Health Insurance Today

Author : Institute of Medicine,Board on Health Care Services,Committee on the Consequences of Uninsurance
Publisher : National Academies Press
Page : 204 pages
File Size : 47,6 Mb
Release : 2001-10-27
Category : Medical
ISBN : 9780309076098

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Coverage Matters by Institute of Medicine,Board on Health Care Services,Committee on the Consequences of Uninsurance Pdf

Roughly 40 million Americans have no health insurance, private or public, and the number has grown steadily over the past 25 years. Who are these children, women, and men, and why do they lack coverage for essential health care services? How does the system of insurance coverage in the U.S. operate, and where does it fail? The first of six Institute of Medicine reports that will examine in detail the consequences of having a large uninsured population, Coverage Matters: Insurance and Health Care, explores the myths and realities of who is uninsured, identifies social, economic, and policy factors that contribute to the situation, and describes the likelihood faced by members of various population groups of being uninsured. It serves as a guide to a broad range of issues related to the lack of insurance coverage in America and provides background data of use to policy makers and health services researchers.

Author : Janet I. Beik
Publisher : Saunders
Page : 0 pages
File Size : 50,7 Mb
Release : 2014-09-18
Category : Health insurance
ISBN : 0323221165

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Workbook for Health Insurance Today by Janet I. Beik Pdf

Corresponding to the chapters in Health Insurance Today, 5th Edition, this workbook gives you practice with the skills you will need to succeed as a health insurance professional. Practical assignments reinforce the information in the text, and engaging learning activities and exercises challenge you to apply your knowledge to real-world situations. Performance objectives include hands-on, application-based learning activities with practice in areas such as completing claim forms, posting payments to a patient's ledger, filling out "Release to Return to Work" forms, and filling out Medicare appeals. Critical thinking activities strengthen your ability to apply health insurance concepts to a variety of challenging situations. Defining Chapter Terms activities help you review and understand key terms in each chapter. Chapter assessments test your knowledge of text content with multiple choice, true/false, short answer, fill-in-the-blank, and matching questions. Problem solving/collaborative (group) activities emphasize the importance of teamwork in the health care field. Case studies ask you to solve a real-world problem related to health insurance, such as completing a CMS-1500 claim form or explaining how HIPAA could affect someone recently out of work. Application exercises ask you to apply your knowledge and skills to real-world situations. In-class projects and discussion topics enhance your understanding of specific content from the text. Internet Exploration exercises in each chapter help you learn how to perform research online. NEW! Key coverage of new topics includes Medicare, Electronic Health Records, and Version 5010. UPDATED! Additional ICD-10 coding content prepares you for the upcoming switch to the new coding system in October 2015. NEW! Content on Patient Protection and Affordable Care Act ensures you stay current on these significant healthcare system changes.

Author : Institute of Medicine,Board on Health Care Services,Committee on the Consequences of Uninsurance
Publisher : National Academies Press
Page : 213 pages
File Size : 48,7 Mb
Release : 2002-06-20
Category : Medical
ISBN : 9780309083430

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Care Without Coverage by Institute of Medicine,Board on Health Care Services,Committee on the Consequences of Uninsurance Pdf

Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.

Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Health Care Utilization and Adults with Disabilities
Publisher : National Academies Press
Page : 161 pages
File Size : 43,7 Mb
Release : 2018-04-02
Category : Medical
ISBN : 9780309469210

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Health-Care Utilization as a Proxy in Disability Determination by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Health Care Utilization and Adults with Disabilities Pdf

The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.

Author : Tamara Thompson
Publisher : Greenhaven Publishing LLC
Page : 130 pages
File Size : 54,8 Mb
Release : 2014-12-02
Category : Young Adult Nonfiction
ISBN : 9780737776195

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The Affordable Care Act by Tamara Thompson Pdf

The Patient Protection and Affordable Care Act (ACA) was designed to increase health insurance quality and affordability, lower the uninsured rate by expanding insurance coverage, and reduce the costs of healthcare overall. Along with sweeping change came sweeping criticisms and issues. This book explores the pros and cons of the Affordable Care Act, and explains who benefits from the ACA. Readers will learn how the economy is affected by the ACA, and the impact of the ACA rollout.

