NHS FPX 6008 Assessment 2 Needs Analysis for Change
Phillip September 30, 2023 No Comments

NHS FPX 6008 Assessment 2 Needs Analysis for Change

NHS FPX 6008 Assessment 2 Needs Analysis for Change

Student Name

Capella University

NHS-FPX 6008 Economics and Decision Making in Health Care

Prof. Name

Date

Needs Analysis for Change

Healthcare is a fundamental human need, yet the rising cost of healthcare and inadequate insurance coverage in the United States have created a significant economic healthcare issue (Galvani et al., 2020). Inadequate health insurance coverage means that many individuals and families cannot access essential healthcare services, leading to poorer health outcomes and a strain on the healthcare system (Institute of Medicine, 2019). This need analysis will explore the economic healthcare issue of inadequate health insurance coverage and its impact on the healthcare system and patients.

The United States has one of the highest healthcare costs globally, with healthcare spending accounting for over 17% of the country’s gross domestic product (GDP) (Yang, 2022). However, despite this high spending, millions of Americans lack adequate health insurance coverage, resulting in a significant economic healthcare issue. Lack of insurance coverage can lead to delayed or forgone medical treatment, which can cause a negative impact on the individual’s health status (Gonzalez et al., 2021).

The economic healthcare issue of inadequate health insurance coverage affects individuals from all socioeconomic backgrounds but has a more profound effect on low-income individuals and families. The Affordable Care Act (ACA) was passed in 2010 to increase access to health insurance coverage, but even after the ACA’s implementation, millions of Americans remain uninsured or underinsured (ACA, 2019). 

Summary of the Economic Issues of Inadequate Health Insurance

The economic issue of inadequate health insurance coverage is a significant challenge that limits access to essential healthcare services and negatively impacts individuals’ health and well-being (Keisler-Starkey & Bunch, 2021). This issue has far-reaching effects on my work, organization, colleagues, and community, making it difficult for individuals to receive necessary healthcare services, leading to poorer health outcomes, increased healthcare costs, and decreased productivity.

Inadequate health insurance coverage can significantly impact organizations, including increased healthcare costs, reduced employee productivity, and absenteeism. When employees cannot access essential healthcare services due to inadequate insurance coverage, they are more likely to become sick and require more significant medical attention, resulting in higher healthcare costs for the organization (Folger, 2021).

NHS FPX 6008 Assessment 2 Needs Analysis for Change

Inadequate health insurance coverage can also lead to reduced employee productivity and increased absenteeism, as employees may delay seeking necessary medical treatment or opt out of preventive care due to financial constraints. This can result in more severe health conditions, longer recovery times, and increased absenteeism, impacting the organization’s overall productivity and profitability (Folger, 2021).

The rationale for pursuing this issue is clear. Ensuring all individuals have access to affordable healthcare promotes individual, and community health and well-being, improve healthcare outcomes, and reduces healthcare costs (Chernew et al., 2021). Yet, there remains a significant gap between the availability of healthcare coverage and the needs of individuals who lack access to it due to the issue.

According to recent data from the United States Census Bureau, more than 28 million people in the United States lacked health insurance in 2020, representing a 0.8% increase from 2019. The gap contributing to the issue might be difficult eligibility criteria and poor options for insurance (Keisler-Starkey & Bunch, 2021). This gap in coverage disproportionately affects low-income individuals and communities of color, contributing to disparities in healthcare outcomes and further exacerbating existing inequalities.

Addressing the issue of inadequate health insurance coverage requires a multifaceted approach, including expanding access to healthcare coverage, addressing systemic barriers to healthcare access, and promoting policies that prioritize community health and well-being (Keisler-Starkey & Bunch, 2021).

Socioeconomic and Diversity Disparities

Significant socioeconomic and diversity disparities exist in how inadequate health insurance coverage impacts access to healthcare services. Low-income individuals and communities of color are disproportionately affected by this issue, facing greater barriers to accessing healthcare services and experiencing poorer health outcomes (Ndugga & Artiga, 2021).

According to a study published in the American Journal of Public Health, individuals with lower incomes are more likely to lack health insurance coverage, with uninsured rates ranging from 25% to 40% for those below 200% of the federal poverty level (Cable, 2020). Additionally, individuals from racial and ethnic minority groups are more likely to lack health insurance coverage, with uninsured rates of 19% for Hispanics, 11% for Black individuals, and 8% for non-Hispanic White individuals (Artiga et al., 2021).

