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In: Operations Management

Discuss the intermediary role of insurance in the delivery of health care. Which main roles does...

Discuss the intermediary role of insurance in the delivery of health care. Which main roles does the government play in the U.S. health services system? Note: Need a clear explanation with 300 plus words.

Solutions

Expert Solution

Insurance is a financial services instrument which is utilized by individuals and organizations to safeguard their personnel from medical related expenses and problems. Example, Medicaid, medicare and other insurance services are popular in USA. Any individual can safeguard him or her by paying an agreed premium amount so as to get a desired level of coverage. Many times insurance are categorized like health, life and general purpose insurance services. In today's world of unknown disease and growing stress among citizens causes life styles diseases hence insurance is a must instrument. Insurance has many benefits like

1) One can get cure without paying higher amounts of money due to coverage of insurance purchased.

2) An individual feel confident if get an medical coverage from his working organization.

3) People can safeguard themselves from any unknown happenings.

4) They can save their family members from any disease or health challenges.

5) Organization can protect its talented employees to being involve in any kind of health related issues.

Government has many power in relation to insurance services. It creates laws and regulations and define the ways lawsuits might be filed by the parties incase any disputes among them. Government also offers care and protection to its citizens through insurance like instruments. Recently, we have heard the American government policy of Obamacare. It was discussed a lot on global platforms. Even , many emerging economies are following the patterns of care as Obamacare . Government has following roles :

1) Formulation of policy in relation to health insurance.

2) Taking care the perspective of financing of such instruments.

3) Deciding the mandatory and compulsory disclosure of insurance products.

4) Quality of care and insurance services delivery.

5) Tax related provisions to individuals

6) Regulations of services providers

7) Grievance handling system of insurance purchase


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