Author : Institute of Medicine,Committee on Employment-Based Health Benefits
Publisher : National Academies Press
Page : 381 pages
File Size : 49,7 Mb
Release : 1993-02-01
Category : Medical
ISBN : 9780309048279

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Employment and Health Benefits by Institute of Medicine,Committee on Employment-Based Health Benefits Pdf

The United States is unique among economically advanced nations in its reliance on employers to provide health benefits voluntarily for workers and their families. Although it is well known that this system fails to reach millions of these individuals as well as others who have no connection to the work place, the system has other weaknesses. It also has many advantages. Because most proposals for health care reform assume some continued role for employers, this book makes an important contribution by describing the strength and limitations of the current system of employment-based health benefits. It provides the data and analysis needed to understand the historical, social, and economic dynamics that have shaped present-day arrangements and outlines what might be done to overcome some of the access, value, and equity problems associated with current employer, insurer, and government policies and practices. Health insurance terminology is often perplexing, and this volume defines essential concepts clearly and carefully. Using an array of primary sources, it provides a store of information on who is covered for what services at what costs, on how programs vary by employer size and industry, and on what governments doâ€"and do not doâ€"to oversee employment-based health programs. A case study adapted from real organizations' experiences illustrates some of the practical challenges in designing, managing, and revising benefit programs. The sometimes unintended and unwanted consequences of employer practices for workers and health care providers are explored. Understanding the concepts of risk, biased risk selection, and risk segmentation is fundamental to sound health care reform. This volume thoroughly examines these key concepts and how they complicate efforts to achieve efficiency and equity in health coverage and health care. With health care reform at the forefront of public attention, this volume will be important to policymakers and regulators, employee benefit managers and other executives, trade associations, and decisionmakers in the health insurance industry, as well as analysts, researchers, and students of health policy.

Author : Janet Beik
Publisher : Unknown
Page : 128 pages
File Size : 40,5 Mb
Release : 2010-10-24
Category : Electronic
ISBN : 1974804496

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Health Insurance Today by Janet Beik Pdf

Author : Janet I. Beik
Publisher : Saunders
Page : 462 pages
File Size : 54,5 Mb
Release : 2006-12-14
Category : Business & Economics
ISBN : 1416000577

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Health Insurance Today by Janet I. Beik Pdf

For total preparation, use the text and Student Workbook for Health Insurance Today: A Practical Approach together! This workbook with bound-in CD contains a variety of exercises that test student understanding through simple chapter assessments and offer practice on a variety of actual health insurance billing/coding job functions. Students can test their understanding of material in the text with Defining Chapter Terms exercises and multiple choice, true/false, short answer, and fill-in-the-blank Chapter Assessments. 59 competency-based Performance Objectives activities test students on concepts in a timed, competency-based environment (including a point system and grading sheet for instructor evaluation purposes). 54 case studies, 68 critical thinking exercises, and 44 collaborative learning activities provide ample opportunities for practice, self-assessment and confidence building. 63 Projects/Discussion Topics allow instructors to assign extra projects or hold class discussions that reinforce key points. Internet Exploration assignments ask students to do further research on text content on related websites. At the end of each chapter, students can complete a Self-Evaluation to help them judge their performance. Three different options provide claims form completion practice on the CD-ROM - all tied to exercises in the workbook: Electronic Forms - Common health insurance forms in Word format provide an easy way for students to complete related workbook exercises. Students can save their work at any point -- for completion at a later date or for evaluation by their instructor. Guided Completion - For introductory purposes, select exercises in the workbook direct students to the Guided Completion option where software takes them through each block of the CMS-1500 (08-05) version, offering correction and advice at each stage. Practice Management - Certain exercises within the workbook require students to use a working demo of Altapoint practice management software, giving students valuable practice management experience.

