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

Health and Social Care, #question.Hi I need a quote for 1000 words essay fo...

#question.Hi I need a quote for 1000 words essay for my assignment.

Property - term of wide signification, 'Property' is a Term of Wide Signifi...

'Property' is a Term of Wide Signification Leaving aside for a moment the issue of moral limitation, it is clear that the perspective of excludability has an otherwise liberati

Loss of fruit post harvest, Post Harvest Loss The loss of fruit post ha...

Post Harvest Loss The loss of fruit post harvest was a pervasive issue throughout the globe. Estimates put postharvest losses at around 25% worldwide and up to 50% in developin

What is your advice for transfusion problem, We have given you some notes f...

We have given you some notes from a phone conversation between the client and you (you as the Operational Research consultant). There is no one right answer. You are trying to he

Basic principles of information security - authenticity, Authenticity I...

Authenticity In computing, e-Business and information security it is essential to make sure that the transaction, communication, data or documents (electronic or physical) are

Drainage basin, Drainage Basin: A drainage basin is a naturally occurring ...

Drainage Basin: A drainage basin is a naturally occurring extent of land which serves as a funnel to channel precipitation and excess water to a nearby river or stream. They are a

Describe what you understand by work ethics, Question (a) Describe what...

Question (a) Describe what you understand by work ethics. (b) Is behavior important in our work place? Illustrate why? (c) List two unethical behaviors that could ari

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