Cost and Quality Analysis The person pursues healthcare service with great expectations such as quality health care, latest technological interventions and low cost for their service. Nowadays, one of the challenges facing by the health care providers is providing appropriate care and identifying their needs in a cost effective and comprehensive way without compromising the quality of care. Center for Medicare and Medicaid Services (CMS) reported “an rise in healthcare spending from $2.34 trillion in 2008 to $ 2.47 trillion in 2009, the largest one year increase since 1960” (Pickert, K, 2010). “The action to improve the American health care delivery system as a whole, in all of its quality dimensions such as efficiency, effectiveness, equitability, timeliness, patient-centeredness, and safety for all Americans” (IOM, 2011). Relationship of Healthcare cost and quality …show more content…
spends about 15% of its gross domestic product on healthcare, thereby making it the largest sector of the economy” (Goldman, D., & McGlynn, E., 2005). “Americans are not healthier than some of the other developed nations, regardless of these extensive costs” (WHO, 2010). “Almost 40 million Americans are uninsured and about 18% of Americans under the age of 65 receive half of the recommended healthcare services” (Goldman, D., & McGlynn, E., 2005). “Though, quality of care was noted not to vary much in cities with respect to lack of insurance, poverty, penetration of managed care and availability of physicians and hospital beds” (Goldman, D., & McGlynn, E., 2005). Roles and Major Activities of Public and Private
Due to the Patient Protection and Affordable Care Act signed into law on March 23rd, 2010; health care in the US is presently in a state of much needed transition. As of 2008, 46 Million residents (15% of the population) were uninsured and 60% of residents had coverage from private insurers. 55% of those covered by private insurers received it through their employer and 5% paid for it directly. Federal programs covered 24% of Americans; 13% under Medicare and10% under Medicaid. (Squires, 2010)
...lthcare system is slowly shifting from volume to value based care for quality purposes. By allowing physicians to receive payments on value over volume, patients receive quality of care and overall healthcare costs are lowered. The patients’ healthcare experience will be measured in terms of quality instead of how many appointments a physician has. Also, Medicare and Medicaid reimbursements are prompting hospitals, physicians and other healthcare organizations to make the value shifts. In response to the evolving healthcare cost, ways to reduce health care cost will be examined. When we lead towards a patient centered system organized around what patients need, everyone has better outcomes. The patient is involved in their healthcare choices and more driven in the health care arena. A value based approach can help significantly in achieving patient-centered care.
The United States has the highest costs for healthcare. The United States provides more health care, more doctors’ appointments, more surgeries, more d...
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 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.
Rising medical costs are a worldwide problem, but nowhere are they higher than in the U.S. Although Americans with good health insurance coverage may get the best medical treatment in the world, the health of the average American, as measured by life expectancy and infant mortality, is below the average of other major industrial countries. Inefficiency, fraud and the expense of malpractice suits are often blamed for high U.S. costs, but the major reason is overinvestment in technology and personnel.
Health care has been a major topic of debate over the last couple years, especially in the United States. The broken health care system of the U.S. has been ridiculed for being the only developed country that does not have a national health insurance plan that covers each and every citizen (Schneider, 2011). Other developed countries around the world have made examples of themselves by establishing insurance plans that cover every single person. However, these plans have had problems of their own. Even with these small problems, the United States could learn a lot from certain aspects of these countries flourishing health care systems.
The American population is greatly affected by the high cost of medical care in several ways. When compared to eighteen other countries, the United States is ranked last on the list for preventing deaths caused by treatable illness. This is because of the high cost of medical care preventing people from seeking professional attention on what could be a minor health issue (Hiebert-White, 1). The
The comparison of expenditures by itself demonstrates an environment where growth is occurring in what should be a non-growth oriented industry. As costs for health care rise investment and growth in other areas will continue to stagnate. A troubling parallel aspect of the health care environment is that along with rising costs there is a significant lack of coverage for millions of Americans. The US not only leads OECD nations in expenses per person but also leads the other nations in terms of citizens without basic health care coverage (Blank, 2012).
Health care programs are a universal topic for discussion in the United States and other countries of the world. Every country implements their own health care system that they see fit. The United States is the leading economic power of the world, but when it comes to health care we are ranked 37th. In the United States health care is more expensive than in any other country in the world and roughly 47 million people are left without coverage. While no country has been able to work out a perfect system, there are several countries that will be discussed that the United States could look to for tips to improve the current health care policies.
The field of health care has seen remarkable accomplishments achieved within the past few decades. One of the more significant changes is seen in the field of public health; and the shift in perspective that health organizations are having in the areas of prevention and treatment of diseases. The idea of providing a more patient-centered experience and being accessible to patients in order to improve their health outcome is steadily on the rise. All of these accomplishments, to include the Affordable Care Act has initiated innovation between treatment, prevention, and cost effectiveness in providing quality service. In moving forward, it is important that health care organizations as well as future and current health care professionals have an understanding of the future of health care delivery.
The United States being the strongest economy in the world with more than enough resources to aid its citizens shows great social inequity notably in health care. While some people can afford great quality health care, others simply cannot access adequate treatments. America’s fractured health care insurance system is often seen as the medium for providing access to appropriate services for some while being grossly inadequate for others. People who cannot afford health care coverage are often the same people who need health care treatment the most. Another important factor to consider is the financial hardship and personal ruin that people can experience when having an unexpected accident or illness that can be very costly to attend simply
Despite few things being more important to people than their or a loved one's health, the World Health Organization (WHO) has recently ranked the United States of America 24th in analysis of healthy longevity, 18th in infant mortality and 43rd in average life expectancy amongst nations of the Organization of Economic Cooperation and Development (OECD) - the United States of America is not the greatest country in the world (“GHO”). Health care policy in the United States differs from most other democracies in one important way: the role the government plays. Opposite to many other democracies around the world, United States health care is privately ran thus mirroring its’ politics: vast, complex and controversial. A paradox exists within America’s current health care system; we spend a far larger share of our income on health than any other industrialized country; yet, we are far from having the healthiest population. The United States must follow the example set by our worldly counterparts and incorporate health care into our government’s agenda rather than allowing it to be managed by private incorporations whose only goal is profit.
In the United States the relationship between cost and quality of care is difficult to comprehend, the US has the highest per capita spending for health care in the world, but ranks only 26th in quality of care when comparing with other developed countries. The United States leads the world in excessive cost specialty and intensive medical treatment, but falls behind other developed countries in relation to low cost medical interventions like primary care visits and vaccinations which can improve the quality of life and longevity. In the United States, higher cost of healthcare does not always equate to higher quality, for instance in the US there is no policy stating that a new drug or device should be less expensive and more effective than an existing product. The result is that the new drugs or devices
The U.S. spends more than most other countries when it comes to healthcare, yet it does not outrank any of the countries in life expectancy, nor infant mortality. Miller states that one determinant of rising healthcare costs is “changing demographics” specifically,