Within the U.S. health care system there is no
central agency, such as the government. So, there is a lack of communication and
many flaws occur within the system because there is nothing overseeing the system.
Medicare, Medicaid, and the Children’s Health
Insurance Program (CHIP) are three government run programs to assist eligible
populations with the cost of health services.
Although, health insurance is the best way to
secure access to health care services, uninsured patients are still able to
receive health services under specific circumstances such as an emergency.
In a free market in health care the patients and
providers interact separately, and the patients are then allowed to select
whatever services they wish.
If there are multiple payers in a national health
care system then the system becomes a lot more complicated. For example, if
there are multiple payers then payments can be denied or if the claims are
denied then the must be rebilled, which is extra work.
In the United States, many health care providers
attempt to protect themselves from litigation, which is when people take legal
action against health care providers. One way health care providers try to
protect themselves is by requesting more tests, scheduling follow up visits,
and manage the documentation of the visits. This is described as defensive medicine
and these extra efforts are ineffective, faulty, and expensive.
Canada and most Western European nations use
three primary models for national health care systems, which are national
health insurance (NHI), national health system (NHS), and a socialized health
insurance (SHI) system. In all three of these systems, the government plays a
role in the financing of the health care.
The biggest challenge in the U.S. health care
system is the pursuit to make costs affordable, but still meet the needs of the
older populations which have a lot of chronic illnesses and diseases.
China has got rid of the traditional three tier
system of health care so the patients can now go to any hospital of their choice
as long as they have insurance or can pay for it on their own. This is leading
to large hospitals being over used and smaller hospitals not being used to
their fullest potential.
1995 when Israel passed the National Health Insurance (NIH) law, it required
all citizens to have insurance coverage. All adults are forced to pay a tax for
countries have six times more hospital beds and three times more physicians
than developing countries.
successful health care system must always be looking forward and attempt to
achieve specific goals and reforms.
be a health coach you do not need a medical degree, but health coaches are very
crucial in managing certain conditions and cutting costs of services.
care managers must follow all the rules and regulations that come from both the
public and private companies and also the government.
care in comparison to other deliveries of health services, was able to carry
out efficient prices of health care delivery. Managed care allows access to
needed services, promotes precautionary measures, and manages a large provider
network which helps with expenditures without harming the access or quality of