Question

Go through these two studies and write a three to five page analysis of the two healthcare facilities you have conducted the research.

In this concluding section of the paper, explain how the situations may be similar or how they are different. Things you want to compare can include but not limited to reimbursement, quality and availability of care, government regulations and how changes in healthcare system such as the Affordable Care Act (ACA) will impact healthcare management in the near future.

CASE STUDY #1: WESTCHESTER MEDICAL CENTER

INTERVIEW W/: Nurse manager from the ICU’s units

How does financing and reimbursement affect delivery of care?

There is a huge impact of the financing and reimbursement on the quality of the care delivered to the patients having some kind of insurance or the health policy. The financial and reimbursement status is taken as the regulator of the type of the care delivered to the patients in the healthcare system. Financial and reimbursement policies greatly affect the quality of the delivery of the care.

How does reimbursement differ in the delivery of outpatient vs inpatient care?

Yes, reimbursement differs in the delivery of the outpatient vs inpatient care. In case of the outpatient department the patient takes the prescription provided by the physician and has the medicine from the reliable source hence have minimum impact of the reimbursement policies on the other hand in case of in-patient care the patient is admitted in the hospital. He/she may be advised for the plenty of the diagnostic pathological tests, there is included the bed charges and other ambulatory services. Hence in case of the inpatient care there is huge impact of the reimbursement.

How do Managed Care and Integrated Systems impact the cost, access, and quality of health care delivery?

The managed care and integrated systems highly impact the cost access and quality of the healthcare delivery by utilizing the systematic plans regarding the delivery of the healthcare using the special provisions regarding the individual patient.

These evidence based practices are highly effective in reducing cost of care, along with maintaining the proper access of the care with the high quality concerns.

How has Legislative Health Policy impacted the delivery of care?

The legislative Health Policy had a great impact on the delivery of care as it governs the healthcare and insurance policies. There are various health policy reforms which have a direct impact on the quality of the care. These regulations are ensuring the good healthcare delivery to the population. Hence there is need to reform these healthcare policies time to time.

What is the future of health services delivery?

As per the future concerns of the health care service delivery, there is need to have a concern of the cost effectiveness and inclusion of novel health care technologies in the healthcare organizations. On the basis of these systematic concerns we can assure an effective health care delivery for the welfare of the mankind.

CASE STUDY #2: MONTEFIORE HOSPITAL

INTERVIEW W/: CEO Montefiore

How does financing and reimbursement affect delivery of care?

Health insurance affect health care delivery in the US that it makes providers less aware of the actual cost of health care it creates provider induced demand, this financing greatly influences how much health care is delivered.

How does reimbursement differ in the delivery of outpatient vs inpatient care?

Reimbursement varies most significantly by insurance company, more insurance companies do reimburse inpatient and outpatient serves very differently, but some smaller insurance companies may reimburse according to simple criteria, Medicare inpatient prospective payment system reimburses a weighted fee schedule of rates by diagnosis related group based upon the average cost of cost across the mations providers for that particular set of health issues, and Medicare outpatient reimbursement fits into one of two scenarios that is clinic( a freestanding primary ) and hospital( procedures performed wither at the hospital or at a clinic located within 35 miles of the hospital that own and operate the clinic) there reimbursed accordingly to the ambulatory payment classification.

How do Managed Care and Integrated Systems impact the cost, access, and quality of health care delivery?

Managed care and integrated systems has positive impact on the cost and access and quality of health care delivery.

My opinion:

How has Legislative Health Policy impacted the delivery of care?

Legislative health policy impacted the delivery of care: the health care delivery system continue to evolve by the market forces, and as do legal and regulatory changes resulting from health reform legislation.

What is the future of health services delivery?

The future of health service delivery: insurances drop individual plans because they do not comply with some of the mandates and employers cope by reducing worker hours and negotiating new health plans and the US healthcare system will continue to evolve but no one knows the destiny. The human services framework can barely be known as a framework. Or maybe it is a confounding cluster of exceedingly decentralized areas. Span of doctor bunches is growing, 37.12 percent of rehearsing doctors are still in solo or two man hones. The wellbeing design segment is getting some distance from structures that can encourage combination and coordination, with the piece of the overall industry of wellbeing upkeep associations falling and favored supplier associations. Furthermore, healing center division has been merging in numerous business sectors of the 5,000 network doctor's facilities, in excess of 3,500 have a place with some system or framework a large portion of these courses of action are centered on managerial instead of clinical joining.

Answer 1

In these two case studies, situtations are more over similiar

Delivery of care parameters are different in these 2 studies

The financial and reimbursement status is taken as the regulator of the type of the care delivered to the patients in the healthcare system. Financial and reimbursement policies greatly affect the quality of the delivery of the care on the other hand

Health insurance affect health care delivery in the US that it makes providers less aware of the actual cost of health care it creates provider induced demand, this financing greatly influences how much health care is delivered.

How does reimbursement differ in the delivery of outpatient vs inpatient care?

Yes, reimbursement differs in the delivery of the outpatient vs inpatient care. In case of the outpatient department the patient takes the prescription provided by the physician and has the medicine from the reliable source hence have minimum impact of the reimbursement policies on the other hand in case of in-patient care the patient is admitted in the hospital. He/she may be advised for the plenty of the diagnostic pathological tests, there is included the bed charges and other ambulatory services. Hence in case of the inpatient care there is huge impact of the reimbursement

In case study 2

Reimbursement varies most significantly by insurance company, more insurance companies do reimburse inpatient and outpatient serves very differently, but some smaller insurance companies may reimburse according to simple criteria,

Both the studies shown that Managed Care and Integrated Systems have a positive impact on cost, access, and quality of health care delivery

The managed care and integrated systems highly impact the cost access and quality of the healthcare delivery by utilizing the systematic plans regarding the delivery of the healthcare using the special provisions regarding the individual patient.

As per the scenario of Legislative Health Policy influence on delivery of care

There are various health policy reforms which have a direct impact on the quality of the care. These regulations are ensuring the good healthcare delivery to the population. Hence there is need to reform these healthcare policies time to time.

Legislative health policy impacted the delivery of care: the health care delivery system continue to evolve by the market forces, and as do legal and regulatory changes resulting from health reform legislation.

Future of health services delivery concerns have shown as different in both the studies

in case study 1: Future of health services delivery is depends upon cost effectiveness and inclusion of novel health care technologies in the healthcare organizations. On the basis of these systematic concerns we can assure an effective health care delivery for the welfare of the mankind.

but in case study 2: future of health service delivery is shaking : insurances drop individual plans because they do not comply with some of the mandates and employers cope by reducing worker hours and negotiating new health plans and the US healthcare system will continue to evolve but no one knows the destiny. The human services framework can barely be known as a framework. Or maybe it is a confounding cluster of exceedingly decentralized areas. Span of doctor bunches is growing, 37.12 percent of rehearsing doctors are still in solo or two man hones. The wellbeing design segment is getting some distance from structures that can encourage combination and coordination, with the piece of the overall industry of wellbeing upkeep associations falling and favored supplier associations. Furthermore, healing center division has been merging in numerous business sectors of the 5,000 network doctor's facilities, in excess of 3,500 have a place with some system or framework a large portion of these courses of action are centered on managerial instead of clinical joining.