United States health care system, being a huge system, has also established inefficiency which proves to be a barrier to the innovation of this $2.7 trillion industry. This inefficiency, despite all the automation and technological innovations, results the huge financial loss.The above indicators have shown that all the five countries, in most of the indicators, are almost similar in performance. However, each country has strengths in some area and weaknesses in other. As far as the United States is concerned, although it spends a huge amount on its healthcare system but it is noticed that United States had performed very poorly on measures of” national health expenditures, administrative costs, the use of information technology, and the use of multidisciplinary teams. The discussion question is what are the most appropriate healthcare payment methods for United States?
The first website is http://www.kff.org/pullingittogether/021610_altman.cfm. This is an article published on Kaiser Family Foundation website. This article revealed that public insurance programs like Medicare and Medicaid failed to increase their per capita spending with the same pace as private insurance companies do. There are various programs initiated by the government of United States to provide better health care to the U.S. nationals.
Programs like Medicaid and Medicare are two examples. The government pays huge amounts to fund these programs. These are federal state insurance programs which are jointly funded for low-income and indigent residents. They benefit minors, the elderly, disabled individuals, blind and other individuals who get federally assisted income maintenance payments.
Medicaid is the health program of United States for the families who have little resources and incomes. This program is mutually funded by the federal and state governments, and States managed them. The other one, which is the Medicare, provides health insurance coverage to older people. It is a social insurance program administered by the government of United States. But people who are under 65 years of age but are permanently physically disabled, or have a congenital physical disability, or others, who meet the special criteria can avail the benefits of this program.
The information provided in the paper is relevant to the topic of my paper and are quite reliable also because the source Kaiser Family Foundation is a reliable source.
The second website is http://www.acponline.org/hpp/performance_measure.pdf. This is taken from American College of Physicians. It discusses the importance of performance measures, which if taken properly, have potential to assess physician performance and improve the quality of patient care. However, if the same measures are not taken properly it can hinder quality and harm patient care, undermine the physician–patient relationship, and cause physician frustration and career dissatisfaction.
Like others in business, physicians must compete for paying patients. Doctors are no longer in short supply, except in urban slums and remote rural areas, and find themselves in a buyer’s market. Also they often enter practice with medical school debts of hundreds of thousands of dollars. This type of pressure conflicts with the physician’s professional ethics to recommend medical service to patients without resorting to maximum fees. Arrangements with manufacturers of medical products and drugs may reward physicians for prescribing or recommending products that are more expensive. Doctors might direct patient to health care facilities, such as laboratories, convalescent homes, in which they are financial interest. The source and information provided is authentic and relevant.
Altman, D., L. Levitt, and G. Claxton (2010). Pulling it Together: An Actuarial Rorschach Test.
Kaiser Family Foundation. Retrieve on 13th March 2013 from:
American College of Physicians (2004). The use of performance measurements to improve
physician quality of care. Philadelphia: American College of Physicians. Retrieve on 13th March 2013 from