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

Nuremberg trial, importance of the trial to understand genocide looking bac...

importance of the trial to understand genocide looking back and looking forward

Historigram and histogram, what is the difference between historigram and H...

what is the difference between historigram and Histogram

Healthcare Economics, The American healthcare system is an institution in f...

The American healthcare system is an institution in flux. Healthcare providers are facing increased scrutiny to decrease costs and improve quality while creating value for the enti

Discuss the features of various types of state, Question 1 What are the Ri...

Question 1 What are the Rights of Citizenship in USA according to the Constitution? Question 2 Write a note on the importance of justice in twenty-first century USA Quest

Describe the anatomy of the thyroid gland, Describe the anatomy of the thyr...

Describe the anatomy of the thyroid gland: Mrs. Duarte is a 40 year old woman who has scheduled an appointment with her primary HCP to assess a lump that has developed on the

Need of privatization of public sector undertakings, Q. Why Privatization o...

Q. Why Privatization of Public Sector Undertakings are requied? The private sector was allowed to set up business with government control over their functioning. There was howe

Role of communication in social affairs, please tell me something on the ro...

please tell me something on the role of communication in social affairs

Homwork, name two of e fabled cities of gold and tell why the explorers wer...

name two of e fabled cities of gold and tell why the explorers were so willing to believe the rumors about themccepted#

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