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BHA FPX 4112 Assessment 3 National Health Insurance in United States

BHA FPX 4112 Assessment 3

  • BHA FPX 4112 Assessment 3 National Health Insurance in United States

Introduction

NHI still stayed on the list of burning healthcare issues of the United States today due to advocates who are painting the picture of keener universal coverage and 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).

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).

BHA FPX 4112 Assessment 3

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).

BHA FPX 4112 Assessment 3 National Health Insurance in United States

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. Read more about our sample BHA FPX 4112 Assessment 1 for complete information about this class.

References

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https://doi.org/10.1056/nejmsb2021088

Czeisler, M. É., Marynak, K., Clarke, K. E. N., Salah, Z., Shakya, I., Thierry, J. M., Ali, N., McMillan, H., Wiley, J. F., Weaver, M. D., Czeisler, C. A., Rajaratnam, S. M. W., & Howard, M. E. (2020). Delay or avoidance of medical care because of covid-19–related concerns — united states, june 2020. MMWR. Morbidity and Mortality Weekly Report, 69(36), 1250–1257.

https://doi.org/10.15585/mmwr.mm6936a4

Dieleman, J. L., Cao, J., Chapin, A., Chen, C., Li, Z., Liu, A., Horst, C., Kaldjian, A., Matyasz, T., Scott, K. W., Bui, A. L., Campbell, M., Duber, H. C., Dunn, A. C., Flaxman, A. D., Fitzmaurice, C., Naghavi, M., Sadat, N., Shieh, P., & Squires, E. (2020). US health care spending by payer and health condition, 1996-2016. JAMA, 323(9), 863–884.

https://doi.org/10.1001/jama.2020.0734

Eckelman, M. J., Huang, K., Lagasse, R., Senay, E., Dubrow, R., & Sherman, J. D. (2020). Health care pollution and public health damage in the united states: An update. Health Affairs, 39(12), 2071–2079.

https://doi.org/10.1377/hlthaff.2020.01247

Hartman, M., Martin, A. B., Benson, J., & Catlin, A. (2020). National health care spending in 2018: Growth driven by accelerations in medicare and private insurance spending. Health Affairs, 39(1), 8–17.

https://doi.org/10.1377/hlthaff.2019.01451

Jernigan, D. B. (2020). Update: Public health response to the coronavirus disease 2019 outbreak — united states, february 24, 2020. MMWR. Morbidity and Mortality Weekly Report, 69(8).

https://doi.org/10.15585/mmwr.mm6908e1

Sanyaolu, A., Okorie, C., Qi, X., Locke, J., & Rehman, S. (2019). Childhood and adolescent obesity in the united states: A public health concern. Global Pediatric Health, 6(6).

https://doi.org/10.1177/2333794×19891305

Tenforde, M. W. (2020). Symptom duration and risk factors for delayed return to usual health among outpatients with COVID-19 in a multistate health care systems network — united states, march–june 2020. MMWR. Morbidity and Mortality Weekly Report, 69(30).

https://doi.org/10.15585/mmwr.mm6930e1

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