Cost Sharing In Health Care Essay

Improved Essays
The cost of health insurance is detrimental to the lives of the U.S’s citizens due to insurance most Americans lack. As described by Dr. Gerald, as prices and spending increases, purchasing health insurance decreases.1 Though public plans, such as the Affordable Care Act, are implemented for those who may be low-income, lost jobs, elderly, which does not mean individuals are not willing to invest in health. Six percent of families in the United States have medical expenses that increase by 5,000 annually.2 Individuals are looking for fair benefits, and through modifying cost sharing, making it more equal; there will be an increase in health care utilization. Cost sharing is method where the patients pay a portion of their medical expenses that can be done through deductibles, co-insurance, or copayment.1 Copayment prices range from $20-$100, making patients change their behavior if the price it too high, by reducing their visits with a physical, the emergency department, or lack of investment in their health services.2 This presents as harmful to the patient’s of …show more content…
To make cost sharing more equal, a fair percentage of the premium would be distributed amongst all public insurance programs, so that no one is loosing money. A reduction in out of pocket spending will increase patients to invest in their health, and improving the health care system.4 As well as reducing cost, education on the value’s of insurance should be provided for the patients, so that they are aware of what they are purchasing, to better serve their income and health needs.3 A disadvantage the cost-sharing policy might face, just as all health policies, is that many business may not be able to afford the cost of health care, therefore an assessment on the business would help determine a reasonable price that is in line with the equal price of the

Related Documents

  • Improved Essays

    Saltzstein’s points on the positive and negative effects of insured healthcare on an organization are supported by the statements and statistics by Dr. Ravi Hundal. A family practice doctor as well as the CFO of JMMG, Dr. Hundal explains the cost of health insurance that doctors receive while working at JMMG. In a company that employs 327 doctors, JMMG has an annual cost of $26,400 for doctor and dependant health insurance, totaling out at $8,632,800 per year (Hundal). While this benefits JMMG employees immensely and helps with the reputation of JMMG by holding “happy” employees, the economic costs are quite severe. However, JMMG has taken strides in order to ensure that the majority of their patients have health insurance, as they get a “35% discount for services”, and because of these efforts, those who are reportedly self-pay are less than 2% of all patients at JMMG (Hundal).…

    • 1391 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Along with a detailed history of insurance and political background on how has the health care system changed over the course of a few years, the book presents case studies that shows the financial strain and medical hardships caused by the declining health care system and why it is in a desperate need to reform. Some Americans cannot afford the medicine they need or cannot afford to pay the doctors for any medical help. “Hospitals try to keep out the uninsured because treating those patients will just divert hospital resources away from paying customers” (219). Some companies cannot provide insurance as an incentive with employment like previously either.…

    • 1007 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Interestingly, by cross referencing the legislative clauses against current fiscal and population data values evidence of the core problems this initiative hoped to address can be identified. For instance, the first provision within the ACA requires all U.S citizens to have health insurance, but prior to 2010 44 million American did not maintain consistent coverage (Kaiser Family Foundation, 2016, p.1). Studies have shown that uninsured individuals are less likely to have a primary physician, therefore, relying typically on the emergency room for care (DeMichele, 2016a, p.1) . In addition, these individuals frequently do not practice preventative care, nor do they receive medical attention in a timely manner (DeMichele, 2016a, p.1) . These contributing factors have increased the likelihood of death in uninsured Americans by 40 percent, equating to as many as 45,000 deaths per year (Cecere, 2009,…

    • 723 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    Abstract This proposal looks to introduce the readers to a new legislations that will allow all citizens to have equal access along with fair access to a health care system. This plan will outline many key areas that will allow for employers to gain benefits for having coverage options for both full and part-time workers. In addition, this proposal will set a guideline to allow for an equal cost healthcare system for everyone that wishes to have coverage. The current plan, the Affordable Care Act, will be discussed throughout this proposal discussing how this plan is detrimental for the American people and the economy.…

    • 1583 Words
    • 7 Pages
    Great Essays
  • Decent Essays

    The reason why most healthcare providers are able to charge different groups of purchasers’ different prices for the same product is because it is a type of price discrimination. It portrays some positive aspects of price discrimination. If a company lowers all their prices to the level where everyone could purchase their services, then they would lose too much profit from each service they provide. This kind of change shows how the gains from trading can be split among the consumers and producers which can be arguable. However, even so, discrimination on prices does not lead or need improvement.…

    • 154 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    The Affordable Care Act is one of the most talked about and debated subjects that our country has focused on for the past 6 years. The Affordable Care Act is a federal statute that was signed into law by President Barack Obama in 2010. This act was structured to help with hospitals and primary physicians which would transform their practices financially, technologically and clinically to drive better health care for individuals by lowering the costs and improve the methods of distribution and accessibility. By all accounts the initial reason for the ACA was to aid in increasing the availability for health insurance to those individuals that could not afford insurance. The act requires all insurance companies to cover all application within new minimum standards and offer the same rates regardless of preexisting continuous or what sex the individual is.…

    • 1011 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Affordable Care Act Dbq

