Compared with the price 
– to own – provider method, certain medical care company was repaid on the a predetermined – percentage or prospective foundation. Such as, an individual prepays the staff HMO, and you may physicians is actually reduced into a salary base. The consumer as well as prepays the person practice connection HMO, yet not, healthcare business are usually paid towards the a fee – to have service or capitation foundation.
Because the 1983, the government keeps refunded healthcare facilities to the a prospective cause for properties agreed to Medicare people. That it Medicare compensation design, known as “medical diagnosis related classification” (DRG) system, consists of doing five-hundred various other percentage classes in line with the properties away from the individual (many years and you will intercourse), number one and secondary prognosis, and procedures. A prospective payment is made for every DRG. The goal fee is said to include hospitals that have a reward so you can have can cost you. Originating in early eighties, of many states instituted choosy contacting, where some healthcare providers well quote for the ideal to relieve Medicaid patients. Around selective contracting, readers off Medicaid is actually restricted on assortment of health care merchant. Furthermore, to better include health care will cost you and coordinate care and attention, government entities and different county governments keeps attempted to change Medicare/Medicaid beneficiaries toward MCOs. At the time of 1997, regarding the forty-eight% of all of the Medicaid receiver and you will about 15% % of all the Medicare beneficiaries are enrolled in MCOs (Santerre and you may Neun fifty).
The latest advanced state of technology is the very best electricity of one’s You.S. medical care program. Early children including, deal with relatively good chance out of surviving if they’re produced inside the the united states by state out-of technology. A comparatively highest endurance after years 80 is another reflection of your complex county from healthcare tech from the United Claims. Individuals 80 decades and you may elderly about U.S. have a tendency to real time more than their counterparts in the most common other countries from the wealth away from cutting-edge scientific tech. Plus the You continues to be the industry frontrunner into the pharmaceutical invention. These materials save your self, expand and enhance the quality of existence.
Unfortuitously, the newest You.S. healthcare system is maybe not instead weaknesses. Their extremely blazing exhaustion are exemplified by the proven fact that alot more than simply 42 million people are rather than medical insurance. The lack of medical insurance brings medical availableness problems and you may subjects a great family members’ money to your vagaries regarding fitness position. The shortcoming in order to effectively manage will set you back is another major fatigue out of the fresh new U.S. health care system. The development regarding medical care will cost you goes on unabated, even though the speed have slowed down in recent times primarily because of this new influence away from managed – care and attention groups. Whether or not handled care normally continue to sluggish the organization out of fitness care costs remains dubious. Getting rid of the new defects while keeping the newest characteristics are problematic encountered by the people policy for changing new You.S. health care system (Desk ? (Tablestep one) step 1 ) (6).
Desk step one
Throughout the desk we can notice that the usa have the biggest GDP for each capita while the premier health care spending for every capita. Just how many doctors for each a thousand, quantity of health beds for each one thousand and you will mediocre duration of stand (days) is premier in Germany. The united states is actually ranked at the bottom of your own listing with respect to healthcare beds for each a thousand within 3.7 beds and you may average period of hospital remain at eight.step one months.
Medical care investing from the U.S. ‘s the high in the world, in for every capita words so that as a share of terrible domestic unit (Desk ? (Table2) 2 ) (7).
Desk 2
Life expectancy from the Birth and Life expectancy during the Years 65. Source: OECD Fitness Investigation 2000, Paris: Providers having Monetary Venture and Advancement, 2000
ความเห็นล่าสุด