Creation of a Wellness Program for Clinicas de Salud del Pueblo

The benefits of episode of care reimbursement are the saving costs from unnecessary procedures, duplicating laboratory work, and loss reports. The concerns are denying, delaying, and or substituting diagnostic, laboratory, test and treatments for less quality procedures.

Health insurance is provided by Medicaid and Medicare to elderly and disabled people and poor children. People working for large companies receive health insurance through their employer. Unfortunately, people working for small businesses, those self-employed, and the working poor are left without options to purchase health insurance at an affordable cost. This creates a divide between the haves and have-nots in terms of health care. Those who have health insurance will access the care they need, but those who do not have insurance will go without. This may include primary care interventions such as immunizations and regular health screenings. Rising health care costs have a direct effect on the number of uninsured individuals and, therefore, a direct effect the number of individuals that can access care.

In America, we not only have the problem of the non-insured but the under insured which causes just about as much problem as the underinsured. Each group has contributed to the vast growing cost of healthcare. Over the last decade or two, the amount of uninsured has risen due to the job market in the economy and the fact that most insurances are tied to employment, which is also a problem as the unemployment rate rises. The purpose of this paper is to explore this issue.

The elderly, impoverished, military personnel, pregnant women, children and people with select disabilities may qualify for some form of public health insurance. While health care services may be provided at numerous hospitals or physician’s offices, the federal government also provides services directly in Veterans Affairs hospitals and public health clinics. As of 2013 Medicare and Medicaid combined comprised 35% of the total national health expenditure making these programs one of the largest funders of health care services (Centers for Medicare & Medicaid Services, 2015). While Medicare is solely funded by the federal government, Medicaid is a joint the federal-state venture which allows states some leeway in eligibility requirements (Gapensiki,

The population of patients that will be served will primarily be patients with Medicare and Medicaid, although many insurance are accepted. The rising population of elderly will drive long-term care and palliative care. Obstetrics and gynecology services are needed for

According to the CDC Minority Health Report, people of Mexican heritage are the largest minority group in the U.S. and almost 30% of Hispanics in the United States lacked health insurance as of 2012 (“Minority Health,” 2014). The traditional form of health care practiced by those of Mexican-American heritage is Curanderismo, coming from the Spanish verb “curar,” which means “to heal.” This system regards the individual’s mind, body, and soul as inseparable and therefore

One of the major social problems in the United States is the increasing number of uninsured people who are among the vulnerable populations in the America. In 2008, there were approximately 46 million of non-elderly Americans without health insurance including adults and children. While this population includes people from all age ranges, young adults account for a significant portion of these people since they are likely to be uninsured. Moreover, many uninsured individuals are in families with at least a single full-time worker as Hispanics excessively have the highest rates of the uninsured. However, the huge share of this population is white Americans as compared to people from other races.

The Affordable Care Act was passed in 2010 to make sure that most people had medical insurance. With this new healthcare system came the responsibility that individuals would have to take initiatives to try to stay or get healthy. The preventative care portion included in the Affordable Car Act is a big item and very important in health care reform and very positive for the American people. Wellness in the workplace has become a very important issue to help reduce companies medical cost, and to help employees get on track to know their numbers, get healthy, and have a positive healthy mental attitude. Many employees do not understand or know how to get healthy and live a healthy lifestyle. With the rising cost of healthcare relating to

Medicare, as nationwide social insurance passed into law as title XVII of the Social Security Act of 1965, currently using about 40 private insurance companies across the United States. The primarily purpose of Medicare was to provide financial support to elderly age sixty-five and older or younger people with a permanent disabilities. There are four different parts of Medicare plans to select from: “Part A provides hospital and skilled nursing coverage’s through Hospital Insurance Trust Funds. Part B covers physician services, ambulatory surgical services, and other miscellaneous services paid by Medicare beneficiaries. Part C is managed care coverage offered by private insurance companies. It can be selected in lieu of Part A and B). Medicare Part D covers

Medicare is a federal health insurance program. This program pays for a variety of health care expenses for people who are 65 and older, adults with approved medical conditions such as Lou Gehrig’s disease, qualifying permanent disabilities may be eligible. It is financed by payroll taxes, premiums paid by voluntarily beneficiaries, income taxes paid on Social Security benefits and interest earned on the trust fund investments.

Healthcare in the United States is an interstate system that accounts for 15% of the U.S. GDP and $5,635 per capita. Nearly 45 million – or 1 in 5 – Americans are uninsured. With insurance premiums rising yearly, the number of uninsured Americans projects to continue to climb. While new technologies will increase the efficiency of healthcare, the costs of these new tests and treatments will likely outweigh the savings. As the cost of healthcare rises, many employers will be forced to eliminate health insurance benefits for their employees, further increasing the number of uninsured Americans.

The cost of healthcare in America is out of control. As the medical costs continue to rise, many Americans, especially those considered low income, have decided to just live uninsured. Low income families are considered individuals, who make less than $15,521 a year and families of 4 members, who make $31,721 or less in a year (2). As of 2013, 10.8 million were listened as low income households in America, which is a 18.6% rise from the previous survey (2). Basically, these families can not afford to pay for private medical insurance. As a matter of fact, there are 70 million people covered under the federal Medicare and

The uninsured and acquiring access to health care is one of the problems that the United States faces in regards to health care. An obstacle that individuals face is that gaining access to health care is linked to having a job. However, the problem does not stop there. The problem continues in the form that not every job gives people access to health care. Many employers will stop from offering individuals full time status because then they would have to offer some type of insurance plan. Thus, employers often hire people as part-time so as to not have to face giving people benefits they may deem too costly. Inherently, people are finding themselves without insurance due to the fact that acquiring health care is contingent on having a job. What does this mean for the jobless? Based on the linkage between health care access and being employed, it is rather visible that the unemployed would be faced with being uninsured and difficulty acquiring access.

“The Mission of Clinicas del Camino Real, Inc. is to provide quality, comprehensive and preventative, health care services to Ventura County’s community. It is the explicit mission of Clinicas to save lives and restore good health to the underserved population of the county at rates that are consistent with a client’s ability to pay. Moreover, Clinicas’ bilingual and bicultural staff delivers its services on a personal and humane basis, and especially reaches out to members of the community who are traditionally underserved due to limited income, resources, cultural and language barriers. Clinicas del Camino Real, Inc. shall also serve as a voice for

Health and wellness in the work place is a vital part to a company’s success. Employees who are healthier and more productive are less likely to call out from sickness. There are not many companies that have affordable health care coverage for employees. More companies should make healthcare affordable for their employees and their family. Research has been done on how effective health and wellness programs can be in the workplace. Throughout the reading these points will be discussed. The effectiveness of health and wellness in the workplace will also be spoken of. Health and wellness activities in the workplace will be a positive move for companies and employees.