Health Services : The Center Of Our Health System Essay

Health Services : The Center Of Our Health System Essay

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Hospitals have evolved as the center of our health system and have become a highly specialized hub of acute health services for the critically ill along with outpatient services (Williams & Torrens, 2008). Hospitals provide a wide array ambulatory care for a complex patient base but due to demand of advanced technology required to treat high acuity it encounters disparity in financial reimbursement (Willimas & Torrens, 2008). Most hospitals are either for-profit, not-for-profit or government operated (VA) but each has to overcome the cut backs from its main source of funding from Medicare, Medicaid and private insurance which encompasses the majority of its operational capital (Blizzard, 2002). Hospitals are restricting some of the high risk-low payment services and moving toward DRG or value-based payments to increase its operational capital (Hesselgrave, 2015). The changing landscape of reimbursed will continue to evolve as mandates from ACA and U.S. Department of Health & Human Services move toward integration of DRG and value-based payments (Bhatt, Foster & Welter, 2015). Also, numbers of hospitals across the United States has decreased in the last 28 years by 1,401 but are often community nonprofit hospitals that function under a special tax provision of corporation in communities and in most cases are the largest employers in the area (Williams & Torrens, 2008). The length of stay sets hospitals apart for other health care entities (i.e. mental health, long-term) because of its focus on an acute patient needs with average length of stay of 4-5 days for patients under 65 years old (Williams & Torrens, 2008). Hospitals have undergone horizontal (connecting similar services) and vertical integration (wide array of servic...


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Blizzard, R. (2002). For-Profit vs. Not-for-Profit Two Paths, Same outcome. Gallup Poll Tuesday Briefing, 1.
Delphin-Rittmon, M.e., Flanagan, E.H., Andres-Hyman, R., Ortiz, J., Amer, M.M., & Davidson, L. (2015). Racial-ethical differences in access, diagnosis and outcomes in public-sector inpatient mental health treatment. Psychological Services, 12 (2), 158-166. doi:10.1037/a0038858.
Hesselgrave, B.L. (2015). Hospital ratings: advancing or obscuring choices?. Managed Healthcare Executive, 25(4), 27-30.
The dollars and sense of long-term care. (2015). Harvard Health Letter, 40(7), 1-6.
Dahline, S.L. (2014). Mental Health Parity: Closing the Gaps. Journal of Pension Benefits: Issues in Administration, 21(4), 38-41.
Hale, B. (2014). Rethinking Rights-based Mental Health Laws, International Journal of Law in Context, 10(1), 140-142. doi:10.1017/s174455231300402

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