This causes shortage of labour force in health care sector which in turn causes long patient wait time. The most visible consequences of current Canada’s health care is its poor quality of service. Health care has become more and more impersonal. Doctors and hospitals already have more patients than they can handle and no financial incentives to provide good services. Their customers are not the ones who write the checks
With the unemployment rates so high; more and more Americans have to go on a government funded plan. These plans are very time consuming for the doctors which again takes away from patient care time. Yes, the incentives were out of hand before with the drug companies, but now the regulations for such are very strict and very limited, why can’t we find a happy medium. Now, with the healthcare reform benefits, premiums, and services covered will be a lot worse. Guidelines and limitations on prescriptions, tests, and specialists will be even more stringent.
For example, if a market is saturated with an increased number of neurosurgeons, then each individual neurosurgical office will have a decreased demand for their services. While some healthcare providers will offer incentives for use of their services, such as discounted rates or contracts with insurance companies, this could assist in increasing the demand for that practice. Getzen (2007) surmises that the demand curve for medical care seeks to answer the following questions: “Given that there is not enough for everyone to have all that they need, how can optimal decisions be made? Who should get treated? How should resources used for medical care vary across groups?” (p. 25).
Free healthcare would preserve many lives. There is a significant amount of people that are dying, due to lack of health insurance, and the inability to pay for coverage. Today, even people who have fulltime jobs are often incapable of purchasing healthcare. Many jobs do not offer insurance, and people that lose their jobs are often left out. If healthcare was free, every citizen would have access to see a physician.
Pay for performance, also referred to as incentive pay or P4P incentive programs are designed to overcome the limitations of current reimbursement arrangements by aligning financial reward with improved outcomes. These idioms pertain to health care payment systems that reward health care providers for their efficiency. Under the current mode of operation, providers are paid for each service performed, giving our health care providers the financial enticement to perform as many services as they possibly can. This can possibly lead to abuse in over prescribing medication and ordering unnecessary testing. By adopting a pay for performance stance on impacting the preventative side of health care, a substantial savings in rising health care costs may be met.
Medicare’s physician reimbursement regimen is filled with underpayments and bad incentives. Although it is true that Medicare can knock down physician fees, this is not one of the greatest strengths, but actually it is considered to be a weakness. Ultimately, these underpayments are transferred to patients in the form of short visits; less time spent with the doctor, speedy hospital discharges, and compromised care. A significant amount of a doctor’s day is devoted to detailed documentation, endless paperwork, and signatures. This leave little room for doctor’s to spend time at the bedside of their patients.
In the single payer model, the government is the one to which taxes are paid and thereafter takes the initiative of paying the health care providers including nurses, doctors as well as dentists to avail this vital health care to individuals. In a single-payer health care system all doctors, hospitals, and other health care providers will be obliged with billing of their services to a sole entity. Through this, the earlier mentioned administrative costs are greatly reduced thus saving money which can be utilized to avail insurance and care to those in the society who are not receiving such services
For example, managed care providers emphasize on keeping enrollees healthy to reduce use of services and financial incentives for enrollees to use providers and procedures associated with the plan. All these can compromise the quality of healthcare provided to members. On the micro-level, managed care has changed healthcare delivery by enforcing measures aimed at reducing cost. For example, pay for performance (P4P) is a toll used in the U.S. to improve efficiency in healthcare systems by rewarding health care providers for following certain procedures. Such systems could compromise the quality of
Some nursing positions were cut due to the demands of managed care which drastically increased the workload of individual registered nurses. Many nurses were driven away due to the growing burnout and feeling that they couldn’t meet their professional responsibilities to their patients. Other factors contributing to nursing shortage is poor work conditions, the aging RN workforce, inadequate resources for nursing research and education, the increasing complexity of health care and technology, and the rapidly aging populations as well as lack of professional autonomy. The work load is causing nurses to leave the hospital and work in other areas of nursing or other
Eventually, the consistent care would balance as the health care needs are met. Another measure of savings would be the reduction in cost for administration. The best way to control costs is to simply improve health care planning. Setting and enforcing a budget will assure the appropriate investments are made by negotiating outrageous fees for high-tech care with doctors, hospitals, and drug