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Which approach is ideal for the physician and their patients is ultimately up to the provider.

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Participation Requirements: please respond with a short pahragraph to each student. 1. Brianna, There are two basic kinds of approaches that can be utilized for reimbursement: retrospective and prospective. In contrast to the prospective method, which pays providers before services are rendered, the retroactive method pays providers after services have been rendered. The retrospective way allows service providers to be more picky about the services they offer, which is one of the key contrasts between the two approaches. This is because they are aware that they will eventually be compensated for them. On the other hand, the prospective strategy occasionally encourages medical professionals to request further tests and treatments. This is because they are confident that they will be paid whether or not the patient genuinely requires them. The retrospective method prevents service providers from overcharging, making it generally superior at cost reduction. When suppliers are confident they will always get paid, they may misuse the potential method. It's vital to remember that each strategy has pros and cons of its own. The prospective method can occasionally be exploited, but the retrospective method is better at cost containment. Which approach is ideal for the physician and their patients is ultimately up to the provider. 2. Lauren, As stated in our class textbook, the term "cost" can carry different meanings in the delivery of health care, depending on the perspective (Shi and Singh, 2019). The "cost" of health is a derivative of consumer usage and providers. Consumers see costs of care when paying copays, and hospital and provider bills. Providers feel the rise and fall of health care when the costs of medical supplies, rental property, and insurance costs increase. However, the costs of healthcare, especially in the United States, present problems that coincide with each other. There are never easy solutions to fix any one problem in regard to rising health care costs. Two factors contributing to health care cost inflation are waste and abuse, and the exponential growth in technological advances. Wasteful use of medical products, such as gloves, masks, sponges, etc., is a terrible problem among all health care organizations. Items are not used appropriately and are thrown away often. Prices of care are wrongfully inflated by organizations that abuse the system and get away with it wrongfully. Technological advances in medical devices are brought to us by highly skilled engineers and inventors. These smart and gifted people must get paid their share of the production and usage of the invented product. The supply change used to produce the items must be paid. The corporations in charge of selling the products must receive their share of the dividends. The overall charges stack up and inflate. Consumers wish to receive top-notch care. Therefore, the cost of the care may be large. During my years employed in imaging departments, I have seen all of the aforementioned mentioned factors. I have worked with state-of-the-art products and devices that contributed to saving many lives. I have witnessed basic medical supplies being wasted and thrown away without being used. Health care professionals and physicians of all types do this daily. Every action presents a positive or negative result. The results are felt worldwide among health care consumers. 3. Sharron, There are so many factors that are affecting heath care cost. I think even with the pandemic we have become more aware of the issues of cost and what that means when getting care. From aging populations to government interference we can find a number of things that are influencing cost in the health care system. Even the technology that we are becoming more reliant on comes at a cost that some say is minor in the long term but we see the constant growth in that field will always lead to needing to upgrade or make major changes. The rise of health care cost will have to be addressed through global economics as many employers aren't able to afford very full packages as before. 4. Shadonda, Hello Class, One of the reasons healthcare costs continue to rise is due to government policies due to Medicare and Medicaid helping those without insurance, providers can increase their prices. Two contributing factors cause healthcare costs to rise in the aging population because of baby boomers, “23% of the population will become 65 or older by the year 2030. With Americans making up almost one-quarter of the population by 2060.” (Definitive Healthcare, 2022). Another contribution that affects rising costs is a frequent chronic disease, research states that is, “6 out of 10 adults will have a chronic disease or condition such as strokes, COPD, cancer, heart disease, etc.…,” (Definitive Healthcare, 2022). I can seem to be able to identify with the chronic conditions, working in SNF (skilled nursing facilities), I feel that the population almost seems as if they are getting younger coming in with diabetes, cancer continues to become more aggressive, and does not discriminate with age, gender or race, and heart disease due various of factors from being born with a specific ailment, gene or not heating healthy eating habits, etc. 5. Martha, Hello Professor and Class, One main reason why healthcare costs continue rising I think is due to the high demand for healthcare services itself. This high demand for healthcare services is due to several factors ranging from population increase, aging population, changes in disease prevalence or incidence; increases in how often people use health care services; and increases in the price and intensity of services. (Variety and complexity of services (2017) Among these five main factors contributing to rising healthcare costs, I will elaborate on two of these factors and discuss their effects on rising costs. First and foremost, is the aging population. This is the major contributing factor to the rise in healthcare costs. People tend to live longer now because healthcare facilities and services have greatly improved. With this reality in place, the demand for healthcare services for this aging population continues to be high. The aging population affects the demand for healthcare services making the need for the provision of healthcare services such as hospitalization and long-term care very high. As they get older, they have more health problems and as such need and use more healthcare services than the younger population. Statistics show that between 2000 and 2020, the population above 65 years increased by 60% and it is expected to increase by another 44%. (How Rising Health Care Costs Are Affecting American Consumers?) According to annual CMS estimates, National health spending will rise up to 19.4% of the gross domestic product in 2027, reaching $6 trillion. Another effect this aging population has is that it will cost constraints on the national budget to pay these higher costs for healthcare services. The younger population which is the working-age group will have to pay these monies to support the elderly. Another contributing factor to the rise in healthcare is the general population increase in the US. This is intertwined with the aging population. The increase in population makes the demand for healthcare services among the old and young very high. Economics tells us that the higher the demand the higher should be the supply. Healthcare service providers tend to increase the cost of their services as the demand for their services gets higher at times higher than the supply of services available. This gap between supply and demand contributes to making healthcare services very expensive and also causes hospital delays in seeing physicians. This makes appointments go over weeks and months to see primary care physicians or other physicians. Unfortunately, I am yet to be in the medical field. I, therefore, cannot say how this operates in any line of work. 6. Bobby, Hello Class and Professor Kristen Bright, There are many contributing factors to why the US healthcare costs are rising such as growing population especially geriatric population, medical services utilization, services prices and intensity, administrative costs, and prescription drug costs, and changing in disease prevalence or incidence. In healthcare the increase of geriatric population demands more of healthcare needs where it is not given to them due to the lack of caregiver, lack of physician, and lack of interprofessional communication and the cost. However, they continue to recieve the quantity of healthcare visit instead of getting quality of care. Also, the geriatric population life expectancy increase, therefore they develop Chronic illness. Indeed, managing these Chronic diseases over a period of time it requires medications, physician visits, and top of that hospitalization. However, the healthcare worker is being limited which leads to lack of quality of care.

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