In: Nursing
What are the hazards and opportunities associated with shifting healthcare expenditure to government? What are the hazards and opportunities associated with shifting healthcare expenditure away from government to private insurance companies and individuals?
Hazards and opportunities associated with shifting health care expenditure to government:
The federal government is the largest single payer of health care in the united states....dual eligible patients tend to be both poorer and sicker than average and increasing both the health care government programs themselves.. government. As dominant payer has a large effect on physician payment under Medicare..pjudicial payments have been a huge political issues.The study found that everyone dollar increase in medicare fees corresponded to a 1.16dollar increase in private sector prices..It double powerful impact..it increases costs for Medicare patients,but they also have an amplifying effect on private sector prices..government reimbursement levels impact on private sector spending in an additional way..rreimbursement differential affect provider thinking,their overall approach to pricing on their bussiners..The larger payer syndrome affects development in the life sciences..
opportunities:
One enormous payer can have outsize influence on player across the health care support chain..it also suggests that other payers could use their own collective leverage for better results for their customers..government maintains the ability to regulating the laws for decision and preference, with out regulatory the entities can potentially use their own outside spending patterns to drive prices and overall changes in ways favourable to those entities.In American more employeer health insurance..US government marketplace generates true competition with in the supply chain,drives quality improvement and affordability in health care,and accelerates innovation..
Non government:
Obama care, spending on medical costs per person roughly around 16,000 dollar per year.. spending will also increase because of the economic recovery..empl employers are increasingly shifting medical costs to employees by high deductible plans..obama care for increased overall spending by covering millions more people with health insurance..privately insured hospital cost in 2006 could have been reduced by 18%,physician costs in 2007 could have been reduced by 12%.. payments and under private insurance are inflated by the cost of covering uncompensated care and payment shortfalls under public health coverage programs..not all of the shortfalls in payments shifted to private insurers.medicare non-allowable costs include advertising,entertainment,penalties,gifts,donation,employeee education etc ..