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How does the current payment system fall short in meeting the needs of vulnerable populations?

The current payment system fall short in meeting the needs of vulnerable populations because it is volume driven instead of value driven. The current payment system is based off of fees for services where providers make the majority of their revenue off of how many people they see rather than the care they provide. Providers have little or no incentive to spend the necessary time with an individual who has complex medical, behavioral, and social needs in order to determine a course of action that will address the underlying complexities of the patients life ( Knickman & Kovner). This flawed system has contributed to the state of health that the vulnerable population are in. When they do not have access to quality healthcare nor have the necessary tools to obtain them it they become disadvantaged to taking care of their health. This system also contribute to the high expense of health care per capita. When providers do not provide quality care the vulnerable population tend to overuse facilities, hospitals, emergency rooms and so forth because they are not being helped properly.

With the growing number of a vulnerable population our healthcare system will have to continue to make necessary changes in order for the vulnerable population to receive healthcare not just for physical health but for the behavioral and social aspects. More incentive need to given for quality care instead of the quantity.

Knickman, J. R., Kovner, A. R., & Jonas, S. (2015). Health Care Delivery in the United States.New York: Springer Publishing Company,

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