Author : Donald A. Barr
Publisher : JHU Press
Page : 659 pages
File Size : 52,6 Mb
Release : 2011-12-01
Category : Medical
ISBN : 9781421402970

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Introduction to U.S. Health Policy by Donald A. Barr Pdf

Health care reform has dominated public discourse over the past several years, and the recent passage of the Affordable Care Act, rather than quell the rhetoric, has sparked even more debate. Donald A. Barr reviews the current structure of the American health care system, describing the historical and political contexts in which it developed and the core policy issues that continue to confront us today. This comprehensive analysis introduces the various organizations and institutions that make the U.S. health care system work—or fail to work, as the case may be. A principal message of the book is the seeming paradox of the quality of health care in this country—on the one hand it is the best medical care system in the world, on the other it is one of the worst among developed countries because of how it is organized. Barr introduces readers to broad cultural issues surrounding health care policy, such as access, affordability, and quality. He discusses specific elements of U.S. health care, including insurance, especially Medicare and Medicaid, the shift to for-profit managed care, the pharmaceutical industry, issues of long-term care, the plight of the uninsured, medical errors, and nursing shortages. The latest edition of this widely adopted text updates the description and discussion of key sectors of America’s health care system in light of the Affordable Care Act.

Author : Janet I. Beik
Publisher : Elsevier Health Sciences
Page : 440 pages
File Size : 43,6 Mb
Release : 2014-04-04
Category : Medical
ISBN : 9780323293334

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Workbook for Health Insurance Today by Janet I. Beik Pdf

Corresponding to the chapters in Health Insurance Today, 4th Edition, this workbook lets you practice the skills you will need to succeed as a health insurance professional. Practical assignments reinforce the information in the text, and learning activities and exercises challenge you to apply your knowledge to real-world situations. Case studies ask you to solve a real-world problem related to health insurance, such as completing a CMS-1500 claim form or explaining how HIPAA could affect someone recently out of work. Critical Thinking activities strengthen your ability to apply health insurance concepts to a variety of challenging situations. Performance objectives include hands-on, application-based learning activities in areas such as completing claim forms, posting payments to a patient's ledger, filling out Release to Return to Work forms, and filling out Medicare appeals. Chapter assessments test your knowledge of text content with multiple choice, true/false, short answer, fill-in-the-blank, and matching questions. Application exercises ask you to apply your knowledge and skills to real-world situations. Defining Chapter Terms help you review and understand key terms in each chapter. Problem solving/collaborative (group) activities emphasize the importance of teamwork in the health care field. In-class projects and discussion topics enhance your understanding of specific content from the text. Internet Exploration exercises in each chapter help you learn how to perform research online. NEW! Key coverage of new topics includes medical identity theft and prevention, National Quality Forum (NQF) patient safety measures, ACSX12 Version 5010 HIPAA transaction standards, EMS rule on mandatory electronic claims submission, and standards and implementation specifications for electronic health record technology. UPDATED! Additional ICD-10 coding content prepares you for the upcoming switch to the new coding system. UPDATED! Medicare chapter reflects updates and changes from the new presidential administration.

Author : Janet I. Beik
Publisher : Elsevier Health Sciences
Page : 509 pages
File Size : 41,5 Mb
Release : 2014-04-04
Category : Medical
ISBN : 9780323291767

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Health Insurance Today - E-Book by Janet I. Beik Pdf

With an emphasis on preparing and filing claims electronically, Health Insurance Today, 4th Edition features completely updated content on ICD-10 coding, ARRA, HI-TECH, Version 5010, electronic health records, the Health Insurance Reform Act, and more. The friendly writing style and clear learning objectives help you understand and retain important information, with review questions and activities that encourage critical thinking and practical application of key concepts. Clear, attainable learning objectives help you focus on the most important information. What Did You Learn? review questions allow you to ensure you understand the material already presented before moving on to the next section. Direct, conversational writing style makes reading fun and concepts easier to understand. Imagine This! scenarios help you understand how information in the book applies to real-life situations. Stop and Think exercises challenge you to use your critical thinking skills to solve a problem or answer a question. HIPAA Tips emphasize the importance of privacy and following government rules and regulations. Chapter summaries relate to learning objectives, provide a thorough review of key content, and allow you to quickly find information for further review. Key coverage of new topics includes medical identity theft and prevention, National Quality Forum (NQF) patient safety measures, ACSX12 Version 5010 HIPAA transaction standards, EMS rule on mandatory electronic claims submission, and standards and implementation specifications for electronic health record technology. Increased emphasis on producing and submitting claims electronically gives you an edge in today’s competitive job market. UPDATED! Additional ICD-10 coding content prepares you for the upcoming switch to the new coding system. NEW! Content on ARRA, HI-TECH, and the Health Insurance Reform Act ensures you are familiar with the latest health care legislation and how it impacts what you do on the job.

