Usa health care system case study, Other Subject

Governmento Medicare, Medicaid, S-CHIP, and the VA: The government uses money generated from taxes to reimburse providers who take care of patients enrolled in these programs.o Public employees' premiums: The government also uses tax dollars to pay private insurers a health insurance premium for federal employees and other public employees.o Tax subsidy: There is a tax subsidy of employer-based insurance (not shown in the graph) that represents a major cost to the government (on the order of $100 billion). Employees receive health insurance benefits as tax-free compensation, and employers are able to deduct health insurance benefits as a cost of doing business. [Since employers are only taxed on profits, defined as any income above the cost of doing business, being able to deduct health insurance benefits as a cost of doing business is a tax subsidy for employers].• Private insurerso Private insurers accept premiums from individuals, businesses, and the government. In turn, they reimburse providers for taking care of patients with private insurance.• Health service providerso Providers (doctors, allied health professionals, hospitals, and other health care facilities) take care of individuals. They are reimbursed for their services by private insurers and the government. 

Employer-sponsored insurance4o Basics: Employer-sponsored insurance represents the main way in which Americans receive health insurance. Employers provide health insurance as part of the benefits package for employees.o Administration: Insurance plans are administered by private companies, both for-profit (e.g. Aetna, Cigna) and non-for-profit (e.g. Blue Cross/Blue Shield)... A special case is represented by companies that are "self-insured" - that is, they pay for all health care costs incurred by employees directly. In this case, the company contracts with a third party to administer the health insurance plan. Self-insured companies tend to be larger companies such as General Motors.o Financing: Employer-sponsored insurance is financed both through employers (who usually pay the majority of the premium) and employees (who pay the remainder of the premium). In 2005, the annual private employer-sponsored insurance premiums averaged $4,024 for single coverage and $10,880 for a family of four.5o Benefits: Benefits vary widely with the specific health insurance plan. Some plans cover prescription drugs, while others do not. The degree of cost-sharing (co-pays and deductibles) varies considerably.• Private non-group (individual market)4o Basics: The individual market covers part of the population that is self-employed or retired. In addition, it covers some people who are unable to obtain insurance through their employer. In contrast to the group market (employment-based insurance), the individual market allows health insurance companies to deny people coverage based on pre-existing conditions.o Administration: The plans are administered by private insurance companies.o Financing: Individuals pay an insurance premium out-of-pocket for coverage. Risk in the individual market depends only on the health status of the individual, in contrast to the group market, in which risk is spread out among multiple individuals. As such, low-risk, healthy patients will have a low premium, whereas the opposite is true for high-risk, sick patients.o Benefits: Benefits vary widely with the specific health insurance plan. 

Posted Date: 2/5/2013 10:22:56 AM | Location : United States







Related Discussions:- Usa health care system case study, Assignment Help, Ask Question on Usa health care system case study, Get Answer, Expert's Help, Usa health care system case study Discussions

Write discussion on Usa health care system case study
Your posts are moderated
Related Questions
Project Name : Portal -Engine Business Unit, Role : Team Management. Estimation and Plan. Involved in Requirement Gathering, System Architecture & Design. Presentation & Docum

The liver is a large organ that plays a central role in digestion. All blood carrying nutrients from the digestive tract is channeled through the hepatic portal vein to the liver,

Sociological Theories of Religion: Each main sociological framework has its perspective on religion. For example, from the functionalist perspective of sociological theory, religi

Grace Period A credit card's grace period is the time the consumer has to recompense the balance previous to interest is charged to the balance. Grace periods differ, but gener

Social and Structural Determinants of Population Health Environment The environment surrounding us contributes a lot to our health. These factors include housing and work

Question 1 What is the meaning of 'publicity'? How does it differ from 'PR'? Explain Question 2 What is meant by Government relations? Explain Question 3 Write a long no

The NPV decision rules says that an investment with a NIL Net Present Value should be accepted.WHY?Example

Question 1 Write a long note about magazines Question 2 Write a long note on documentary photography and social documentary Question 3 Write a long note on thriller and

Components of an EMS: To develop an EMS, an organization has to assess its environmental impacts, set targets to reduce these impacts, and plan how to achieve the targets. The mos

Disadvantages Traffic overcrowding on the network has been an subject since the inception of the client-server paradigm. As the amount of instantaneous client requests to a