Project Part One: Health Care Reimbursement The first part of the course project is an analysis of current health care reimbursement policies and their effect on financial management decisions. Your...

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Health Care Reimbursement and Effects on Financial Management Decisions
1- Introduction
Healthcare reimbursement is one of the prime ingredients of modern healthcare where the
concerns of all general and specific stakeholders are understood and addressed. In fact, in the
context of United States healthcare system, one would observe that there are some e
ors that can
e seen in cu
ent health care reimbursement that affect both financial management and quality
services for the patient. There is no doubt at all that health care reimbursement aims for
providing quality and improved services; for common people and medical help seekers at
cheapest price through many ways like health insurance and fee for service system methods.
Meanwhile, government is somewhere ignoring healthcare service providers and not
acknowledging or admiring their role, value and importance in order for satisfactory services for
common man.
2- The Role and Management of the Healthcare Service Providers
In-fact, health care service providers are playing most important for delivering their services in
an effective manner. It is often infe
ed that US government ought to acknowledge and admire
their efforts along with placing importance that without healthcare service providers, the mission
of quality service for the patients becomes impossible. Probably, this factor hurts the emotions,
espect and values of healthcare professionals while delivering their services because they may
not get proper compensation for their efforts. In this context, it requires more attention than
anything else for constructing an effective healthcare system both in terms of services for the
patients and for the health professionals as well. “Although there is a high level of consensus on
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the attributes that a revised payment model should hold, there has not been widespread adoption
of such systems.” (Janeba,2008, Pg-8)
3- The Modern Healthcare and Insurance System of USA: An Overview
The cu
ent healthcare system of US focuses on the diseases prevention and effective
services for the patient. In-fact, US healthcare system is famous among the other developed
nations that United State spends more money on healthcare system and on common people in
comparison of other industry. Now people have more options for securing their life in terms of
medical insurances through various kinds of health policies that will save their money, physical
efforts and time as well.
Therefore, the growth of private players is increasing in recent years just because of
meeting out the increasing demands of insurance of people. Further, Federal government has
een working constantly that how to provide quality treatment for people in lowest price. March
2011, US government implemented the National Quality Strategy which had major focused on
the factor that how to increase quality services for the patients at lowest price. “These provisions
take aim at the well-known shortcomings of the U.S. health system, from the inefficiency and
high cost of our predominantly fee-for-service system to the extreme variability in the quality of
care patients receive from region to region.” (N.A.,2017).
Several organizations are focusing and working in this direction for evaluating the quality
measures in the health care system. These organizations include both private and public agencies
in order to improve health services along with introducing various prevention programs and
campaigns for help seekers. Another work for these agencies is that they are providing ground
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eport along with actual figure and facts related for healthcare centers to the government bodies
in order for their improvement and development.
4- The Rigorous Attempts of Federal Policies
In-fact, government has developed separate committee and commission for gaining the
actual feedback of healthcare policies from the common people whether they are getting proper
enefit by the policies or not along with their satisfaction and further improvements related
queries because this kind of direct interaction in between government and citizens play an
effective role for the development of healthcare system.
The prime objective of the US government behind this activity is that to get real facts
elated clinical care services by its citizens. This effort also provides help for government and
healthcare authorities that how to implement effective policies along with innovative technology
for meeting out the changing requirements for the patients. On other side, health professional’s
community also has made separate committee such as American Heart Association, American
College of Cardiology, and the American College of Surgeons and the society of thoracic
surgeons.
Major work of these societies are promoting and publishing their quality measures along...