The Problem of the Uninsured

Paper Summary:

The paper summarizes the mission, structure and current position of a non-profit health organization and defines the historical impacts on the development of the health organization over the last five to ten years. The paper analyzes the population demographics of the service area, detailing the needs and health practices of the uninsured and under-insured. The paper also proposes trends in utilization patterns for the organization. The paper discusses the lack of uniformity in the provision of healthcare services and the continuing growth rate of the uninsured and under-insured. The paper contends that this makes it vital that non-profit organizations develop a base of service that is inclusive of a broader scope of providers in the locality in which they serve uninsured and under-insured patients.

Outline:
Objective
Introduction
Not-For-Profits and Rising Bad Debts and Non-Profitability
Difficulty In National Tracking and Comparative Analysis
Factors Affecting the Health Care Safety Net
Summary and Conclusion

From the Paper:

"Since 1993 the increase "in the number of uninsured individuals have been driven by declines in public coverage." (Fronstin, 1999; as cited by the Institute of Medicine, 2003) The work entitled: "The Corporate Transformation of Medicine and Its Impact on Costs and Access to Care" relates the fact that "More than 41 million Americans (about 1 in 7), including 8 million children, have no health insurance over an entire year.(USA Today, 2002; as cited by Geyman, 2003) Further related is that: "80% of the uninsured live in working families."

Sample of Sources Used:

• Geyman, John P. (2003) The Corporate Transformation of Medicine and Its Impact on Costs and Access to Care. The Journal of the American Board of Family Practice 16:443-454 (2003). Online available at: http://www.jabfm.org/cgi/content/full/16/5/443,
• Findley S. Bridge Temporary Insurance Gaps. USA Today 2002 Sep 26; Sect A:11 Institute of Medicine Report. October 2001: 11.
• Swartz, K (1996) Who Owns the Problem of the Uninsured? Inquiry 1996;33: 103-5,
• Committee on the Consequences of Uninsurance. Health Insurance is a Family Matter, Washington, DC: The National Academy Press, 2002 1-10.
• Griebl, Oliver; Muchnick, Joe; and Skalka, Chris (2006) Why Not-For-Profit Hospitals Need to Adopt the Pricing Strategies of For-Profit Institutions to Stay Alive - Deloitte Consulting LLP.

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