US Healthcare system

1. WENDI EVANS
HCA 205: INTRODUCTION TO HEALTH
INSTRUCTOR: BRETT GARCIA
DECEMBER 15, 2014

2. My name is Wendi Evans, I am pursing a degree in
Health Care Administration.
This presentation will explain the history of the US
Health Care System

3.  1900’s - The beginning of organized medicine.
 The American Medical Associations gains powerful
influence as the National Organization of State and
Local Associations.
 1912 – Social Insurance including Health Insurance
gains public attention.
 1929 – Baylor Hospital in Dallas, Texas starts a pre-paid
hospital insurance program with a local
teacher’s union, ( first example of modern health
insurance).

4.  1944 to 1946 - President Roosevelt outlines
Economic bills of rights that includes adequate medical care. President
Truman proposes a Health Care restructuring that includes mandatory
coverage and more hospitals. The Hill-Burton act pays for the construction
of hospitals.
 1965 to 1980 ‘s – President Johnson signs into law the most significant
Health Care Reform of the century Medicare. Medical cost rapidly
escalate , President Nixon sign Health Maintenance Organization Act.
 2006 to present- Massachusetts implements laws to provide health care
coverage. President Obama signs Landmark
Health Care Legislation called the Patient Protection
and Affordable Care Act.

5.  The marine hospital service was
establish with the July 16, 1798
signing by President John Adams
for relief of sick and
disabled seamen. In 1875 a title of Surgeon General
came into being.
 March 3 a bill passed that authorized admission of
navy seamen an seamen of other government
services to Marine Hospitals on a reimbursable
basis.

6.  January 4, 1889 the Public Health Services
Commission Corp. was authorized. Julius Richmond
was the first Surgeon General of Public
Health Service.

7.  Financial – PPAC has
grand ambitions to provide
insurance coverage to more
than 30 million people.
 2.7 trillion spent on health
care is income to some
person or organization.
 The law also authorizes an
additional 11 billion for
federally qualified
community Health Centers.
 Legal- HIPPA protects
patients.
 Federal Anti-trust laws
 False claims whistle blower
suits
 Ethical- Balancing
quality care and efficiency.
 The end of life issues
financing that pays for this
service forced to pull the
plug due to insurance.

8.  Regulatory – 1879-
The Department of
Public Health
established by US
Congress.
 The government
regulates laws for
Health care system.
 Social - Civil War was
instrumental in
establishing the US
Health Care System.
 At the turn of the 20th
century break through in
Medicine and
Technology.
 1929 to 1941- The great
Depression

9. STAKEHOLDERS
 Patient- Expects an employer to offer a wide variety of options for health
coverage.
 Employers –Want to maintain or lower cost contributions.
 Providers –Want to provide the best service using the most accurate and
newest test and treatments.
 Payers-Want providers to follow a clear, evidence based diagnostic plan.
 Political Figures – The government regulate laws to be enforced for the
Health Care Systems.
 Schools – Most Colleges and University Campuses offers some type of
general medical care.

10. American Journal of Public Health. (AMJ Public Health),
October, 2011; 101(10)1841.4.
Batnitzky, A., Hayes, D., & Vinall, P.E. (2014). The U.S. healthcare system: An
introduction. San Diego, CA: Bridgepoint Education, Inc.
This text is a ConstellationTM course digital materials (CDM) title.
Weather, C. ( 1900& 1908). “New York Health Board Supervising Babies”.
http://www.amnhealthcare.com
http://www.Annenburgclassroom.org/files/documents
http://www.profiles.nlm.nih.gov/ps/access/QQBBCZ