HCS385 Week 2 Economic Trends in Healthcare Payment Systems Assignment

Write a 700- to 1,050-word paper in which you:

  • Analyze a financial and economic issue in the health care industry.
    • Choose a current financial or economic issue in the health care industry. Consider the following:
      • What are the economic trends of the health care payment system?
      • What are the supply and demand challenges for health care services?
      • Why are costs increasing in the health care system?
      • What regulatory issues are affecting, or will affect, the health care industry?
    • Analyze the issue and its financial impact on the health care industry.
    • Provide recommendations for improving the issue. Consider current strategies being used or presented for improving the issue.
      • Include what you believe would be the outcome of these recommendations if implemented.

Cite 3 peer-reviewed, scholarly, or similar references to support your paper.

Format your paper according to APA guidelines.

This is the detail of what to be done.

Note: While you identified issues in the Week Two Finance Environment assignment, you must explore them in more detail and depth in this assignment.

Expert Solution Preview

Introduction:

The healthcare industry has been facing a lot of financial and economic challenges over the years. The payment system, supply and demand of healthcare services, increasing costs, and regulatory issues are some of the factors contributing to financial challenges in the healthcare industry. This paper seeks to analyze a current financial or economic issue in the healthcare industry, its financial impact, and provide recommendations for improving the situation.

Analysis of a Financial and Economic Issue in the Healthcare Industry:

The healthcare payment system is one of the most significant economic trends in the healthcare industry. The shift from the traditional fee-for-service system to value-based care has had a significant impact on the healthcare industry’s financial stability. Value-based care focuses on rewarding healthcare providers for delivering high-quality care rather than the traditional way of paying for the quantity of services delivered. The value-based payment system aims at controlling costs, improving patient outcomes, and enhancing the quality of care. Despite the shift towards value-based care, the fee-for-service system continues to be the dominant payment system in the US healthcare industry.

The supply and demand of healthcare services remain one of the significant economic challenges in the healthcare industry. The increasing demand for healthcare services due to the aging population, chronic diseases, and health insurance coverage has made the supply of healthcare services insufficient. The supply and demand imbalances have resulted in increased healthcare costs, reduced quality of care, and limited access to care.

The cost of healthcare services continues to increase, making healthcare unaffordable for many Americans. The high healthcare costs have contributed significantly to the increased burden of debt, increased insurance premiums, and out-of-pocket expenses for patients. According to a recent study, healthcare costs in the US are expected to reach $6 trillion by 2027, representing about 20% of the country’s Gross Domestic Product (GDP).

Regulatory issues affecting the healthcare industry include increasing government regulations, legal challenges, and policy changes. The regulatory issues have resulted in increased costs due to compliance, reduced profitability, and limited innovation. The Affordable Care Act (ACA) has been a significant policy change that has affected the healthcare industry’s financial stability. Despite providing affordable healthcare coverage for many Americans, the ACA has been a financial burden for healthcare providers, leading to reduced profitability.

Financial Impact of the Analyzed Issue on the Healthcare Industry:

The analyzed financial and economic issue has had a significant financial impact on the healthcare industry. The fee-for-service payment system’s dominance has resulted in increased healthcare costs, reduced quality of care, and limited access to care. The increase in demand for healthcare services and insufficient supply has increased healthcare costs, making it difficult for patients to afford healthcare services. The regulatory issues have resulted in compliance costs, reduced profitability, and limited innovation, further increasing healthcare costs and reducing the quality of care.

Recommendations for Improving the Analyzed Issue:

To improve the financial and economic issue, the healthcare industry needs to focus on implementing value-based care fully. The value-based care payment system aims at controlling costs, improving patient outcomes, and enhancing the quality of care. Healthcare providers need to shift from the traditional fee-for-service payment system to value-based care to reduce healthcare costs, improve patient outcomes and enhance the quality of care.

Healthcare providers must also focus on improving supply chain management to address the supply and demand imbalances for healthcare services. Improved supply chain management will ensure efficient delivery of healthcare services, reduce costs, and improve the quality of care.

To address the regulatory issues, the government needs to focus on reducing compliance costs and promoting innovation in the healthcare industry. This can be achieved by implementing policies that encourage innovation, streamlining regulations, and reducing compliance costs.

Conclusion:

The healthcare industry faces significant financial and economic challenges that have resulted in increased healthcare costs, reduced quality of care, and limited access to care. The shift towards value-based care, improved supply chain management, and reduced compliance costs can help address the financial and economic challenges facing the healthcare industry. By implementing these recommendations, the healthcare industry can improve patient outcomes, reduce healthcare costs, and enhance the quality of care.

