P H 101 Lecture Notes - Lecture 14: Health Savings Account, Patient Protection And Affordable Care Act, American Health Care Act Of 2017
Document Summary
Costs are rising more rapidly than general inflation. Now 18% of gdp, it is the most expensive of all countries. Rising costs lead to lack of insurance which leads to worse health. Us is not getting its price worth. Financial incentives for medical providers: fee for service. Patients demanding the best, regardless of price. Price controls were tried in 1970s limiting new facilities and technology with certificate- of- need requirement. In 1980s medicare tried an incentive for providers: flat fees for treatment of diagnosis- related groups (drgs) Managed care is result of employer-based private insurance bargaining in the 1990s. Some approached worked for a while, but none controlled costs for the longer term. Agrees to provide all required care for a fixed payment. Pays salaries to physicians and other providers. Has incentives to: deny care, limit access to specialists and technology, provide preventive care and health promotion programs. Patients must seek care from participating providers.
