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Healthcare Medicaid And Medicare Research Paper

Healthcare Proposal

Abstract

Socioeconomic status and high prices of healthcare insurance premiums are some of the critical factors that define the way US citizens are covered. However, a large subgroup of the population remains uninsured, particularly those who live in remote or rural areas or do not fall under the age categories of Medicare or Medicaid programs. This paper aims to put forth a new legislation proposal with changes in the terms that cater to addressing the disparities in health coverage, insurance paying alterations, cost-control tactics of the physicians, and vast integration of telehealth mechanisms for maximizing healthcare access. These reforms are expected to reduce discrimination against social class and area of living with greater network adequacy standards and fill gaps for upgraded economic growth.

Keywords: Healthcare insurance coverage, premiums, Medicaid, Medicare, social class, remote access, telehealth, cost-control by physicians, legislation proposal, network adequacy standards

Healthcare Proposal

Good healthcare needs to be free of discrimination or healthcare disparities in access, facilities, and availability of medical experts to maximize reach. A strong economys first depiction is its good healthcare system since economic growth and life expectancy are improved with this core element (Scott, 2021). Assured health expenditure for improving life expectancy has certainly shown positive results for the GDP growth of an economy whose country has prioritized this area. This paper aims to present a healthcare proposal based on the current legislation within the United States and how it could be changed for better access and provision of healthcare to certain population segments.

Current Healthcare System

The current US healthcare system does not offer universal health coverage and lacks a uniform health mechanism. It means it seems privileging only the higher income bracket people and low-income people face health disparities in various regions within the country (Chemweno, 2021). Although the US has been advancing in medical technological superiority and biomedical research it has conducted regularly for the past few centuries; it still lags in preventing medical errors. Poor management of mortality rates for certain chronic diseases still has a long way to go before fully incorporating the healthcare system for everyone equally. The lack of transparency is a clear medical issue that has not eliminated disparities throughout the country.

A majority of US people still find difficulty dining qualified doctors and nurses for the problems they face health-wise since they demand high rates. The costly healthcare system has caused trouble for access for most Americans, particularly for middle and low-income families across the country (Chemweno, 2021). The social and economic inequity has led to poor health conditions of citizens belonging to these two classes that need serious policy changes for better reach and optimal healthcare quality for all.

Another problem that is increasingly and rapidly becoming conspicuous with each day is healthcare costs. Almost 16% of the US population, fifty million people roughly, are not covered by healthcare insurance (Chemweno, 2021). The medical expenditures that one has to pay for a doctor, buying medicines, and getting expensive treatments are going out-of-pocket for middle and low-class people. They remain severely marginalized in terms of unaffordability that is growing at a fast pace ever than expected.

Future of Healthcare If Left as It Is

If the situation in US healthcare is left as it is, it will burden the countrys economy with a huge financial burden. Uninsured people would fall victim to serious illnesses and would not be able to contribute to the countrys growth (Shmerling, 2021). On the contrary, the government would have to expand its expenditure figures to cater to the treatments required for these people. Moreover, if the treatment costs are high, higher mortality rates would not be a good indication for any countrys GDP.

Since the healthcare industry has been technologically advanced, if technological access to medical facilities is not made reachable to the underserved population segments, the disparity rates would go beyond the existing ones. The technology could be used for various purposes, such as educating people on how to self-manage their chronic illnesses, checking out the signs when to visit their nearby doctors, etc. Moreover, the weekly or monthly contact through telehealth techniques with community nurses would create magnified change for the uninsured people as well as positive health outcomes. However, under-emphasis on this aspect of healthcare has not been addressed, and poor coordination has contributed to fragmented care and higher costs (Shmerling, 2021).

Legislative Proposals

According to the Affordable Care Act (ACA), launched in March...

…coverages need to support the costs that physicians are struggling to adjust.

Summary

To address the disparities in the USs healthcare system, which primarily are embedded in health access and high costs, change in the current legislature is imperative. When healthcare access is made possible for all income groups, a better quality of life(QoL) and improved health will lead to superior mortality. Young and healthy individuals could contribute to economic growth more energetically without having to worry about their medical coverage.

