Healthcare Coverage and Vulnerable Populations

 

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 Healthcare Coverage and Vulnerable Populations

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Healthcare Coverage and Vulnerable Populations

Healthcare coverage is important in helping individuals to receive medical and preventive care in order to maintain and achieve wellness. The American Health Rankings (2019) demonstrate that the number of uninsured Americans dropped drastically when the affordable Care Act (ACA) was adopted. However, as of 2016, 74% of American adults were not insured due to high healthcare insurance premiums. Additionally, uninsured people are susceptible to negative health outcomes and high rates of premature deaths and mortality.   The majority of uninsured people including minorities, people from low income households, lesbian/gay/bisexual/transgender/questioning (LGBTQ) and people with mental/physical disability have social determinants of health (SDOH) that lead to vulnerabilities such as; sexual preferences, poverty, uninsurance status, ethnic minorities. Moreover, vulnerable populations are uninsured since they do not advocate for their healthcare needs due to challenges accessing resources or fear cost.  As such, healthcare insurance is important because it allows people to access medical care to promote good health.

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References

 

American Diabetes Association. (2020). Standards of medical care in diabetes—2020 abridged    for primary care providers. Clinical Diabetes, 38(1), 10-38. https://do.10.2337/cd18-0105

American Health Rankings. (2019). Annual report: Uninsured. Retrieved from            https://www.americashealthrankings.org/explore/annual/measure/HealthInsurance/state/     T

Carpenter, R., DiChiacchio, T., & Barker, K. (2019). Interventions for self-management of type   2 diabetes: An integrative review. International Journal of Nursing Sciences, 6(1), 70-91.   https:// doi.10.1016/j.ijnss.2018.12.002

Centers for Medicare & Medicaid Services. (2018). Design and development of the diagnosis        related group (DRG). CMS. https://www.cms.gov/icd10m/version37-fullcode            cms/fullcode_cms/Design_and_development_of_the_Diagnosis_Related_Group_(DRGs  .pdf

Cleveland, K., Motter, T., & Smith, Y. (2019). Affordable care: Harnessing the power of nurses.  Online Journal of Issues in Nursing, 24(2). https://doi.10.3912/OJIN.Vol24No02Man02

Eltorai, A. E., & Eltorai, M. I. (2017). The risk of expanding the uninsured population by  repealing the Affordable Care Act. Jama, 317(14), 1407-1408.            https://doi.10.1001/jama.2017.2042

Mihailovic, N., Kocic, S., & Jakovljevic, M. (2016). Review of diagnosis-related group-based       financing of hospital care. Health Services Research and Managerial Epidemiology, 3,   2333392816647892. https:// doi. 10.1177/2333392816647892

 

Myerson, R., & Laiteerapong, N. (2016). The Affordable Care Act and diabetes diagnosis and     care: exploring the potential impacts. Current Diabetes Reports, 16(4), 27. https://doi.  10.1007/s11892-016-0712-z

Orfield, C., Hula, L., Barna, M., & Hoag, S. (2015). The Affordable Care Act and access to care  for people changing coverage sources. American Journal of Public Health, 105(S5),    S651-S657. https:// doi: 10.2105/AJPH.2015.302867

Tolbert, J., Orgera, K., Singer, N., & Damico, A. (2020). Key facts about the uninsured     population. Kaiser Family Foundation. Retrieved from   https://www.kff.org/uninsured/issue-brief/key-facts-about-the-uninsured            population/view/footnotes/#footnote-494622-13

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