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The balance between quality patient care and medical necessity is a top priority and the main concern of many of the healthcare organizations today. Due to the rising cost of healthcare, there has been a change in the focus of reimbursement strategies that are affecting the delivery of patient care. This shift from a fee-for-service towards a value-based system creates a challenge that has shifted many providers’ focus more directly on their revenue. As a result, organizations are forced to take a hard look at the cost of services they are providing patients and then determining if the services and level of care are appropriate for the prescribed patient care. Quality patient care is an ongoing endeavor that involves many different areas of healthcare.
Health Care Reform Health care has been an area of discussion for some time now. In the United States, the current health care system is a private system that allows individuals to choose their own method of care. Despite the freedom that comes with the independent nature of this type of health care system, the true disposition creates more problems than it solves. The privacy of the health care institutions has caused affordability and access to become serious issues with this system. Additionally, those with lower socioeconomic status fall short of the ability to access the same pool of resources as everyone else.