The Pros And Cons Of Prescription Coverage

The United States healthcare industry is facing some serious long-term issues. The number of uninsured people is in millions.

In a survey conducted in 2003, it highlighted that the recurrent problem is the reimbursement rate from Medicaid to the physician (O’Shea, 2007). The Center for Studying Health System Change (HSC) show that 21% of physicians that state they accept Medicaid have reported they will not accept a new Medicaid patient in 2004-2005(O’Shea, 2007). This number would only logically be assumed to have risen in 2013 A survey conducted by the U.S. National Health reported that researchers have found two standout trends among Medicaid beneficiaries: they have more difficulty getting primary care and specialty care and they visit hospital emergency departments more often than those with private insurance (Seaberg, 2012). The lack of primary and specialty care access is mostly contributed to the following barriers; unable to reach the MD by phone, not having a timely appointment with the MD and lastly unable to find a specialty MD that will accept Medicaid. In a recent report released by the Partnership to Fight Chronic Disease, it stated that about 30% of Medicaid patients experience “extreme uncoordinated care”, there is a strong correlation between this situation and higher Medicaid spending and less quality of care given (Bush, 2012). After January 1st 2013, healthcare providers have experienced a 2% reduction in payments for Medicaid beneficiary, this will only create more of a problem for these patients to seek the

The Affordable Care Act that is commonly known as the Obamacare can be explained as healthcare declaration that was enacted by the Federal government on 23rd March 2010. The main objective of the Act was to reform the US health systems by offering and bettering access to quality and affordable health care, health insurance, and by offering American citizens with more rights and safeguards by minimizing healthcare expenses for both the government as well as the American residents. Moreover, it can also be pointed out that the Act also aimed extending private and public insurance coverage while also regulating the insurance sector. Nevertheless, since enactment of the Act, the Act has been heaving criticized by some quarters to the extent that some political leaders in the USA have expressed their views on repealing the Act (Everett and Dawsey, 2017). Nevertheless, it can also be pointed out that there are those who strongly support the Act and give different reasons to explain the reasons why they are in support of the Act. This essay focuses on the topic of Obamacare and discusses in detail the reasons why the Act should be ammended.

Some of the pros for managed care are; Preventive care — HMOs pay for programs, they are set up and are intended at keeping one healthy (yearly checkups, gym memberships, etc.)The idea is, so they won 't have to pay for more costly services when and if one gets sick. Lower premiums — Because there are limits set as to which doctors one can see and when one can see them, HMOs charge a premium and usually they are lower premiums. Prescriptions — As part of their precautionary retreat, most prescriptions are covered by HMOs for a co-payment that also can be very low. Fewer unnecessary procedures —doctors are given financial incentives from HMOs , to provide only needed care, so doctors are less likely to

The Affordable Care Act is a law that was enacted on the 23rd of March 2010. Regardless of the fact that it was put into place in 2010, there are still numerous aspects of the law being debated today. The law has several provisions that are expected to take effect between the year of 2010 and 2020 (Reid, 2012). Among the significant reforms in the law includes a clause prohibiting insurers from refusing people coverage due to some preexisting conditions. In addition, these companies should offer the same price for all clients who are in the same geographical location and are the same age. Another reform was that families that are in the poverty line should receive federal subsidies if they decide to buy insurance through an exchange. The government also created minimum standards for insurance policies. The government also established health insurance exchanges as platforms for comparison of different policies. The Affordable Care Act also has an individual mandate

The new law added to a per-existing hospital provider tax, which lawmakers love because it leverages federal matching funds that help pay for the state's Medicaid program. Critics objected to the increase because it added a new tax on health insurance.

In Chapter four of "Ten Letters", there is a letter to President Obama written by Natoma Canfield, a woman whose health insurance became increasingly unaffordable after she survived cancer. After receiving Natoma's letter, Obama often carried it with him as he spoke of the need to reform healthcare to make it more affordable to those who needed it the most and to expand coverage to those who could not get it. "The Affordable Care Act," which came to be called Obamacare in the news media, passed through both houses of congress without a single Republican vote in favor and was signed into law by President Obama in March 2010.

What Texas has done when it pertains to the policy of Medicaid coverage has been disappointing with progress and it being forced to stay the same as is it always been instead of expanding to help out more people. Since 2014, the state of Texas health care system has seen a drastic step back in health care programs such as not expanding Medicaid, hospital closings, and a the Texas senate of Republicans representatives refusal to accept any changes to the current Texas Health Care. The way to get health care programs like Medicaid in Texas is you have to enrolled in a program called the State of Texas Action Reform Plus (STAR+PLUS)) this is health care for families that have low incomes who can’t afford the high cost of a more expensive health

First, I must assess Mrs. Jones understanding of her insurance plan. Is she even aware that she doesn 't have prescription drug coverage? According to Cohen and Villarroel (2015), "approximately one fifth (18%) of the $263 billion spent on retail prescription drugs in the United States in 2012

Michael Fraser is the executive vice president of the Pennsylvania Medical Society. Fraser states that some of the plans offered through the Affordable Care Act have an annual deductible of $6,350. Patients must pay this deductible before insurance covers any portion of their medical fees. Once met, these plans only cover 60 percent of the medical costs, leaving the patient responsible for the remaining 40 percent.

The Affordable Care Act(ACA) first took effect during the second term of President Barack Obama’s administration. Many people are in favor of the ACA while others are not; a love, hate relationship. The Affordable Care Act requires reforms to benefit the whole of the United States of America(USA) instead of hurting it. The information of this paper is written to inform readers about the problems of ACA. The paper will start with the background information, it will then move to the pros, cons, implications and the results of the ACA.

The Patient Protection and Affordable Care Act (ACA) is a very controversial piece of legislation. It has impacted millions of Americans, whether it is positively or negatively. There are several pros and cons of the ACA. I take the side of being against it.

I believe the Affordable Care Act does help numerous Medicare patients. Numerous sorts of preventive consideration are presently accessible to them at no extra cost. Preventive consideration can help them stay well and maintain a strategic distance from sickness. Also, with any kind of Medicare coverage, they are allowed a wellbeing exam on a yearly basis without needing to pay anything at the time of their visit. Plus along with their physician they can design an arrangement to keep them in good physical shape and well. Likewise, they have access to most screening and restorative administrations without extra cost to discover ailments early, when they are less demanding to

The affordable care act is the new health care reform law in America and is also known by its popular nickname "ObamaCare". Since the creation of this new Health care reform the rules and regulations have widened based on the law. The affordable care act is a very extensive piece of leg,action which aims to provide middle to low-income families with affordable health care. Many people support this new act since it helps to provide affordable health insurance to the people who really need it. The affordable care act retains a free market and allows the healthcare industry to thrive. Many seniors support this new law since it improves Medicare and it keeps their rates down. Small but senses can receive tax credit for their health insurance premium costs. Some young adults support the affordable care act because they can stay in their parents plans until they decide free health care themselves. Not all of America

Before the conclusion, already told about what kind of disadvantages in the Patient Protection and Affordable Care Act, how to influence people and health insurance companies, we knew about the Patient Protection and Affordable Care Act had disadvantage which costs were rising up, and in the Congressional Budget Office estimate, the tax would rise up. For health insurance companies, because they needed to face the Market uncertainty which came from the Patient Protection and Affordable Care Act, and it caused the health insurance companies profit was reduced. For people, exceeding the number of people who joined the Patient Protection and Affordable Care Act caused the quality of healthcare were reduced, and the problems which the health insurance