This is the type of healthcare system we do not need, nor can we afford, but we see this already happening among larger healthcare organizations. New treatments, new drugs, new-biomedical research, new equipment, and new technologies mean, huge capital expenditures. This creates a huge financial burden to our already overburdened health care system, making the cost of care and insurance un-affordable for many Americans. As health care becomes more commodified subject to market trends, health care becomes more like other products and services we buy. We are now consumers of health care in some cases even when we are the patient, picking and choosing the plan that fits our needs.…
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.…
Going from a treatment mentality, to a preventive care one could yield positive results in numerous areas. The healthcare industry could remain profitable from high and regular patient visits, as well as having healthier working adults, amongst many more alternatives that haven’t been seen before. The PPACA makes great strides in many areas, although I believe there is room for much more improvement (Carr, T. R., Cayer, J. N., Cochran, C. E., Mayer, L. C., McKenzie, M. J., & Peck, L. R. 2009). I believe the PPACA will cause health insurance companies recreate their business model, in order to stay…
Cost shifting is a term which is used in the world of healthcare payments, Medicaid, insurance and Medicare reimbursements. Cost shifting occurs when hospitals and other healthcare providers charges an insured patient more than what it charges an uninsured one for the same service or procedure. Cost shifting is used both in private and public hospitals that apply health insurance policies especially Medicaid and Medicare (In Culyer, 2014). The benefits of cost shifting are that through cost shifting hospitals make up for the lower unit costs on Medicare and Medicaid patients.…
Since the late 1800s healthcare has been available in America, but there have been many disputes about the cost of healthcare and how it is so unaffordable(Palmer, 1999). In today’s society, many Americans suffer from common health problems such as coronary heart disease, stroke, type 2 diabetes and cancer(URMC, Top 10 Most Common Health Issues). There are organizations who work together and try to make healthcare available and affordable for all of these people like, Affordable Healthcare Act or Obama Care. Healthcare is the top priority for any person and everybody should be given the opportunity to receive affordable health care. Organizations such as Obama Care can provide for millions of people, but they are still thousands of people…
Over the years, the rise in medical cost partial blame the emerging of chronic diseases, lifestyle behaviors, and innovation for the upsurge in health care costs that forced millions of Americans without health care coverage. As people tend to develop chronic diseases from life style behaviors it becomes a burden on health care, to ensure that these patients receive the best care possible as the demand became greater and too expensive for the insurance companies to manage. “The U.S. chronic illness burden is increasing and is felt more strongly in minority and low-income populations: in 2005, 133 million Americans had at least one chronic condition” (Bodenheimer, Chen, & Bennett, 2009, para. 2). Insurance companies were forced to change particular…
In United States of America, there has been a change in health policy after the lawmakers came together to rectify the flaws in our limited healthcare. With the Affordable Care Act (ACA), the national health focus has been shifted towards disease prevention and health promotion. The affordable care act provides the largest coverage of behavioral health in history. Under the Affordable Care Act, health plans must cover preventive care which in previous years was not catered without copayment and deductibles. This includes the coverage for mental health, substance abuse use disorder that is comparable to coverage of medical and surgical care.…
Intro Health care is something that we all need in some point in life but the cost of it is so expensive that would a person be able to afford the cost of health care. Since Obamacare as come into effect I feel that there are good things about it and not so good things. Since I have taken upon myself to acquire health care through Obamacare it has cost me a lot of money without any assistance and sometimes I feel is it important to have healthcare or pay a utility bill or go grocery shopping, but then what is something happens and I need the Health care to hopefully become healthy again and I feel we all think that in some point.…
Introduction The passage of the Affordable Care Act changed the delivery of health care in the United States. However, since the passage of the Affordable Care Act, multiple lawsuits against the federal government have been filed. On June 25th 2015, the Supreme Court ruled on the Affordable Care Act in a 6-3 decision stating, “Congressed passed the Affordable Care Act to improve health insurance markets, not destroy them. If at all possible, we must interpret the Act in a way that is consistent with the former” (CNN, 2015, para. 5).…
It takes careful decision-making and planning to ensure all chronic diseases and patients are covered. According to (CDC.gov, 2015), in the united states all chronic diseases and conditions and the health risk behaviors that cause them account for most health care costs. A staggering statistic from (CDC.gov, 2015) states, eighty-six percent of all health care spending in 2010 was for people with one or more chronic medical conditions. There are some medical issues that pertain to health care plans, coverage, and physicians. Doctor shortages are one area of concern since there aren’t nearly enough of us to care for the U.S. population, (Gupta, 2015).…
The predominant beliefs and values in the United States that have driven the development of the health care system is our economy, culture growth, technology, physical environment, and American culture. All of these beliefs & value plays and important role in our health care system. The health care system quad-function model makes up the basic components of the health care delivery system which are financing, insurance, delivery, and payment. In order for the system to work the health care system need all of these components to come together. As the health care system continue to evolve I feel that health care reform will not be a problem and that the beliefs & values that played an important part in the U.S will continue to be driven by…
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.…
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).…
Studies show that around thirty percent of the United States care is unnecessary and insurance companies are trying to make a headway against overtreatment (Why is health care so expensive). Health care economists predict that forty to fifty percent of yearly cost increases are due to new technology or an…