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

EHHA 501 Patient Journey Flow Chart

Develop an existing patient journey that crosses the three sectors of care in your organization (the organization is military hospital) Hwo could this be improved ? As a chart flow  You are a medical professor in charge of creating college assignments and answers for medical college students. You design and

MDC Gabapentin in the Context of Bipolar Disorder

A new patient presents to your office for treatment of bipolar disorder. In his medical history, he reports that he takes gabapentin prescribed by his primary care provider, but he is not sure what he takes it for. He states he is almost out of his gabapentin and is asking

KEMUL Health & Medical Using Technology to Prevent Patient

Using Technology To Prevent Patient Falls Review the concepts of technology application as presented in the Resources. Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies. In a project proposal

KEMUL Organizational Conflict and Effectiveness

1. Conflict  2.Relationship Between Organizational Conflict and Effectiveness  3.Common Sources of Organizational Conflict 4.Managerial Response to Conflict 5.Categories of Conflict 6.Stages of Conflict 7.Conflict Resolution Outcomes 8.Common Conflict Resolution Strategies. 9.Compromising 10.Competing 11.Cooperating/Accommodating 12.Common Causes of Organizational Conflict 13.Helpful Tips in Conflict Resolution. 14.Negotiation 15.Types of Alternative Dispute Resolution (ADR)

HSA 405 SU?Healthcare Quality Case Study

Overview In order to complete this case study, refer to this week’s readings for policy information required to analyze and make recommendations on this case. As a healthcare quality fraud analyst, you are responsible for identification of root causes and providing recommendations in an action plan to ensure compliance with

Needs to be 3 paragraphs You are the sole psychologist on

Needs to be 3 paragraphs  You are the sole psychologist on what is considered a small-sized base, with a population of approximately 6,000 people, including civilians, dependents, reservists, and active duty personnel. You have an appointment scheduled today with a patient whom you know works within the MTF (Military Treatment

Homework Content ScenarioThe administrator’s presentation,

Homework Content Scenario The administrator’s presentation, based on your briefing, was so well received by the board members that they asked to see a proposal for a hospital-based outpatient facility. In fact, the board suggested that the administrator ask you to take the lead in the project. Your administrator is

The CEO of a health care system has asked you, the system’s

The CEO of a health care system has asked you, the system’s strategic planner, to explain the factors they must consider when deciding the resources that should be devoted to a new facility project. List and describe the factors that determine the location, physical size, projected staffing, and effective décor

AMU HIMA 410 Hospital Data Modeling and Entity Relationship

A data model provides a view of how the data is structured throughout an organization. You’ve been provided with a set of data points from a local hospital. Instructions: Using the data points provided, create a model. Your data model should structure the data to support the business practices of

HIMA 360 AMU Encoder Selection for HIM Director Report

Case Scenario: Part 1: You are the HIM Director at Community General Hospital. As the director, you are in charge of purchasing an encoder for your 20 coders. You have identified the criteria that you will use to make the determination and put it in the grid below. Vendor 1

NUR 3846 BCC Deep Vein Thrombosis Questions

Using the video from Episode 2 on Samantha, answer the following prompts: Prompt 1: Explain in detail the pathogenesis of a DVT (Deep Vein Thrombosis) and how it can lead to a PE (Pulmonary Embolism). Prompt 2: Research and list all the possible treatment options for a DVT. Please correlate

MDC Key Elements of Psychiatric Assessment Discussion Reply

response to post: Discuss the Key elements of Psychiatric assessment and Interviewing of children. Assessing children and adolescents is challenging.  A psychiatric assessment can determine if a child is experiencing a disorder or if there are other factors that may be causing their difficulties. Establishing rapport is the first and

MDC Conducting Psychiatric Assessments Discussion Reply

Respond to Ste: Discuss the Key Elements of Psychiatric Assessment and Interviewing of Children When conducting psychiatric assessments and interviewing of children, there are several important elements to consider. According to Sharma et al. (2019), creating a rapport is crucial to building a relationship of trust with children while encouraging

MDC Assessing Childrens Mental Health Discussion Reply

post response Mari: Assessing children and adolescents is challenging. Generally, the child/adolescent in question would not have initiated the consultation or may not be in agreement with the need for a consultation. The consultation may or may not even be sought for the most impairing problem at hand. While children

MU African American Counselors in Training Project

Task summary: You are to do Exploring clinical supervision with African American counselors in Training editing Full description: please write Exploring clinical supervision with African American counselors in Training   You are a medical professor in charge of creating college assignments and answers for medical college students. You design and

Few people have not heard about the Food and Drug

Few people have not heard about the Food and Drug Administration (FDA). The COVID pandemic has placed a renewed focus on its role in assuring safety of drug approval. It is not nearly as well known that the FDA is tasked with regulating multiple categories of products. One cannot work in healthcare

MHA 543 UP Health & Medical Generational Work Trait

Work traits vary considerably between various generations. Each individual has a unique manner for interacting with others and solving problems or addressing issues that arise. In this assignment, you will address work trait differences and how these differences might impact the organizational culture and succession planning.  Part I: Individual Work

Health & Medical Health Screening Tests Issues and Concerns

Describe what you already know about the module’s topics (if anything) With your limited understanding, how you would answer the module’s guiding question: “Do you think most people undergoing a screening test understand how to assess the benefits and risks of the test?” What other questions does the guiding question