In: Operations Management
Describe the organization of health care in the U.S., including its historical context.
The Affordable Care Act (ACA), enacted in 2010, established
“shared responsibility” between the govt, employers, and people for
guaranteeing that every one Americans have access to reasonable and
good-quality insurance. However, health coverage remains
fragmented, with various non-public and public sources, also as
wide gaps in insured rates across the U.S. population.
- Financing - These expenditures area unit supported by a fancy
mixture of public payers (Federal, State, and native government),
also as non-public insurance and individual payments: there's no
single nationwide system of insurance. The us primarily depends on
employers to voluntarily offer insurance coverage to their staff
and dependents; government programs area unit confined to the
senior, the disabled, and a few of the poor. These non-public and
public insurance programs all dissent with regard to edges coated,
sources of finance, and payments to medical aid suppliers.
- Organization- Health services area unit provided by a loosely
structured delivery system organized at the native level. Hospitals
will open or shut in line with community resources, preferences,
and also the dictates of AN open marketplace for hospital services.
Also, physicians area unit liberal to establish their follow
wherever they select. there's no health coming up with at the
Federal level, and State coming up with efforts vary from none to
rigorous review of hospital and institution construction comes. In
areas while not spare non-public suppliers, Federal-and
State-funded programs offer some medical aid to populations not
otherwise served by the fee-for-service system. Municipal and
county public health departments offer restricted medical aid
services through public health clinics and regulate sanitation,
facility, and environmental hazards.
Some Health care corporations in U.S-
1- Mckesson- they need captured the market from institutional
suppliers to retail pharmacies in North America and
internationally. with the exception of that, they're leading
suppliers to hospitals, health systems and a lot of. They
conjointly hold experience in providing innovative health solutions
for prescription drugs and biotech makers.
2- United Health Group- heir core areas of capabilities embrace
advanced technology, clinical experience and health and information
info that unambiguously change them to stay pace with the evolving
wants of health care business. they need been serving shoppers and
shoppers through 2 numerous platforms that include: United care,
Optum.
History of Health care in U.S -
In recent years, health reform within the us has targeted on
dominant speedily rising health prices and increasing monetary
access to health care. a range of cost-control ways are tried at
the Federal, State, and native levels of presidency and by
non-public payers. Despite these efforts, health care prices still
step up. The ensuing pressure on public, private, and individual
budgets keeps the problem of management of health care prices high
on the general public agenda.