US Health care system of fragmentation The book and the lecture show that fragmentation among medical specialties, subspecialties, and allied health professional to identify the causes for division including the laws that mandate separate payment for each provider services and restrict others service for coordinating care with multiplicity of financial arrangement leads to increased medical error, higher costs, less preventative care, and misallocations of health care resources. According to Shi & Singh (2015), Delivering health care in America, is “a kaleidoscope of financing, insurance, and payment mechanisms that remain loosely coordinated as amalgam of government program and private source designed to deliver certain care services for multiple payer that make their own determination how medical services are deliver. (p3-5) The complexity of healthcare for Medicare and Medicaid is …show more content…
The original Medicare, part A for hospital care and the supplementary Medicare, part B for doctor care are mostly covered by enrollment. On average, original Medicare (part A & part B) covers about 48% of health care charges for those enrolled. However, the enrollee must pay premium for Part D for prescription coverage if not cover by private insurance or another form of out-of-pocket expenses for coordinating treatment. Depending on the amount of need, Medicare might include other services such as long-term care or rehabilitation service to offer Medicare advantage for part C as miscellaneous health plan that serves as a beneficiary for geographic area, such as rehabilitative or nursing home services, which covers about 28% of charges for health aid. In case, a patient is outside USA, Medicare offered extra l health plan, the Medigap for copayments, and deductible to exclude coverage for nursing care, prescription drug, dental care, or vision