Financing Issues in Prescription Drugs and the Ways to Establish Cost-Effective Strategy One of the biggest industries in the United States is healthcare industry, which accounts for over 17.5 percent of the Gross Domestic Product (GDP) of the country. This big representation of the nation’s economic activities impacts the overall economy. In other ways, it’s also impacted by the general economy. While the health care industry continues to grow, transformational changes also continue to enforce change in its organizational structure. Change in organizational structure enables health care providers to make arrangement for the change. In this case, the overall health care providers’ advance in new medical technology (to provide the best quality services), financial system, and the entire health care service structure, rules, and regulations are changed. Hence, a health care industry is fronting a noteworthy pressure to reduce health care cost, to prepare for an influential change in how health care is provided, financed and consumed while delivering the quality care (Hicks & Jacobs, 2014, pp. 385-402). Despite many financing methods in the United States, such as insurance premium, taxation, and out-of-pocket, there are still issues that challenge the government, the population, and individual in reimbursing the healthcare expenditure. One of the reasons in confronting such financing burden is the ultimate increase of health care
Despite the great accomplishments and many changes the United States health care payment system has made over the years, it is not a surprise that the system still continues to face serious challenges. Our country offers advanced technology and medicine, but it still has millions of Americans who do not have proper coverage to meet their medical needs or are uninsured and therefore cannot benefit from our advanced system. This raises a serious concern in population health, which makes us questions the country’s current system. The United States has commercial and government insurance options with different premiums and levels of coverage for its citizens. However, our complex system presents many flaws that lead Americans to live
In today’s world, healthcare is provided in one of two ways. Most developed countries provide it free. Either the required care itself is free or one pays for it with free insurance provided by the government, known as not-for-profit. The alternative is obviously for-profit. In such systems, individuals pay for services either out of pocket or using private insurance provided by their employer. In which case, part of the payment for policy premium is generated through payroll deduction. Furthermore, the healthcare system can be considered either as a closed or an open system, for which the United States (U.S.) has both. The U.S. healthcare system when compared to the French system has its similarities and differences. Funding for healthcare
“The amount people pay for health insurance increased 30 percent from 2001 to 2005, while income for the same period of time only increased 3 percent.” (Source: Robert Wood Johnson Foundation). The rising cost of healthcare is a huge problem in America today. In this paper I will analyze the different issues and causes for the increase in cost.
In recent years, health care has been a huge topic in public debates, legislations, and even in deciding who will become the next president. There have been many acts, legislations, and debates on what the country has to do in regards to health care. According to University of Phoenix Read Me First HCS/235 (n.d.), “How health care is financed influences access to health care, how health care is delivered, the quality of health care provided, and its cost”.
In order to specify the source of high healthcare expenditure, we need to know which factors consists of total US health spending. In U.S., most of the healthcare insurance is provided by the private insurance companies
The subject of healthcare in the United States can be a contentious one, and it is also an area where peoples' perceptions don't always align with the facts given by policymakers. What makes healthcare spending so scandalous is the amount of money the United States pours into healthcare each year. Over $8,000 per-patient per-year costs, amount that has more than double any of the other nation. Yet 15 to 25% of the American population has no healthcare coverage due to a lack of any form of universal
One of the issues that is widely discussed and debated concerning the United States economy is the healthcare system. Unlike in the majority of developed and developing countries, the healthcare system in the United States is not public, meaning that the state does not provide free or cheap healthcare services. This paper addresses many of the factors contributing to the rising cost of healthcare.
The U.S. has experienced a dramatic change over the last decade. Health costs have continued to rise and have become unreasonable. Health care spending in the United States is expected to reach about $4.6 trillion in 2021.The spending of health care costs has affected the citizens of the U.S. as well as health care facilities negatively. Americans are not capable of paying for health expenses on their own. There are some reasonable options that have been suggested as a solution to this issue, but have not been successful. For example, aids such as health insurance and Medicaid help with a certain percentage of the overall cost, but people are still left to pay for health insurance premiums and the remaining expenses that the insurance does
As previously mentioned, healthcare cost in the United States is growing more rapidly than the average national incomes of those who pay for healthcare services. Since 1960, the total
As healthcare organizations adapt to the changes due to Healthcare Reform, many organizations are faced challenges with decreasing revenues in relation to the transforming from volume to value-based purchasing that have deteriorated reimbursement payment rates and preventive care that keeps patients healthier while reducing inpatient revenues along with escalating cost to do business due to more compliance cost, and the encouraging of integration through the accountable care organization model. (Brown, Werling, Walker, Burgdorfer & Shields, March 2012). As a result of Healthcare Reform, many organizations have been driven by environmental forces and ongoing trends to consolidate with other healthcare systems to deter the effect of these changes due to the new healthcare laws through the desire of gaining more capital, opportunities for future investments, and to better compete in the healthcare market (Healthcare Financial Management Association, Dec 2016.).
In recent decades, health care expenditures for the average American citizen have escalated. In the 1980s, the total cost of care came to two hundred fifty three billion dollars. In 1990, the value skyrocketed to seven hundred fourteen billion. Today, the United States healthcare cost averages to two and a half trillion dollars, which is more than three times the amount of the 1990 value. In other terms, an average American pays about seventy seven hundred dollars a year for the price of healthcare. As one of the highest rates in the world, this figure accounts for about sixteen percent of the nation’s gross domestic product (Auerbach).
Per Shi and Singh (2015), health care financing is a critical function in a quasi-national health care delivery system through insurance coverage, fee-for-service reimbursement, focus on prospective payment, whereby financing is shared between private and public sources. Moreover, government incurs approximately forty-three percent (43%) of all health care expenditures in the United States.
This report will show that the healthcare industry in United States of America will go through three stages of evolution. Already through the first stage, this industry will restructure within an atmosphere marked by ambiguity in the regulatory environment, sustained scientific advancement, global economics and digital transformation. By 2030, the health care industry will be drastically different from today and ever more complexly tied to the global health market and its population. With the evolving changes in the industry over the time, our firm should realize the importance of creating new means of developing business and improve firm’s business strategy to continuously succeed in the healthcare industry.
US health care expenditures have been rising quickly over the past few years; it has risen more than the national financial system. Nonetheless a number of citizens in the US still lack appropriate health care. If the truth be told, health care expenditures are going to continue to increase; in addition numerous individuals will possibly have to make difficult choices pertaining to their health care. Our health system has grave problems that require reform, through reforming, there is optimism that there will be an increase in affordable health care and high-quality of care for America. Medicaid, Medicare and private sector insurances are all going through trials and tribulations because of
It is a patchwork of loosely connected financing mechanisms varying in terms of sponsorship and provider type. It also reflects the age, health and economic status of the specific patient groups that are being served. Considering the growing number of Americans who are uninsured for health care and the low ranking of the United States among a variety of health indicators, one may say that it is a disappointing financing system. These observations provide a basis for supporting our position for a national health care system. Where possible, comparisons will be drawn between the United States and other countries. Special focus will be paid to similarities in the public and private financing components of the system, reimbursement of various provider categories and trends that we may expect to see in the future.