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BHA FPX 4112 Assessment 3
Introduction
NHI still stayed on the list of burning healthcare issues of the United States of today due to advocates who are painting the picture of keener universal coverage as well as detractors who perceived cost and quality threats within this solution.
This presentation shall thus include;
- what are the prospects of conducting NHI in the U. S. A. ?:
A look at the historical and current legislations on this: The implications of these reforms on a variety of aspects of healthcare: The conditions and effects on the alteration of reimbursement and business models of infrastructures. This will also involve considering other countries’ approaches, for example, the Canadian experience.
Legal instruments for NHI and those that pose threats or challenges to NHI
Realizing this made it clear in this paper that legislation is still protagonistic to the kind of healthcare system that exists in the USA and their stand on national health insurance. Medicare and Medicaid passed in 1965 have covered seniors and the needy but have not achieved the objective of attaining (nobody covered) UHC.
The Patient Protection and Affordable Care Act signed in the year 2010 aimed at raising health insurance coverage through exchanges and subsidies to reduce the proportion of rental people without health insurance from 16% to 9% (Kaiser Family Foundation, 2023).
On the same note, one can state that the US has not developed a system of health care insurance that can be considered truly universal. Something, present-day legislation presents a more extensive scope, but it cannot be said that all the deficiencies are removed; many cannot get insurance or access limited insurance.
Medicare and Medicaid Analysis for Expansion
Increasing coverage to all, through Medicare and Medicaid, could help deal with some of the issues which the ACA left open. As for the idea of the so-called Medicare for all, it has been thought through, along with the estimations pointing to the fact that it might cost approximately $32 trillion over the course of ten years (Oberlander, 2020).
BHA FPX 4112 Assessment 3 National Health Insurance in United States
The mere expansion of Medicaid has the potential to reach 12 million uninsured Americans, which will lessen the uninsured population (Kaiser Commission on Medicaid and the Newly Insured, 2023). Canada has a universal system of healthcare for every citizen of the country whereby each has to pay $7,500 approximately With this it explicates the advantages or drawbacks of the universal system.
Implications of National Health Insurance
The above-highlighted areas would be affected in several ways once NHI is implemented in the U. S. The uninsured rate could be erased and several barriers hindering access to healthcare services could disappear, or considerably decrease (Jiang et al., 2021). Healthcare service consumption may rise, as in the case of other countries practicing NHIs, and therefore, democratized care might intensify the pressure on assets (Berwick & Murphy, 2022).
There could be improvement in technological enhancements since more funds will be invested in health technologies though this will have to be achieved with caution (Blumenthal, 2021). There are liabilities associated with costs; as is well known, NHI systems can potentially decrease overhead costs, but at the same time, total healthcare expenditures could potentially rise, as a result of increased demand (Zhu et al., 2023).
As seen in the medical facility, growth can in turn mean the enhancement of the healthcare delivery system and at the same time can be able to test the capacity of delivering healthcare services to the increased demand (Centers for Medicare & Medicaid Services, 2022).
Reimbursement Changes
Moving to NHI would mean a radical shift in payment practices. The contemporary U. S. system relies on fee-for-service payment, which may be substituted for NBHI by global budgets or value-based care (Baker & Gregory, 2021).
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Such changes can potentially bring benefits, SE such as lowering overall expenses of the administration and enhanced coordination of care: des SE, POW However, many of these changes have associated challenges like the initial costs of implementing the structural change as well as costs involved in modifying the system for providers (Porter, 2022; O’Malley & Singh, 2023).
Operational Changes
I changes necessary for the implementation of NHI in the U. S include On a micro level physicians and hospitals would be expected to alter their billing patterns and also introduce care coordination (Kramer & Walker, 2021). Insurance companies that are offering coverage to their clients and government entities would experience new changes in their regulatory and supervisory mandates (Peters & McFarlane, 2022).
While patients may receive more care in general, they may also have to wait longer for that care which is typical with an NHI system (Wells & Langer, 2023). Analyzing the sustainability of these operational adjustments requires the assessment of the current context of the United States health system and its implications for the different players (Liu & Ramirez, 2022; Harris et al., 2023).
Conclusion
In conclusion, national health insurance in the United States of America offers several prospects and threats to the country. Although it might increase the patient’s awareness of their conditions and potentially decrease administrative expenses, it can also shift the current methods of payment and functioning, the existing structure of the healthcare system. More scientific studies and strategic planning would be required to deal with the issues and avoid fatal mistakes on the way to a fairer healthcare model.
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BHA FPX 4112 Assessment 1 Health Production Function
BHA FPX 4112 Assessment 2 The Supply and Demand of Health Care
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