Organizational Systems and Quality Leadership Task 3, SAT1-0517/1217 Crystal M. Cook Western Governors University
ORGANIZATIONAL SYSTEMS TASK 3 2 Healthcare Financing A1. Country to Compare The identified country is Switzerland for comparison to the United States of America. A1. Access Comparing access between the two healthcare systems in the USA and Switzerland for children, people who are unemployed and people who are retired. The children in the USA fall under their parents healthcare policy if they have one, otherwise if the parents aren’t financial able to provide for them the government has a program called Medicaid that will provide coverage for the children. The program that helps the elderly or the unemployed that have proven health disabilities can apply for a federal program called Medicare. The usual age of eligibility for benefits is 65, although certain people qualify for the program earlier. (Medicare is available to people under age 65 who have been eligible for Social Security disability benefits for at least 24 months or those who have end-stage renal disease.) Those individuals that are employed/unemployed are suggested to apply and get medical coverage under the Affordable Care Act (known as Obamacare), where they can select an insurance coverage within their States rules and will get tax credits if they enroll in a medical care plan. Some employers offer to pay a portion of a medical insurance plan, it is not mandatory to participate in an employer healthcare plan. The healthcare available in Switzerland for children, unemployed and the elderly all fall under the same plan that is mandatory for all residents, the fee is the same for all people regardless of ages. It is regulated by the federal government guaranteeing that all persons have basic health insurance. Citizens are free to choose among 60 plus health insurers that offer the basic coverage
ORGANIZATIONAL SYSTEMS TASK 3 3 and have the option to add a secondary health insurer if they choose. The premium is based on age and location, and is not paid by an employer. For those that are unemployed there is a request system for a reduction in payment that can be made to the Federation in which they live. So access to quality medical healthcare is available for all residents. Patients are required to pay 10% their care until deductibles are met. (Optional annual deductibles from USD $325 - $1960). (InterNations Go, Healthcare in Switzerland. Pharmacies in Switzerland). A2A. Coverage of Medications The Medication coverage in the USA is covered for children under Medicaid (those that qualify) and under private health insurance as the plans vary greatly, if the parents have a policy. The elderly likewise will have the option to purchase a plan under Medicare called Plan D that covers medications. The unemployed will have no coverage unless purchased by themselves under a private insurance through Obamacare.
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- Spring '19