    • 769 Words
    • 4 Pages

    With the inauguration of President Barack Obama in 2009, one of his primary goals was expanding health insurance. Although this drew praise from Democrats, Republicans were very concerned about the potential creation of a welfare state. Thus, the fight to implement the Affordable Care Act became a long, drawn out battle that it still being debated today. The concerns over government intervention, effectiveness, and solvency both explain why it was so difficult to pass the ACA and why it is difficult to pass social programs.…

    • 769 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    In 2010, The Affordable Care Act, commonly known as Obamacare, was implemented across the United States to address the foremost issues in today’s Healthcare. These problems include lack of accessibility to quality healthcare, growing cost of care, and quality of care. While the affordable care act addresses concern of access to care for the underprivileged, it creates other new complications regarding cost and quality. Obamacare has succeeded in making care more accessible and now millions of Americans are now newly insured under government subsidized healthcare exchanges. However, the cost of care for those previously insured from either their employer or privately has increased dramatically.…

    • 1942 Words
    • 8 Pages
    Superior Essays
  • Improved Essays

    Improving access to care should return big improvement in overall population health, increase all the workers in a company or country working well and getting a lot done, and reduce the significant related to managing money risk uninsured and underinsured people and families now face in the unreformed market. Even with these improvements in coverage, we estimate that the combination of legal rules in the new law will save $590 billion or more in national health spending over 2010-2019 and lower premiums by nearly $2,000 per family. The once-a-year growth rate in national health expenses will be slowed from 6.3 percent to 5.7 percent. Congress and the President have put into law a historic health care reform law that will help secure and make sure of that all families can get the care they need, as well as related to managing money security and relief from rising premiums. The laws and the law making is a significant first step toward bending the health care cost curve for the federal government and families, and it will produce real money-based…

    • 998 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Before 2010, millions of Americans suffered from the issues of not having health insurance. The Affordable Care Act, also known as Obamacare, was signed into law with high hopes of reducing the number of uninsured by making health insurance available to all U.S. citizens regardless of having an employer or not and living with a pre-existing condition while reducing additional healthcare spending outside the deductibles and premiums. Even with the best intentions to solve the problem of uninsured Americans, another problem surfaced from the Act, the cost. Since the current Federal Health care system burdens millions of Americans with unaffordable cost, which are caused by rising prices in pharmaceuticals, hospital care, and inadequate health…

    • 825 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    After much scrutiny, The Affordable Care Act, termed “Obamacare,” finally passed through The Senate and House of Representatives, and upheld by the Supreme Court on June 28th, 2012. Through its’ passing, it caused millions of American’s healthcare insurance rates to skyrocket, and drove up insurance rates nationwide. On another note, this also opened insurance to millions of American’s who lacked any kind of health insurance at all. Throughout the country, there is evidence if we walk into doctors’ offices and try to make appointments, a lot of times we are turned away, especially if the doctors are specialists. Physicians who refuse to help Americans’ with government based insurance are detrimental to society in multiple ways.…

    • 917 Words
    • 4 Pages
    Great Essays
  • Superior Essays

    Medicare Threats

    • 1371 Words
    • 6 Pages

    The New Threat to Medicare, Medicaid, and Social Security This article explains about the controversial budget proposal supported by Representative Paul Ryan a Republican from Wisconsin. The bill “The Path to Prosperity: Restoring America’s Promise” was originally approved by the House of Representatives in 2011 but the Senate quickly overruled the bill along party lines. The main piece of the Ryan bill is the conversion of the defined benefits of Medicare to fundamentally a member contribution plan.…

    • 1371 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    Affordable Healthcare Act

    • 980 Words
    • 4 Pages

    The study further pointed out that “the median ER visit costs 40 percent more than what the average American pays in monthly rent” (Abrams, 2013). Rising cost is something to be expected, with the modernizing and advancing of medicine that occurs on what is seemingly daily. However, the majority of American’s are not able to spend this staggering cost. As a result, the Affordable Healthcare Act attempted to combat these problems. The Affordable Healthcare Act works by “offering consumers discounts, known as tax credits on government-sponsored health insurance plans, and by expanding the Medicaid assistance program to include more people who don't have it in their budgets to pay for health care” (Neporent, 2013).…

    • 980 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    The right to affordable health care is as sacrosanct as the right to be free, if not more. The most important issue is making medical care a right for everyone at an affordable price. American health care has an insurance-based system; thus, to get affordable and efficient medical help, you should be insured. Currently, there are about 44 million uninsured Americans. According to Elizabeth Bradley, the author of the book The American Health Care Paradox, the paradox of today’s system is that “United States spends so much on health care but continues to lag behind in health outcomes” (33).…

    • 1634 Words
    • 7 Pages
    Great Essays
  • Improved Essays

    Healthcare Expensive Essay

    • 1122 Words
    • 5 Pages

    “An estimate done by the Census Bureau’s, said that thirty-three million Americans lacked health insurance in 2014 reflects a significant and welcome drop from the forty-two million it reported as uninsured in 2013,” said Dr. Robert Zarr, president of Physicians for a National Health Program, today (More Americans gain health coverage, but many can’t afford to use it: doctors group). In this time of rising health care costs, a great amount of Americans experience troubles or difficulties paying for needed health care services. With the costs that are expected to continue rising, changes happening to private insurance plans and public…

    • 1122 Words
    • 5 Pages
    Improved Essays