibility categories, such as people who have high medical expenses and the long-term unemployed.
How does the healthcare industry respond to the changing environment?
A large block of the healthcare industry is responding to the changing environment by implementing much-needed reforms. Incentives are now being aligned to encourage improvement certain aspects of delivery. The primary objective is to enhance the patient experience which includes increasing the quality of care, thereby getting better satisfaction rates. They are also concerned with the development of the health of the population as a whole. They look at the community and not just the individual patients. Finally, they would like to reduce the per capita cost of healthcare. The Affordable Care Act is crucial in providing a framework for rewarding providers according to the quality of their service.
What is a nurse managed health center?
Nurse Managed Health Centers are sites which are operated by Advanced Practice Registered Nurses. These NMHCs provide primary care to patients while focusing on the promotion of good health habits and disease prevention. They typically cater to individuals who have limited access to care regardless of their ability to pay. These clinics offer a wide variety of service including physical exams, diabetes screenings, cardiovascular checks, smoking cessation programs, osteoporosis screenings, immunizations, and the like. As of the last count, there are about 200 NMHCs scattered across 37 states. They get about two million patient encounters every year.
Why is the Affordable Care Act important?
The Affordable Care Act is crucial in providing a framework for rewarding providers according to the quality of their service.
How many hospital admissions were there in 2012?
The changes have been small but steady. For instance, there were almost 36.2 million admissions in 2012 according to the American Hospital Association.
What is mHealth in healthcare?
mHealth brings the convenience and flexibility of mobile computing to the delivery of health services. Nurses can have all the information that they need anywhere they are so they are no longer tied to the monolithic system at the hospitals. Patients can use these as well to check on processes throughout the day.
How has technology impacted healthcare?
Technology has had a major impact on virtually every industry including health care. Modes of delivery are changing rapidly. Nurses now have more tools that they can use to help them as they attend to patients outside of acute care settings. These include mHealth, telemedicine, and electronic health records.
Is Norwich University a leader in education?
Norwich University has been a leader in innovative education since 18 19. Through its online programs, Norwich delivers relevant and applicable curricula that allow its students to make a positive impact on their places of work and their communities.