Has anyone noticed that there seems to be a drugstore being built on every corner these days? Revco, Walgreens, and Rite Aid seem to be just a few of the drug store chains that are expanding. One has to wonder if this has anything to do with the possibility of including medicine under coverage by healthcare systems. This means that they may become part of a capitated payment system to the pharmaceutical providers. "By capitation, we mean a prospective payment to physicians or providers - either individually or as a group - of a fixed amount of money to care for each patient (Pearson, 1998)." In other words, every physician is provided a set sum of money whether they see any patients or not and every pharmacy would be given money whether they prescribe any drugs or not. Drug costs will rise.
The question medical groups and IPAs should be asking in the next 10 years is whether they can wisely enter i...
... middle of paper ...
As more and more people go without any medical insurance, the time for changes in the healthcare industry seems to be now. The government cries for restructuring and the cost coverage of prescription pills should make us step back and question the broad picture. Why would the public benefit from captitation and which segments of the healthcare industry would benefit from which types of capitation? It is important for the public to be educated on our options, healthcare is something that effects us all, old, young, rich, and poor. Why are medical executives determining the directions of cost utilization in the system and not the public? The only thing that seems to be for ceratain is that further research is vitally needed to clarify how capitation truly effects physician-patient relationships, decision making by physicians, and clinical outcomes.
Need Writing Help?
Get feedback on grammar, clarity, concision and logic instantly.Check your paper »
- Introduction Among others, the healthcare system in Serbia was one of the sectors hugely impacted by the decades of reforms that began after the breakdown of former Yugoslavia, followed by hyper-inflation, wars and NATO bombing (Kunitz, 2004). Similar to other parts of former Yugoslavia, Serbia also implemented a mandatory healthcare system financed through health insurance contributions with the aim of providing comprehensive healthcare benefit for both inpatient and outpatient across the Serbian population.... [tags: Healthcare ]
1401 words (4 pages)
- Pay-for-performance (P4P) is the compensation representation that compensates healthcare contributors for accomplishing pre-authorized objectives for the delivery of quality health care assistance by economic incentives. P4P is increasingly put into practice in the healthcare structure to support quality enhancements in healthcare systems. Thus, pay-for-performance can be seen as a means of attaching financial incentives to the main objectives of clinical care. However, reimbursement is a managed care payment by a third party to a beneficiary, hospital or other health care providers for services rendered to an insured or beneficiary.... [tags: P4P in Healthcare Industry]
1964 words (5.6 pages)
- With these types of organizations they have different methods of payments and reimbursements. They have guidelines through the government that they will have to abide by. The government sponsored payers are Medicaid and Medicare. The majority of patients that are treated are on Medicare or Medicaid. With patients not insured each type of organization handles reimbursement differently. For- Profit hospitals it is bad debt, which is when charges of patient are written off. With not –for –profit organizations it is considered charity care.... [tags: Healthcare, argumentative, persuasive]
2273 words (6.5 pages)
- Introduction I have examined the public's view of healthcare. Along with that I have analyzed how their perception was shaped by the primary actors within the U.S. healthcare system. The primary actors are the insurers, the provider groups, and the purchaser's. Following that I conclude with my own thoughts and views. The Public's View of Healthcare The public is not content with our healthcare right now. An extensive survey was conducted by ABC News; the Henry J. Kaiser Family Foundation, an independent non-profit research organization that specializes in health care issues; and USA Today on the public's attitude on health care.... [tags: Healthcare Debate]
1040 words (3 pages)
- In some countries their citizens don’t have to worry about finances to when it comes to healthcare, because it’s either provided by their government or it’s nonexistent. They don’t have to worry about which healthcare coverage to buy or how their providers get paid from their recent office visit. Either way, the role of finance in healthcare is very important it is what keeps the healthcare field to constantly improve and provide quality care for it patients. In this paper I will discuss the role of finance in healthcare and why it is important to its survival.... [tags: Health insurance, Health economics, Health care]
1038 words (3 pages)
- Consumerism Managed Care has made a great effort in ensuring that patients are provided with Access to quality care. Medical costs have risen so that employers have shifted more of the medical costs to the plan members therefore increasing the uninsured rate. Also with the rise of medical cost, employers could opt not to provide any medical benefits to their employees. This leaves the employee purchasing health and medical insurance with their out of pocket monies. The consumers have changed from an organization that provided medical services to enrollees for a prepared fixed fee to plans that make contractual arrangements with providers for services at discounted prices.... [tags: Marketing]
1385 words (4 pages)
- Healthcare industry is extremely expensive to maintain and operate. Each facility has to purchase equipment, billing systems, electricity, etc. to provide care to patients. Not only does the facilities have to provide material items, but most importantly payroll for staff such as doctors, nurses, and billers. All these mention cost money. Therefore doctors’ bill charges for their procedures and services they provide. It is the responsibility of insurance carriers and patients to reimburse for the charges rendered.... [tags: Health care, Health insurance, Insurance, Medicine]
951 words (2.7 pages)
- There are new challenges every year in the health care field. Research on the future of U.S Healthcare System is of paramount importance to the entire Health care industry as well as the citizens of the U.S. To begin with, the research will discuss how challenges for future healthcare services can be enhanced by reducing the costs of medication. By creating a better quality of health care, Information technology advancements, including future funding, lower rising costs, the Medicare and Medicaid programs.... [tags: future funding, Medicaid, Medicare]
795 words (2.3 pages)
- Professional integration and the type selected for many healthcare organizations will determine their success when they begin implementation of the Patient Protection and Affordable Care Act (PPACA). Cuellara & Gertlerb (2006) list the five most common arrangements in use: Independent Physicians Associations (IPAs), Open Physician–Hospital Organizations (OPHOs), Closed Physician–Hospital Organizations (CPHOs), Management Service Organizations (MSOs), and Fully Integrated Organizations (FIOs). Each of these five types of professional integration has proven successful however there have been many failures, which ultimately led to a degraded access and quality of health care in those communitie... [tags: Healthcare]
867 words (2.5 pages)
- The accelerating costs of US healthcare, the economic downturn, and reform outcry have revitalize interest in integrated delivery systems (IDS). However, this is not a new concept. Shortell and McCurdy (2010) define IDS as a “network of organizations that directly provides or arranges to provide a coordinated continuum of services to a defined population and is able and willing to be held accountable for the cost, quality and outcomes of care and, the health status of the population served”(p.370).... [tags: Healthcare]
1017 words (2.9 pages)
- Flight as a Literal and Metaphorical Symbol in Song of Solomon by Toni Morrison
- The Ethics of Human Cloning
- The Necessity of College Degrees in Today's Job Market
- Modernism and Existential Loneliness Demonstrated in Joseph Conrad's Heart of Darkness and James Joyce's The Dead
- Believing All Are Equal
- A Rose for Emily and Barn Burning