Monday, September 2, 2013


Health Care Financial Reform Proposal
Over the period, critical analysis of the economy has suggested the enactment of health care policy in the economy. This policy has provided critical measures that seek to create changes for the governmental policies responsible for the delivery of health care services. In broader perspective, health care policy seeks to decrease the cost of health care, offer more care to the citizens, improve the quality of health services, improve existing access to individuals and expands the choice of
healthcare providers to the consumers. Finally, this policy seeks to broaden the scope of population that receives health care coverage offered by both private and public sector (Drake, 2010). Since the enactment of this policy, significant number of citizens has largely benefited from the scheme and some disparities have been identified to impact on the performance of this policy. Ideally, health care reform has been implemented to ensure that the critical factors affecting the provision of efficiency of the services is adequately reduced and this will seek to increase the scope of activities associated with healthcare reforms.

Since the enactment of the health care policy bill, critical disparities have been associated with the health care act thereby leading to the problems in establishment of reforms in the health care industry with the view of providing future benefits successful implementation of the act. In this regard, some of the findings have stated that the rising cases of disparities affecting the operation of the health care facilities and provision equitable and quality health care to the citizens (Drake, 2010). Some of the leading problems that have been associated with the provision of health care to the population have been identified as lack of transparency and reduction of efficiency. There is also the need to focus on the development of ideal financial repercussions that will seek to improve the provision of the health care services.

In view of the above factors, critical Healthcare Reform factors should be initiated while focusing on the financial operation changes with the view of improving the efficiency and also providing the transparency in the administration of financial factors (Drake, 2010). With the enactment of this bill, the patients have experienced increased protection and the affordable care Act has prescribed the development of additional fees that will be assessed on insurers and plan administrators regarding self insured members. This new fees represents the financial cost of providing group health plans for the employees and they are categorized into various groups.

1. The fees to find fund for patient centered outcomes
2. The Cadillac tax
3. Penalties attributed to payment
4. Finally, transitional reinsurance fees
The conduction of analysis has presented various problems that are related to the factors of health care bill and this has projected the development of reform process to increase the scope of functionality of the financial bills. Ideally, the introduction of the health care policy was aimed at ensuring the derivation of ideal, affordable and quality healthcare facilities to the citizens. However, the reigning disparities have resulted in the emergence of disparities in the provision of these services leading to the reduction in the applicability of the health care provision (Drake, 2010). This factor has prompted the emergence of essential proposals like those listed above. The motive for the development of the proposals above is to help in the development of critical incentives that will help in the derivation of increased health benefits to the population.

Some of the reforms that seek to improve the eventualities of the critical health care in the United States have been proposed and accomplished. However, the leading factors concerning the establishment of financial reforms have been proposed with the view of ensuring the development of critical performance of the health sector. Some of the leading proposal regarding the performance of the health industry concerns the development of ideal payment for the health care expenses.

The critical proposals have suggested the inclusion of single payer system and the reduction of the fee charged for the specific service delivered. In reality, most of the ideas presented to propose the changes have been instituted by the agency that calls for the delivery of ideal medical care to the citizens (Drake, 2010). The centre for Medicare and medical innovation has championed the development of reform projects that have largely impacted on the realization of ideal and future performance of the medical factors.

The proposed single payer system is one of the leading proposals that have been proposed for the rectification of the financial system. This proposal asserts that the government should pay for all the health care costs. Currently, the healthcare costs are subdivided between the government and the private sector through insurance. However, the establishment of the single payer system like the system in Canada will be immensely beneficial. This will increase the scope of transparency and efficiency because equality attribute will be upheld.

This will also result in the reduction in completion by the private sector thereby leading to the development of quality by the public sector. In this regard, this will result in the enhancement of increased performance of the health care policy (Drake, 2010). The introduction of single payer proposal will largely contribute towards the enactment of essential resources and personnel like in the United Kingdom. However, further information will be enacted upon the establishment of the proposal. This further information includes the corresponding mechanisms for the delivery of services and the collaboration between the public and the private sector.

Single payer health insurance will be responsible for collecting all medical fees and then paying for all medical services through the government or government related source. Finally, the proposal of single health care delivery will be essential for the delivery of critical services to the citizens because it will enhances the provision of universal system of health care to the citizens of the nation. Furthermore, the funds will be directly managed by the government to reduce the chances of misappropriation.

Another significant proposal is the reduction of the fee-for-service incentive commonly referred to as (FFS). This is the system of financial payment where the services delivered are unbundled and paid for separately. This incentive has been proposed for the enactment in the healthcare facilities because it has the capacity of increasing the delivery of quality (Drake, 2010). Rather than practicing collective payment for the services, the adoption of this system enables the doctors and physician to provide more treatment because the payment is largely dependent on the quality of the service delivered. This aspect will result in the development of increased service quality and increased efficiency of the doctors and hospitals.

On the same note, the patients will be shielded from cost sharing by the health insurance and this will have the effect of adopting the health system that can change the society. Over the period, this system has been largely adopted the leading institutions in the united states because of its capacity to reduce the onsets of inefficiencies in the economy. Adoption of this incentive is beneficial for the entire economy and further results in the realization of increasing the delivery of financial transparency in the health care industry. This system however raises the cost of health care thereby limiting the practice of offering ideal health care services to the people of the United States (Drake, 2010).

This system of health care reform has the purpose of discouraging physicians from performing procedures that includes the necessary and mandatory procedures because they are not paid of the extra services they offer the patients. In this regard, the enactment of this incentive must be coupled with the countrywide price setting mechanism that will prevent the rising costs in the health care industry. This system has been discouraged due to the emergence of financial repercussions that asserts the establishment of all payer system. Therefore, the performance and growth of the health care industry must consider adopting controlled elements of FFS.

Finally, the introduction of the affordable health care policy in the United States was an extremely essential policy. This policy has largely impacted on the development of ideal health care industry by serving the citizens. However, the recent past has witnessed the decline in the proviso of services to the citizens thereby prompting the establishment of proposals. These proposals are aimed at improving the financial attributes of the bill. In this regard, the proposals are identified as adopting all payer system, FFS or the single payer system. In view of the above proposal on the healthcare industry, it is extremely essential for the industry to adopt single payer system because of its contributions in resolving transparency and efficiency.


Drake, D. F. (2010). Reforming the Health Care Market: An Interpretive Economic History. United States: Georgetown University Press.