Review of Literature_Healthcare Industry and Reform.docx

The results of those studies toward quality oversight

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insurance model so it will be years before American’s get the results. “The results of those studies toward quality oversight are mixed. Quality to a healthy person is likely to be quite different from quality to someone who is very ill” (Poplin, 2008, p. 518). One solution is to lead through accountability by “ensuring high-quality care through alignment of physician and hospital incentives. Physicians’, hospitals’, and insurers’ incentives should be aligned around quality not quantity” (Kellis, Rumberger, & Bartels, 2010, p. 290). A lot of Americans’ focus solely on cost of healthcare vs. the actual quality everyone receives, but the whole point of medical professional and services, is to receive the quality of care at a decent price at the time of need.
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Review of Literature: Healthcare Industry and Reform 8 Cost of Care While healthcare costs continue to rise, this has a major effect on quality of care and overall has even less value as it goes up. The United States has struggled significantly to cut costs and control healthcare over the last two decades. According to Qazi, “the U.S. is projected to spend almost $13 trillion on healthcare over the ten years from 2010 – 2019 if the current trend continues” (2009, p. 5). “Actual per capita spending in 2000 in healthcare in the United States was $4,631. Germany spent $2,748 per person and Japan’s per capita medical bill was $2,012. U.S. per capita was $8.160 in 2009 with projects by the Center for Medicare and Medicaid Services at over $13,000 by 2018. Germany and Japan’s gross domestic product attributed to healthcare has been stable, whereas the U.S. GDP attributed to healthcare continues to grow” (Stephens & Ledlow, 2010, p. 98). According to Kellis, Rumberger & Bartels, “In 2006 we spent 146 percent more on healthcare than England, 90 percent more than Canada, and 154 percent more than Japan, but ranked sixth out of six countries (with Australia, Canada Germany, New Zealand and the UK) in terms of patient safety, patient access, efficiency and equity” (2010, p. 284). Some of the major drivers in healthcare costs, according to Kumar, Ghildayal, & Shah are, “institutionalized medical practices and reimbursement policies, technology-induced costs and consumer behavior” (2011, p. 366). The uninsured are less likely to go for preventative care and participate in other health and well care programs because they are scared of the cost upfront, when in the long run they end up going in for emergency long term care which costs significantly more. “In 1999, it was estimated that 150,000 people owed $50,000 or more in unpaid medical bills and an estimated 20% of the 1.4 million bankruptcies each year are due at least in part to high medical expenses” (Stephens & Ledlow, 2010, p. 101). These trends have escalated over the last decade, especially
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Review of Literature: Healthcare Industry and Reform 9 after the 2008 recession hit. But, the fact is, all must realize the healthier the population the lower the costs throughout the healthcare system.
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  • Spring '10
  • Dr.Thomas
  • Health care in the United States, Healthcare Industry and Reform

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