Since youth is one the most refreshed segment of any country, they have more energy to contribute to the economic wheel. They should be emphasized with magnified insurance coverage for this segment. Portable health insurance coverage and lowering the age limitation from 65 years to below would help cater to this subgroup of the US population.

It has been widely evident that with telehealth infusion, educational interventions have given fruitful results, and self-monitoring has brought forth positive health outcomes for the targeted communities. For low-income and remote communities, the change in the legislature for creating opportunities for the installation of telehealth launch programs would benefit the self-management of disease for all age groups.

For making the tax equally applicable to all segments, the legislation of making telehealth accessible to remote areas would be more achievable since funds would be present with the government to maximize the reach of medical survives through technology. However, education and training using internet-based services for low-income groups would be another challenge. This goal could be achieved with a legislation-neutral budget again.

The legislation should include the phrases of cost-control by the physicians based on the services physicians offer and what Americans are receiving. It would encompass remoter delivery of telehealth compared to those who themselves visit the hospitals to get the service. The balance of cost would be a critical aspect of legislation as cost-consciousness also comes from the physicians side.

With the revival of more confidence in the US healthcare system, it would be possible again to reduce medical errors as motivation would be directed only to provide the best medical service to the underprivileged segments, particularly low-income and remote individuals along with youth. Health insurance and healthcare access, despite inflated costs, need…

Sources used in this document:

References


Abelsen, B., Strasser, R., Heaney, D., Berggren, P., Sigurosson, S., Brandstorp, H., Wakegijig, J., Forsling, N., Moody-Corbett, P., Akearok, G.H., Mason, A., Savage, C. & Nicoll, P. (2020). Plan, recruit, retain: A framework for local healthcare organizations to achieve a stable remote rural workforce. Human Resources for Health, 18. https://doi.org/10.1186/s12960-020-00502-x


Allen, H., Gordon, S.H., Lee, D., Bhanja, A. & Sommers, B.D. (2021). Comparison of utilization, costs, and quality of Medicaid vs. Subsidized private health insurance for low-income adults. Jama Network Open, 4(1). https://doi.org/10.1001/jamanetworkopen.2020.32669


Chemweno, J. (2021, July 28). The US healthcare system is broken: A national perspective. Managed Healthcare Executive. https://www.managedhealthcareexecutive.com/view/the-u-s-healthcare-system-is-broken-a-national-perspective


Edemekong, P.F., Annamaraju, P. & Haydel, M.J. (2022). Health Insurance Portability and Accountability Act. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. Available from: https://www.ncbi.nlm.nih.gov/books/NBK500019/


Healthcare.gov. (n.a.). Affordable Care Act (ACA). https://www.healthcare.gov/glossary/affordable-care-act/


Scott, A.J. (2021). The longevity economy. The Lancet Health Policy, 2(12), E828-E835. https://doi.org/10.1016/S2666-7568(21)00250-6


Shachar, C., Engel, J. & Elwyn, G. (2020). Implications for telehealth in a post-pandemic future: Regulatory and privacy issues. JAMA, 323(23), 2375-2376. https://doi.org/10.1001/jama.2020.7943


Shmerling, R.H. (2021, July 13). Is our healthcare system broken? Harvard Health Publishing. https://www.health.harvard.edu/blog/is-our-healthcare-system-broken-202107132542


Strasser, R. (2016). Learning in context: Education for remote rural healthcare. Rural and Remote Health, 16(2). https://doi.org/10.22605/RRH4033


Tilburt, J. C., Wynia, M. K., Sheeler, R. D., Thorsteinsdottir, B., James, K. M., Egginton, J. S., Liebow, M., Hurst, S., Danis, M., & Goold, S. D. (2013). Views of US physicians about controlling health care costs. JAMA, 310(4), 380–388. https://doi.org/10.1001/jama.2013.8278


Wisk, L. E., & Sharma, N. (2019). Inequalities in young adult health insurance coverage post-federal health reform. Journal of General Internal Medicine, 34(1), 65–74. https://doi.org/10.1007/s11606-018-4723-0

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