Consequently, the rationing
Consequently, the rationing
Pricing is influenced by desired net income, competitive position, and market structure (Cleverley, Cleverley, & Song, 2012). Desired net income, is the starting block for most short- and long-term pricing decisions. Net income is the difference between revenues and expenses (Cleverley, Cleverley, & Song, 2012). In the business world, there must be enough revenue in sales of products and services in order to maintain the business. If prices are not controlled, the business could suffer greatly.…
Based on viewing Michael Moore’s Sicko and John Stossel’s rebuttal Sick in America, who are you inclined to believe, and why?- I would say that both documentaries make good points. But I’m more inclined towards accepting the points made in Sicko than I am Sick in America. Moore makes a variety of points about the high costs of medicare, as well as the generally unethical practices of of healthcare insurers due to their having preexisting conditions.…
The cost reductions are established by emphasizing preventive care to minimize the need for more expensive reactive care. Pay-for-performance (P4P) models accomplish The American Academy…
Analyze and comment on economic analyses of health administrative innovations that are germane to the provision of health services. How have these innovations become more important in health care delivery within the context of the Affordable Care Act? Throughout the health care system, it has used the expansion of healthcare insurance for accessing several strategies that are used to promote how the services are delivered which is through models, strategies, and payment structure build on the improvement of health care quality. By using the Affordable Care Act (ACA), it has given the Americans a reason to improve on chosen approaches that would eventually overcome the populations based on the reduction of healthcare cost. Develop a list of similarities and differences between cost benefit and cost effectiveness analysis as they pertain to specific health care service demands.…
List several efforts that have been enacted by payors to control costs. The following are efforts that have been made by payers to control costs: Reduce avoidable, ineffective and duplicate use of services - including technology that does not improve patient care - and encourage clinically effective care based on comparative effectiveness research and implementation of IT, To pay appropriately and foster the adoption of innovative models of health care delivery, To ensure accurate pricing of services, To ensure an appropriate physician workforce specialty mix, To reduce administrative costs, Reduce costs from medical malpractice and defensive medicine Explain the ramifications of allowing/disallowing an individual to be able to sue his or…
Controlling Healthcare Costs The rapid increase in health care cost has become a major concern for the US. One of the major concerns of the Triple Aim is to increase “value for the money”. The initiative ensures a better allocation of resources by: assuring that reimbursements and resources are furnished to services that support the goals of the Triple Aim, forming partnerships with physician groups and health care organizations committed to reducing health care cost, and rewarding those who produce a better and more efficient healthcare (Institute for Health Improvement, 2015). Macro-Integrators and…
Even though this program was designed to give consumers freedom over their healthcare expenditure, it those not give consumer freedom over the quality of care they will receive. It is argued that the program is designed to benefit affluent consumers who can spend extensively on health care since consumers get better healthcare quality when they pay more. Conversely, less-affluent consumers are prone to receive average healthcare quality due to inability to spend more on healthcare (Rodwin, 2003, p.…
It gives the people a sense of security, space to breath, and less stress on the finance. But the lack of access to healthcare causes trouble for many as Medicaid and the reimbursement program have its’ limit in coverage. The cost of patient are vary, it can up or down like a stock market. Depending on the treatment, cares, and services they receive, the cost can range from a hundred to thousands of dollar, and possibly millions if it becomes chronicle. Moreover, the lack of services and cares from physician is expected as they already feel dissatisfy with the “cost shifting”, and expecting more decline in the future (Hodges and Henson, 2009, pg. 10).…
The current trend of rapidly growing health care costs is unsustainable. Many proposed reforms to curb spending rely on some type of rationing imposed by an unaccountable government body. A better approach would be to allow individual consumers to make their own decisions about care, including the self-rationing of medical services, by engaging patients in the decisions about their care and its cost throughout their life span and at the end of life. Such a policy is compatible with American values of limited government and individual liberty and responsibility. State and federal policymakers should adopt measures to facilitate personal control of health care…
This disparity in health care is believed to be a prominent reason for the increase of expenses for the health care system; due to the lack of access to care, many people did not seek help until their health problems were exacerbated, and because of the rise in occurrence of prolonged health conditions – which are more costly to diagnose and properly treat – strain was put on hospitals and tax payers alike (Community Catalyst, 2012). With the Act in place, lawmakers believe that by reducing the uninsured rate through increasing public and private insurance, health care costs in America will be reduced without reducing…
A few proposed policies alternatives to combat the rising cost in health care 1. Socialized Medicine 2. Healthcare Price Transparency 3. Cost-sharing initiates Socialized healthcare is a government owned and operated healthcare system which provides universal health care assistance that people need to acquire the help of some government laws intended for health care and other types of medical and health care subsidies. (HealthResearchFunding.org, 2014)…
But now in this day in time it has expanded into future expectations such as being a payer through public-sector programs like Medicare and Medicaid, they are providers for services to military, veterans, and indigenous populations, and lastly they are supporters of the education and training of many care providers (Barton, 2009). Under the categories of players, financing is consisted of your big time employers, governments (Medicare & Medicaid), and individual self-funding. Insurance is your well-known companies like Blue Cross/Blue Shield; delivery is your hospitals, physicians, nursing homes, and medical equipment vendors. Lastly to break down payment could mean third-party claims processors. (“The Uninsured and The Difference Health Insurance Makes,”…
The healthcare system of the United States is one of the most expensive healthcare systems in the world when compared to the other developed nations and countries. In spite of high investments and spending on healthcare, efficiency in treatment, equity in care and access to health has still been a question mark. Most of the spending comes from the government through various programs like Medicare, Medicaid, and Veterans Services. The health insurance to the public is also provided majorly by the government. Leading to tremendous changes in the healthcare insurance, came into play the amendment of Patient Protection and Affordable Care Act in 2010.…
• The utmost challenges that are posed by the health care delivery systems are greater rise in costs, absence of access, and quality concerns. • All these three important cornerstones of health care delivery are interdependent (Al-Assaf, 1993a). This is because it may be able to improve one or perhaps even two of the three, but it will only come at the expense of the third. By reducing the health care costs, it ultimately results in either reduced quality of care, or decreased access to care, or it can lead to decline in both. In the similar way, attempts to improve quality can either escalate the costs, or decreases access (Riner, 2012).…
As of 2010 the majority of private and public payers have committed themselves to having their provider payments incorporate both quality of care and efficiency. (www.ajmc.com) In the United States, according to the article written in PubMed, “a number of communities are adopting a managed care approach to caring for the low-income and uninsured individuals”. These communities have a system that is studying their health and tracking their wellness programs of those communities. This will greatly improve and create a design to help ensure access to primary and preventative care for the low-income group.…