Publicly financed health care program in the United States

Publicly financed health care program in the United States. Why would anyone choose to emulate the US healthcare system? Costs per capita are about twice the Organisation for Economic Cooperation and Development average. Forty seven million people are completely uninsured. Many others with insurance face high out of pocket costs that hinder care and bankrupt more than a million annually. Mortality statistics lag behind those of most other wealthy countries, and even for the insured population, clinical outcomes and patient satisfaction are mediocre.

Publicly financed health care program in the United States

It is useful for health care managers to understand Medicare’s history and the impact on providers of ever-changing Medicare payment methods. Initially, Medicare payments resembled those of commercial insurance plans and Blue Cross Blue Shield plans. When Congress became concerned about the increasing costs of Medicare, new payment methods were created to limit payments to providers. The prospective payment system, imposed on hospitals in 1987 and later on nursing homes, home health agencies, and other services, has been adapted by commercial plans, Blue Cross Blue Shield associations, and state Medicaid programs. Changes in payer reimbursements require health care managers to adjust the department’s charge master and exert more control of departmental costs. The story of Medicare’s beginnings and development can provide some insight into the possibility of national health insurance, given the historic and current politics that limit publicly financed social programs.

  Provide an overview—and discuss the function—of 1 publicly financed health care program in the United States.
How has that program evolved and influenced the entire U.S. health care system?
What are some of the accomplishments and challenges for that program?
What does that program do to focus on health prevention and performance? The combination of tax funding and market oriented delivery is exemplified by the US Medicare programme, which has a budget more than double that of the entire NHS.

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