Healthcare Industry in the United States

Universities stemmed some of the biggest medical advances in the health care industry amongst the world. The educational platform for the United States spells long term success for health care, by growing the next generation of top health care providers. In comparison Germany and Canada also are represented amongst the top 50 medical schools in the world, but lack any representation of the top 10 prestige rankings. On top of that, both other countries lack volume and opportunity to receive a valued medical education when compared to the United States.

Our healthcare system is in a state of constant change. Just as the industry was adapting to the demands of countless healthcare reforms, the fate of regulations like the Affordable Care Act (ACA) and others like it, dangle in the wind. As the country transitions to a newly appointed administration, there is an increasing level of uncertainty among industry leaders. Federal, state, and local mandates continue to drive the need to improve the quality, costs, and outcomes of care which add to an already overburdened and burnout system. These coupled with our highly secular society who is primarily focused on the treating and curing illness through advanced technology, medications, and procedures has resulted in a

There are many challenges that are defining the future strategic direction of health care such as information technology advancements, access to health care, maintaining a skilled workforce, proposed health care reform and legislation, and rising costs. I will look at these challenges and how an organization may adapt its direction and strategies in accordance with these challenges.

Prevailing astuteness supports the fact that working in U.S. health care field in the 21st Century call for familiarity of the countless facets of health laws as they relate to dealing with medical professionals. Further, because U.S. health care administrators have to hypothetically work together with many levels of specialists beyond the medical profession, it is judicious that they are aware of any federal, state, and local laws that may be appropriate to their organizations. Consequently, their manner is also subject to the letter of the law. They must assess the value of their professional collaborations and be watchful of the insinuations and consequences of their choices. As the top health administrator at the proposed Well Care Hospital in Happy Town. Upon being hired, there was a pre-employment screening that involved a background check that was administered to check and see if there were any violations of hospital medical misconduct during the last five years. With the hospital in the last six months being under scrutiny for breach of medical compliance there was some training that had to take place including training in personnel conduct, as well as in inter-employee conduct with medical staff, nurses, and technologists.

The health care industry is one of the most dynamic and delicate industries in the U.S. having experienced healthy and substantial changes for the last thirty years most of which have aimed to improve health care management and services delivery to the patients. The changes have enabled the integration of technology into the industry such as in the area of informatics, science and research and payment services and clinical treatments. The health care sector has introduced various changes to address disease and health care management such as the Modernization Act of 2003, the Patient Protection Act and Affordable Act, which aim at improving health provision and most

For US citizens covered by private health insurance, receiving treatment is not necessarily easy with many insurance contracts containing terms and conditions excluding treatments which would be covered under the NHS. This has led to scandals where individuals have died as a result of not reading the fine print on their insurance contracts a massive 21% of claims in California are rejected by private insurers. (Reuters 2011) The profit-driven running of companies that are essentially meant to provide coverage guaranteeing the maintenance of health has seen managers receiving salaries exceeding 13 million dollars compared with the NHS’s top salary of less than half a million US. Not covering an individual for expensive treatment thus saves

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).

This paper begin with a brief overview on the current state of the industry, the challenging surrounding the industry, followed by a basic provision of the PPACA of 2010. It then focus on the future of the health care industry in the United States. An analytical framework of key forces explore, develop, and present information to help understand the change needed to make the industry appealing. Each force driving it change and the impact these changes will have on the industry. Theses

It is clear that healthcare in the United States was financially out of control, and fundamentally failing. Healthcare needed to change to protect its future, just as everything else must change. The implementation of both are necessary, regardless of fear or expense. The expense of putting ICD-10 into place will definitely affect all parties involved in providing healthcare. (Butler, 2015) As healthcare has become an entity that could make or break the private sector’s livelihood, it is only fair that it should have to back up and regroup as well. But what will it really cost? What areas will suffer the greatest effect? Who will inevitably pay? Unfortunately, these questions cannot be predicted at this time, but there are areas

The future and direction of health care has been the topic of discussion amongst politician and U.S citizens today. There are several challenges surrounding the future and strategic direction in which health care should be heading. Accreditation, quality of health care and organization’s compliance; access to health care, maintaining a skilled workforce, information technology and pay for performance are some of the challenges that currently presenting itself in healthcare today. If health care is not dealt with appropriately it will have a significant effect an impact on the strategic direction in the future and direction of care.

Over the last several years, the issue of justice in access to health care has been increasingly brought to the forefront. This is because of the practices that were used inside the industry to reduce costs and increase profit margins for many organizations. For example, a common technique that was recently outlawed with the passage of the Affordable Care Act is the denial of preexisting conditions. This is when insurance companies could refuse coverage to someone based upon them suffering from a previous illness. The basic idea is to decrease costs from having the individual pay more for health care related expenses when treating these patients. As they will require, increased services and use of a number of specialists to deal with their health related issues. (Klien, 2012)

The United States healthcare industry is undergoing several trends to cope up with the ever-increasing demand and cost of health care industry. Managed care, lower reimbursement rate of Medicare and Medi-Cal and changing health care reform is creating financial challenges and increasing service area competition for various not for profit organization. Which has resulted in closure and consolidation of several not for profit health care organization. The author has elaborated various factors, in this case study that are responsible for developing crisis for a diverse nonprofit healthcare organization.

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When I was a child I used to pretend I was a nurse in a hospital, practicing medicine and medical billing. I am older know and here I am taking one step at a time to fulfill my childhood dream. However for healthcare systems to be considered stable in their continuous cycle, they must charge for the procedures and care that is given. If these charges aren’t properly written, the payments may affect the income, causing the system to get less then what it is owed. Clearly, without any service being provided, there is no revenue to begin with, but if the charges are not captured, a service can be provided and not billed for (Cleverley &ump; Cameron 2007). If the bills are not gathered or properly stated, the service given would then go unpaid or free of charge. To bill a member or patient, the health care organizations have come up with codes for each type of procedure given. Do to the fact the healthcare industry is so complicated, as well as securing the charges, most all charges are to be broken down so there is no complicated bills. The charges are broken into codes for the services concluded. Every procedure and care has its own extraordinary code as well as a given price, making the billing cycle less complex. Coding also allows health care systems to document each procedure in order to prevent payment denials or delays from the payer (Thompson &ump; Barrett 1993).

The health care industry integrates several sectors of an economy with the aim of providing curative, preventive and rehabilitative care products and services. Healthcare providers include institutions such as hospitals or individuals such as nurses, doctors, midwives and they provide health care services to individuals or communities at large (Swayne et al., 2013). This paper examines the past, present, and future of the health care industry in relation to technology, finance, and economics.