Increasing costs all around the globe due to economic downfalls is making this issue even more challenging. It is vital that we have some focus on revenue, but we can’t lose focus on the costs of running a business. In health care this can be very challenging because of all the changes involved with the government, in laws regarding health care reform. “Understanding the total costs of services will allow the redeployment of resources which provide a higher payback, or will facilitate the elimination of those resources altogether.” (Hughes, 2011).
This question represents at least half of the medical community, and makes people question the intended and unintended consequences in a profit - driven health care system, the supposition of quality health today, and whether they
[Cost] Cost could potentially be the biggest factor of the iron triangle and perhaps the side of the model that leaves administrators most puzzled. With new technology being released quarterly, drug prices soaring, a new aging population that can't be supported by the current workforce, Medicare cutting reimbursement payments and leaning towards insolvency, and the price per service continues to rise it seems as if cutting costs down may seem impossible. Not only have hospitals and clinics began looking for more cost-efficient ways to provide care or, unfortunately which programs to cut, the political arena has been evaluating this as well. Since Obamacare has not lived up to its true potential and glory an alternative method must be identified before the nation's model of healthcare implodes from high costs.
In 2010, the aggregate shortfall of government funding for Medicare and Medicaid beneficiaries was estimated at $28 billion dollars. Currently, Medicare and Medicaid in combined do not cover the complete cost of care for program recipients but their beneficiaries account for about half the care provided by hospitals . In the chart it shows the uncompensated care and payment shortfalls from Medicare and Medicaid in billions of dollars, 2010 Similarly, between 2000 and 2010, the cost of uncompensated care grew by 82 percent, from $21.6 to $39.3 billion. In the below chart it shows the cost-based uncompensated care in billions of dollars, 1990 – 2010 .EMTALA’s
The authors of this journal discuss the healthcare systems cutbacks and its impact on the population. Every few years the Ontario government and the Ontario Medical Association (OMA) negotiate their contract called The Physician Services Agreement (PSA) The contract details how much physicians can bill for their services, as well as where health care funding should be invested in or where a cut back could be. In March of 2014, the contract had expired, which has led to negotiations for over the year. Over that year negotiations for the new PSA contract had many conflicts mostly due to the government’s goal try to end the province's deficit by 2017-2018.
For HCA, to avoid future disparities offering lower prices to existing patients and new patients, who could not afford the services, is a good initiative to not lose patients and therefore not lose profit. Another way to help with the disparities is to set up clinic services to patients who are not able to afford medical assistance at the same time this clinic can provide education to patients on how to better their health and lifestyles. If an organization treats and helps guide a patient he/she will continue to come back to get treated or educated. With this, it will help the organization target disparities, help the community while still making a profit because it retained their
In the film Escape Fire the Fight to Rescue American Healthcare, there were many insightful examples of why our Unites States healthcare revolves around paying more and getting less. The system is designed to treat diseases rather than preventing them and promoting wellness. In our healthcare industry, there are many different contributors that provide and make up our system. These intermediaries include suppliers, manufacturers, consumers, patients, providers, policy and regulations. All these members have a key role in the functionality of the health care industry; however, each role has its positives and negatives.
Access to affordable healthcare is a major concern that has a significant impact on the well-being of people all across the world. Numerous problems with the current healthcare system exist, including issues with quality, affordability, and access to care. These difficulties are important because they affect how people, groups, and populations fare in terms of their health. Thus, addressing these healthcare challenges is crucial for promoting better health outcomes and improving the quality of life for individuals and communities. In this essay, examples of current healthcare challenges from Kristina Campbell's article "Ready to Respond: EBSCOhost" will be cited to illustrate and reinforce the arguments presented.
Achieving health equity requires valuing everyone equally with focused and ongoing societal efforts to address avoidable inequalities, historical and contemporary injustices, and the elimination of health and health care disparities (Office of Disease Prevention and Health Promotion, n.d., para. 4).” The Beureau of Health Workforce makes available monetary support and policy guidance in conjunction with Healthy People 2020 objective AHS-3, Increase the population of persons with a usual primary care physician (Offices of Disease Prevention and Health Promotion,
Three obstacles that some patients face when obtaining routine healthcare that a care coordination provider addresses are financial restraints (including lack of health insurance), no access to medical advice from a professional, and lack of preventative care, which results in escalation of the patient’s medical problem. The first obstacle which is financial restraints/health insurance restraints is discussed in the article ‘The Hot Spotters’, which discusses the story of a man who stopped refilling his medications because he could not afford the co-payment that his insurance required. The article states “The man, dealing with higher co-payments on a fixed income, had cut back to filling only half his medication prescriptions for his high cholesterol
Another efficient advantage is due to the fact that on average primary level health care are less expensive compared to secondary and tertiary health care such as specialists. This means that due to gatekeeping, patients that don’t require specialist (secondary health care) do not get to see them, reducing in cost majorly. For example, a study that was conducted in 2014 found that since Austria is not subjected to gatekeeping, patients in Austria tend to seek specialist 4 times more compared to countries that are subjected to gatekeeping (Laura, 2015). This means that cost is higher due to higher over-utilization of
It can be quite prevailing for individuals to have financial problems towards health coverage. Based on the Health Affairs reference, “In the last decade, health insurance premiums costs have increased by 80%... whereas 58% of Americans report they are not able to seek medical attention due to high costs” (Gary Claxton, Matthew Rae, and Nirmita Panchal, et al). Statistics also present many factors exhibiting millions of individuals facing the risk of losing their insurance. Above all, health insurance is a basic health necessity. Medical services being available to everyone will benefit the public health not only with quality, but along with quantity.
“In my opinion, our health care system has failed when a doctor fails to treat an illness that is treatable” (Kevin Alan Lee 2011). Being a doctor is mean to cure diseases unconditionally. However, the healthcare system in the United States today has always been the top concern in every family and individual. As compared to most of other countries, their governments provide free health care to their citizens at any time (Sicko). We as one of the most powerful countries seems far left behind that people are still suffering from high medical expenses and are still fighting over a basic need of being covered with free health care.
Introduction People hope and seeks long and healthier lives. Thus, health care is the act of taking preventative or necessary medical procedures to improve people well-being. Improvement or preventative may be done with surgery, the administering of medicine, or other alterations in a person 's lifestyle. These services are usually offered through a health care system made up of hospitals and physicians. Although, the health care system is set up to reduce or to prevent disease etc., there is a gap or disparity in the US health care system.
As the healthcare landscape continues to shift, medical providers and hospitals are continuously being challenged to develop clear and concise visions and redesign care delivery in ways that will usher proper transitions to value-based care. As value-based healthcare continues to take root, more and more hospitals and providers are finding themselves with little option but to join the movement. However, the jump from previously utilized fee-for-service models to value-based healthcare is not an easy one, and many healthcare organizations are finding it difficult to do so. The greatest challenge lies in successfully making the transition from volume to value-based healthcare in ways that are financially stable. Such inherent difficulties faced by those within the healthcare system are what have necessitated strategic
