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Consolidation In Healthcare

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Changing the Health care system is hard to do due to the fact that it is very slow to change. Burns, Bradley, and Weiner (2012) states that there are a few issues that make it hard for them to change. The first one is the ferderal government, the government is the biggest payer by reimbursing health care through set prices. Second is consumerism, which can be found as consumer direscted health plans (CDHPs) and health savings accounts (HSAs), medicine offered by physicians to avoid organizations like managed care, person health records, healthcare financial services, and employer wellness programs (Burns, Bradley, and Weiner, 2012). Third, the health care delivery which is controlled by the medical profession that controls up to 85 percent of spending. …show more content…

Fourth, Consolidation has changed a lot throughout the healthcare economy by reducing competition, market power, and raising prices. Consolidation consists of wholesalers, organizations, insurance, and large hospital systems (Burns, Bradley, and Weiner, 2012). Fifth, the delivery of healthcare which is mostly dominated by non profit organizations. they also have a slow rate of change in the non profit sector of the hospital which accounts for about 15-20 percent (Burns, Bradley, and Weiner, 2012). One way to confront the need for stornger managers in the healthcare field is to address the issues. Applying organizational theory into the system will be very beneficial and

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One paramount difference right now is that healthcare organizations are essentially hiring in lieu of firing; hence, recruitment and retention are one of the most paramount issues. This is not obligatorily the case in other industries. The Cumulated States health care system faces many challenges in endeavoring to find a viable future. According to Dombovy (2002) among the critical issues are: • Achieving consensus on the constructs of health care • Reducing clinical variation/ enhancing quality • Financing incipient technology and drugs while circumscribing the rate of incrimination in health care costs.

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Major Healthcare reforms have been established in the past half a century despite the above-list challenging factors. The reform focused on coverage on millions of American citizens through Children Health Insurance Programs, Medicare and Medicaid. Between 1934 and 1939, there was the National Health Insurance New Deal. This period was characterized with growing income inequality with unemployment standing at 25% of the total population (Starr, 2013). There prevailed increased levels of unpaid medical bills with the poor being assisted by welfare agencies to sort out their medical bills.

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In order for a business to get the upper hand, it would have to lower its prices. Other businesses would retaliate by also lowering their prices, turning down the overall price of healthcare (Cannon). As seen in Europe and Canada’s socialist healthcare systems, government healthcare reduces the quality of health services and greatly increases the wait times for elective surgery (Rogoff 75). The lowering of quality of medical services is due to the lack of any market drive to make it better. Instead of a business selling medical technology in order to make a return, the technology is handed out through government healthcare.

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There are many stakeholders involved with health care administrations. Those stakeholders can be patients, health care physician, insurance providers, pharmaceutical manufactures, hospital organizations, community clinics and government. Each different stakeholder has their own individual vision of health care administration. This causes conflict due to the nature and differences in vision. which then can cause conflicts among each stakeholder involved.

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Analyze two or more defining characteristics of the U.S. health care system. Main Characteristics of the U.S. Health Care System According to Merriam-Webster dictionary, health care is defined as maintaining and restoration of health by the treatment and prevention of disease especially by trained and licensed professionals (as in medicine, dentistry, clinical psychology, and public health) According to Shi & Singh (2015) the combined interaction of economic development, technological progression, social and cultural values; physical environment, population characteristics, such a s demographic and health trends; and global influences make up the characteristics of the United States health care system.

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Taking in to consideration various disadvantages of this merging, consider the problems in health care merging that require collaboration among professional group with different training, work culture, and economic incentives (Shortell & Kaluzny’s, 2012).While the George, the CEO highlighted the potential benefits to patients from sharing resources and best practices, it is been noted that there are also some drawbacks to such large mergers. By concentrating the market power, large systems are in a stronger position to require insurers to pay more for services, which could raise insurance premiums and out-of-pocket costs. (Andrew Kitchenman, 2014). Sujoy Chakravarty, an assistant research professor at the Rutgers Center for State Health Policy, said that such mergers raise concerns about the market power of the new system. He says “There is no doubt that this level of market consolidation among hospitals would lead to what is considered a decrease in competition,” with insurers pressured to pay higher reimbursements.

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The healthcare environment is currently up against many opportunities for change. These changes are perpetuated by internal and external for factors and come at unknowing intervals. The health care industry falls under the “white water rapids” metaphor, “organization is seen as a small raft navigating a raging river with uninterrupted white-water rapids.” (Robbins, De Cenzo, & Coulter, 2015, p. 227). External environment is “factors, forces, situations, and events outside the organization that affect its performance” (Robbins, et al., 2015, p. 140).

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Lessons Learned Health care managers can improve change by becoming coaches and removing barriers. Improving performance by implementing Lean Six Sigma. Training their employees to think lean by using the methods and techniques for a better result. A hospital manager will benefit from implementing the three stages of change.

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Healthcare organizations’ goals includes provide quality, value priced, safe health care services and ultimately, improve health outcomes. In addition to this primary goal, healthcare organizations also seek financial stability, community value, ethics and employee engagement. In this context, leaders are asked to efficiently use the available resources to optimize the managerial approaches to direct their teams towards more productive environment and positive interactions with patients. Healthcare setting-unlike business setting-is a more complicated system that consists of different professional teams and departments that usually don’t share the same objectives or planning strategies due to the diversity in the services provided.

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But we already pay for healthcare in our taxes collectively and to insurance companies individually, and it's costing us dearly. We hear stories every day now about how someone died because they couldn't afford their medication or treatment. Of people suffering for years because they couldn't afford to see a doctor. We see the wasteland of suffering that our current system has given us, and we can't let the fear of change keep us from doing better, for all of our sakes.

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It is the classic example of market failure. All in all, government intervention in healthcare is due to the government intervention itself. These interventions include the patent law which deliberated to advocate innovative activity and licensure which is intended to maintain minimal standards of quality. All these contribute to the monopoly power that dominates the whole market as well. The specific person or enterprise manages to control the whole market since they are the only supplier of a particular commodity.

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