Case Study Of Narayana Hrudayalaya

Financial incentives play a significant role in how care is provided. The North Ohio Heart Center was found to perform more angioplasties compared to the Cleveland Clinic performing bypass surgeries resulting in different incentive rates (McLaughlin & McLaughlin, 2015). These non-invasive procedures (angioplasties) generated highly profitable incomes for the physicians involved at the North Ohio Heart Center. The physicians perceived these procedures to be a safer option of treatment as opposed to drug treatment or bypass surgery. These decisions impacted patient care by causing more patient visits and more tests being performed generating a cumulative higher reimbursement. These incentives are moving us away from what is best for the patient. Robert Doherty, ACP senior vice president, stated, “we need to move away from the piecemeal approach: how many visits you can generate, how many tests

This article talks about Kaiser Hospital performing 18 surgeries on patients without insurance. This was part of an annual free surgery day to give back to the community.

help with their life cycle. With reimbursements there are incentives for medical facilities and doctors.

As discussed previously, the Affordable Care Act of 2010 passed by the legislature, drastically changed the entire healthcare economy. In fact, ever since the ACA was passed it was required by law for hospitals to increase the amount of attention given to the individuals of the community in order to meet their needs. Also, the ACA allowed close to 10 million individuals to have health insurance through Medicaid and private health insurances, which has a high impact on all the hospitals, such as Yale New Haven. For example, since millions of Americans can now afford health insurance, there is a large influx of patients who can go to hospitals and actually afford the overall cost. The non-profit hospital of Yale New Haven is benefiting in two ways. First, they are achieving their mission by caring for the individuals of their community who now have insurance and secondly, they are being compensated in terms of revenue to improve their organization in regards to hiring the greatest physicians and having the best technology and supplies to treat their large influx of patients (Cunningham, 2015). The rise in health insurances increases the total amount of money earned by that non-profit organization and the amount of patients receiving great quality of care.

Healthcare in the U.S is most expensive than any other developed country. The U.S spends far more on per capita as compared to any other developed. U.S scores low on many outcome measures, inefficiencies and wastes and quality measures as compared to other countries. The Patient Protection and Affordable Care Act is developed to strengthen these failures in the health care system. The U.S healthcare is transforming care from volume based reimbursements to value based payments. The healthcare law works around providing more patient centered care and better preventive care. One of the payment reforms with Obamacare is to penalize the hospitals with high readmission rates for the three conditions – Acute Myocardial Infarction, Heart Failures and Pneumonia.

Being admitted into a hospital can sometimes lead to many expensive medical bills. This is not a problem for the wealthy or middle class. However, for those who live in poverty or are even just in between jobs this presents a major problem. How will they be able to pay for these expenses?

In order for the country to stay updated on the latest medical equipment and procedures, there has to be some sort of income to allow this, and thanks to Medicare this is happening. Researchers believe that the creation of Medicare is directly related to the advancements in procedures such as open heart surgery and specialized units such as cardiac intensive care units (Lewis,2017). These procedures now are saving lives of many people, including those not involved in the Medicare system, which accounts for about 17% of our population. Because of the advances in the medical field because of this program, many citizens would agree that this program is beneficial to our

A lot of people will not succumb to getting help with their health, as they just cannot afford to pay for the treatments or operations themselves. Thousands of dollars are spent out of their own pockets to allow them the “luxury” of getting good healthcare. Imagine having to decide whether to go ahead with an operation to remove an appendix? For example the average appendectomy costs around $33,000. (Castillo) Heaven forbid a patient needs a heart by-pass surgery. The cost for this without insurance is an average of $117,094 and heart valve replacement cost an average of $164,238. (American Heart Association) Deny a loved one a life-saving surgery or use the money to buy your next

Americans spend over $8,000 per capita on expenses associated with healthcare while other countries spend an estimated $3,000 and achieve better health outcomes (Fries, et al., 1993). Bodenheimer, Chen, and Bennett’s (2009) article “Confronting the Growing Burden of Chronic Disease: Can the U.S. Health Care Workforce Do the Job?” reports that nearly 75% of U.S. healthcare dollars are spent on the treatment of chronic diseases which include heart disease and diabetes rather than on disease prevention (Bodenheimer, Chen, & Bennett, 2009). In addition, Bodenheimer and Pham (2010) describe how U.S. healthcare involves a fee-for-service payment design in which the hospital and physician receive a payment each time a procedure is performed (Bodenheimer & Pham, 2010). Bodenheimer and Pham explain that physicians are ensnared in

There are millions of healthcare organizations all throughout our country. Some of these organizations have a significantly greater financial background than others, but that depends on the size, location, and demand of the patient population. The organization that is going to be discussed is Yale New Haven, which is a large hospital in southeast Connecticut. Their most recent data dates back to the fiscal year of 2014 when the hospital saw a total of 1.2 million patients, bringing in revenue close to 3.5 billion dollars. In fact, Yale New Haven has made close to a billion dollars more in revenue compared to the year of 2012. Without the help of the 6,000 medical personnel and the 20,000 members of the staff, this large hospital would never be as successful as it is today (Yale New Haven Health, n.d.). As one can see, the hospital is growing each and every year supplying the overall demand of the patient population.

Overseas medical facilities are also able to keep prices lower due to the lack of cross subsidies. In the United States, full service nonprofit hospitals may utilize revenues from some treatments as a means to cover costs of providing other procedures to other patients. This cross-subsidization process is made possible because some medical procedures produce more revenue than what the actual costs are. For example, the revenue generated from specialty services and or procedures such as heart catheterizations, or diagnostic radiological procedures may be utilized

Clearly, specialty hospitals have very limited incentives and interest in treating these patients who cannot afford their services. Moreover, as specialty hospitals selectively serve patients with low risk profiles and leave complicated risky cases for community hospitals, community hospitals’ revenues from these specialties and general profitability dramatically decreased. Evidently, this unfair competition left community hospitals unable to provide free services for the uninsured or underinsured patients (Spatz et al., 2012).

Health care costs currently exceed around twenty percent and continue to rise where other countries spend less of their funding on health care but have the same increasing trend. An aging population and the development of new treatments are cause for some of the increase. Unrealistic incentives also contribute: third-party insurance companies and governments who reimburse for procedures performed rather than outcomes achieved, and patients bear little responsibility for the cost of the health care services they demand. However, few acknowledge a more fundamental source of increasing costs: the system by which those costs are measured. Honestly, there is almost a complete lack of understanding of how much it costs to deliver patient care,

Hospitals and health care systems take strategies to update their infrastructure like technological upgradation, operating room services etc. in contrary due to the concept of supply and demand and less competition in specialty services force the physicians to pursue further.

Abstract- Tata Group, was founded by Jamsetji Tata in 1868 this group is India’s most respected institutions today. Tata Sons Limited holds major share of Tata Group which is a conglomerate. In this study we will look into how Tata Consultancy Service Ltd which is one of its conglomerate has risen to be one of the best in India.