An ounce of prevention is worth a pound of cure. What is the purpose of health insurance? The purpose of health insurance is to help you pay for the high cost of health care and protect you financially from unexpected medical expenses in the event of a serious illness or injury.
Tweet The health care visionaries who founded Group Health Cooperative in Seattle in were activists in the farmers' grange movement, the union movement, and the consumer cooperative movement.
Their inspiration was Lebanese-American physician Dr. Michael Shadidfounder of the nation's first cooperatively owned and managed hospital in Oklahoma.
Shadid's crusade was to overthrow the traditional fee-for-service practice of medicine dominated by solo practitioners, expensive specialists, and private hospitals and clinics.
Instead he advocated affordable, prepaid healthcare through the cooperative ownership of hospitals staffed by physicians -- practicing as a group -- who promoted the new idea of "preventive" medicine. Group Health Cooperative began providing health care after merging in with the Seattle-based Medical Security Clinic, a physician-owned group practice whose idealistic doctors also believed in preventive care.
After years of struggle and despite virulent opposition by the medical establishment, Group Health became one of the nation's largest consumer-directed health-care organizations. This is Part 6 of a seven part history of Group Health Cooperative. Marriages and Divorces Phil Nudelman, pharmacist, health administrator, and former airline pilot, would need all of his nerve and skill for the bumpy flight that lay ahead.
But at first, as the s took off, it looked like clear skies for as far as the eye could see for Group Health. Chief financial officer Grant McLaughlin and chief operating officer Cheryl Scott joined medical director Al Truscott in the executive cockpit.
The clinic would go on to win local and national awards for its excellent care of pregnant teens. Teens served by the clinic have significantly fewer premature deliveries, low-birth-weight babies, cesarean sections, and repeat pregnancies than national or local averages.
This was followed by new facilities in Everett, Olympia, and Seattle. But bythe national and local health-care scene began to undergo an enormous sea change. On April 23,newly installed Governor Mike Lowry, once a Group Health lobbyist, signed a new Health Services Act making coverage available to virtually all Washington residents by mandating employer coverage for workers through a choice of "certified health plans" that delivered a comprehensive and uniform benefit package.
For the low income there would be access through Medicaid, Healthy Options a managed care plan for Washington Medicaid membersthe Basic Health Plan, and a state-run depository to coordinate part-time employer premium contributions.
Aubrey Davis served as a key architect of the new act and Group Health was an enthusiastic participant, at least initially. Governor Lowry tapped Pam MacEwan current Group Health executive vice president of public affairs and governance and former Group Health executive Don Brennan to serve as commissioners in charge of making sure the Health Services Act worked effectively.
On the national level, President Bill Clinton, in an address to Congress on September 22,unveiled his plan for universal health-care access via a national "managed competition" system, which Phil Nudelman had helped influence through his role on a White House—sponsored committee.
Yet Group Health found itself subject to new and decidedly threatening market forces. A new breed of large, for-profit HMOs that managed costs more than care were creating a negative backlash in the popular culture.
And, both government regulations and market forces seemed to favor the survival of the biggest.
History Leading Up to Medicaid Essay - Medicaid History leading up to Medicaid What exactly is Medicaid. Medicaid is the largest health insurance in the United States, and . Since the early s almost all states have moved some or all of their Medicaid beneficiaries to Medicaid managed care (MMC). Critics have worried about quality since MMC’s inception. Skilled Nursing Facilities and Other Long Term Care Facilities: Addressing Issues of Cost and Quality History of Long Term Care and the Nursing Home Industry leading to greater access to Medicaid for older adults (Giacalone ). During this time, a monitoring system called the Professional.
Even with nearly half a million members and enrollees, in the mids Group Health felt the need to get bigger and to lower prices -- and do it quickly -- in order to compete.
This was the context of the new affiliations Group Health undertook.
Even after Clinton's American Health Security Act was savaged by a withering ad campaign and then trampled in the congressional elections by the "Republican Revolution," health care, it appeared, would continue to expand. Local reform and the potential of national reform created for Phil Nudelman and others the urgent sense that Group Health would not survive unless linked to a larger regional or even national plan.
Group Health went courting and Virginia Mason accepted the proposal on November 9, Group Health passed two milestones in by surpassing half-a-million enrollees includingGroup Health Northwest subscribers and 30, Options Health Care, Inc.
In the face of this success which turned out to be quite temporaryDistrict Northwest president Diane Sosne reported that the Co-op's 1, nurses felt "absolutely betrayed" by Group Health's financial offer during contract negotiations.
Fruitless negotiations culminated in a one-day walkout on March 22,and a contract was not approved until early In July Group Health and Virginia Mason agreed to an alliance through which they would combine certain clinical services, use Virginia Mason's hospital for acute inpatient care for Group Health members in the Seattle area, and offer a new set of health plan products called Alliant.
Supporters and critics of the marriage collided head-on at the October Annual Membership Meeting over a motion to expand Board authority to enter into such arrangements.
Former chair of the Cooperative Hilde Birnbaum, then approaching her 90s, stood up to defend the alliance, citing mounting competition from other HMOs. Yet the near total repeal of the Health Services Act by the newly elected Republican state legislature left both parties wondering if there was much to gain in a complicated alliance.
In addition, the engaged couple soon developed cold feet over "cultural" differences, particularly between their respective medical staffs. The marriage was never fully consummated, but the two institutions remained good friends and continue to cooperate extensively, especially around hospital care for the Seattle area.
Even before the Virginia Mason alliance cooled, Phil Nudelman recognized that its anticipated economies and "synergies" were not going to be enough to meet Group Health's strategic need to increase its market share.
He firmly believed that the Cooperative could not survive independently, and began looking for a new partner.Rent-Seeking, Public Choice, and The Prisoner's Dilemma. Mankind soon learn to make interested uses of every right and power which they possess, or may assume.
Poverty in America (Research Paper Sample) The money income does not include non cash items such as housing benefits, food stamps, Medicaid and health insurance provided by the employer. Up to the s, the level of poverty remained above %. By , the rate had grown to %.
Timeline of OSHA's 40 Year History.
The Occupational Safety and Health Administration was established in Since then, OSHA and our state partners, coupled with the efforts of employers, safety and health professionals, unions and advocates, have had a dramatic effect on workplace safety. In , Congress enacted the Patient Protection and Affordable Care Act in order to increase the number of Americans covered by health .
The Centers for Medicare and Medicaid Services determined in , for example, that Medicare fee-for-service for Parts A and B had an improper payment rate of percent, representing $ Corporate media are not covering the fight for America's soul, but the establishment will not be able ignore the growing community that is leading it much longer.