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Relationship between technology and healthcare
Relationship between technology and healthcare
Health Care Cost essay
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As the health care industry attempts to become a more efficient and connected system there are many different technological and policy aspects that they must first overcome. From my observation, I have noticed that economy plays a great deal in the way that the health care trade is managed. Simple supply and demand has created some degree of segregation among health professionals. For example, my mother lives in the small town of Clio, SC. It is a rural community with less than 1000 residents. There is a local medical office in the main part of the town, but due to the limited amount of patients that actually use the facility, the price to use the services are higher to cover the equipment and staffing costs. My mother does have insurance, but even with the small office being a part of her PPO, she would still have some substantial co-pay costs. To alleviate the financial matter, my mother travels to the next town, McColl, SC. This town has a slightly higher population and is also connected to the Palmetto Health Care System. This means that many of the staffing and equipment requirements …show more content…
According to the reading, the NHIN can benefits both the consumer and public health. Consumers can come to expect higher quality care, error reduction, fewer testing duplications, less paperwork, lower costs, constant information access, and affordable care expansion (Wes Rishel, 2007). Simply put, my mother would have a much better overall health care experience no matter where she went for service. Public health would benefit with early detection of infectious outbreaks, improved chronic disease tracking, better research, and more value based evaluation (Wes Rishel, 2007). So now not only does my mother receive better services locally, but more people would able to afford the services and create a healthier community as a
Strengths Long-standing reputation Provision of quality healthcare Highest rank in patient satisfaction Recipient of Joint Commission accreditation Serving a diverse population Weaknesses Smaller than other four hospitals Decrease in net profit Increase in expenses Significant increase in long-term debt Not-for-profit status Opportunities Changes in government regulations Change in lifestyle Influx of patients due to higher patient satisfaction Cost savings Opening of some outpatient clinics and surgery centers Threats Too much competition
The health care organization with which I am familiar and involved is Kaiser Permanente where I work as an Emergency Room Registered Nurse and later promoted to management. Kaiser Permanente was founded in 1945, is the nation’s largest not-for-profit health plan, serving 9.1 million members, with headquarters in Oakland, California. At Kaiser Permanente, physicians are responsible for medical decisions, continuously developing and refining medical practices to ensure that care is delivered in the most effective manner possible. Kaiser Permanente combines a nonprofit insurance plan with its own hospitals and clinics, is the kind of holistic health system that President Obama’s health care law encourages. It still operates in a half-dozen states from Maryland to Hawaii and is looking to expand...
It is enthralling to note that in spite of the advances in healthcare systems, such as our hospital’s ability to provide patients with lower cost, managed One being the Health Maintenance Organizations (HMO), which was first proposed in the 1960s by Dr. Paul Elwood in the "Health Maintenance Strategy”. The HMO concept was created to decrease increasing health care costs and was set in law as the Health Maintenance Organization Act of 1973, after promotion from the Nixon Administration. HMO would, in exchange for a fee, allow members access to employed physicians and facilities. In return, the HMO received market access and could earn federal development funds.
A recent phenomenon in the health services is the burgeoning of outpatient healthcare centers. Particularly vigorous growth has been observed in centers that perform diagnostic tests and simple surgeries and procedures like colonoscopies. At the current state, outpatient care centers outnumber hospitals in Pennsylvania. Furthermore, these centers now perform one of every four surgical and diagnostic procedures in the state (Levy 2006). However, the trend applies nationwide, and other states could easily follow suit. Many critics have commented on the negative and positive aspects of this trend. What remains to be determined are the long term effects (on health and the economy) of this paradigm shift, in terms of the wellness of the community as well as economically. Proponents of the movement have pointed to the lower overhead for these clinics trickling down to lower costs for patients. However, critics skeptically question whether the real benefits are for the patients or simply as a mechanism to stuff physicians' wallets. When considered as firms in the marketplace, it is evident that these two groups, both servicing the health needs of the community, have vastly different balance sheets and income statements. This transfers over to a difference in operational functionality, profitability, and cost structure. Furthermore, the disparity of financial motivations that is visible in the varying profit margins is of concern to the community. All of these are important considerations to be made when considering the economic implications of this new phenomenon.
It would be necessary for a hospital administrator to look closely at ways to lower healthcare costs and provide more efficient care when a large employer like BRPP states they are thinking of relocating their employee inpatient hospital services to a company like InduShealth. InduShealth is offering substantially lower prices for several surgical procedures and a U.S. hospital administrator would not want to lose this large consumer population if it was possible to find more efficient methods of providing healthcare to their patients (McLaughlin & McLaughlin, 2008). One pricing strategy that a hospital administrator could advocate for is a bundled...
Davidson, Stephen M. Still Broken: Understanding the U.S. Health Care System. Stanford, CA: Stanford Business, 2010. Print.
