Question

In your opinion, how do you see healthcare in the United States changing in the future? Please explain your answer.

Meet the 200 word count

Answer 1

#. The Future of Health Services Delivery changes :-

- Consequences of the ACA will be experienced for years to come

· Insurances drop individual plans because they do not comply with some of the ACA's mandates

· Employers cope by reducing worker hours and negotiating new health plans

· Americans have been passive to it and have adopted a "wait and see" attitude

- The US healthcare system will continue to evolve but no one knows its destiny

#. Implementing the Medical Home Model

- Mechanisms for matching patients to homes: transparency, fairness, matching of clinical needs, predictable revenues for physicians

- Information exchange outside the medical home

- Reimbursement that captures critical nonclinical activities, such as care coordination

#. Implementing Community-Oriented Primary Care (COPC)

- High-impact, high-opportunity areas of focus

- Social and behavioral sciences should supplement the biomedical model

- Primary care should include primary, secondary, and tertiary prevention

- Public health functions must be strengthened as an adjunct to clinical interventions

#. Forces of Future Change

Social and demographic

Economic

Political

Technological

Informational

Ecological

Global

Anthro-cultural

Social and Demographic Force

- the US is getting bigger, older, and more diverse

- specific needs are the highest cost drivers

- spending has to be cut to sustain Part B (paying physicians) and Part D (paying for prescription drugs) of Medicare

- retirement of baby boomers (started in 2011) will increase the number of beneficiaries

Economic Force

- National debt - spending cuts, tax increases, and economic growth will be needed

- Economic growth - growth has been slow; growing dependency on government handouts does not bode well

- Employment and household income: incomes has fallen

- National health expenditures are expected to consume almost 20% of GDP in 2022

- A golden prospect: The US is now the world's largest energy producers - but, much will depend on future energy policy

Political Force

-Education and immigration policies the number and qualifications of health care workforce

-Americans remain divided on major policy issues, including health care

-Politics also has an effect on the economy and taxes

-So far, raising the debt ceiling rather than reducing spending has occupied US politicians

Technological Force

-Technology will continue to revolutionize health care, but cost increases will create challenges

-Technologies that increase self-reliance and cost efficiency will receive much attention

- Utilization control measures could also receive attention

Informational Force

Developing IT's potential for health care delivery and management of health care organizations will continue well into the future

Ecological Force

- New diseases

- Natural disasters

- Bioterrorism

- World population growth will intensify human-animal-ecosystems interface creating new diseases

- Technology will find new applications in public health and safety

- Dealing with public health threats also divert resources from routine health care

Global Force

-Globalization intensifies cross-national cultural, economic, political, social, and technological interactions - health and health care will be affected in diverse ways through multiple pathways

-Example: cross cultural factors affect the effectiveness of professionals that are part of "brain drains" or "brain gains"

Some signs of increasing globalization:

-Drugs manufactured in Asia are exported to western nations

-Medical tourism

-Cross-border telemedicine

-Desire of foreign hospitals and clinics to move into the US