The United States of America is in constant search of a stable financial model for its healthcare sector. The current healthcare system has many broken pieces, and it is important for policy makers to re-evaluate the system at hand and make necessary alterations. The article discusses the three major healthcare payment models: Fee-for-service Payment Model, Capitation Payment Model, and Salary Payment Model. It provides an in-depth analysis of the advantages and disadvantages of all three payment plans. It also examines the economic trends in relation to these payment plans. The article also puts forward many new effective alterations which can help improve the overall healthcare condition in this country.
In this article, our objective is
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This is the most used healthcare system in this country presently, eighty five percent of clinics use this model. It is the most famous model because of its clarity. Physicians get paid according to the amount of services they render, and physicians are not restricted in any way from performing any additional tasks or referring to specialists. However, the FFS model is also considered to be severely flawed. Many physicians and patients are taking advantage of it and are abusing their privileges. More than thirty percent of the total insured population are enrolled in either Medicaid or Medicare programs. Hence, the government suffers the most. Therefore, the article suggests the incorporation of the Capitation model and the Salary Model. In addition to these two models, the article also suggests other techniques to overcome the lack of quality in healthcare which is the use of Accountable Care Organizations and Patient Medical Homes to ensure better access to …show more content…
This nation spends more money on healthcare than any other country and is still not able to provide better healthcare than those countries. I also agree with the article in terms on patient taking advantage of Medicaid/Medicare programs and demanding over-treatment. As an insurance administrator, my job is to run eligibility and benefits for all patients in our office which consists of almost thirty specialists, and when I run legibility, I see the same patient visiting different specialists on a daily basis. It is not always necessary that the patients only encourage over treatment, many physicians also encourage over treatment but regardless of who encourages it, the government suffers.
After reading the article I realize the importance of the quality of healthcare. The article also educated me on the financial struggles of the physicians. I would slowly like to change my mindset from the traditional healthcare and focus on preventative care. I will try to make a conscious effort by also educating others about their rights and making the right