HEALTHCARE MANAGEMENT SYSTEMS 4

HEALTHCARE MANAGEMENT SYSTEMS 4

Healthcare management systems

Compare the US Health Care System with those of other nation

The system of health care in the US is not developed as in other nations because its expenditure on health care per capita is more than any country globally. The United Kingdom has less substantial expenses incurred in health care. The US federal government should work on ensuring all individuals access health care services at affordable prices. In the US, national health Insurance and National Health Service bodies ensure payments for health care services and service delivery respectively. In countries such as Denmark and Germany, NHI and NHS ensure the health care costs are measured in line with the population size and that all people are obliged to join the insurance coverage to benefit from its services (Kovner, 2015).

According to the U.S. Health Care System: An International Perspective — DPEAFLCIO (2016), National health insurance system is applicable in instances where citizens pay taxes out of their payrolls. They are therefore forced to access healthcare services by being paid for by government insurance programs. The service providers, therefore, get paid through the government. Ultimately, the system is much cheaper since the payer systems can negotiate with the drug and equipment suppliers for reduced costs and there is no competition for the market. The concept is mainly used in Germany, Canada, and France. The United States use another style whereby the insurance programs operate for profit-making whereby there is no universal coverage. That involves only private or specific groups of people being able to purchase insurance. Exclusively insured individuals are privileged to access affordable healthcare, and that results in increased costs of treatment across the US. However, the Affordable Care Act, Medicaid, and Medicare programs have worked to bring equality in access to health care across all socio-economic classes, though still restricting specific groups.

The role of the federal government in health care

The primary role of the federal government is to establish firm policies for the promotion of healthcare. All people need to be insured with covers, and the government needs to reinforce this by the people’s eligibility to public insurance being expanded. The insurance coverage limit being a lifetime, no one can be able to deny acquiring it. That will help to reduce public funding, and profit cost is hence making health care services cheaper. The government also is expected to set policies entailing required performance standards which the providers need to adhere to.

Furthermore, patients’ safety needs to be prioritized in the policies. That involves the patients’ health and confidential information. The government should also provide policies on public education and frequent institutions’ external reviews for quality maintenance (Baucher, 2016).

The federal government has a strong force of controlling the market, financial regulation, healthcare service provision, purchasing of services, acquiring research sponsors, promotion of health education and demonstrations as well as training to improve service quality. Prevention services in healthcare are mainly promoted by the federal government whereby treatment costs are saved, and the efficacy of healthcare improved. Prevention is long term, and if well implemented, the patients and the society at large will receive optimal productive care for their satisfaction. That, in the US, was reinforced in public programs such as Medicare, Medicaid, and the Affordable Care Act. The costs of healthcare in the US has risen, there is a need for the government to primarily consider alternative ways of all citizens accessing health care without the interference of profit-making private insurance programs (Straube, 2013).

References

Bauchner, H. (2016). The Affordable Care Act and the Future of US Health Care. JAMA: Journal

Kovner, A. R. (2015). Jonas and Kovner’s Health Care Delivery in the United States (11th ed.). New York, New York: Springer Publishing Company.

of the American Medical Association, 316(5), 492-493. doi:10.1001/jama.2016.9872.

Straube, B. M. (2013). A role for government: an observation on federal healthcare efforts in prevention. American journal of preventive medicine, 44(1), S39-S42.

The U.S. Health Care System: An International Perspective — DPEAFLCIO. (2016) Retrieved from https://dpeaflcio.org/programs-publications/issue-fact-sheets/the-u-s-health-care-system-an-international-perspective/