Usa health care system case study, Other Subject

Assignment Help:

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. 


Related Discussions:- Usa health care system case study

Various functions of a safety and health committee, Question : (a) Saf...

Question : (a) Safety and Health Committee is a forum where employees and management representatives sit together to review and take action on safety and health issues at a pl

What are the forms of ownership for newspapers, Question 1 What are the fo...

Question 1 What are the forms of ownership for newspapers? Explain in detail Question 2 How can employees of an organization be rewarded? Discuss the tips for effective recog

Mystery shopper, Visit any restaurant, possibly your school cafeteria. The ...

Visit any restaurant, possibly your school cafeteria. The workers and fellow customers will assume that you are an ordinary customer, but you are really a secret shopper (spy) for

marketing, little control over macro-environmen

little control over macro-environment

Defense in depth strategy - information security, Defense in Depth        ...

Defense in Depth                                        Information security must keep information throughout the life span of the information, from the original creation of t

Section #2 Climate Regions, Why is the mediterranean sea important to the ...

Why is the mediterranean sea important to the europeans?

Planning and design for a new property, Designs need to be practical, funct...

Designs need to be practical, functional and rational. With relevant examples from a hospitality unit of your choice and taking account of the limited available resources, explain

American government texas edition, i really need some help in college amer...

i really need some help in college american government book, "we the people ninth edition texas

Assessment on develop cultural competency., this is an assessment of diplom...

this is an assessment of diploma in early childhood education and care.

Describe what is halftoning, Question: (a) You should always ask your c...

Question: (a) You should always ask your commercial printer what they consider as "camera ready" before you start the job. Describe Camera-ready Art? (b) Describe what is ha

Write Your Message!

Captcha
Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd