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Why Does Cost Containment Remain An Elusive Goal In Us Healthcare Delivery

Decent Essays

1. Why does cost containment remain an elusive goal in US health services delivery?
US Health System is not controlled by a central agency.
No global budgets or rationing of utilizations and resources.
Private systems of finance and delivery a. Private finance=54% b. Government Finance=46%
Government does formulate Standards of Participation through health policy/regulations

2. What are the two main objectives of a health care delivery system?
It must enable all citizens to obtain HC services when needed.
Services must be cost-effective and meet certain standards of quality.

3. Name the four basic functional components of the US healthcare delivery system. What role does each play in the delivery of health care?
1) Finance - most privately insured patients are sponsored through …show more content…

Also act as a claims processor and manage the disbursements of funds to providers.
3) Delivery - refers to the provision of HC providers. Providers refer to any entity that delivers HC services and can either independently bill for those services or is tax supported. 4) Payment - deals with reimbursement for services delivered. Insurer determines the amount paid for certain services. Funds for actual disbursement comes from the premiums paid to the MCO. In government insurance plans, tax revenues are used to pay providers.

4. What is the primary reason for employers to purchase insurance plans to provide health benefits to their employees?
Due to the fact that the U.S. does not have a universal health care system, employers purchase health insurance plans as a fringe benefit for their employees.

5. Why is it that despite public and private health insurance programs, some US citizens are without health care coverage?
US has an employer-based health plan
In most states, employers are not mandated to provide HI to employees.
Employers who offer HI, it’s not mandatory that all employees

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