Posts Tagged ‘Maintenance’

Healthcare Reform Checklist

October 8th, 2022


Healthcare legislation in countries in transition,Guest Posting emerging economies, and developing countries should permit – and use economic incentives to encourage – a structural reform of the sector, including its partial privatization.


· Universal healthcare vs. selective provision, coverage, and delivery (for instance, means-tested, or demographically-adjusted)

· Health Insurance Fund: Internal, streamlined market vs. external market competition

· Centralized system – or devolved? The role of local government in healthcare.

· Ministry of Health: Stewardship or Micromanagement?

· Customer (Patient) as Stakeholder

· Imbalances: overstaffing (MDs), understaffing (nurses), geographical distribution (rural vs. urban), service type (overuse of secondary and tertiary healthcare vs. primary healthcare)


· To amend existing laws and introduce new legislation to allow for changes to take place.

· To effect a transition from individualized medicine to population medicine, with an emphasis on the overall welfare and needs of the community

Hopefully, the new legal environment will:

· Foster entrepreneurship;

· Alter patterns of purchasing, provision, and contracting;

· Introduce constructive competition into the marketplace;

· Prevent market failures;

· Transform healthcare from an under-financed and under-invested public good into a thriving sector with (more) satisfied customers and (more) profitable providers.

· Transition to Patient-centred care: respect for patients’ values, preferences, and expressed needs in regard to coordination and integration of care, information, communication and education, physical comfort, emotional support and alleviation of fear and anxiety, involvement of family and friends, transition and continuity.

Impact of Healthcare Reforms on Health Insurance

March 16th, 2022

The health insurance industry has been abuzz with the talk related to healthcare reforms and how it will impact various States’ functioning and whether it would bring some changes in regional laws. Talking about Virginia, the interest grows a bit more as Virginians are believed to be quite conscious about healthcare. Moreover, there is a large number of uninsured residents in Virginia-with the help of healthcare reforms, if insurance is offered to these uninsured Virginians, it would be remarkably brilliant effort.

Health plans in Virginia, like other states, is full of talks about children’s healthcare options and how to extend various plans to uninsured children in Virginia. According to a report, around 0.2 million children in Virginia are uninsured. Though Virginia enjoys lower rate of uninsured residents than the national average, still, it has been a matter of concern in the last few years. Though there are lots of companies in Virginia offering medical insurance, including, Aetna, American National, Anthem Blue Cross and Blue Shield, Assurant, CareFirst Blue Cross Blue Shield, Celtic, Golden Rule, Great American, Humana One, IAC, Kaiser Permanente, Patriot Health, Solera Dental, and UniCare etc. Still there is much that can be done when it comes to insurance in Virginia for children.

Talking about impact of healthcare reforms on children’s health coverage in Virginia, we got some points to note:

- The Act prohibits health insurers from excluding coverage of children because of a pre-existing condition. At the same time, it extends federal funding for the Children’s medical Insurance Program (CHIP) through September 30, 2015

- The Act increases the health care workforce including pediatricians, pediatric nurse practitioners, specialists in pediatrics, and pediatric oral health professionals. It is clear that children in Virginia will have access to high quality health care.

- The Act also mandates that the current state option to extend Medicaid coverage up to age 26 to foster children who have aged out of the foster care system.

- Childhood obesity is a major cause of concern. The Act provides $25 million in funding for the Childhood Obesity Demonstration Project.

- The Act also requires new insurance plans to cover prevention and wellness benefits and exempts these benefits from deductibles and other copay requirements.

Children were earlier allowed to stay in the family health coverage policy bought by their parents for the age up to 19 years. However, with the implementation of the healthcare reforms, children will be able to avail the option of staying in their family health policy till the age of 26 years. This clearly helps a lot of children in Virginia who are struggling with the health insurance options available to them. Students in Virginia are greatly helped by this new rule.