 | This article needs to be updated.(September 2022) |
Jefferson Healthcare is a health system consisting of Jefferson Healthcare Hospital [1] and a number of community clinics in Port Townsend, Washington, USA. [2]
With over 850 employees, Jefferson Healthcare is the largest employer in Jefferson County. [3] The hospital and clinics employ about 120 physicians, nurse practitioners and physician assistants. [4] About half of the revenue comes from Medicare. [5]
Medicare is a federal health insurance program in the United States for people age 65 or older and younger people with disabilities, including those with end stage renal disease and amyotrophic lateral sclerosis. It started in 1965 under the Social Security Administration and is now administered by the Centers for Medicare and Medicaid Services (CMS).
Medicare is an unofficial designation used to refer to the publicly funded single-payer healthcare system of Canada. Canada's health care system consists of 13 provincial and territorial health insurance plans, which provide universal healthcare coverage to Canadian citizens, permanent residents, and depending on the province or territory, certain temporary residents. The systems are individually administered on a provincial or territorial basis, within guidelines set by the federal government. The formal terminology for the insurance system is provided by the Canada Health Act and the health insurance legislation of the individual provinces and territories.
Single-payer healthcare is a type of universal healthcare, in which the costs of essential healthcare for all residents are covered by a single public system. Single-payer systems may contract for healthcare services from private organizations or may own and employ healthcare resources and personnel. "Single-payer" describes the mechanism by which healthcare is paid for by a single public authority, not a private authority, nor a mix of both.
Cleveland Clinic is an American nonprofit academic medical center based in Cleveland, Ohio. Owned and operated by the Cleveland Clinic Foundation, an Ohio nonprofit corporation, Cleveland Clinic was founded in 1921 by a group of faculty and alumni from the Case Western Reserve University School of Medicine. The Clinic runs a 170-acre (69-hectare) main campus in Cleveland, as well as 14 affiliated hospitals, 20 family health centers in Northeast Ohio, 5 affiliated hospitals in Florida, and cancer center in Nevada. International operations include the Cleveland Clinic Abu Dhabi hospital in the United Arab Emirates and Cleveland Clinic Canada, which has two executive health and sports medicine clinics in Toronto. Another hospital campus in the United Kingdom, Cleveland Clinic London, opened to outpatients in 2021 and fully opened in 2022. Tomislav Mihaljevic is the president and CEO.
An urgent care center (UCC), also known as an urgent treatment centre (UTC) in the United Kingdom, is a type of walk-in clinic focused on the delivery of urgent ambulatory care in a dedicated medical facility outside of a traditional emergency department located within a hospital. Urgent care centers primarily treat injuries or illnesses requiring immediate care, but not serious enough to require an ED visit. In the United Kingdom, urgent treatment centres are provided by the National Health Service, which decided in 2019 that all areas of England should be served by a network of urgent treatment centres. In the United States, urgent care centers were first used in the 1970s and have since expanded to approximately 10,000 centers across the country.
The University of Michigan Medicine is the academic medical center of the University of Michigan, a public research university in Ann Arbor, Michigan. It consists of the university's Medical School, affiliated hospitals, and affiliated healthcare centers.
The prices of health care in the United States are higher than in other countries. Compared to other OECD countries, U.S. healthcare costs are one-third higher or more relative to the size of the economy (GDP). According to the CDC, during 2015, health expenditures per-person were nearly $10,000 on average, with total expenditures of $3.2 trillion or 17.8% of GDP. Proximate reasons for the differences with other countries include higher prices for the same services and greater use of healthcare. Higher administrative costs, higher per-capita income, and less government intervention to drive down prices are deeper causes. While the annual inflation rate in healthcare costs has declined in recent decades, it still remains above the rate of economic growth, resulting in a steady increase in healthcare expenditures relative to GDP from 6% in 1970 to nearly 18% in 2015.
Fee-for-service (FFS) is a payment model where services are unbundled and paid for separately.
