Cost Efficiency In Health Care

Words: 681
Pages: 3
Open Document
Hello Everyone,

This week we are asked “Should the government be in a central position to issue physician practice guidelines based on cost efficiency?” “Why or why not?” “Support your rationales with evidence from the literature.” My initial thoughts steer toward the reasons for the complexities of medical care delivery in the United States, and those who are covered by tax-supported forms of health insurance. No matter what someone’s political ideology is, the fact is that our nation qualifies any American over the age of 65 for Medicare, and some 16 million poor, children, and those households who experience low-incomes under Medicaid (Shi and Sigh, 2013). It may not yet be a perfect system, but that is what a civilized society …show more content…
Government. It is argued that Americans exhibit certain behaviors which expect a high level of health care services, as those who are insured would not pay for such services out-of-pocket (Shi and Singh, 2013). However, I would like to inject another factor, and that is inefficiency and waste with what seems to have little oversight. For example, I have suffered an entire year from severe anemia. I was referred to several specialists, and had many diagnostics tests, and the results were several misdiagnoses. Then in August of this year, I could not even hold my head up, and my family took me to the ER. A simple blood test identified me as severely anemic, which could have been taken months before, but was not. My insurance company has now paid out around $24,000 and this is because I trusted the care they were attempting to give me. My husband and I are also left with very large overages which insurance did not pay from this experience as …show more content…
government’s involvement in health care delivery through its tax-based programs and the Affordable Care Act, have no choice but to manage costs, and perhaps building alliances with other organizations in the health are community, and an integrated delivery system may be important steps toward providing incentives for hospitals and providers to reduce costs, yet our textbook points out that integration of physicians into these entities have been challenging (Shi and Singh, p. 234., 2013). But, is this not just part of the evolution of our healthcare? My first job was with an HMO where the physician would have guidelines beginning with basic diagnostics, before unleashing expensive procedures and diagnostic tests. A simple blood test would have had me on my feet months ago. My hopes are that the government and other organizations with proven track records to reduce costs without jeopardizing the quality of care, and through the voices and experiences of patients, will develop guidelines to reduce costs and keep our system sustainable and valuable. I think it takes all of us to do this, not just one
Show More

Related Documents: Cost Efficiency In Health Care

Efficiency in Health Care Systems Essay

are countless ways to define efficiency in the health care system. The different structures of the health care systems around the world give rise to discrepancies in the definitions present. Yet such definitions all share common elements. Hence a unanimous statement of what efficiency is should be adopted to allow the fair evaluation of health care systems internationally. Efficiency should be simply defined as the balanced relationship between the inputs to health care and the maximized outputs that…

Words 2268 - Pages 10

Home Health Coding Case Study

Home Health Coding Service: A Buyer’s Guide In today's rapidly evolving healthcare landscape, the demand for home health care services has skyrocketed. With this rise comes the complexity of home health coding—a critical component in ensuring agencies receive appropriate reimbursement and remain compliant with ever-changing regulations. Choosing the right home health coding service is not just a matter of administrative convenience; it's a strategic decision that affects the financial health and operational…

Words 2930 - Pages 12

Equity Efficiency Tradeoff Paper

Equity-Efficiency Tradeoff Editorial Catherine Leiva Martinez University of Phoenix Master of Science in Nursing/Psychiatric Mental Health Nurse Practitioner Health Policy and Role of the Advanced Practice Nurse NRP/508 Eileen Beard April 16th, 2024. Equity-Efficiency Tradeoff Editorial As a nurse practitioner, I am deeply involved in the medical community of my locality, and I have had the opportunity to understand the delicate balance between healthcare payer system politics…

Words 1114 - Pages 5

Essay on Hcs 571

purchased to improve quality of care, or to provide needed equipment for a new service or expansion of an existing service. The key element in capital budgeting is that the building or piece of equipment being acquired has a lifetime that extends beyond the year of purchase and it is a capital asset or long-term investment for the hospital. Capital assets are good financial investments for the organization.(Finkler, Ward, & Baker, 2007). The Electronic health record software system is one of…

Words 3287 - Pages 14

Case Study: Should Medicaid And Hmos Join Forces?

be cost efficiency and improvement in quality of care. According to Medicaid.gov, a 2014 CMS Actuarial Report indicated 72.5 million people enrolled in the Medicaid program. Medicaid is a program to provide health coverage to millions of Americans, including eligible low-income adults, children, pregnant women, elderly adults and people with disabilities. Each state funds its Medicaid program in combination with the federal government. An HMO is defined by HealthCare.Gov as “A type of health insurance…

Words 405 - Pages 2

Essay on Religious Health Care Crisis

ENG-106 Kari Silver March 25, 2014 Religious Health Care Crisis Religious Health Care The quality of healthcare has recently come under fire and Religious Healthcare Facilities have not been the exception. Rising cost, higher demands on facilities, short of nurses and employees has created a crisis. In this proposal there are options to help keep facilities running at operational efficiency and allow patient to get the quality they deserve at a religious healthcare facility. Religious healthcare…

Words 1861 - Pages 8

Healthcare Management: Cost Effectiveness And Quality Care

Preliminary Copy of Final Project Healthcare Management “Cost effectiveness and quality care” Don Flores Bachelor’s Capstone in Management Professor Reeley Monday, May 14, 2007 Healthcare has changed in the past few decades. The cost of getting and giving healthcare has increased and we are at a point that something needs to be done to make sure the patient gets the care he/she needs to be able to live a quality life. To do this we need to become patient-centered and instead…

Words 1186 - Pages 5

The Impact Of Reducing The Cost Of Healthcare

not feel that decreasing the cost of healthcare will directly decrease its quality. There are many inefficiencies within our current system that need to be addressed. If these inefficiencies were eliminated we would be able to decrease cost and it would have no effect on the quality of care. The Institute of Medicine (IOM) has created a Committee on the Learning Health Care System in America. This committee is working to develop methods of "Better Care at Lower Costs" and has discovered three major…

Words 856 - Pages 4

Examples Of Financial Equity

only a limited tax benefit and pay more tax. Economic Efficiency Economic efficiency refers to the use of resources including capital, labor and even technology and assets in order to maximize the production of goods and services as well as its quality (Sullivan & Sheffrin, 2003). Computer Technology like telemedicine and electronic health records being used in the healthcare to improve efficiency, continuity of care, and better outcomes of health. Quality control and Total quality management are being…

Words 2961 - Pages 12

Health Information Technology (HIT)

Health Information Technology (HIT) Dawn Mills HCS/531 July 1, 2013 David Olsen Health Information Technology (HIT) HIT (Health information technology) (HHS, n.d.), a career within a health care information technology company. The way HIT is used in a health care company is by using products including software, hardware, and infrastructure. HIT involves the communication of products and services through the exchange of a patient’s health information by way of a computerized environment…

Words 726 - Pages 3