Financial Structures of Health Care
HCA 807 Topic 7 Financial Structures of Health Care
As health care costs continue to soar, the financial structure of health care organizations remains at the forefront of public discussion. Some would argue that finance is exerting too much influence on the structure of health care organizations and services to the detriment of the quality of care and patient safety. Others vehemently disagree noting that being financially aware is creating efficient forms of health care services that are beneficial to patients. There are also specific advocates for both for-profit and non-profit structures. Further, in the process of becoming a doctoral researcher, it is necessary to develop the ability to organize and synthesize the related extant literature and to write well in academic style. Writing skill is improved by accepting feedback and carrying out revision. In this assignment, you will will revise a previous submission regarding health care structures and analyze the role of finance in determining the structure of health care organizations and health care services.
General Requirements:
Use the following information to ensure successful completion of the assignment:
- This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
- Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
- Refer to Chapters 2-4 of the Publication Manual of the American Psychological Association (6th ed.) for specific guidelines related to doctoral level writing. These chapters contain essential information on manuscript structure and content, clear and concise writing, and academic grammar and usage.
- This assignment requires that at least two additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
- You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.
Directions:
Part 1
Present a revised version (1,250-1,550 words total) of the paper “Contrast of Health Care Structures” that makes improvements in the caliber of the writing and incorporates instructor feedback regarding content and writing. Include the following in your submission:
- A reflection (250-300 words) that provides a bulleted list of the changes you made to the paper and discusses your revision process including how you incorporated your instructor’s feedback into the revised version. Similar to an abstract, this section will receive its own page following the title page and preceding the introduction to the paper.
- The revised paper that incorporates instructor feedback; clarifies the thesis statement and solidifies supporting arguments; edits for grammar, spelling, and punctuation; adjusts word choice to display professional and scholarly language; and adjusts sentence structure for improved readability.
Part 2
Write an additional 1,000-1,250 words in which you analyze the role of finance in determining the structure of health care organizations and health care services. Include the following in your analysis:
- A discussion of the internal and external financial structures that influence a health care organization.
- A discussion of how the Affordable Care Act is affecting health care finance.
- A discussion of how finance is influencing the quality of care and patient safety.
- A discussion of the ethical concerns surrounding health care finance.
ADDITIONAL DETAILS
Financial Structures of Health Care
The financial structures of health care are constantly evolving. With the rise of new technology and the changing landscape of the health care industry, it can be difficult to keep up with the latest trends. In this blog post, we will explore some of the latest financial structures in health care. From new ways to finance health care services to the impact of technology on health care costs, this article will give you a better understanding of the current state of affairs.
The U.S. health care system
There are a number of different financial structures that make up the U.S. health care system. These include private insurance, government programs like Medicaid and Medicare, and out-of-pocket payments made by patients themselves.
In recent years, the cost of health care has been rising faster than inflation, which has put a strain on both patients and providers. One major reason for this is the increasing price of drugs and medical procedures. Another factor is the aging population, as baby boomers are starting to reach retirement age and require more health services.
The U.S. health care system is complex, and there are a variety of different ways that people can pay for their care. However, with costs continuing to rise, it’s important to understand the different options available so that you can make the best decision for your own situation.
The different types of financial structures in health care
There are a variety of financial structures that health care organizations can use to finance their operations. The most common structures are for-profit, non-profit, and government-owned.
For-profit health care organizations are typically owned by shareholders who expect to earn a return on their investment. These organizations typically have a more streamlined structure and can be more nimble in decision-making. However, they also have to balance the need to generate profits with providing quality care.
Non-profit health care organizations are typicallymission-driven and often provide care to underserved populations. They may receive some funding from the government or other sources, but they do not have shareholders who expect a return on investment. As a result, they often operate at a deficit and rely heavily on donations.
Government-owned health care organizations are financed through taxpayer dollars. These organizations typically provide essential services such as emergency care and public health initiatives. They may also subsidize the cost of care for low-income individuals or offer other types of financial assistance.
The pros and cons of each financial structure
There are four primary financial structures of healthcare: fee-for-service, capitation, bundled payments, and shared savings/risk. Each has its own set of pros and cons that should be considered when choosing a financial structure for your healthcare organization.
Fee-For-Service:
Pros:
-Allows providers to be paid for each service they render, so they have an incentive to provide more services.
-Can be used for both primary and specialty care.
-Patients have flexibility in choosing their provider.
Cons:
-Providers may be tempted to overprovide services in order to increase their revenue.
-May result in higher overall costs as providers are not incentivized to improve efficiency or coordinate care.
-Quality of care may suffer as providers rush through appointments to see more patients.
Capitation:
Pros: Cons:
-Pays providers a fixed amount per patient regardless -Providers may skimp on care in order to stay within their budget, leading to lower quality of care.
of the number or type of services rendered, so they -Providers may be reluctant to accept new patients, as it will require them to do more with less money. have an incentive to provide efficient, coordinated care. -May lead to cherry picking by providers who only accept low-risk patients.
Conclusion
The financial structures of health care systems can have a profound impact on the quality and availability of care. In this article, we’ve discussed some of the different types of financial structures that exist, as well as their pros and cons. Ultimately, the best type of financial structure for a health care system depends on the specific needs and context of the country or region.
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