In the United States, Medicare fraud is the claiming of Medicare health care reimbursement to which the claimant is not entitled. There are many different types of Medicare fraud, all of which have the same goal: to collect money from the Medicare program illegitimately.
MedStar Health is a not-for-profit healthcare organization. It operates more than 120 entities, including ten hospitals in the Baltimore–Washington metropolitan area of the United States. In 2011 it was ranked as the private sector employer with the largest number of local employees in the region.
Banner Health is a non-profit health system in the United States, based in Phoenix, Arizona. It operates 33 hospitals and several specialized facilities across 6 states. The health system is the largest employer in Arizona and one of the largest in the United States with over 55,000 employees.
Healthcare reform in the United States has had a long history. Reforms have often been proposed but have rarely been accomplished. In 2010, landmark reform was passed through two federal statutes: the Patient Protection and Affordable Care Act (PPACA), signed March 23, 2010, and the Health Care and Education Reconciliation Act of 2010, which amended the PPACA and became law on March 30, 2010.
A hospital is a healthcare institution providing patient treatment with specialized health science and auxiliary healthcare staff and medical equipment. The best-known type of hospital is the general hospital, which typically has an emergency department to treat urgent health problems ranging from fire and accident victims to a sudden illness. A district hospital typically is the major health care facility in its region, with many beds for intensive care and additional beds for patients who need long-term care.
Billings Clinic is a regional health care center based in Billings, Montana. It provides primary and specialty care at Billings Clinic downtown, Billings Clinic Heights, Billings Clinic West, and numerous affiliate locations in Big Timber, Bozeman, Colstrip, Columbus, Glendive, Harlowton, Lewistown, Livingston, Miles City, Red Lodge, Roundup, and Scobey, Montana, as well as Cody, Lovell, and Sheridan, Wyoming. Billings Clinic is the largest healthcare system in Montana & Wyoming.
The healthcare reform debate in the United States has been a political issue focusing upon increasing medical coverage, decreasing costs, insurance reform, and the philosophy of its provision, funding, and government involvement.
There were a number of different health care reforms proposed during the Obama administration. Key reforms address cost and coverage and include obesity, prevention and treatment of chronic conditions, defensive medicine or tort reform, incentives that reward more care instead of better care, redundant payment systems, tax policy, rationing, a shortage of doctors and nurses, intervention vs. hospice, fraud, and use of imaging technology, among others.
In the United States, healthcare is largely provided by private sector healthcare facilities, and paid for by a combination of public programs, private insurance, and out-of-pocket payments. The U.S. is the only developed country without a system of universal healthcare, and a significant proportion of its population lacks health insurance. The United States spends more on healthcare than any other country, both in absolute terms and as a percentage of GDP; however, this expenditure does not necessarily translate into better overall health outcomes compared to other developed nations. Coverage varies widely across the population, with certain groups, such as the elderly and low-income individuals, receiving more comprehensive care through government programs such as Medicaid and Medicare.
An accountable care organization (ACO) is a healthcare organization that ties provider reimbursements to quality metrics and reductions in the cost of care. ACOs in the United States are formed from a group of coordinated health-care practitioners. They use alternative payment models, normally, capitation. The organization is accountable to patients and third-party payers for the quality, appropriateness and efficiency of the health care provided. According to the Centers for Medicare and Medicaid Services, an ACO is "an organization of health care practitioners that agrees to be accountable for the quality, cost, and overall care of Medicare beneficiaries who are enrolled in the traditional fee-for-service program who are assigned to it".
Government-guaranteed health care for all citizens of a country, often called universal health care, is a broad concept that has been implemented in several ways. The common denominator for all such programs is some form of government action aimed at broadly extending access to health care and setting minimum standards. Most implement universal health care through legislation, regulation, and taxation. Legislation and regulation direct what care must be provided, to whom, and on what basis.
Jefferson Healthcare Hospital is a 25-bed Critical Access Hospital located in Port Townsend, Washington. Established in 1890 by the Sisters of Providence as St. John Hospital, it is presently independently owned and operated by Jefferson County Public Hospital District No. 2, doing business as Jefferson Healthcare.