The Health Care System Within The United States - 2541 Words

Although the health care system within the United States has operated on a fee-for-service system in which a provider benefits by being paid per treatment or procedure given to a patient, the Patient Protection and Affordable Care Act has influenced us to look into alternative forms of provider reimbursement. One form of reimbursement that has recently been highlighted as a potential means to lower health care expenditures are bundled payments, which are also known as episode-based payment. Bundled payments are being touted as a means to reduce national health expenditures, increase coordination of care, and improve quality of care; however like any other form of provider reimbursement there are advantages as well as disadvantages that need to be analyzed. A bundled payment provides a physician with a set amount of money upfront in order to efficiently treat a patient’s condition; the amount of money is determined on the basis of a specific condition. A bundled payment provides an estimated reimbursement for all in-patient and outpatient services needed for an episode of care. For instance if a patient fractures their hip and needs hip replacement surgery, a bundled payment will provide reimbursement for all hospital services, surgical implants, all costs of physician services provided and will cover costs related to the episode within ninety days after being discharged from the hospital. The majority of bundled payment programs offered are for episodes of care such asShow MoreRelatedThe Health Care System Within The United States1516 Words   |  7 Pages The health care system within the United States is facing numerous problems. Even after the passing of the Affordable Care Act many Americans remain uninsured or underinsur ed. This results in citizens facing financial blockades in receiving care at a primary level and often waiting till the health issue has escalated to the point of needing hospitalization before seeking care. 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Each governingRead MoreA Comparative Analysis of the Health Care System in France vs. the United States1318 Words   |  6 PagesA Comparative Analysis of the Health Care System in France vs the United States Introduction Everyone would agree that a good health system, above all, must contribute to good health. It is certainly not considered acceptable to protect or improve the average health of the population, if at the same time inequality worsens or remains high because the gain accrues disproportionately to those already enjoying better health. The responsibility of a health care system is also to reduce inequalitiesRead MoreThe Single Payer Reimbursement System1608 Words   |  7 PagesWhat is a Single Payer Reimbursement System? Single payer reimbursement is a health care financing system that â€Å"includes both the collection of money for health care and reimbursement of providers for health care costs.† In such a system, the government or a quasi public agency is the entity that bears full responsibility of collecting funds and reimbursing appropriate parties, but the provision of care remains in private hands. Through taxpayer funds, the government collects money from individuals