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Unformatted text preview: Chapter 4 Health Care Systems Organizational arrangements and processes through which a society makes choices concerning the production, consumption and distribution of health care services. Who makes the choices? Centralized government a single individual or an appointed or elected committee Decentralized individual consumes and health care providers through interaction in the marketplace Model of a Health care system Sponsor (employers or government) act as an intermediate or brokers structure coverage, manage enrollment, contract and negotiate risk sharing arrangements, and collect and submit the contributions of the insured. The contributions can be either in the form of taxes or premium payments. Three elements 1. Financing 2. Reimbursement 3. Production or delivery Three Players 1. Patients or consumers 2. Health care providers or producers, and insurers or third-party payers (sponsors, employers or the govt) Financing Canada National Health insurance Compulsory Maintained by each province...
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This note was uploaded on 03/21/2010 for the course BUSA 1234 taught by Professor All during the Fall '09 term at UT Arlington.
- Fall '09