When patients only seek healthcare from an emergency provider their care is more expensive and may be disjointed because emergency providers do not have access to a patient’s complete medical chart. In this situation, duplicate testing is done and medications may be prescribed that are not safe for the patient. The use of the emergency room as a primary care provider and the disjointed care of patients in the emergency room are two of the many challenges that healthcare providers and governments face when a patient with chronic health problems loses their healthcare coverage. One step that may assist governments in providing safe and effective care for patients who do have chronic health issues but do not have health insurance is to provide a healthcare insurance program where the premium cost for the
Dre Anderson Mr. Fallon Macroeconomics 11/2/12 Obama HealthCare Plan An ongoing problem in the United States of America today is health care. There has been many attempts to change healthcare plans and insurance so everyone can be covered and have healthcare available to them and their families. Obamas Healthcare plan is an attempt to make health care affordable for all Americans so that they have full coverage. Some believe that Obamas plan could possibly be efficient while some think it will not. Obama Healthcare expresses dramatic effects to people who already have health insurance, people who don’t have health insurance, those who can’t afford it, and older people who are on Medicare.
They are not more accessible to the uninsured and medically indigent, nor do they price less aggressively (Herzlinger and Krasker). For-profit hospitals provide significant community benefits through the delivery of uncompensated care, both indigent and bad debt and the delivery of unprofitable services needed by the community. References Nowicki, Michael (2008). The Financial Management of Hospitals and Healthcare Organizations. Chicago, IL: Health Administration Press.
There is also an option of a prospective payment system because physicians receive a fixed payment rate to specific treatments; this amount is consistent for the same type of treatment. The network the insurer chooses determines the payment system. | You not your employer or insurance company own and control the money in your health savings account. The idea of HSA is that people will spend their health care dollars more wisely if they’re using their own money. (www.mayoclinic.org) An employer may make contribution to the account but they do not pay for the services provided to you by doctors.
The insurance companies and Medicaid have a set allowable charge for nursing care and supplies. The system is efficient but some clients need more supplies than the allowable billing amount and it leaves the client to make up for the difference. References McCarty, E. (2012, February 20). Interview by LL Lee [Personal Interview]. Budget assessment.
The current alternative to the fee-for-services is the capitation arrangement. The physicians believe that the pay-for-performance is controlling how that he or she conducts the practice, but it will eliminate many expensive and unnecessary procedures (Shi & Singh, 2012).The pay-for-performance in the United States healthcare industry comes after the capitation and managed care and if managed correctly will become an asset and if not it will become a major blunder. The goal of pay-for-performance is to change patient behavior and doctors and hospitals with a rewards systems or punishment. A pay-for-performance bonus for doctors can be an increase for the general fee-for-service hospitals can receive an extra in the form of the diagnosis group-based payment (Shi & Singh,
To eliminate such process, the new bill will, offer new, low cost coverage through a national “high risk” frees, to protect people with preexisting condition until a new exchange is created. The pro of the new health care bill is that it will not add a dime to the current deficit and it is paid for, upfront. This reform will create independent commission of doctors and medical experts to identify waste, fraud and abuse in the health care system. Not only that, but it will order immediate medical malpractice reform projects that will help doctors to put their patient first instead on defensive medicine practice. However, it will require large employers to cover their employees and individuals who can afford it to buy insurance so that everyone will the share the responsibility of the
Under the PPACA, every U.S. citizen will have access to basic, affordable health coverage. This will alleviate hospitals and providers having to eat up so much additional cost. This will lower the cost of care significantly! The PPACA plans to lower the cost of care in many different ways. Keep in mind the healthcare system has become insurance company dominated, with only two insurance companies dominating a full two-thirds of the market (Langston, 2006).
If these requirements are not met, either no benefit is payable or the benefit is lower. For most pathology and diagnostic imaging services, Medicare benefits are paid only when another doctor has referred the patient to the doctor providing the pathology or imaging service. These requirements are in place in order to constrain costs by removing financial incentives to obtain unnecessary specialist services. As a consequence, most access
Managed care has become a buyer with considerable influence in all of health care” (Pratt, 2010). A few years ago one looked at long-term care facilities as being in nursing homes. Today facilities are opening up that is not a setting for nursing home though that is what others thinks. With the government involved today it has restraints with the pricing and the quantity of service one provides. When the government gets involved with making decision on health care they divert resources away from one provider and looks at another.