For the last few decades, the health services system of the United States has been worried by the administration regarding the quality and estimation of social insurance to be conveyed. There is dependably a progressing banter in the United States to bring social insurance change. In 2010, the authority of President Obama passed the Patient Protection and Affordable Care Act (PPACA) to improve quality and control the expense of medicinal services. The genuine issue of the low quality of social insurance rotates around the number of uninsured American individuals as it puts additional weight on the premium of the protected American individuals (Johnson, 2009). With the authorization of the Patient Protection and Affordable Care Act, the Obama administration attempted various ways to deal with contributing new advantages for reducing the number of Americans without protection. In any case, in the meantime, we have to mishaps in the quality and efficiency of thought that lead to more prominent costs and shortcoming results. On the off chance that we don't focus on this worry, at that point it will make the framework increasingly unsustainable as far as quality and worth, even though individuals have protection.
It is a world-proven fact that the amount of money spent per person on health care is highest in the United States as compared to any other nation. But still, American people are not receiving the care and quality that they need. Due to a lack of coordination between the healthcare delivery systems and service providers, people with chronic diseases are poorly managed in the provision of services (Evans, 2013). The underlying driver for this worry is the human services providers don't have the financing resources or different instruments they must impart and cooperate successfully to improve patient consideration.
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In addition, it has been reported that patients are receiving the services that they need to support their lives. However, there are some instances in which people are billed for services that they don’t even need from any perspective. The major variables that add to the cost of healthcare include hospital inpatient lengths of stay, procedures, and testing. There is no clarification on which medications and methods are best under the circumstances. There are gaps in the adequacy of various medicines which further add to holes in the quality and proficiency of consideration (Barber, 2001).
To circumvent all the above-discussed concerns there is a need to bring reform in the healthcare industry. I personally believe that the government needs to revolutionize the healthcare delivery system to control the ever-increasing cost and deteriorating quality of healthcare in the United States. There is a need for strategic planning to improve the delivery system of health care to improve its value. Along with this, there is a need to expand coverage expansion so that the problem of uninsured people who are residing in the United States can be resolved. People have the right to get proper medication and care for which they are paying, so we need to look forward to managed care to come up with a more sustainable system in which healthcare is provided with excellent quality at affordable prices.
Literature Review
It has been documented by economists that the rapid rise of medical expenses in the healthcare industry is bringing the down GDP. This has a downstream impact on causing the increase in social insurance spending and the relative effect on monetary execution crosswise over enterprises relying on the wellspring of financing for government medicinal services spending. The econometric models showed that a shortage of financing unevenly damages fare and capital products businesses, and finance expense financing excessively hurts purchaser administration industries (Monaco and Phelps, 1995). In the last decade, efforts have been made by the US government to improve the poor management of healthcare services. In this regard, the first step is to reform the healthcare delivery systems. Depending upon the type of the disease and the targeted population, the method of delivery service and control of the disease can be efficiently managed. For instance, chronic health diseases like asthma can be managed by enabling short hospitalizations and dropping extra visits to control costs.
According to the research conducted by RAND, it has been reported that many healthcare services are costly and have been used inappropriately. At a glance, the surgical procedures are found to be clinically inappropriate. In one of the studies, the economists have reported that the spending on healthcare services in the United States will go over 19% of GDP (Steuerle, 2009). However, the improvement in delivery methods and accessibility of innovations have gauzed a large portion of the development in medicinal services spending in the course of the last few decades. Therefore, we need to consider new models for the sustainable development of the healthcare industry.
In support of development, several evidence have been that integrated delivery systems can assist in improving the healthcare quality and controlling the cost of services. To control the cost of health care, the use of health information technology eliminates the need for nurses to administer the disease and patient status. Moreover, the delivery of core tasks such as reminding patients and monitoring changes can be enhanced by using information technology (Powell, 2018). Moreover, to enhance care coordination attempts have been to build collaborative relationships between providers and payment systems under patient-centered medical homes.
From a physician's perspective, the practice patterns have been observed by Dartmouth's end-of-life care. This study has reported the areas where the spending is higher people receive more care as compared to the areas where the spending is less. However, the higher spending has not contributed anything to the higher standards of care. Moreover, the service providers are lacking accountability and are being segmented into groups, which are limiting the efficacy of available resources. The lack of communication and infrastructure is one of the leading causes of rising Medicare costs as it leads to leads to unnecessary hospitalizations.
Discussion
It is very evident that the delivery methods of healthcare are in the spotlight for poor management, which adds to the cost of healthcare. The aim of the delivery method is to improve patient’s lives and builds a cooperative relationship between patients and physician. However, the delivery methods involve distractions from multiple dimensions and make it a very complex system with respect to disease and management purposes (Luft, 2010). To date, many of the delivery methods have not been successful in eliminating the hurdles that are obstructing service providers from improving health standards.
For instance, people who are suffering from multiple chronic illnesses must visit multiple specialists on alternative days. Communication between all is missing, so if service providers can come up with a strategy to address this concern, patients will have less suffering and feel at ease to contact all specialists through a provider coordinator. Moreover, as technology has advanced to a new horizon, there is a need to connect patients through e-communication and a need to enhance telemedicine (Wang, 2011). These two things will help us to utilize the time of the physician very efficiently and will reduce patient visit costs. Additionally, through electronic delivery methods like webinars, seminars, video conferencing, blogs, etc. there is always a scope for education, creating awareness, and guiding people for better care.
There is no doubt that each delivery method has its own pros and cons, but at the global level, if we try to look at the merits of each system, we can reduce the cost of healthcare and improve health standards. As we have discussed there is a potential for integrating different strategies together to bring the best output that will improve patient lives and promote quality care.
Conclusion
There is a lot of potential for the individual payers to come up the new strategies to integrate with the delivery reforms and to integrate the coverage through the insurance. The biggest challenge that the United States healthcare system is facing is the number of uninsured Americans who are contributing to the rise in premiums for others. As stated, there is a need to promote care coordination and to build integrated systems that can control costs. So, the plans for the better health of individuals may be accomplished with the effort from service providers by consenting to utilize comparable expense and quality estimates that send progressively steady motion toward suppliers who treat patients secured by a few payers. With great quality and cost estimates that precisely mirror the experience of a wide scope of patients, such consistency can enable every payer to help the sort of conveyance changes that most advantage their patient populaces. Thus, multiplayer coordination can help suppliers by decreasing the scope of heterogeneous payer-explicit projects in which suppliers take an interest.
References
- Barber, N. (2001). Ensuring Patients' Satisfaction with Information about Their Medicines. Quality in Health Care,10(3), 130-131.
- Evans, D. (2013). The Provision of Health and Social Care Services for Older People by Respite Providers. Contemporary Nurse,45(2), 255-263.
- Johnson, N. J. (2009). Why Are People Uninsured? The Care of the Uninsured in America, 21-33.
- Luft, H. S. (2010). Data and Methods to Facilitate Delivery System Reform: Harnessing Collective Intelligence to Learn from Positive Deviance. Health Services Research, 45(5p2), 1570-1580.
- Monaco, R. M., & Phelps, J. H. (1995). Health Care Prices, the Federal Budget, and Economic Growth. Health Affairs, 14(2), 248-259.
- Powell, J. (2018). Integrating Healthcare with ICT. Integrating Healthcare with Information and Communications Technology, 85-94.
- Steuerle, C. E., & Water, P. N. (2009). Administering Health Insurance Mandates. SSRN Electronic Journal.
- Wang, F. (2011). Economic Evaluations of the Effects of Longevity on Telemedicine and Conventional Healthcare Provision. Telemedicine and E-Health, 17(6), 431-434.
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