Assignment:
Discuss and evaluate the U.S. healthcare system's financing, including the different methods for payments and reimbursement.
In broad terms, in the US healthcare system financing includes the concepts of financing, insurance, and payment. Financing enables people to obtain health insurance, and the payment function determines reimbursement and undertakes the actual payment for services received by the insured.
For this discussion, use the information in the textbook and in your learning resources to assess the effect of different financing and reimbursement methods and reflect on the following questions:
• How do different types of insurance plan (public, private, HMO, etc.) determine access to healthcare?
• Consider how different reimbursement methods (fee-for-service, bundled payments, capitation, etc.) may influence provisions of care offered by healthcare providers and the goal of patient-centered care.
• Consider how these different methods (different insurance plans/lack of insurance) affects the consumer?
Additional Reading Resources
These are additional resources for this course. These readings have been selected from a variety of resources.
Additional Reading Resources:
• Poor health: Assumptions, Facts, Opportunities - Abdul El-Sayed (Duration: 15:01) -
• How to Understand U.S. Healthcare? Follow The Money - 2018| Dr. Jonathan Burroughs (Duration: 16:55) -
• US Healthcare Delivery System (Duration: 10:24) -
• Mechanic, D. (2012). Seizing opportunities under the Affordable Care Act for transforming the mental and behavioral health system. Health Affairs, 31(2), 376-382.
• Griffith, K., Evans, L., &Bor, J. (2017). The Affordable Care Act reduced socioeconomic disparities in healthcare access. Health Affairs, 36(8), 1503-1510.