This website uses cookies to ensure you have the best experience. Learn more

Health Care Financing Essay

1262 words - 6 pages

| |Market- Based Approach |Government- Financed Approach |
| |(Private Insurance, self-insured employers, Managed Care |(Medicare, Medicaid, State Children’s Health Insurance Program [SCHIP]) |
| |Organizations) | |
|Access for who: |Private insurance provides access to employees whose employer,|Medicare is for individuals 65 years or older. Medicaid are for families |
| ...view middle of the document...

|transplants, medical equipment and supplies, rural health clinic services, |
| | |and limited preventative services (Shi & Singh, 2008). Medicaid provides |
| | |coverage for hospital inpatient care, hospital outpatient services, |
| | |physician services, laboratory and X-ray services, nursing facility |
| | |services, home health services, prenatal care, family planning services and|
| | |supplies, health clinic services, preventative, diagnostic, and treatment |
| | |services, nurse-midwife services, and pediatric and family nurse |
| | |practitioner services (Shi & Singh, 2008). SCHIP covers the services for: |
| | |inpatient and outpatient hospital visits, physicians, surgeries, medical |
| | |visits, lab and X-rays, well-baby and well-child care, and dental (Shi & |
| | |Singh, 2008). |
|Payment for services: |Services are paid for through premiums usually paid monthly |The Medicaid program will assist to pay for expenses and services Medicare |
| |where employee share in the cost through payroll deductions |does not cover when an individual qualifies for Medicare. Medicaid pays |
| |(Shi & Singh, 2008). Individuals also have out-of-pocket costs|first, then Medicare will cover the remaining balance (coinsurances and |
| |consisting of a deductible and co-payment. |copayments) (American Federation of Teachers). |
|Reimbursement: |The healthcare professional files a claim with the payer to |“Medicare reimbursements apply only to charges directly related to medical |
| |become reimbursed. The insured will then pay the difference |care. Medicare reimbursement rates are set by federal legislation, and |
| |between the actual charges and the payments received from the |govern how much a provider or supplier will receive from Medicare for |
| ...

Other Papers Like Health Care Financing

Health Care Essay

627 words - 3 pages , a system to pool financial resources across population groups to share financial risks, a financing governance system supported by relevant legislation, financial audit and public expenditure reviews, and clear operational rules to ensure efficient use of funds. 2 The organizational structure of an ideal health-care system is built on the principle of equal access to services for all inhabitants, regardless of their social or economic

Economics Essay

612 words - 3 pages decision making route in which delivers thoughtful insight into how health operates from a planned and funded context to address an extensive scope of matters in a clear systematic manner. Benefits of Health Care Financing and Delivery There are many profits to understanding health policy or governmental involvement in health care financing and delivery. Financial or economic assessment consists of a set of methods designed at inspecting

Managerial Accts

696 words - 3 pages , disabled and elder people are organised. There are basically two approaches to health care financing namely: - Market based financing and government financing. Multiple payer health care system is funded by privately owned health insurance companies and is therefore called as market oriented. It is dependent upon the paying capacity of the beneficiary and accordingly the insurance plan is purchased by the beneficiary. Various health plans cover

Health Care Spending

1605 words - 7 pages for 5 years, the United States may save $30 billion a year. Other ways to cut health care costs and save money are reducing the costs of defensive medicine and prohibit physician self-referrals. Some of these examples will help control and lower costs, improve health and efficiency, and increase the quality of care. How the Public’s Health Care Needs Are paid for According to Financing Health Care (n.d.), the health care system is market-based

Health Care Spending

1833 words - 8 pages Health Care Spending     HCS 440 Economics: The Financing of Healthcare   Class Group: BSEW1GQMZ5   University of Phoenix Online   Instructor: Geoffrey J. Suszkowski, Ph.D., LFHIMSS   05/11/2015 Health Care Spending “In 2013 U.S. health care spending increased 3.6 percent to reach $2.9 trillion, or $9,255 per person, the fifth consecutive year of slow growth in the range of 3.6 percent and 4.1 percent. The share of the economy