NHS FPX 6008 Assessment 2 Needs Analysis for Change

These disparities in health insurance coverage have significant implications for access to healthcare services, with uninsured individuals less likely to receive preventive care, chronic disease management, and necessary medical treatment (Daghlas et al., 2021). This lack of access to healthcare services contributes to poorer health outcomes and higher healthcare costs, particularly for individuals with chronic health conditions.

Addressing these socioeconomic and diversity disparities in access to healthcare services requires targeted policies and interventions that prioritize the health and well-being of low-income individuals and communities of color. This may include expanding Medicaid coverage, increasing access to affordable health insurance options, and addressing systemic barriers to healthcare access, such as transportation, language, and cultural barriers.

Evidence-Based Sources

The evidence-based sources suggest that addressing inadequate health insurance coverage is crucial to improve access to healthcare services and promoting individual and community health and well-being. The following sources highlight the need to pursue potential change or implementation plans:

  • A study published in the Journal of Health Economics found that expanding Medicaid coverage is associated with significant increases in healthcare utilization and access to care, particularly for low-income individuals and those with chronic health conditions (Carpenter & Sansone, 2021).
  • Research published in Health Affairs suggests that implementing policies that increase access to affordable health insurance options can improve health outcomes and reduce healthcare costs (Young et al., 2021).
  • A report from the Kaiser Family Foundation highlights the significant disparities in health insurance coverage across racial and ethnic groups and emphasizes the need to prioritize policies that address these disparities (Artiga et al., 2021).
  • An article published in the Journal of General Internal Medicine argues that addressing the issue of inadequate health insurance coverage requires a comprehensive approach, including expanding access to healthcare coverage, promoting policies that prioritize community health, and addressing systemic barriers to healthcare access (Shrank et al., 2021).

Potential implementation plans to address inadequate health insurance coverage may include expanding Medicaid coverage, increasing access to affordable health insurance options, implementing policies prioritizing community health, and addressing systemic barriers to healthcare access. These plans may also involve increasing healthcare staffing to ensure adequate patient care.

Implementations Plans to Address Inadequate Health Insurance

The proposed change (better access to health insurance) or implementation plan to address inadequate health insurance coverage can lead to several predicted outcomes and opportunities for growth, particularly in terms of economic considerations. The predicted outcomes for the implementation plans will be better access to healthcare services and improved health outcomes in the community. Moreover, another expected outcome is a better experience for healthcare providers and the organization. The opportunities for growth and predicted outcomes may include: 

Improved health outcomes: Increased access to healthcare services can lead to improved health outcomes, which can, in turn, reduce the economic burden of preventable illnesses and chronic conditions. Expanding Medicaid coverage significantly reduced mortality rates, particularly for low-income individuals (Barbot, 2020).

NHS FPX 6008 Assessment 2 Needs Analysis for Change

Increased productivity: Improved health outcomes can also lead to increased productivity in the workforce, as healthier individuals are more likely to be able to work and perform their duties effectively. Workplace wellness programs prioritizing employee health can significantly improve productivity and job satisfaction (Lyons et al., 2022).

Reduced healthcare costs: By improving access to healthcare services, individuals with inadequate health insurance coverage are less likely to rely on emergency department visits or other costly forms of care. A report from the Commonwealth Fund found that expanding Medicaid coverage can significantly reduce healthcare costs, particularly for low-income individuals (Ward, 2020).

Increased economic growth: Improved health outcomes, increased productivity, and reduced healthcare costs can increase economic growth and stability. Raghupathi and Raghupathi (2020) report found that expanding access to healthcare coverage can positively impact economic growth, particularly regarding job creation and increased spending on healthcare services.

Conclusion

A systematic evaluation of the economic healthcare issue of inadequate health insurance coverage at the primary care clinic identified several potential solutions to improve access to care for uninsured patients. By implementing these solutions, the clinic can better serve its patient population and promote better health outcomes for the community.

