Premium Essay

Health Economics

In: Other Topics

Submitted By bindie
Words 1083
Pages 5
In Partial Fulfillment of the
Requirements
in
Health Economics

Submitted by:
Agub, Glenna Mae L.
Badua, Evelinda S.
Casimiro, John Louis
Desor, Queenie Jane G.
Marcolino, Marjorie
Paggao, Karen Kaye
Santos, Maricar
Taradel, Dexter
Valdez, Rafael Mark

Submitted by:
Dr. Sherwin Banan

Names | No Report | No Contribution | Absent | Grade | Badua,Evelinda -Leader | | | | | Agub,Glenna Mae | | | | | Casimiro,John Louis | | | | | Desor,Queenie Jane | | | | | Marcolino,Marjorie | | | | | Paggao,Karen Kaye | | | | | Santos,Maricar | | | | | Taradel,Dexter | | | | | Valdez,Rafael Mark | | | | |

TABLE OF CONTENTS
LESSON IV:
THE STUDY OF HEALTH CARE DELIVERY SYSTEM
(Summary)

I. An Indication on the Financial and Operational Presentation of Health Maintenance Organization i. Mishandled Care ii. Paying Low and Late II. Health Transformation III. Varying Functions of Allied Medical Professionals IV. Philippine Health Insurance Corporation

I. An Indication on the Financial and Operational Presentation of Health Maintenance Organization

i. Mishandled Care

1965 was the earliest Health maintenance organization(HMO) in our country and there are more or less 30 HMO who pay thousands of physicians who will going to serve the people/community. But, according to Homobono Calleja, who is renounced cardiologist and a four-term president of Philippines Medical Association also concede that many doctors prefer not to help disseminate the medical gospel and among to them are coming from Western Visayas and parts of Southern Tagalog and Bicol who realized that all are not well in the HMO business. Even the Philippine College of Surgeons(PCS) in Panay refused to work in HMO and they don’t want to have anything to do with the merchants and brokers of medical...

Similar Documents

Free Essay

Health Economics

...Health does have characteristics that more conventional goods have. It can be manufactured; it is wanted and people are willing to pay for improvements in it. However, its relationship with the demand for health care is not one-to-one. In the context of ordinary goods and services, economics distinguishes between a want, which is the desire to consume something, and effective demand, which is a want...

Words: 1129 - Pages: 5

Premium Essay

Health Economics

...Mark Cahen Health Economics HSA510 Case Assignment #2 Reimbursement Methods and Hospital Finance Dr. Rashida Biggs 02/24/2011 Good Afternoon staff, Today as I stand before you we are here to discuss our financial difficulty and ways we might be able to rise up from these hard times, First, Medicare patients whose hospital stays are paid through Diagnostic Related Groups (DRGs) which are a set of case types established under the prospective payment system (PPS) identifying patients with similar conditions and processes of care. CMS is in the process of adopting a new set of 745 Medicare Severity Long-Term Care Diagnostic Related Groups (MS-DRGs) that replace the existing 538 DRGs with ones that better recognize the severity of the illness. This was developed for Medicare as part of the prospective payment system. According to author Rick Mays, “Rather than simply reimbursing hospitals whatever costs they charged to treat Medicare patients, the new model paid hospitals a predetermined, set rate based on the patient's diagnosis. The most significant change in health policy since Medicare and Medicaid's passage in 1965 went virtually unnoticed by the general public. Nevertheless, the change was nothing short of revolutionary. For the first time, the federal government gained the upper hand in its financial relationship with the hospital industry....

Words: 1137 - Pages: 5

Premium Essay

Health Economics

...Health Economics and Health Policy A critique of the methods used to measure and value health in cost-effectiveness studies submitted to NICE. Introduction The responsibility to provide data concerning “Good value for money” in regards to a new treatment or healthcare programme intervention has for itself a remarkable relevance. However, this information has become much more important in recent years due to the fact that we are facing a combination of unprecedented demand with the limitation of resources and the necessity of making decisions regarding priority setting in the healthcare system. Priority setting in healthcare means to determine what is most important in the context of finite resources as well as to decide who is going to benefit from a particular health care service as giving priority to one group of people inexorably implies taking it away from another one. (William, 1998). Nowadays, health care systems are facing the problem of how to set priorities in the allocation of health care resources in order to provide a high quality of care to those who need it and at a cost their governments can afford. All this happens in a time when people have greatest expectations concerning the care they should receive and the health care innovation offers broader options for interventions. (Littlejohns et al, 2012)....

