Healthcare Economics Notes - Healthcare Economics...

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Healthcare Economics Challenges and Opportunities Economic changes made it necessary to find new ways of delivering needed services within new structures of payment Rising costs mean a reduction in staff Shift from quality care to cost-effectiveness and profits Lowering costs creates opportunities for nursing to expand practice and create new roles Advanced practice roles have increased in outpatient and community settings Influence new directions for policy and delivery of care Issues Demand versus supply of health care In the 1980s, the cost of medical care increased faster than gross national product Demand for expensive care outstripped the ability of payers to pay and spiraled out of control Insurance costs increased in the private sector Imbalance of supply and demand can result in rationing Mechanisms of rationing Government set limits Ration by ability to pay Important differences in rationing Freedom to choose the amount and type Freedom to choose who should deliver it Paying for health care United States is the only industrialized nation without a national health policy 1965: Medicare and Medicaid Bills for nursing services bundled with flat daily charges Hinders nurse’s ability to receive payment from third-party payers Quantifying nursing care initiatives
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  • Spring '13
  • Everly
  • Nursing

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