Healthcare Costs
Discuss the Challenges of Reference Pricing-describe it, is it currently feasible, what are the pitfalls if it was part of your job assignment to build and manage such a program to control cost. What are the advantages and pitfalls if you are an individual using this "reference pricing" as an element of your personal health insurance program?
Reference pricing has enormous potential to curb rising healthcare costs. In this situation, the insurance company or other stakeholder sets a target price that reflects what is considered a fair market value. Then if the consumer selects a healthcare service that is less than that amount, they are obligated to pay nothing. However, if the consumer selects a service that is greater than the reference price, then they are obligated to pay the difference. This system gives the consumer an incentive to participate in controlling costs whereas they might not otherwise concern themselves with the cost of service.
The advantages of this system is that it puts pressure on high-price providers who have gained market share in the current healthcare system to consider lower their costs. For example, if a price charged for a service is beyond what could...
Health Care Economics Medical Care is never free, although the individual may pay nothing? Medical Care is both a commodity and a service. The process of consuming medical care has a cost, even if the after insurance price is zero to the consumer. For instance, there are hard costs that include the buildings, equipment and supplies that house the medical care or office. There are the wages that are paid for the
Health Care in the U.S. And Spain What Can the U.S. Learn About Health Care from Spain? In 2009, Spain's single-payer health care system was ranked the seventh best in the world by the World Health Organization (Socolovsky, 2009). By comparison, the U.S. health care system ranted at 37 (Satiroglou, 2009). The Spanish system offers coverage as a right of citizenship that is constitutionally guaranteed. Spanish residents pay no expenses out-of-pocket, with
Healthcare Financial Management To quote Jonathan Clark at the beginning of his article, "Improving the revenue cycle can be a daunting task due to the scope and complexity of the interdepartmental process." Of the suggestions offered by the authors, which concept(s) give you the greatest insight into creating an improved Revenue Cycle process in the organization where you work (or one in which you are familiar)? Be sure to identify which
Health Care Market In discussing the market for a health care good or service, one must first understand that in speaking of "health care," one is actually speaking of the entire health care industry, along with each of the goods and services that are produced and exchanged within this market. From organ transplant operations and blood donation to therapeutic massages and nursing home activity programs, the span of health care goods
Transparency empowers consumers to become better shoppers. Economists assert that transparency stimulates productivity, for example, in exchange for money, one individual obtaining fair value. In every aspect, except healthcare, Davis points out, transparency, is supported. The contemporary dearth of transparency in healthcare has led to many Americans not being able to effectively shop for the best quality of service at acute care hospitals. Davis argues that transparency permits consumers,
A not-for-profit hospital must also provide an assessment of how they are continually upgrading their training and services departments, and show through financial analysis and reporting how the funds set aside for these areas is actually used as well (Greaney, 2006). Not only is the auditing and compliance requirements significantly different between for-profit and not-for-profit hospitals, the visibility and reporting into key technology investments to benefit a hospitals' performance
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