Terms

Some industry companies are in agreement and supports the need for change. “Hospital industry were generally in favor of health care reform as it was developing, based on its expectation that the large increase in the insured population would lead to increased financial returns

There is a move from a noncompetitive insurance environment to a competitive one because the competition was not by hospitals to provide the best and cheapest care, but rather among the insurers to get the healthiest patients. Consumer driven plans are central to the process because they are ideal for risk selecting the young and fit who have been driven to new plans. Healthy people could watch their account balances grow which leaves the truly sick behind in traditional plans. This particular type of competition is being used to attract the healthy and in turn lead to price increases because insurers have little incentive to control the prices medical providers are charged. It is the responsibility of the patients to worry about the cost and the patient does not have the same power as the insurance competitors do. According to a key South African regulator, Alex van den Heever of the Council for Medical Schemes, “Competition based on the shifting of risk

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

When contemplating health care policy changes, several economic issues in health care must be considered. These include the financial issues affecting the health sector and have an impact on health policies. Policy makers face unending challenges due to the health sector revenues that are always rising. Another challenge is decreased funding and failure of the health insurance services.

Impact to Healthcare organizations - These increases in cost raise questions of health care expenses at the hospital level. As higher profits are sought, the cost will become unstable for all, thus causing many to postpone going to the doctor. However, there are many complicated problems associated with our healthcare system. We will focus on main issues that can correct many related problems within the current structure. More importantly, we need to find ways to ensure all Americans have access to health care; and we need to hone in on how we can get the best value for the $2 trillion dollars we spend annually on healthcare.

Just like anything else that is first implemented out to people, there are also flaws. Not everything that first rolls out to the public is perfect. However, although this new health care may have some flaws in the beginning, some may say that there are a little more just minute flaws. Some may express that the new Affordable Care Act may be a reform that will hurt us rather than help us. “If there is any area of social policy in which Americans are likely to be aware that their system has flaws, it is in health care.” As if America it is not already the country that has the most expensive health care system , “Americans pay an average annual cost of $8,174 per person for their health care, over twice as high as the average Western

“The Bitter Pill: Why medical bills are killing us” written by Steven Brill delves into the question as to why medical bills are so high. As Brill begins his research he analyzed bills from hospitals, doctors, and drug companies. Additionally, he interviewed doctors, Medicare and insurance administrators, and gathered patient stories across the nation. He found that the United States spent more money on healthcare than any other developed countries, he stated “We may be shocked at the $60 billion price tag for cleaning up after Hurricane Sandy, [however], we spent almost that much last week on healthcare” (Brill 2013). He also noted “yet in every measurable way, the results our healthcare system produces are no better and often worse than the outcomes in those countries” (Brill 2013). From the charts and graphs that Brill provided shows that the sixty percent of personal bankruptcy filings per year are related to medical bills. Life expectancy in the United States is the lowest amongst the countries that spend most on healthcare, our infant mortality rank is fiftieth in the world, and that one pill cost as much as seven pills in other developed countries such as France. Brill found that in many similar cases, like that ones he presented in the article, Medicare would have at least paid for a small portion of the bill. However, those who don’t qualify for Medicaid and don’t have insurance are often asked to pay excessive prices.

The United States health care system is considered broken because we do not have one universal system. Within the American system there are different types of health insurance such as private, group or self-insurance. The United States works on a fee-for-service system so the providers receive money for every service they provide therefore the medical bills for Americans are significantly high. Before the Affordable Care Act was implemented a few forms of government programs were Medicaid, the Children’s Health insurance Program and Medicare. Medicaid and Children’s Health Insurance Program were to help insure the low income citizens and their children. CHIP and Medicaid are both funded by the government and state but administered by the individual states. CHIP covers children whose family income is up to 200% of the poverty level. Medicaid insures low income citizens but can also

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.

Is it with the government, with employers that chose not to offer health insurance to their employees, or with the insurance companies that charge enormous rates to increase their profits? In my opinion, it lies with the insurance companies. Their bottom line is profit! If the rates provided were truly affordable everyone would have access to health care and it would truly be a right. However, private insurance companies, a multi-billion dollar business, is invested in the profitability of illness not keeping people healthy. The Affordable Care Act is working to eliminate health care disparity leading to a healthier

6). We are able to see how these significant events impact us even now. As our health care system continued to evolve, the 1990s saw health care delivery and financing primarily controlled by indemnity insurers, nonprofit hospitals and private physicians (Gabel, 1997, p. 134). Health insurance premiums grew by 20% and enrollment grew from 36.5 million to 58.2 million (Gabel, 1997, p. 134). With the growth of managed care plans, hospitals began to merge and the development of large physicians group practices evolved (Kongstvedt, 2016, p. 14). These roots of managed care grew to give us the health care system we are familiar with now.

The government has to pay for healthcare reform somehow. Taxing business is a big strategy and employers with fifty or more employees will be fined $2,000 per employee if they do not provide affordable medical coverage. (Rubin)

Looking back at our former healthcare system, we see that it was far from flawless, some say it is due to the government, while others claim the health insurance and the healthcare system in general is to blame. So it 's no wonder that the healthcare system is constantly fluctuating. These fluctuations have let us to a system that was very flawed and in dire need of rectification. Furthermore, the health insurance market wasn’t readily accessible to the middle and lower class, due to high costs, bizarre prerequisites, and complicated terminology.

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.

Centuries ago, a famous Greek philosopher, Heraclitus disputed conventional wisdom that things will always stay the same. Using the flow of the river as an example, Heraclitus describes the changes that were going on the time a fluid. He challenged the Greek leadership to acknowledge these changes or risk their global dominance. Two thousand years later, modern civilization is facing the same challenges. A rapid improvement in technology compounded with an increase in global competition has given rise to the emergence of change in most major industries. One industry were change has become inevitable is the health care industry. Today, there are increasing calls from management experts to a change the health care system to one that can