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Compare health care systems around the world
Comparative effectiveness of different healthcare systems
Pros of managed care
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The Center of Disease Control and Prevention (2013) reported that, more than 35% of U.S. adults are obese and suffer metabolic syndrome which can include heart disease, stroke, type 2 diabetes and a variety of cancers, causing the US more than hundreds of billion dollars for their medical care. It makes some wonder whether the health care Americans have chosen to support our country was the right choice. A managed health care system might not be the most efficient at times but compared to a Universal plan, Managed care looks golden. America’s managed health care dates back to the 19th century when rural American workers agreed to a set fee for physicians to deliver care to them and their families. After World War II however, hospitals and clinics started popping up all over our country enrolling more than half a million people. By the 1970’s healthcare became common place and the choice of HMO, PPO etc... were formed. Employers began to see managed care as a necessity for their employees and now healthcare comes as a job benefit (Tufts Managed Care Institute, 1998). Having a health care plan through work The alternative choice to a managed healthcare is a Universal healthcare which is a government-funded program. This health care system dates back just as far as managed health care however, this has never been much of a success in the American System (Karen S. Palmer,1999). Defined by the National Center for Biotechnology Information (1990) managed healthcare systems are: Health insurance plans intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific ser... ... middle of paper ... ...… Works Cited Bancroft (2013). Overview. Retrieved from: http://www.bancroft.org/about-bancroft/#.UsRNtvRDtEN Center of Disease Control and Prevention (2013). Adult Obesity Facts. Retrieved from: http://www.cdc.gov/obesity/data/adult.html National Center for Biotechnology Information (1990). Managed Care Programs. Retrieved from: http://www.ncbi.nlm.nih.gov/mesh?term=managed%20care Schwartz B. (2008). “Universal” Health Care Kills. Retrieved from: http://www.patientpowernow.org/2008/03/universal-health-care-kills/ Transcribed from a talk given by Karen S. Palmer (1999). A Brief History: Universal Health Care Efforts in the US. Retrieved from http://www.pnhp.org/facts/a-brief-history-universal-health-care-efforts-in-the-us Tufts Managed Care Institute (1998). A Brief History of Managed Care. Retrieved from: http://www.thci.org/downloads/briefhist.pdf
On a global scale, the United States is a relatively wealthy country of advanced industrialization. Unfortunately, the healthcare system is among the costliest, spending close to 18% of gross domestic product (GDP) towards funding healthcare (2011). No universal healthcare coverage is currently available. United States healthcare is currently funded through private, federal, state, and local sources. Coverage is provided privately and through the government and military. Nearly 85% of the U.S. population is covered to some extent, leaving a population of close to 48 million without any type of health insurance. Cost is the primary reason for lack of insurance and individuals foregoing medical care and use of prescription medications.
Out of all the industrialized countries in the world, the United States is the only one that doesn’t have a universal health care plan (Yamin 1157). The current health care system in the United States relies on employer-sponsored insurance programs or purchase of individual insurance plans. Employer-sponsored coverage has dropped from roughly 80 percent in 1982 to a little over 60 percent in 2006 (Kinney 809). The government does provide...
Health Maintenance Organizations, or HMO’s, are a very important part of the American health care system. Also referred to as managed care programs, HMO's are combinations of doctors and insurance companies that are formed into one organization. This organization provides treatment to its members at fixed costs and decides on what treatment, if any, will be given based on the patient's or doctor's current health plan. Sometimes, no treatment is given at all. HMO's main concerns are to control costs and supposedly provide the best possible treatment to their patients. But it seems to the naked eye that instead their main goal is to get more people enrolled so that they can maintain or raise current premiums paid by consumers using their service. For HMO's, profit comes first- not patients' lives.
In recent years, the number of Americans who are uninsured has reached over 45 million citizens, with millions more who only have the very basic of insurance, effectively under insured. With the growing budget cuts to medicaid and the decreasing amount of employers cutting back on their health insurance options, more and more americans are put into positions with poor health care or no access to it at all. At the heart of the issue stems two roots, one concerning the morality of universal health care and the other concerning the economic effects. Many believe that health care reform at a national level is impossible or impractical, and so for too long now our citizens have stood by as our flawed health-care system has transformed into an unfixable mess. The good that universal healthcare would bring to our nation far outweighs the bad, however, so, sooner rather than later, it is important for us to strive towards a society where all people have access to healthcare.
In order to make ones’ health care coverage more affordable, the nation needs to address the continually increasing medical care costs. Approximately more than one-sixth of the United States economy is devoted to health care spending, such as: soaring prices for medical services, costly prescription drugs, newly advanced medical technology, and even unhealthy lifestyles. Our system is spending approximately $2.7 trillion annually on health care. According to experts, it is estimated that approximately 20%-30% of that spending (approx. $800 billion a year) appears to go towards wasteful, redundant, or even inefficient care.
