Health Systems Management and Electronic Health Records
Healthcare is an essential factor or tool in relation to the American society. The society of America has no national socialized healthcare system. In this research paper, the focus will be on the Medicare healthcare system in the context of the United States. The paper will focus on illustration of the concepts of the Medicare healthcare system, various management challenges, problems, and opportunities in relation to the organizational impact of the policies governing the system.
Healthcare is an essential factor or tool in relation to the American society. The society of America has no national socialized healthcare system. This forces the citizens to adopt and integrate various ways of paying for their healthcare needs. In the context of the United States, various systems provide healthcare services to the rich and less fortunate society members. In this research paper, the focus will be on the Medicare healthcare system in the context of the United States. The paper will focus on illustration of the concepts of the Medicare healthcare system, various management challenges, problems, and opportunities in relation to the organizational impact of the policies governing the system.
Medicare Health System
The United States lacks the aspect of the universal healthcare thus the need for incorporation of various healthcare systems for the provision of vital services for the growth and development of the economy in relation to the health sector. Medicare healthcare system is integrated within the health sector of the United States with the aim of providing essential services to the special populations (Carpenter, 2011). Medicare health system is in place to offer services to the citizens who are 65 and above years old. This indicates that, for the qualification of the healthcare system under Medicare, one has to attain the age of 65 and above. Exceptions are also essential for the disabled citizens below 65 and collect social security disability insurance benefits. These individuals obtain healthcare services in relation to the concept of Medicare (Harle et al., 2013).
Medicare is designed to offer services in the context of ambulance transportation, limited hospital stays, x-ray services, and chemotherapy. In the United States, department of health and human services has the responsibility of providing diverse programs towards enhancement of the health and well-being of the citizens. This indicates that the management of the programs of Medicare is under the influence of the health and human services department. Medicare healthcare system reflects one of the largest healthcare insurers facilitating the well-being of the society members. This is evidence in the massive expenditure in excess of most of the cabinet departments. For instance, in the context of 2011, Medicare managed approximately 800 million claims paying about $200 billion in the process. In addition to this notion, health and human services department is the largest federal grant-making agency. This is evident through the massive portion of grants annually at about 60,000 grants per year.
Lack of Reliable and Comprehensive Data Accessibility
In the process of fulfilling the responsibilities and management issues in relation to the health sector, health and human services face various challenges (Fung et al., 2011). These challenges are in the form of management and operational issues thus hindering the pursuit of goals and objectives by the relevant organizations. One of the paramount problems or challenges hindering effective and efficient management of the healthcare system in the form of Medicare is lack of reliable and comprehensive data and data systems. Reliable and comprehensive data and data systems are essential in the management of the programs and evaluation of the impacts of the program in relation to the citizens or societal welfare. Health and human services department lack access to essential data in the management of the health insurance programs, grant-making activities, and regulation functions and obligations.
Development and maintenance of the system facilitating accessibility of the data are also challenging concept in relation to this data issue affecting the management of the Medicare systems. This is because health and human services programs are under the influence of local and state governments thus conflict of interest in the accessibility of the information or data. Lack of these data accessibility systems limits the ability of the health and human services to oversee the health systems effectively and efficiently. Another aspect of this problem is the illustration of the technical issues relating to the computer capabilities in 2000 thus enhancing complexity of the data accessibility issue by the health and human services department. This management issue contributes towards the interruption of the payment and other relevant services by Medicare healthcare systems within the...
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