History of the US Healthcare System

History of the US Healthcare System

Part 1: Evolution of the U.S. Healthcare System

Reflect on the historic events since World War II (WWII), after 1945, that have influenced the evolution of the U.S. healthcare system. Then, select three such historic events and explain the impact they had on the evolution of the U.S. healthcare system. Finally, using learning resources from this Competency and research from the Walden Library, explain three key historic events since WWII (after 1945) and the impact those events have had on the evolution of the healthcare system. Provide ONE topic per paragraph (3 separate paragraphs).

Part 2: Comparison of Healthcare Systems in Different Countries

Consider the similarities and differences of the healthcare systems among the U.S., Germany, and Canada. Create a table that presents the similarities and differences of the healthcare systems among the U.S., Germany, and Canada. Be sure to cite scholarly sources used to inform the content of the table.

Pertinent information for your table should include:

Total population

Gross national income per capita

Life expectancy at birth for males and females

Total expenditure on health per capita

Total gross domestic product percentage (GDP %) expenditure on health

In one paragraph, summarize any insights you gained from analyzing the differences among the three countries.

Part 3: The Complexities of the U.S. Private Insurance System

Reflect on the important historic factors that led to the development of the private health insurance industry. Next, think about the current regulations that govern private health insurance and how those impact the delivery of health services. Briefly outline the history of the insurance system and current regulations.

Describe one important historic factor that led to the development of the private health insurance industry. (1-2 paragraphs).

Describe one current regulation that govern private health insurance (e.g, COBRA, HIPPA, EMTALA). (1- 2 paragraphs).

Part 4: Medicare and Medicaid

During the late 1950s and early 1960s, the groundwork for Medicare and Medicaid began. In 1965, during the Johnson administration, Congress passed amendments to the Social Security Act and created the Medicare and Medicaid programs. Since 1965, there have been many additions and changes to the programs.

Based on the learning resources in this Competency and your research from the Walden Library, complete the Medicare/Medicaid Comparison chart with the key provisions, participant eligibility, and the enactment date for the following programs:

Medicare A

Medicare B

Medicare C

Medicare D

Medicaid

Part 5: Patient Protection and Affordability Care Act

The passage of the Patient Protection and Affordability Care Act (PPACA) has many different components that impact healthcare services by expanding access, lowering costs, and improving quality.

Based on the learning resources in this Competency and your research from the Walden Library, address the following:

Describe each of the following concepts that evolved from the PPACA:

Elimination of Pre-existing Conditions (1 -2 paragraphs)

Patient-Centered Medical Home Model (PCMH) (1 -2 paragraphs)

Accountable Care Organization (ACO) (1 – 2 paragraphs)

Prevention and Wellness (two programs) (1 -2 paragraphs)

For Part Four of your Final Assessment, you are asked to chart the key provisions, participant eligibility and enactment date for the various Medicare programs and Medicaid.

Using the resources from this Competency and your research, complete the following chart:

Medicare A Medicare B Medicare C Medicare D Medicaid

Enactment Date

Key Provisions

Participant Eligibility

References: