Running head: APHI HEATLHCARE INITIATIVE
Access Plus Health Care Initiative
Your Name Here
This report is a summary of all the findings of the Medical Liaison officer for the APHI board. This summary is meant to be a review of the feasibility of expanding into the California region. This report will review the history of healthcare in the region, the feasibility financial wise of expanding into the region, and finally how the government in the region has influenced the decision to expand into California. Refer to the appendix for previous findings. Access Plus Health Care Initiative
Over the course of the past four weeks, the Medical Liaison officer has given the board a series of reviews on the state of healthcare in California. The board has learned about the hospitals, physicians, other providers, financial plans, and the influence of the federal government in the region. After all of these findings, this author has reached a conclusion regarding expansion into the region. It is the conclusion of the Medical Liaison officer that APHI should indeed spread into the California region. By giving an overview of California’s healthcare history, the financial feasibility of going into California, and finally how the government in the region makes this initiative even better, the author will attempt to show the board how California is ripe with opportunity for healthcare expansion. The History of Healthcare in California
For years it seems as if the State of California has tried to implement some kind of state run healthcare service. In the forties for example, California Governor Earl Warren proposed a payroll tax funded healthcare system. Though that failed, by the late forties, most businesses were offering healthcare incentives anyway. By the mid-sixties, it was providing Medicare and Medicaid to its citizens. The seventies and eighties saw a series of Medicare reforms in the state which refined the system more and by the nineties, California was one of the only states providing healthcare insurance information to its citizens. Finally move to 2010 in which San Francisco adopts a universal healthcare system in its city. After looking at this history we can now begin to decipher this for its usefulness. After looking at the state’s healthcare history, one can begin to conclude that California has always had a need for some sort of large healthcare system. With near 38 million people, eighty percent who are already insured, this company can profit off of the near 8 million (Wilson) uninsured people. One can infer from the history that the state has always tried to make sure that all its citizens were properly covered. Though they could not accomplish a universal system in California in the past, with the passage of the Universal Healthcare Act at the federal level of government, they will have to in the near future. By expanding into this region and working with a state government with a history of wanting to provide healthcare to all its people, APHI can get the lucrative twenty percent of uninsured people in the state. And this leads into the next topic of the financial benefits of expanding into California. The Financial Feasibility of California Expansion
According to an article by Bazzar and Segura, as it currently stands, California does not have the financial means to provide insurance to the near 8 million uninsured people in the state. As stated in the previous section under Obamacare, everyone must be insured. Also as stated before, if this company works with the state, they can get the contracts for all those people and in turn, make a substantial profit. Work with, is different than work for though. Unlike the failure of Kaiser in North Carolina (see appendix), APHI will not be a state employee. Instead, the state will most likely offer some sort of incentive for providing coverage to those uninsured and the company can work with the state that way. The state is...
References: History of Health Care in California timeline | Timetoast timelines. (n.d.).Create timelines, share them on the web | Timetoast timelines. Retrieved May 10, 2013, from http://www.timetoast.com/timelines/84044
Other Documents (2013). The Federal Role in Healthcare. California, United States: Your University.
Other Documents (2013). The Limits of Healthcare. California, United States: Your University.
Other Documents (2013). The Price of Healthcare. California, United States: Your University.
Wilson, K. (n.d.). Health Insurance in California: A Recent History - CHCF.org.California HealthCare Foundation -- Supporting Ideas and Innovations to Improve Health Care for All Californians. Retrieved May 10, 2013, from http://www.chcf.org/publications/2011/03/health-insurance-history
This is a summary of the past work done throughout this course, the content in this paper is mainly derived from the work in the papers that follow. In the first assignment APHI Consultancy Orientation Form, it gave me a brief introduction into what the project for the course was going to be. I picked the Medical Liaison because I thought it would be interesting to explore the different ways healthcare was made efficient in the region I chose of California. That then led into my first paper for the class which was The Limits of Healthcare. In that paper, I looked at the trends of physicians in the state such as numbers, salaries and hospital distribution, and if increasing then in the way it was done in the past should be done. I concluded that that course of action should not be taken because it would strain the healthcare system further and give the hospitals an unfair monopoly.
The third assignment was called The Price of Health Care. The goal of that paper was to show how California could properly fund healthcare by using competition between the healthcare providers to keep prices low for the consumers. I also went over how Kaiser Permanente made a bad decision in teaming up with the state of North Carolina and then failing in the region once other healthcare providers started in the state. The conclusion was that the state should stay out of the healthcare business and use completion as a means of providing affordable health insurance.
Finally the fourth paper, the Federal Role in Health Care examined the Federal government in relation to healthcare and if they were useful or not. While I did believe they were useful in the sense of providing incentives for doctors to locate themselves to rural and low income areas to provide medical services for individuals in those areas, like at the state level, I think their only purpose should be to foster competition to make coverage affordable to everyone. Yes they have the resources to provide healthcare to all. But the outcome would only continue to strain an already broken system.
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