Question

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


Related Solutions

discuss the role of health care finance and its impact on the delivery of healthcare.
discuss the role of health care finance and its impact on the delivery of healthcare.
What is a long-term care hospital (LTCH)?  What role does it play in health care delivery in...
What is a long-term care hospital (LTCH)?  What role does it play in health care delivery in the United States?  
What is a long-term care hospital (LTCH)? What role does it play in health care delivery...
What is a long-term care hospital (LTCH)? What role does it play in health care delivery in the United States?
Discuss the main cultural beliefs and values in American Society that have influenced health care delivery...
Discuss the main cultural beliefs and values in American Society that have influenced health care delivery and how they have shaped the health care delivery system
1. Discuss the roles of the health care professionals and give at least 3 health care...
1. Discuss the roles of the health care professionals and give at least 3 health care activities they are commonly practicing 2. Discuss the factors that affects the health care delivery system
Care that does not require an overnight stay in an institution of health care delivery is...
Care that does not require an overnight stay in an institution of health care delivery is termed Extended Stay Outpatient Care Secondary Care Inpatient Care A mild, severe, or even fatal episode (short term) of illness is termed Acute Chronic Sub-Acute Holistic A characteristic of Social Justice Health Care would be It is based on an individual’s ability to pay Only those with jobs deserve health care An individual is responsible for the family’s health care Everyone is entitled to...
Discuss the role of financial intermediary in the development of Ghana
Discuss the role of financial intermediary in the development of Ghana
Discuss the role of insurance in healthcare delivery and productivity in the United States. The discussion...
Discuss the role of insurance in healthcare delivery and productivity in the United States. The discussion needs to include the critical role of health insurance in a cost-effective health care system and on consumer incentives and insurer behavior. Discuss the following concepts: market forces, competitive healthcare system, Value-based Purchasing, Promoting Healthy Behavior. What are the unique characteristics of the healthcare market in the United States?
what are three reasons for the health care delivery system when it comes to insurance and...
what are three reasons for the health care delivery system when it comes to insurance and healthcare. explain answer
the health care system a. What are the benefits of health insurance to individuals? Does this...
the health care system a. What are the benefits of health insurance to individuals? Does this vary depending on whether the health event is predictable? Expensive? b. Explain why the fact that the employer contribution to health insurance premiums is not taxed provides a larger subsidy to some employees rather than others.3 c. You have very generous health insurance. It covers everything health care professionals (it is first dollar coverage). Why might this lead to moral hazard on the part...
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT