A single-payer healthcare is a system in which the government pays for all healthcare costs, which is also known as universal health care. Currently in the U.S., there are more than thousands of different health care organizations and billing agencies. A single-payer healthcare system would greatly cut down the significant amount of administrative waste generated today . However, there are some negative impacts on patients’ quality of care as well when implementing a single-payer system. For example, wait time will increase and everyone will need to wait to be seen .
If the United States went to a single-payer model for health care, providers' spending on health care IT will be reduced. Unless there will be incentives in place to monitor the quality of care, providers will less likely to spend on technology. Also, physicians will be reimbursed differently in a single-payer mode. They will have payment options like fee-for-service, salaried positions in the hospitals or salaried positions within group practices. Providers will no longer have the needs to compete with others because payment reimbursement will be the same.
On the other hand, if the United States went to a payment mechanism in which reimbursement was based on the quality of care, providers' spending on health care IT will increase. Providers will be more willing to spend on technology that have the potential to improve the quality of care delivered to their patients because of incentives and higher payment reimbursement. Quality-based reimbursement will also encourage competitions among providers. In order to compete with others, health care providers must carry out improvements and achieve optimal outcomes for their patients by utilizing new health care IT.