Despite the established health care facilities in the United States, most citizens do not have access to proper medical care. We must appreciate from the very onset that a healthy and strong nation must have a proper health care system. Such a health system should be available and affordable to all. The cost of health services is high. In fact, the ...
The U.S. healthcare system is very complex in structure hence it can be appraised with diverse perspectives. From one viewpoint it is described as the most unparalleled health care system in the world, what with the cutting-edge medical technology, the high quality human resources, and the constantly-modernized facilities that are symbolic of the system. This is in addition to the proliferation of innovations aimed at increasing life expectancy and enhancing the quality of life as well as diagnostic and treatment options. At the other extreme are the fair criticisms of the system as being fragmented, inefficient and costly. What are the problems with the U.S. healthcare system? These are the questions this opinion paper tries to propound.
The US health system has both considerable strengths and notable weaknesses. With a large and well-trained health workforce, access to a wide range of high-quality medical specialists as well as secondary and tertiary institutions, patient outcomes are among the best in the world. But the US also suffers from incomplete coverage of its population, and health expenditure levels per person far exceed all other countries. Poor measures on many objective and subjective indicators of quality and outcomes plague the US health care system. In addition, an unequal distribution of resources across the country and among different population groups results in poor access to care for many citizens. Efforts to provide comprehensive, national health insurance in the United States go back to the Great Depression, and nearly every president since Harry S. Truman has proposed some form of national health insurance.
Niles, N. J. (2011). Basics of the U.S. health care system. Sudbury, MA: Jones and Bartlett.
Have you ever gotten hurt and worried about having to go to the doctor and the financial burden it would have on you? Did you ever wish that you could afford healthcare that would cover you and not cost you thousands of dollars? Recently, the US has been considering a Universal Healthcare System to provide all citizens with affordable healthcare. However, they are at an impasse due to the acknowledgment of not just the gains of a Universal Healthcare System, but also the burdens it can impose on the US as a whole. The US must address everything good and bad before deciding whether a Universal Healthcare System would be what is best for the US and the people living in it.
Health care in our nation should be provided directly by the federal government under what is known as a “single-payer” health care system. It is a program that would cover Americans from “the cradle to the grave”. In our current system, hundreds of billions of dollars go to insurance company overheads, unnecessary administrati...
Although the concept of managed care has been in existence for several decades, Nickitas, Middaugh, and Aries (2016) remarked that its application in the nation’s healthcare system did not begin until the mid-1990s. Sekhri (2000) defined managed care as the variety of arrangements that incorporates the funding and delivery of care. Designed primarily to reduce the healthcare cost and deliver a high quality of care, Sekhri (2000) cited that managed care was criticized for its cost savings, provider reimbursement, and quality of care.
Managed care puts providers in a tough position to deliver the necessary care. If the medical provider was free to perform any procedure he thought is necessary under fee-for-service payment, he may get penalized for doing that under managed care guidelines. Managed care doesn’t allow the medical providers to recommend expensive procedures, but instead in encourages cheaper alternatives. The patients that use to pay-for-service system feel that they don’t get the best care that they deserve. Managed care places restrictions on certain services and discourages the overuse of medical care, which was encouraged by the pay-for-service system. Henderson mentions that “Managed care is unpopular among health care providers, and that managed care challenges their clinical independence and income. When providers are not happy with a plan their patients will mimic the
Managed health care actually combines health care delivery with the financing of services provided. This was intended to replace conventional fee-for service plans with much more affordable quality of care to the health consumers as well as the providers who was in agreement with the restrictions. However, managed care is becoming challenged due to the growth of consumer-directed health plans, which defines employer continuations and asking employees to be more responsible within their health care decisions and cost-sharing. The Americans health care system has been changing the way their health care services are organized and delivered. As seen by the movement from traditional fee-for-service systems to managed care networks. Ranging from structured staff model HMOs to the lesser structured preferred provider organizations (PPO). Statistics show that 60 million Americans are enrolled with some type of managed care program within the response to regulatory initiatives which affect health care cost and quality. Managed care organizations are responsible for the health of their enrollees, which can be administered by a physician’s group, health system, or even a hospital. Much of the managed care financing is through a method called capitation, and the enrollees are assigned to a select primary care provider, which serves as a gatekeeper.
Obesity occurs in all countries and it is one of the gravest problems in modern society. Obesity problems have become one matter of concern for individuals all around the world. What is more is that Obesity rates continue to rise all around the world. One of the chief causes is unhealthy diets. Obesity is also due to lack of exercise and lack of education and awareness. Therefore obesity has various effects including the risk of suffering from a range of health conditions, increased expenditure on health care and lack of self-esteem.