US Health

US Health - The Changing U.S. Health System: Organization...

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The Changing U.S. Health System: Organization and Financing I. The “System” (this segment of the course draws on material in Bodenheimer and Grumbach, Understanding Health Policy ) A. Non-System or Overlapping Systems Non-system : It's not really a "system" because there's no central mechanism for getting services or financing services (there's separate insurances, etc). It's actually a set of Overlapping systems : o Different methods of finance o Different methods of payment to service providers, such as HMOs, Veterans Administration System. B. Dispersed Model and Pluralist Insured have a choice of providers Hospitals not part of a system Pluralist : many ways of providing services o Strengths: innovations (different systems borrow different methods and make them better), choice o Weaknesses: hard to establish uniform policies, cost control, rational resource allocation II. Financing Personal Health Services A. Methods of Payment Out of pocket: few can afford the risk of paying out of pocket (15%)
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US Health - The Changing U.S. Health System: Organization...

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