Costs should be controlled as spending as there is continued demand for insurance, increases fall on the consumer, limited health benefits from employers due to affordability, and taxes continue to be raised to offset the rising costs (Shi & Singh, 2015). People are always in need of health insurance and therefore insurance companies may take advantage of this. Employers are not able to afford to continued cost of insurance as premiums rise which reflect on consumers not being able to afford insurance as these increases fall on the employees. Taxes are continually increased to help mitigate the budget deficit. If these are not contained or another approach found to be better may slowly take a higher percentage of their wages which lowers the
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Currently insurance companies have something that everyone needs and depending on your job or if you have the government insurance you are stuck with what you have. If there was more competition for providers then maybe the insurance providers would offer better rates. When competition is a factor it attempts to appeal to the customer and give you the best deal for your dollar. This approach could be employers not having a set insurer or having all private insurance companies compete for customers.
Utilization controls is a competitive approach as looking at services and how decisions affect managed care (Shi & Singh, 2015). Interventions can be made to cut unnecessary services and make positive changes to benefit the bottom line. The American culture values answers to problems and we are constantly chasing the belief that we will be the first to find the cure or first to have a theory to work for a disease. Another way to manage services is to look at how much funds are taken away from the managed care and given to the department for preventative testing. Curing diseases has been set as a priority instead of looking at preventative measures in regards to healthcare (Shi & Singh, 2015). Funds are being allocated a certain way and the other areas are becoming less funded over time like preventative care. It is important that in managed care only the needed services are given and prevent inefficiencies in the medical
Currently insurance companies have something that everyone needs and depending on your job or if you have the government insurance you are stuck with what you have. If there was more competition for providers then maybe the insurance providers would offer better rates. When competition is a factor it attempts to appeal to the customer and give you the best deal for your dollar. This approach could be employers not having a set insurer or having all private insurance companies compete for customers.
Utilization controls is a competitive approach as looking at services and how decisions affect managed care (Shi & Singh, 2015). Interventions can be made to cut unnecessary services and make positive changes to benefit the bottom line. The American culture values answers to problems and we are constantly chasing the belief that we will be the first to find the cure or first to have a theory to work for a disease. Another way to manage services is to look at how much funds are taken away from the managed care and given to the department for preventative testing. Curing diseases has been set as a priority instead of looking at preventative measures in regards to healthcare (Shi & Singh, 2015). Funds are being allocated a certain way and the other areas are becoming less funded over time like preventative care. It is important that in managed care only the needed services are given and prevent inefficiencies in the medical