Chapter_9_Health_Care_Systems_and_Policy

Chapter_9_Health_Care_Systems_and_Policy - Chapter 9 Health...

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Chapter 9 Health Care Systems and Policy
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Health Governments have a responsibility for the health of their peoples which can be fulfilled only by the provision of adequate health and social services. World Health Organization
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Cost 2006 – Americans spent $2.1 trillion for health care (16% of the gross domestic product or GDP) 2017 – Americans anticipated to spend $4.3 trillion or 19.5% of the GDP
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Health Policy Disease prevention must become a national obsession Health care for all citizens
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Lack of Preventive Care Despite the overwhelming evidence the present health care system provides only limited reimbursement for preventive services
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The Health Care Industry Private insurance ~ 67.5% of the population Government/public health insurance ~27.8% of the population
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The Health Care Industry Private insurance Indemnity or Traditional fee-for-service plans (~5%) Group contract insurance (~95%)
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Private Insurance a). Indemnity or Traditional fee-for- service plans Provider of care charges a fee for each service rendered Provided by both commercial insurance companies and not-for-profit organizations such as Blue Cross and Blue Shield and independent employee health plans
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Private Insurance b). Managed Care Insurance Prepaid group practice plans that offer health care services through groups of medical practitioners Health Maintenance Organization (HMOs) Preferred Provider Organization (PPOs) Point of Service Plan (POSs)
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Government or Public Insurance Provided by a variety of programs Federal (Medicare, Medicaid, Military Health Care) State/Federal partnership (State Children’s Health Insurance Program SCHIP)
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Government or Public Insurance Medicare
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Chapter_9_Health_Care_Systems_and_Policy - Chapter 9 Health...

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