Health Care For The Nigerian Society

Consequently, it become a financial problem where physician sees no improvement in their revenue/profit, and the cost of treatments continue to rise as reimbursement challenges the physician’s charges. There is always a cost to a better health care and coverage, and vast of it comes from taxation. Hospital and physicians function on funding to keep the door open and operating, and majority of the funding are from taxation. For

In our world each country has a set of standards to follow in order to establish health care insurance for people in different communities. The state contributes about 40% of all the expenditures on health while the public health sector delivers 80% of the population. Many resources are concentrated in the private health sector. These resources see to the health needs of the remaining 20% of the population. Public health consumes around 11% of the government’s total budget. The way the resources are allotted, and the standard of health care delivered, varies from country to country. Although there are similarities between South Africa and the United States regarding healthcare, South Africa remains at a lower

Providing healthcare coverage to all citizens can be challenging to many countries and only the most developed countries have adequate resources to truly provide universal coverage to their citizens. Still, when coverage and resources are not sufficient, care is rationed through limited supply or limited access. Most countries have mechanisms in place, however, to insure that affordability does not limit access to necessary services.

Health is dynamic and determined by the determinants of health that have factors that can both benefit and hinder our overall health (Liamputtong, Fanany, & Verrinder, 2012, p. 9). The primary health care (PHC) principles accessibility, inter-sectorial collaboration, appropriate technology, emphasis on health promotion and public participation helps all individuals at different social standings based on income levels and geographical location determined by the social determinants of health to access PHC and make an equitable health care system (McMurray & Clendon, 2011, pp. 36-44; Liamputtong, Fanany, & Verrinder, 2012, pp. 13-14).

The healthcare system has come under heavy criticism from experts from all over the world. According to Schroder, 44% of the population has no access to the healthcare system. (Schroder, 2003) There are many clinics which charge are free of cost or are charging lesser fees, but all of these are burdened and do not have the capability to meet the requirements. There are certain ethnic communities that are by enlarge poor who are of the opinion that they have been deliberately been left out of the healthcare system. These have led to the

All people across the globe are entitled to the health attention they require. The World Health Organization has identified five elements to achieve this goal. These include reducing social disparities in health, providing services that meet clients’ expectations, altering public policies to address health, leadership reforms and increasing stakeholder participation (WHO, 2013).

The preventive coverage for children, adults and women must be covered without having to pay a copayment, co-insurance or meet a deductible. This only applies when these services are delivered by a network provider. “Insurers now must cover evidence-based services for adults that have a rating of “A” or “B” in the current recommendations of the United States Preventive Services Task Force (USPSTF)” (Private Health Plans under the Affordable Care Act 2014). A letter grade of “A” or “B” shows that the panel finds there is high probability that the services have a substantial or moderate net benefit. “Health plans must also provide coverage without cost-sharing for immunizations that are recommended and determined to be for routine use by the Advisory Committee on Immunization Practices.” (Private Health Plans under the Affordable Care Act 2014). There are 15 covered preventive services for adults. The preventive services for children and adolescents include some immunization and screening services, behavioral and developmental assessments, iron and fluoride

Fee for service, as the name suggest is a method in which the healthcare provider is paid individually for each and every service provided. In this method the numbers of services determine the amount of reimbursement. This is where the healthcare providers misuse their authority and either provides more services than what is needed or just manipulate the number of services provided. There are specific

The cost of care has been a growing problem throughout developed nations during the last 15 years. For example, across 34 nations that make up the Organization for Economic Cooperation and Development (OECD), the average per capita health care expenditure increased by more than 70 percent between 2000 and 2010. However, the biggest spenders — such as

There are many ways of paying healthcare providers, physicians, and hospitals. Fee for service, discounted fee for service, capitation, and salary are a few examples of healthcare provider payments. “The traditional way, used both by private health insurers and by government (Medicare and Medicaid programs) is called fee for service” (Hagland, 2015, p.1). Fee for service pays providers according to what procedures are used to treat a patient. Capitation pays providers a set amount for each patient they see. Both healthcare provider payments are extensively used in the United States healthcare system, but fee for service has been in decline over the past decade.

The history of health policy in Ghana reflects the general trajectory of the country’s political economy (Alfers, 2013). During post-independent Ghana under

There have been several failed attempts over the years to control the costs of healthcare. Consequently, a major change in government policy took effect in 2010, with additional implementation in 2014, which is known as Obamacare. Furthermore, there are three main problems with the healthcare system in the United States that need reform, which include increasing costs and unaffordability of healthcare, restricted access to care, and poor quality of care (Geyman, 2012). The purpose of this paper is to investigate the costs of healthcare.

Health care costs refers to the amount of money spent on all aspects of medicine and health measures taken to make people healthy. The three types of cost are the price, expenditure and physician perspective. Price refers to the money for certain health measures that the consumer pays to the hospital/doctor and insurance premiums. Expenditure is the amount of money spent by all consumers/insurance companies for such services. The third perspective of cost relates to doctors and how much of their profit they have to invest in maintaining their practice

Space prevents a full breakdown of the differences between fee-for-service and managed care. There are important characteristics of each that affect how trade-offs between quality and cost are made. For fee-for-service: There is no “defined population” for which the insurance company is responsible. Connections with the system are initiated by the patients. The main focus is on treating sick patients. Neither physicians nor insurance companies are responsible for providing care beyond what is specified when patients seek care (Eddy, 1997). The responsibility of the insurance company is to pay the bills. Importantly, the insurance company is not responsible for the overall health of its subscribers or for the quality of care delivered by individual physicians. Physicians are left to decide what care their patients should receive.

Worldwide, approximately 1.3 billion people do not have access to affordable and efficient healthcare and out of those who have access, almost 170 million are forced to spend around 40 % of their income on medical treatment (Asante et al,2016).In low and middle income countries (LMICs), the major constraint to the access of healthcare is financial burden, where out-of-pocket payments (OPP) contribute to approximately 50 % of total health expenditure (WHO, 2010). As a result, in these countries there is high probability of many households being pushed into poverty due to high medical expenses (McIntyre,2006).The matter of concern in LMICS is that poor and disadvantaged groups of population do not have access to adequate quality of healthcare.For instance, according to WHO (2010) up to 20 % of women in rich population are more likely to have a birth attended by skilled health worker than a poor woman. Therefore, taking an action to address health inequities faced in these countries would save up to 700,000 women.