When one examines managed health care and the hospitals that provide the care, a degree of variation is found in the treatment and care of their patients. This variation can be between hospitals or even between physicians within a health care network. For managed care companies the variation may be beneficial. This may provide them with opportunities to save money when it comes to paying for their policy holder’s care, however this large variation may also be detrimental to the insurance company. This would fall into the category of management of utilization, if hospitals and managed care organizations can control treatment utilization, they can control premium costs for both themselves and their customers (Rodwin 1996). If health care organizations can implement prevention as a way to warrant good health with their consumers, insurance companies can also illuminate unnecessary health care. These are just a few examples of how the health care industry can help benefit their patients, but that does not mean every issue involving physician over utilization or quality of care is erased because there is a management mechanism set in place.
Managed care dominates health care in the United States. It is any health care delivery system that combines the functions of health insurance and the actual delivery of care, where costs and utilization of services are controlled by methods such as gatekeeping, case management, and utilization review. Different types of managed care plans came into development by three major factors. These factors include choice of providers, different ways of arranging the delivery of services, and payment and risk sharing. Types of managed care organizations include Health Maintenance Organizations (HMOs) which consist of five common models that differ according to how the HMO is related to the participating physicians, Preferred Provider Organizations (PPOs), Exclusive Provider Organizations (EPO), and Point of Service Plans (POS). `The information management system in a managed care organization is determined by the structure of the organization' (Peden,1998, p.90). The goal of a managed care system is to provide subscribers and dependants with needed health care services at the lowest possible cost. Certain managed care plans also focus on prevention by trying to keep members healthy.
Typically NP’s provide health services in rural areas where they are the only source of medical services and this had n...
In order to fully understand the uninsured and underinsured problem that hospital administrators face the cause must be examined. The health outcomes of uninsured individuals are generally worse than those who are insured. Uninsured persons are more likely to experience avoidable hospitalizations, diagnosed at later stages of disease, hospitalized on an emergency or urgent basis, and more seriously ill upon hospitalization (Simpson, 2002) Because the uninsured often lack an ongoing relationship with a health-care provider, they are less likely to receive preventive care and diagnostic tests (Kemper, 2002). Many corporations balance their budget through cost cuts and other moves, but have been slammed with an increasing load of uninsured patients, coupled with reduced payments from government and private insurance programs. In 2000, 564,476 uninsured patients came through Health and Hospitals Corporations health care centers, a 30 percent increase from 1996. In the same period, Congress reduced Medicare reimbursements to hospitals, while Medicaid reimbursements to primary care clinics remained basicall...
The 1970's need for primary care settings to curtail and control cost for employee benefits caused the development of the group practice model or also known as a HMO (Anderson & O’Grady, 2009, p. 380). HMO is a type of a managed care system created in an effort to provide health care to a large group of people. Its purpose is to provide health care services at a lower cost and often at a fixed cost. The HMO plan is based on obtaining authorized health care services by utilizing "in-network" providers. This meant the plan under that HMO will only cover the physicians and services which are authorized. If, for some reason, a specialist or extended service, such as admission to the hospital or rehabilitation service may not be authorized the "out-of-network "service must be approved by the HMO provider. The advantage to "in-net-work" and limiting health care service under a plan is control cost. The cost under these plans are none to a small percentage of "out-of-pocket" expense at the time of service. The disadvantage of this type of plan is only "in-network" physicians or serv...
2. The twin problems of the health care industry as viewed by society are cost and access. First of all, the cost of getting health care is very high and it is getting higher each day. This has been mostly caused by the combination of high cost and an increase in quantity of services provided to the communities. The other problem involves access to health care. American enjoy limited or no access to health care. Many efforts have been done to reform this, but still but still many people are left without access to the care. These two problems are related due to the fact that if the health care industry gets to high off course people no longer will be able to have any access to it. The higher prices are, the lower access people have to it.
“A lot of what we "know" about other nations ' approach to health care is simply myth.” (Reid, 2013) Mr. T Reid said this quote best. We simply do not know enough about healthcare to form a judicious opinion on it. Healthcare is the number one field that is always changing and the changes are so vast that most cannot keep up with them. Many American’s, myself included have a hard time understanding the altering healthcare field and are always struggling to keep up with the modifications.
The United States health care system is one of the most expensive systems in the world yet it is known as being unorganized and chaotic in comparison to other countries (Barton, 2010). This factor is attributed to numerous characteristics that define what the U.S. system is comprised of. Two of the major indications are imperfect market conditions and the demand for new technology (Barton, 2010). The health care system has been described as a free market in
The recommendations would lead to increased costs, but again, the benefits in quality of primary care and efficiency of nursing practice that will result from this far outweighs the financial resources put in, into the long-term. The result will be a nurses’ commitment to patient-centered, quality, safe, and reliable care, as well as improved efficiencies in health care