Words: 2476 - Pages: 10

Premium Essay

Health Economics

...After our Feb. 16th class discussion on physician behavior in health care markets, the outside reading assignment for this week (attached here) will involve exploring how we "produce" doctors and whether this process is in need of improvement.  All of the following questions below should be answered and submitted via Sakai by not later than Tuesday March 1st at 5 pm Eastern time. Again, please note that I cannot accept files which are in .pages format, only those that are compatible with MS Word, are .txt files or .pdf files.  A. The first reading is by noted health economist Uwe Reinhardt, entitled "From Physician Glut to Physician Shortage".  For this reading, please answer the following questions:  1. Does he think that the Affordable Care Act and its impact on reducing those without health insurance will lead to a physician shortage? (5 points) 2. What are the two key factors influencing physician productivity in the delivery of health care? (10 points) 3. If there is a surplus of physicians, please address each of the following potential consequences of such a supply imbalance: i. Do he and other experts think that it is more likely that specialist fees/prices will fall due to competition or continue to rise based on cost considerations (5 points)? ii. What is their view about whether there will be more, about the same, or less overall health care services delivered by these physicians? (5 points) B....

Words: 945 - Pages: 4

Premium Essay

Health Economics

...Essay: The Health Care, Universal Insurance and International Comparison of Health Care Syetem Introduction In recent years, the availability and affordability of health insurance in United States has becomes the subject of much debate. About one in seven American has no health insurance at all, and for many people who are insured, the cost of coverage is a financial hardship. This situation has led some people to call for the government to provide health insurance for all citizens like other developed countries e.g. Canada, United Kingdom, Japan, Germany etc. Under this type of system, the state government or the federal government would provide insurance coverage, fixed by taxes for everyone. Those who support government-run health care believe that it has many benefits, including universal coverage, lower costs, and greater efficiency. Opponents contend that such a system would require budgets controls, forcing the government to decide whether and when person can receive certain health service. They believe universal health care would lead to lower quality care, long delay, greater government bureaucracy, and greater tax increase. However, whether universal insurance or not, the current health care system needed a reform and I believe Most American will prefer Universal health insurance to any other health care system because it guarantee coverage for everybody. Thesis: the rising cost of health care is a very critical issue in public debate nowadays....

Words: 3993 - Pages: 16

Premium Essay

Economic Health

...1 Measuring Economic Health Memo Felicia Tate-Harris ECO/212 – Week Four 3/21/2012 ------------------------------------------------- Rana Hashemi Haeri MEMORANDUM TO: Rana Hashemi Haeri FROM: Felicia Tate-Harris DATE: March 21, 2012 RE: Measuring Economic Health Gross Domestic Product (GDP) Economic growth is measured in terms of an increase in the size of a nation's economy. A broad measure of an economy's size is its output. The most widely-used measure of economic output is the Gross Domestic Product (GDP). GDP generally is defined as the market value of the goods and services produced by a country. One way to calculate a nation's GDP is to sum all expenditures in the country. This method is known as the expenditure approach and is described below. 2 There are four government bodies that are involved in the national fiscal policies: * Department of Treasury - The Department of Treasury is the main body that will manage and design the fiscal policy. * Office of management and budget - The office of management and budget, is the section of the government that will develop and analyze fiscal policy. * Office of the president - The office of the president has an input on the decision making regarding the fiscal policy. * Government accountability - There is a government accountability office that will audit the fiscal policy....

Words: 476 - Pages: 2

Premium Essay

Health Economics

...HISTORY OF HEALTH INSURNCE I stopped for a moment to imagine an average Americana’s world without a health insurance, what will become of such individual when the need for healthcare beckons? How will such individual offset the outrageous bill of healthcare? Health insurance is used in America to describe any program that helps pay for medical bills through the following: privately purchased and social insurance or a social welfare program usually powered by the government. Simply put, health insurance is any form of insurance that provides protection by offsetting the actual costs of medical services. Before the onset of federal government’s intervention on health insurance, it can be said that the onus were thrown to lower arms- the federal government left responsibilities to the state governments while state governments left responsibilities to the private bodies. However, America did have some funds which were provided for its members in sickness and death, but there were no funds for public programs during this said time which was between the late 19th and early 20th century. The public usually pay for their health care costs on their own, under what is known as the fee for service business model....

Words: 1200 - Pages: 5

Premium Essay

Health Economics

...Hence if there is a drop in the optimal level of health, the person should seek medical treatment / recuperate to maximize consumption of Z...

Words: 729 - Pages: 3

Premium Essay

Health Economics Health Reform

...The Cost of Preventive Care Veronica Lee Regis College HP-622-01-11FA, Economics of Health Care December 4, 2011 Is There a Real Cost Savings with Preventive Care? Introduction: On March 23, 2010, President Obama signed the Patient Protection and Affordable Care Act (PPACA) into law, which creates health insurance reforms that will transform healthcare over the next four years. The PPACA will ensure that all Americans have access to quality, affordable health care and will create the transformation with the health care system necessary to contain costs (The Patient Protection). One of those health insurance reforms started on September 23, 2010, which will provide free preventive care. The PPACA will eliminate co-pays and deductibles for recommended preventive care, including preventive care for women, provide individuals with the information they need to make healthy decisions, improve education on disease prevention and public health, and invest in a national prevention and public health strategy (The Patient Protection). There are some exceptions to the law for grandfathered insurance plans. This preventive services provision applies only to people enrolled in job-related health plans or individual health insurance policies created after March 23, 2010 (Preventive Care). This law is supposed to improve quality healthcare and lower costs for patients. This paper will discuss what effect the new law may have on the United States healthcare system....

