C489 Task 3.docx - Organizational Systems and Quality Leadership Task 3 Sandy Yi Holmes Western Governors University ORGANIZATIONAL SYSTEMS TASK 3 2

C489 Task 3.docx - Organizational Systems and Quality...

This preview shows page 1 - 4 out of 7 pages.

Organizational Systems and Quality Leadership Task 3 Sandy Yi Holmes Western Governors University
Image of page 1
ORGANIZATIONAL SYSTEMS TASK 3 2 Healthcare Financing A1. Country to Compare Japan A2. Access- children, unemployed, retired In Japan there is universal coverage through the Statutory Health Insurance System (SHIS) and it is mandated that everyone enroll in one of the SHIS plans. These plans are based on age, employment status, and/or place of residence (International Commonwealth Fund, 2017). The national and local government regulates this system to ensure fair pricing and good-quality medical treatment (International Commonwealth Fund, 2017). People in Japan either sign up through their employer or a community-based insurer. If a person is unemployed and/or unable to afford insurance, he or she is able to receive insurance through a community-based coverage. This type of system is known as social insurance (Palfreman, 2008). All enrollees have a 30% coinsurance for healthcare expenses with the exception of children and older adults. Children up to age six have a coinsurance of 20% but are often subsidized by local governments. For older adults ages 70 to 74 who are low income also have a coinsurance of 20% and those older than 75 with lower incomes have a coinsurance of 10% (International Commonwealth Fund, 2017). Furthermore, retirees under the age of 75 are covered under the community-based insurance, after the age of 75 there is a premium that these citizens have to pay. In the United States, healthcare insurance is provided through employers, directly purchased coverage, and public programs (Medicare, Medicaid, and military) (International Commonwealth Fund, 2017). The majority of the population hold insurance through their employer-provided insurance. Most companies will cover a portion of the monthly premium and employees are able to provide coverage to dependents at an additional cost. In addition to Updated on 2/21/19
Image of page 2
ORGANIZATIONAL SYSTEMS TASK 3 3 Medicare and Medicaid, the Children’s Health Insurance Program (CHIP) is a program available to provide health coverage for eligible children. Medicaid and CHIP provide public health
Image of page 3
Image of page 4

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture