Within the U.S. health care system there is nocentral agency, such as the government. So, there is a lack of communication andmany flaws occur within the system because there is nothing overseeing the system.
2. Medicare, Medicaid, and the Children’s HealthInsurance Program (CHIP) are three government run programs to assist eligiblepopulations with the cost of health services. 3. Although, health insurance is the best way tosecure access to health care services, uninsured patients are still able toreceive health services under specific circumstances such as an emergency. 4. In a free market in health care the patients andproviders interact separately, and the patients are then allowed to selectwhatever services they wish.
5. If there are multiple payers in a national healthcare system then the system becomes a lot more complicated. For example, ifthere are multiple payers then payments can be denied or if the claims aredenied then the must be rebilled, which is extra work. 6. In the United States, many health care providersattempt to protect themselves from litigation, which is when people take legalaction against health care providers. One way health care providers try toprotect themselves is by requesting more tests, scheduling follow up visits,and manage the documentation of the visits. This is described as defensive medicineand these extra efforts are ineffective, faulty, and expensive. 7.
Canada and most Western European nations usethree primary models for national health care systems, which are nationalhealth insurance (NHI), national health system (NHS), and a socialized healthinsurance (SHI) system. In all three of these systems, the government plays arole in the financing of the health care. 8. The biggest challenge in the U.S.
health caresystem is the pursuit to make costs affordable, but still meet the needs of theolder populations which have a lot of chronic illnesses and diseases. 9. China has got rid of the traditional three tiersystem of health care so the patients can now go to any hospital of their choiceas long as they have insurance or can pay for it on their own.
This is leadingto large hospitals being over used and smaller hospitals not being used totheir fullest potential. 10. In1995 when Israel passed the National Health Insurance (NIH) law, it requiredall citizens to have insurance coverage. All adults are forced to pay a tax forhealth. 11. Developedcountries have six times more hospital beds and three times more physiciansthan developing countries. 12.
Asuccessful health care system must always be looking forward and attempt toachieve specific goals and reforms. 13. Tobe a health coach you do not need a medical degree, but health coaches are verycrucial in managing certain conditions and cutting costs of services. 14. Healthcare managers must follow all the rules and regulations that come from both thepublic and private companies and also the government. 15. Managedcare in comparison to other deliveries of health services, was able to carryout efficient prices of health care delivery. Managed care allows access toneeded services, promotes precautionary measures, and manages a large providernetwork which helps with expenditures without harming the access or quality ofcare.