Question

Research the delivery, finance, management, and sustainability methods of the U.S. health care system. Evaluate the effectiveness of one or more of these areas on quality patient care and health outcomes. Propose a potential health care reform solution to improve effectiveness in the area you evaluated and predict the expected effect. Describe the effect of health care reform on the U.S. health care system and its respective stakeholders. Support your post with a peer-reviewed journal article.

Answer 1

In the United States, the health sector is composed of clinical officers, hospitals, insurance schemes and customers of health care services; all of whom operate under configured groups, networks or private practices.Some practice is private while part of it is public either for profit making or nonprofit venture. There are regulatorswho are either volunteers or government sponsored to bring checks and balances. This health care system however faces a number of challenges some of them being quality and the high running costs.

Health care reforms is one of the biggest issue for voters. With our aging population, complexity of illness and growing cost of health care, the government need a new approach to delivery of health care system. There is still a large population that are uninsured. There is mounting recognition that our country’s health system is greatly influenced by social determinants, socio-economic status, and environmental.

The health care system must change to improve our nation’s health and takes strong steps to address the unsustainable growth of health care costs in America. We still have a long way to go before our health system become effective. We still have population that do not have insurance, have difficulties accessing their health care, or their needs are not met within the healthcare system. It is an investment in prevention and wellness and increasing access to primary care physician.

Here are four key reasons why we need health care reform (Whelan & Russell, 2010):

• We need to address adverse health industry practices.
• Stopping discriminatory health insurance industry practices.
• It will also stop insurance companies from charging people more because of these conditions and prevent them from dropping your coverage when you get sick.
• Requiring more transparency and accountability.
• Make the insurance companies more accountable by requiring federal oversight of premium increases and public disclosure of the amounts they spend on administrative expenses.
• Eliminating waste, fraud, and abuse.
• Rein in waste, fraud, and abuse by imposing tough new requirements to identify high-risk providers who have defrauded the American taxpayers and identify where there are conflicts of interest.
• Provide better health insurance coverage.