Financing Structuring Health Care
Health Care Financing
Over the last several years, the role of insurance companies in providing different health care solutions has been increasingly brought to the forefront. This is because costs have been rising dramatically and the total number of uninsured is increasing. The combination of these factors has raised concerns that the many different consumers are being priced out of the system. To fully understand what is happening requires carefully examining how the industry operates. This will be accomplished by looking at: the three main types of insurance, the various categories, the types of managed care plans and the impact of managed care on Medicare / Medicaid. Together, these different elements will offer specific insights as to the underlying strengths and weaknesses of the U.S. health care system.
Identify and describe the three main types of health insurance in the U.S.
The three different kinds of health insurance include: health management organizations (HMOs), preferred provider organizations (PPO) and consumer direct health plans (CDHPs). An HMO will provide patients with access to a network of doctors. The way it works is the individual will sign up for a primary care physician. If there are specialist services or tests that...
The financial planning process will reveal the key cost and revenue drivers at the clinic. Externally, we must product financial statements in order to secure financing. These statements will need to be professionally prepared in accordance with the prevailing accounting principles. The bank will need to see that our financial estimates are grounded in good research and south assumptions. Having these statements reduces our risk as well, since we
There are no deductibles and no user fees nor limits to contributions on the plan. There are also no restrictions on services to be used and no premiums to pay for basic care coverage other than taxes, a far cry from the high deductibles, co-pays and other fees associated with health care in the United States. Key to this point is the idea that Canadian health care costs less because
However, despite the development of these exemplary healthcare capacities, the UAE's system continued to suffer during this timeframe from a perception among the population that it lacked quality (Kronfel, 1999). It cannot be discounted that the public may perceive the UAE's healthcare system as lacking in quality because the system does in fact have many developmental issues left to resolve. For example, a study by Margolis (2002) found that as
A1. Advantages and Disadvantages of a System All health information systems (HIS) come with great advantages and some disadvantages that must be taken in account to keep patients safe. A HIS is a system that captures, retains information, and helps manage it. A HIS can be used to send health information within an organization and outside of the organization. Several items within a healthcare organization have interoperability with the HIS such
Heath Care Health Care Plans Health Care Types of Health Insurance Indemnity Insurance This type of insurance is also known as a traditional or fee-for-service plan. The benefit of an indemnity plan is the flexibility; this plan allows members to choose any doctor or hospital. However, members must pay an annual deductible and then a percentage of each medical bill. Although these plans offer the greatest freedom to select any doctor, they are usually the
Private Finance The private financing initiatives When the Private Finance Initiative was launched in 1992, it was seen as a mechanism to achieve extra public-sector investment by bringing in private finance for capital projects as well as a means to improve the public procurement process that was routinely criticized for poor project management and construction cost overruns. PFIs cut across a range of public services, including hospitals, prisons, public transport, roads, and
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