Author : Institute of Medicine,Board on Health Care Services,Committee on Defining and Revising an Essential Health Benefits Package for Qualified Health Plans
Publisher : National Academies Press
Page : 256 pages
File Size : 47,5 Mb
Release : 2012-01-17
Category : Medical
ISBN : 9780309219174

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Essential Health Benefits by Institute of Medicine,Board on Health Care Services,Committee on Defining and Revising an Essential Health Benefits Package for Qualified Health Plans Pdf

In 2010, an estimated 50 million people were uninsured in the United States. A portion of the uninsured reflects unemployment rates; however, this rate is primarily a reflection of the fact that when most health plans meet an individual's needs, most times, those health plans are not affordable. Research shows that people without health insurance are more likely to experience financial burdens associated with the utilization of health care services. But even among the insured, underinsurance has emerged as a barrier to care. The Patient Protection and Affordable Care Act (ACA) has made the most comprehensive changes to the provision of health insurance since the development of Medicare and Medicaid by requiring all Americans to have health insurance by 2016. An estimated 30 million individuals who would otherwise be uninsured are expected to obtain insurance through the private health insurance market or state expansion of Medicaid programs. The success of the ACA depends on the design of the essential health benefits (EHB) package and its affordability. Essential Health Benefits recommends a process for defining, monitoring, and updating the EHB package. The book is of value to Assistant Secretary for Planning and Evaluation (ASPE) and other U.S. Department of Health and Human Services agencies, state insurance agencies, Congress, state governors, health care providers, and consumer advocates.

Author : John C. Goodman,Gerald L. Musgrave,Devon M. Herrick
Publisher : Rowman & Littlefield Publishers
Page : 284 pages
File Size : 50,8 Mb
Release : 2004
Category : Health & Fitness
ISBN : UOM:49015002960343

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Lives at Risk by John C. Goodman,Gerald L. Musgrave,Devon M. Herrick Pdf

Lives at Risk identifies 20 myths about health care as delivered in countries that have national health insurance. These myths have gained the status of fact in both the United States and abroad, even though the evidence shows a far different reality. The authors also explore the political and economic climate of the health care system and offer alternatives to the current health care public policies.

Author : Janet I. Beik AA BA MEd
Publisher : Unknown
Page : 432 pages
File Size : 45,5 Mb
Release : 2017-10-14
Category : Electronic
ISBN : 1974811360

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Workbook for Health Insurance Today by Janet I. Beik AA BA MEd Pdf

Author : Gerard W. Boychuk
Publisher : Georgetown University Press
Page : 257 pages
File Size : 46,7 Mb
Release : 2008-07-02
Category : Medical
ISBN : 9781589013773

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National Health Insurance in the United States and Canada by Gerard W. Boychuk Pdf

After World War II, the United States and Canada, two countries that were very similar in many ways, struck out on radically divergent paths to public health insurance. Canada developed a universal single-payer system of national health care, while the United States opted for a dual system that combines public health insurance for low-income and senior residents with private, primarily employer-provided health insurance—or no insurance—for everyone else. In National Health Insurance in the United States and Canada, Gerard W. Boychuk probes the historical development of health care in each country, honing in on the most distinctive social and political aspects of each country—the politics of race in the U.S. and territorial politics in Canada, especially the tensions between the national government and the province of Quebec. In addition to the politics of race and territory, Boychuk sifts through the numerous factors shaping health policy, including national values, political culture and institutions, the power of special interests, and the impact of strategic choices made at critical junctures. Drawing on historical archives, oral histories, and public opinion data, he presents a nuanced and thoughtful analysis of the evolution of the two systems, compares them as they exist today, and reflects on how each is poised to meet the challenges of the future.