Health Care Spending

1067 words - 5 pages health care expenditures are motivated by demand, the question is who has the responsibility of financing the health care needs of the American people. In most countries, the government pays for health care or an entity associated with the government by using taxpayer’s money. This is one approach to financing health care system, and government financed programs such as Medicare and Medicaid. Most countries need to make the choice between what is

Healthcare Reforms

634 words - 3 pages Financing, Brookings Institution Press. Lawrence R. Jacobs, ThedaSkocpol, (2012), Health Care Reform and American Politics: What Everyone Needs to Know, Revised and Updated Edition. Lilian E. Forman, (2009), Health Care Reforms, ABDO.

Capital Budgeting

680 words - 3 pages Bonds are a form of long term debt financing in which an organization issues a bond to raise capital. When a bond is issued the organization is in actuality taking a loan at an interest rate referred to as a coupon which it typically pays on an annual or semiannual basis. The bond then has a maturity date at which time the organization pays back the principal to whoever is holding the bond. For a health care organization who wishes to issue a

Conservative vs Liberal Healthcare

787 words - 4 pages , the implementation of that right through a social insurance system that provides universal health coverage, equitable financing of health care, and a commitment to equality in health care. (Healthaffairs.org)” With private health insurance comes employer-paid insurance premiums which can also be looked at as a deduction of wages or salaries. These deductions in salaries are proportionately higher for employees that are paid less and therefore

Health Care

1724 words - 7 pages Government of India are regulated by the Department of AYUSH (an acronym for Ayurveda, Yoga, Unani, Siddha & Homeopathy) under the Ministry of Health, Government of India. PHCs are non-existent in most places, due to poor pay and scarcity of resources. Patients generally prefer private health clinics. Primary health care is provided by city and district hospitals and rural primary health centers (PHCs). These hospitals provide treatment free of

The Us Health Care System

1123 words - 5 pages delivery models that comprise it. A health care system can be defined, as a grouping of organizations, institutions, and resources functioning with the intention to fulfill the health care needs of communities and/or populations. Such a system includes components that cover four major functions – financing, insurance, delivery, and payment. In a functioning system one would expected to find its components carefully coordinated and interrelated

Related Essays

Health Care Financing Essay

2026 words - 9 pages Health Care Financing Gail M. Biggers Grand Canyon University: HCA 515 – O102 March 24, 2013 There are two broad approaches to financing health care: a market-based approach and a government-financed approach. For each approach, answer the following questions: 1. Who is provided access? Most government financed systems are inclined to make available for every person living in the nation with treatment which proposes access

Health Care Financing Essay

1141 words - 5 pages Financing of Health Care Teonna Smalls HCS/440 Donna Lupinacci 05/12/2012 Introduction HMO’s and enrollees are two important players in the world of health care. Due to uncertainty on the supply and demand, moral hazard, and adverse selection, decision making for HMO’s more complex. The simulation provided me the decision making tools necessary, when making an economic decision for an HMO. Health care can be seen as a good that consumers

Financing And Structuring Health Care Essay

1027 words - 5 pages Financing and Structuring Health Care Detra Smith Dr. Cynthia Davis HSA 500 October 31, 2011 The three main types of health insurance in the United States are voluntary health insurance, social health insurance, and public welfare health care programs. Voluntary health insurance (VHI) is private insurance made up of Blue Cross and Blue Shield, private or commercial insurance companies, and health maintenance organizations. Private

Characteristics Of The U.S. Health Care Delivery System

542 words - 3 pages Characteristics of the U.S. Health Care Delivery System Introduction The U.S. health care delivery system can be best characterized as a loosely coordinated network of components that are interconnected. As noted by Shi and Singh (2008, p.4), “the system is a kaleidoscope of financing, insurance, delivery, and payment mechanisms that remain unstandardized but loosely connected”. The system is a combination of both government run programs