Elizabeth Medina C489 task 3.docx - Organizational Systems and Quality Leadership Task 3 SAT1-0517\/1217 Elizabeth Medina Western Governors University

Elizabeth Medina C489 task 3.docx - Organizational Systems...

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Organizational Systems and Quality Leadership Task 3, SAT1-0517/1217 Elizabeth Medina Western Governors University
ORGANIZATIONAL SYSTEMS TASK 3 2 Healthcare Financing A1. Country to Compare For this task I have chosen to compare Switzerland’s healthcare financing to that of the United States. A1. Access In 1996 Switzerland passed a law that had three main focus points, first was to strengthen equality by providing universal coverage and subsidies for all low-income households, second was to expand the package of benefits available and ensure high standards of care, and third was to help contain the ever growing cost of the health system. (Sturny, I.) This mandated that everyone in Switzerland is covered under a mandatory health insurance plan. Anyone living in Switzerland must obtain health insurances within 3 months of taking up residence in Switzerland. Patient’s also have the choice to buy into voluntary health insurance to supplement the cost of health care not covered by the mandatory health insurance. Benefit packages are the same for all patients, there is not a different benefit package for each patient as all insurance companies are not for profit under the mandatory health insurance plans. (Frontline 2008) Insurance coverage is the same among people who are unemployed, children and those that are retired. They are mandated to buy into the mandatory health insurance regardless of their economic status and have access to voluntary health insurance supplement to cover costs that the mandatory health insurance do not cover. The United States of America ranks 37 th in the world in healthcare. (Frontline 2008) Unlike Switzerland the United States does not have mandatory insurance coverage for all. In 2010 the affordable care act was enacted by President Obama making access to healthcare more widespread. This made insurance coverage a shared responsibility among individuals, employers Updated on 2/21/19
ORGANIZATIONAL SYSTEMS TASK 3 3 and the government, allowing access to “affordable and good-quality health insurance.” Working in a clinic where I see all types of insurance from Medicaid, Medicare, private employer insurance and the health exchange, I would not agree that we have access to affordable or good quality insurance. For unemployed people in the United States they can apply for government assistance through Medicaid. Children are eligible for Medicaid if their parents are below the income guidelines, children in foster care or are a ward of the state automatically qualify for Medicaid, children who do not qualify for Medicaid may be eligible for CHP, or CHIP. Retired individuals are eligible for Medicare if they are 65 or older, or if they are considered disabled before age 65. If patients are retired before age 65, they may be eligible to buy into their employers’ retiree insurance. A2A. Coverage of Medications Patient’s in Switzerland pay 10 percent coinsurance above deductibles on medications

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