References

Artiga, S., Hill, L., Orgera, K., & Damico, A. (2021, July 16). Health coverage by race and ethnicity, 2010-2019. Kff.org. https://www.kff.org/racial-equity-and-health-policy/issue-brief/health-coverage-by-race-and-ethnicity/ 

Barbot, O. (2020). George Floyd and our collective moral injury. American Journal of Public Health, 110(9), e1–e1. https://doi.org/10.2105/ajph.2020.305850 

Cable, N. (2020). COVID-19 pandemic: Urgent needs to support and monitor long-term effects of mental strain on people. American Journal of Public Health, 110(11), 1595–1596. https://doi.org/10.2105/ajph.2020.305938 

Carpenter, C. S., & Sansone, D. (2021). Cigarette taxes and smoking among sexual minority adults. Journal of Health Economics, 79, 102492. https://doi.org/10.1016/j.jhealeco.2021.102492 

Chernew, M., Cutler, D., & Shah, S. (2021, August 18). Reducing health care spending: What tools can states leverage? | Commonwealth Fund. Www.commonwealthfund.org. https://www.commonwealthfund.org/publications/fund-reports/2021/aug/reducing-health-care-spending-what-tools-can-states-leverag e

Daghlas, I., Lane, J. M., Saxena, R., & Vetter, C. (2021). Genetically proxied diurnal preference, sleep timing, and risk of major depressive disorder. JAMA Psychiatry, 78(8), 903-910. https://doi.org/10.1001/jamapsychiatry.2021.0959 

Folger, J. (2021, May 26). The causes and costs of absenteeism. Investopedia. https://www.investopedia.com/articles/personal-finance/070513/causes-and-costs-absenteeism.asp 

NHS FPX 6008 Assessment 2 Needs Analysis for Change

Galvani, A. P., Parpia, A. S., Foster, E. M., Singer, B. H., & Fitzpatrick, M. C. (2020). Improving the prognosis of health care in the USA. The Lancet, 395(10223), 524–533. https://doi.org/10.1016/s0140-6736(19)33019-3 

Gonzalez, D., Karpman, M., Kenney, G., & Zuckerman, S. (2021). Delayed and forgone health care for nonelderly adults during the COVID-19 pandemic. Urban.org. https://www.urban.org/sites/default/files/publication/103651/delayed-and-forgone-health-care-for-nonelderly-adults-during-the-covid-19-pandemic_1.pdf 

Institute of Medicine. (2019). Effects of health insurance on health. In G. Anderson, J. A. Barondess, A. Bindman, et al. (Eds.), Care without coverage: Too little, too late. National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK220636/ 

Keisler-Starkey, K., & Bunch, L. (2021, September 14). Health insurance coverage in the United States: 2020. The United States Census Bureau. https://www.census.gov/library/publications/2021/demo/p60-274.html 

Lyons, M. J., Fernandez Poole, S., Brownson, R. C., & Lyn, R. (2022). Place is power: Investing in communities as a systemic leverage point to reduce breast cancer disparities by race. International Journal of Environmental Research and Public Health, 19(2), 632. https://doi.org/10.3390/ijerph19020632 

Ndugga, N., & Artiga, S. (2021, May 11). Disparities in health and health care: 5 key questions and answers. Kaiser Family Foundation. https://www.kff.org/racial-equity-and-health-policy/issue-brief/disparities-in-health-and-health-care-5-key-question-and-answers/ 

NHS FPX 6008 Assessment 2 Needs Analysis for Change

Raghupathi, V., & Raghupathi, W. (2020). Healthcare expenditure and economic performance: Insights from the United States data. Frontiers in Public Health, 8(156). https://doi.org/10.3389/fpubh.2020.00156 

Shrank, W. H., DeParle, N.-A., Gottlieb, S., Jain, S. H., Orszag, P., Powers, B. W., & Wilensky, G. R. (2021). Health costs and financing: Challenges and strategies for a new administration. Health Affairs, 40(2), 235–242. https://doi.org/10.1377/hlthaff.2020.01560 

Ward, B. (2020, May 5). The impact of Medicaid expansion on states’ budgets | Commonwealth fund. Commonwealthfund.org. https://www.commonwealthfund.org/publications/issue-briefs/2020/may/impact-medicaid-expansion-states-budgets

Yang, J. (2022, January 4). U.S. health expenditure as GDP share 1960-2019 | Statista. Statista. https://www.statista.com/statistics/184968/us-health-expenditure-as-percent-of-gdp-since-1960/ 

Young, G. J., Zepeda, E. D., Flaherty, S., & Thai, N. (2021). Hospital employment of physicians in Massachusetts is associated with inappropriate diagnostic imaging. Health Affairs, 40(5), 710–718. https://doi.org/10.1377/hlthaff.2020.01183