Health Policy Analysis Essay

There is a move from a noncompetitive insurance environment to a competitive one because the competition was not by hospitals to provide the best and cheapest care, but rather among the insurers to get the healthiest patients. Consumer driven plans are central to the process because they are ideal for risk selecting the young and fit who have been driven to new plans. Healthy people could watch their account balances grow which leaves the truly sick behind in traditional plans. This particular type of competition is being used to attract the healthy and in turn lead to price increases because insurers have little incentive to control the prices medical providers are charged. It is the responsibility of the patients to worry about the cost and the patient does not have the same power as the insurance competitors do. According to a key South African regulator, Alex van den Heever of the Council for Medical Schemes, “Competition based on the shifting of risk

Having access to quality healthcare is major part of one’s life however the cost of care has been on the rise over the past decades and continue to rise every day due to many situation such

In a world of budget cut and layoffs, medical corporations face new and different challenges in addition to helping and healing patients. I used to work as a medical biller in a physician’s office for five years and I experienced how difficult for the health care providers to get reimbursed. The government and the insurance companies have been limiting the budget towards the health care services. This action also affects the hospitals greatly because Centers for Medicare & Medicaid Services (CMS) and some policymakers have requested the hospitals to reduce the

A challenge that the healthcare nation is facing is to provide the quality of care that is expected and obtain low healthcare cost. Working hand in hand with the private sector and government is in hopes of improving the quality of care that each patient deserves and maintaining the cost so that research can continue. The purpose of this paper is to look into relationships between healthcare cost and quality healthcare.

The health care system is one of the largest industries in the nation. It employs nearly twelve and a half million people. Even though this many people are employed by health care systems, there is little to no competition between the many different systems. This results in the cost being whatever the system wants. People who are ill or

The government has trying to stop the increasing growth of spending on health care and offering different measures by pricing controlling

There are so many different health care providers and types of health care services that we as consumers can receive. All those different services or facilities are going to have competitive prices for our medical care. I think a patient as a consumers are going to benefit from this. Not only do medical facilities have competitive prices but also insurance

From 1991 going forward, the health care environment again experienced fundamental changes as a result of the deregulation of hospitals which according to Ingols and Brem (as cited in Swayne, Duncan, and Ginter, 2006) was occurring for the first time in a decade. According to the authors, the impact of the move was immediate. Following the deregulation, the financial viability of most hospitals was

The goal of the HSCEC was to establish a reasonable, equitable, and transparent way to pay for uninsured care (Murray, 2009). This is achieved through fairness, as a politically independent agency, and equity, with all patients paying for their own care, not the care provided to other patients, along with a fair share of hospital cost, to include uncompensated care (Murray, 2009). Regulatory, this required all hospitals and payers to provide timely and accurate data to develop a payment methodology that is consistent with market-based principles and legislative intent (Murray, 2009). As a hybrid strategy, the state receives the benefits of both approaches, legislation that seeks to maximize equity for all, and market based approaches that maximize consumer sovereignty. By offering hospitals financial incentives, while allowing hospitals to be at financial risk for managing operating cost, the system can control cost, but not hospital profits. Payers and hospitals remain motivated to save money by lowering hospital costs, rather than shift those cost to other payers, ultimately leading to the successful achievement of long-term policy goals and the avoidance of major short term disruptions in the delivery system (Murray,

The research question asked by Coyne et al. (2009) study was whether the size and ownership type of the hospitals make variance in cost and efficiency results of the hospitals. This distinction of the cost and efficiency matter are very important for the policy makers to motivate a certain type of the health care facility for gaining a better control for the payer mix, case mix and services provided (Coyne et al., 2009, Pg. 174). The research question for Messina et al. (2009) study was whether the patient satisfaction is the reason for the increased volume or admissions in the hospitals, and whether the patient satisfaction and increased admissions are different in teaching and non-teaching hospitals. The patient satisfaction and the

One of the founders of humanistic psychology, Abraham Maslow, often pondered over why he did not go insane. Maslow, like any great psychologist, questioned what made him stand apart from others – I relate strongly to this.

The equipment in the hospital needs to be replaced and was 20 years old. Pemiscot’s primary care providers see patients by offering sliding scale rates however the medicines are not being covered in this method and hence the sick population is not buying any and is getting sicker.as the hospital is mainly serving an agricultural county, which ranks as one of the worst in health indicators, many of the patients are uninsured and hence they have to treat the patient if they turn up at the ED but won’t get compensated (Doyle. 2015). The main conditions identified were high smoking rates, diabetes premature deaths and poor quality of life. Closing the hospital is therefore not an option (PT Community,2017). The lack of doctors in the area forces the others to treat other specialty conditions as well. Many doctors are frustrated with the lack of compliance to their instructions. (Doyle,

Continuous debate about the rise of healthcare between the multiple stakeholders involve has yet to come to a solution that works. These multi-stakeholders have to compromise their consumerism mindset and bring their focus back on improving the quality of care for patients by making it more affordable.

The market for physician and hospital services are much closer to the competitive model in the health care fields. Price control could lead to restrictions on the rate of technological development and ultimately the rationing of health care (Wagner, 1993) whereas; Reischauer argued the only way to control Medical care spending is by imposing cap spending. For example, Canada and Germany set global budget for their hospitals, providing each institution with a set amount of money used to provide services to all comers, if spending exceed hospital providers are faced with a dilemma.

The problem at Memorial Hospital is the focus on costs instead of health care. When a health care provider does not take the primary business as the core value of the operation and make strategic and tactical decisions based primary on costs, it decreases the consumers’ (patients) satisfaction in long run. As consumers reduce or stop purchasing goods and services from the hospital, hospital may make more cost oriented decisions and falls into a negative cycle. Eventually the hospital may face the fate of loosing business to competitors and the possibility of closing the door.