Understanding Medical Insurance
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| Author | : Institute of Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 213 |
| Release | : 2002-06-20 |
| Genre | : Medical |
| ISBN | : 0309083435 |
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 | : Jill Brown |
| Publisher | : Elsevier Health Sciences |
| Total Pages | : 554 |
| Release | : 2013-08-02 |
| Genre | : Medical |
| ISBN | : 0323277012 |
- Features completely updated information that reflects the many changes in the insurance industry. - Contains a new chapter on UB-92 insurance billing for hospitals and outpatient facilities. - Includes a new appendix, Quick Guide to HIPAA for the Physician's Office, to provide a basic overview of the important HIPAA-related information necessary on the job.
| Author | : Institute of Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 204 |
| Release | : 2001-10-27 |
| Genre | : Medical |
| ISBN | : 0309076099 |
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 | : Michelle A. Green |
| Publisher | : Delmar Thomson Learning |
| Total Pages | : 734 |
| Release | : 2006 |
| Genre | : Health insurance |
| ISBN | : 9781401895952 |
Understanding Health Insurance: A Guide to Billing and Reimbursement, 8th Edition is a comprehensive source for teaching the subject of health insurance and reimbursement. The book contains chapters on introductory information on the health insurance field, managed health care, legal and regulatory issues, coding systems, reimbursement methodologies, coding for medical necessity, and common health insurance plans. Each chapter contains exercises to illustrate content and reinforce learning. Numerous opportunities are provided throughout the book for manual completion of CMS-1500 claims. A CD-ROM at the back of the book allows for electronic data entry of CMS-1500 claim form information. End of chapter review questions in objective format (e.g., multiple choice) test learners on their understanding of book content. Appendices I and II provide case studies that are also included on the Student Practice CD-ROM. Additional appendices provide instruction in dental claims processing and completion of the UB-92 (claim used for inpatient and outpatient hospital claims). The accompanying workbook provides application based assignments for each chapter, additional content review (multiple choice questions), and additional case studies for practice in completing CMS-1500 claims. This edition of the book contains the most up to date information regarding health insurance claims processing and coding and reimbursement issues.
| Author | : Tamara Thompson |
| Publisher | : Greenhaven Publishing LLC |
| Total Pages | : 130 |
| Release | : 2014-12-02 |
| Genre | : Young Adult Nonfiction |
| ISBN | : 0737771496 |
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 | : Brisky |
| Publisher | : Cengage Learning |
| Total Pages | : 228 |
| Release | : 2007-12 |
| Genre | : Business & Economics |
| ISBN | : 9781418067076 |
| Author | : Institute of Medicine |
| Publisher | : National Academies Press |
| Total Pages | : 296 |
| Release | : 2002-09-18 |
| Genre | : Medical |
| ISBN | : 0309169054 |
Health Insurance is a Family Matter is the third of a series of six reports on the problems of uninsurance in the United Sates and addresses the impact on the family of not having health insurance. The book demonstrates that having one or more uninsured members in a family can have adverse consequences for everyone in the household and that the financial, physical, and emotional well-being of all members of a family may be adversely affected if any family member lacks coverage. It concludes with the finding that uninsured children have worse access to and use fewer health care services than children with insurance, including important preventive services that can have beneficial long-term effects.
| Author | : National Research Council |
| Publisher | : National Academies Press |
| Total Pages | : 184 |
| Release | : 2004-09-08 |
| Genre | : Social Science |
| ISBN | : 0309165865 |
As the population of older Americans grows, it is becoming more racially and ethnically diverse. Differences in health by racial and ethnic status could be increasingly consequential for health policy and programs. Such differences are not simply a matter of education or ability to pay for health care. For instance, Asian Americans and Hispanics appear to be in better health, on a number of indicators, than White Americans, despite, on average, lower socioeconomic status. The reasons are complex, including possible roles for such factors as selective migration, risk behaviors, exposure to various stressors, patient attitudes, and geographic variation in health care. This volume, produced by a multidisciplinary panel, considers such possible explanations for racial and ethnic health differentials within an integrated framework. It provides a concise summary of available research and lays out a research agenda to address the many uncertainties in current knowledge. It recommends, for instance, looking at health differentials across the life course and deciphering the links between factors presumably producing differentials and biopsychosocial mechanisms that lead to impaired health.
| Author | : National Research Council |
| Publisher | : National Academies Press |
| Total Pages | : 200 |
| Release | : 2011-06-27 |
| Genre | : Social Science |
| ISBN | : 0309217105 |
During the last 25 years, life expectancy at age 50 in the United States has been rising, but at a slower pace than in many other high-income countries, such as Japan and Australia. This difference is particularly notable given that the United States spends more on health care than any other nation. Concerned about this divergence, the National Institute on Aging asked the National Research Council to examine evidence on its possible causes. According to Explaining Divergent Levels of Longevity in High-Income Countries, the nation's history of heavy smoking is a major reason why lifespans in the United States fall short of those in many other high-income nations. Evidence suggests that current obesity levels play a substantial part as well. The book reports that lack of universal access to health care in the U.S. also has increased mortality and reduced life expectancy, though this is a less significant factor for those over age 65 because of Medicare access. For the main causes of death at older ages-cancer and cardiovascular disease-available indicators do not suggest that the U.S. health care system is failing to prevent deaths that would be averted elsewhere. In fact, cancer detection and survival appear to be better in the U.S. than in most other high-income nations, and survival rates following a heart attack also are favorable. Explaining Divergent Levels of Longevity in High-Income Countries identifies many gaps in research. For instance, while lung cancer deaths are a reliable marker of the damage from smoking, no clear-cut marker exists for obesity, physical inactivity, social integration, or other risks considered in this book. Moreover, evaluation of these risk factors is based on observational studies, which-unlike randomized controlled trials-are subject to many biases.
| Author | : Marilynn Drohan |
| Publisher | : Independently Published |
| Total Pages | : 154 |
| Release | : 2021-09-04 |
| Genre | : |
| ISBN | : |
When choosing the right health insurance plan for your specific needs and budget, it's important to consider all the options available to you. However, we understand that this is easier said than done and that there are a lot of confusing factors to keep in mind. Whether you're trying to find the best type of plan to choose through your employer-sponsored coverage, or you're just beginning to look into your individual health insurance options, this guide aims to break down the basics and provide you with additional resources to supplement your insurance journey. This is a useful, factual, non-partisan look at the current system for health insurance and getting health care in the U.S., including practical tips to help you save money on your health care, whether you have insurance or not. It is especially intended for self-employed people, freelancers, small-business owners, and others without access to employment-based group health insurance to understand all of the options and ways to save money. However, anyone can benefit from the useful tips and tricks as well as the overviews of important laws and issues for context. This well-researched book is full of valuable information, insights, and money-saving tips, and includes topics such as: -Different types of health insurance demystified and explained in a straightforward way -Practical advice on how to evaluate health plan options -How the Affordable Care Act of 2010 affected health insurance -How the premium subsidies work for individual insurance -Pros and cons of health care options and links for further reading -Interesting factoids on the continuing upward trend in healthcare costs and potential solutions Some of the many programs and options discussed include: -Individual insurance from the marketplace and outside the marketplace -Employment-based insurance for small and large businesses -Health savings accounts and ways to use them -Government programs including Medicaid, Medicare, and military heath programs -Short-term health insurance, accident insurance, and dental and vision insurance -Healthcare cost-sharing ministries -Paying cash, negotiating discounts, concierge medicine, and direct primary care -Telemedicine, medical tourism, discount cards, health clinics, and charity care
