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,
The reforms and expansion of health insurance and specials provisions relating to preventative care are designed to get Americans to think about preventing disease before it happens. The idea is to drive down costs by avoiding expensive treatments for serious disease and to improve the overall health of a vast majority of Americans. There is no doubt that prevention is cheaper than treatment, and the reforms present in the Affordable Healthcare Act are meant to get Americans used to utilizing preventative measures in order to stay out of hospitals and emergency
The quality of health care that patients receive would be greatly reduced. Nationalizing health care reduces patient and doctor flexibility leading to poorer treatment of patients. Patients are not likely to curb their doctor visits and drug costs if it is free, so total costs of health care will be several times what they are now. In order to cut costs of health insurance price and salary controls on drugs, medical equipment, and medical services will probably be put into effect. People who live in countries that have nationalized health care have to wait on very long waiting lists before they are treated sometimes.
So the return to the company will be lower as well. This is the better chose of the two plans with the health condition of the employees. The health plan is going to cost more but you pay for better services. It is like the saying “you pay for what you get”, such as if you pay a lower premium than you will have certain network of hospitals, physicians, and treatment centers that may not have the same results of paying more money and receiving better service. The Castor Enhanced plan can be overhaul to fit the need of the employees.
The upper class would not want to have the same healthcare as someone in the lower class or working class. Those in higher social classes believe that if they worked hard to achieve a certain level in society then they should be rewarded for it in all areas of their life (e.g., higher income, better neighborhood, better healthcare, better education for children, etc.). This point leads me to think that China’s healthcare system may have been corrupted because those in a higher class were more likely to have faster and better assistance. Doctors in china are known to be bribed by the upper class. In my opinion this could be another reason why there are politicians who believe this law is unconstitutional.
Although managed care has been shown to reduce costs, it is probably not the answer to all of America’s health care problems. Some HMOs have made money through risk selection, accepting mostly healthier patients. Other HMOs may find it difficult to maintain quality of care once the easy savings from discounting and substitution have been taken and thus may be tempted to reduce services in precisely those areas where patients, hampered by information asymmetry, depend most on professionals for monitoring
However in the long-run, this price raise is not enough to make people quit smoking so since cigarettes are a demerit good, it will have a negative effect on the environment and it will increase the number of health issues from second hand smoke, not to mention the high unemployment rate and less taxes for the government. Work Cited: BusinessDictionary.com. 2013. What is inelastic demand? definition and meaning.
I believe that this is a great way to help reduce healthcare cost, however, I do believe that there should be verbiage that allowed for higher pay outs dependent on the situation. Should a patient be able to sue for millions of dollars for a mistake that did not lead to a significant event or death? I do not believe that this should be allowed and should be capped. If the negligence leads to death or significant injury (i.e. laterality issue much like amputation of the incorrect limb); I believe that this does deserve to be compensated accordingly and not be capped.
Patients who were admitted came to the hospitals much sicker, and you had more folks to care for at the same time, with less help. This was not fair to you or those in your care. Conclusion Managed care was born out of a good idea, basically to help curb the rising cost of health care. In essence it should have been the answer. But because of the greediness of some just as in other models what started out as good ended up not being able to provide the quality care at an affordable price like was promised.
I also think it should be made affordable so people can get it. It is not fair to the ones that cannot afford it. In certain countries it works in different ways. Later on in my paper I will talk about the different benefits of healthcare coverage of the United States. I will also talk about how Universal coverage is working in other nations.