Words: 2579 - Pages: 11

Premium Essay

Health Care Economics

...Consequently, economics and health care utilize different types of resources to produce services in order to meet people’s healthcare needs. As mentioned before there are many similarities in both in health care and economics when organizations deal with resource utilization (Gretzen, 2007). An example of this would be when...

Words: 1014 - Pages: 5

Free Essay

Health Care Economics

...Health Care Economics 3 Term Comparison Paper Demand, Economics and Supply Demand When the demand is higher than the supply, then there needs to be a decrease in the demand, because the patients will not receive adequate care. Balance needs to be made between supply and demand. When it comes to diseases and supplying new shots, not everyone will receive them. There is a...

Words: 1012 - Pages: 5

Premium Essay

History of Health Economics

...Looking back at the history of health care economics it has greatly evolved during it course and will continue to change. There are many factors that have influenced the changes of health care economics. Money and technology has definitely been the reason for the change of health care economics over the years. Money is want makes the economy evolve. There will be advancement in technology and there needs to be people are managing these to keep up with the changes. The U.S. has definitely progressed as far as influencing factors to change in new advancement of technology and medical care. Having a good financial manager in your organization will prepare for these upcoming advancements and changes. Money drives these advancements in providing successful health care industries. Most of the funding that comes to make these changes comes from insurance companies but it also affects patients. Patients have to pay for insurance and the money adds up. It can be very expensive to pay for health insurance as well as medical bills and prescription medication. Today in society we provide services in health care for money. Money creates revenue for the organization can pay for supplies, workers, and other things to keep the organization running. Before money was involved physicians would trade in their skills and work for supplies to help you live such as food, tools, cotton etc. In 1929 the first health care insurance plan was created for population....

Words: 765 - Pages: 4

Premium Essay

Economics and Health Care

...Kevin Pine Eco310 Professor Ambrose Test 2 1A. Market failure is a situation in which the allocation of goods and services is not efficient. In any given market, the quantity of a product demanded by consumers does not equate to the quantity supplied by suppliers. This is a direct result of a lack of certain economically ideal factors, which prevents equilibrium. Some major reasons that a free, unregulated market in medical care might night be optimal are: Imperfect information, asymmetric information, barriers to entry, and third-party payers. * Imperfect information is a major reason because in medical markets, patients are not fully informed about virtually every aspect of the medical transaction. These patients are forced to rely on their physicians to form a learned opinion on their illness, their diagnosis, and their prescribed treatment. In addition, patients are often confronted with the problem of little to no knowledge at all about prices and the quality differences among alternative providers. This lack of knowledge gives rise to asymmetric information, which leads to two important market defects. First, patients are not able to judge price and quality differences among providers. As a result, providers charge prices that are above the prevailing market prices for a given level of quality. Second, the agency problem, which arises when the physician serves as the patient’s agent, thereby leading the patient to delegate most of the decision-making......

Words: 1532 - Pages: 7

Premium Essay

Health Care Economics

...Health care economics has drastically changed over the course of history in the United States of America. the major contributors that influence the changes in healthcare economics and the advances in technology in healthcare. one must know what the United States has endured to have a clue of where is should be going here is a brief explanation of what the US has accomplished over the years. in the 1960s Social Security has been implemented in Medicare and Medicaid has been signed into law. By the 1970s HMOs came into existence in this is in healthcare costs began to rise. by the 19 eighties pregnant Reagan had decided to sign into law the Cobra Act. Cobra allow workers to stay insure it for 18 months after leaving a job. by the end of the 19 eighties Reagan implementing a prescription drug benefit coverage program would you didn't work well and was repelled the following year. in the beginning of the 1980s President Clinton wanted to require business is to provide insurance to their workers. for Republicans President Bush proposed tax break so that of porting insurance would be easier. by the turn of the century President Bush persuade Congress to a prescription drug coverage to Medicare and an expansion of Johnson's Great Society program for seniors....

Words: 638 - Pages: 3

Premium Essay

Health Care Economics

...Economics Economics can be defined as the science concerned with the production, distribution, and consumption of goods and services. In essence, it is the study of the material welfare of humankind (Apollo Group, 2010). Economics in health care is concerned not only with the financial aspects of the system, but how those financial elements impact patient care. Supply and Demand Supply and demand is perhaps one of the most fundamental concepts of economics and it is the backbone of a market economy. Demand refers to how much (quantity) of a product or service is desired by buyers. Supply represents how much the market can offer and the correlation between price and how much of a good or service is supplied to the market is known as the supply relationship. The demand for health care is limitless as is evidenced by the number of people who use health care services on a day to day basis. Supply, however, is limited by the availability of medical resources and the skill to administer care effectively. Macroeconomics Macroeconomics studies the economy as a whole. Macroeconomic analysis studies the roles of the government, exports and imports, consumption, investment, government taxes, and other factors in an economy. In health care, the macroeconomic market is the entire country’s health care system including the way that it performs in terms of profit, loss and efficiency....

Words: 776 - Pages: 4