Healthcare Delivery Systems SLP 1

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Introduction to the U.S. Health Care Delivery System

The overall goal of the Session Long Project is to examine health care delivery in the United States from a strategic perspective.

The Patient Protection and Affordable Care Act (PPACA) changed the landscape of the health care industry. For this assignment, read the "Three brutal facts that provide strategic direction for health care delivery systems: Preparing for the end of the health care bubble" by Nathan Kaufman. Kaufman discusses that the health care industry is heading for a fall and that organizations need to prepare now by focusing their strategies on new market realities. After reading the Kaufman article, write a paper to respond to the following questions.

  1. Why does Kaufman believe the health care bubble is going to burst? Explain whether you agree or disagree with his views.
  2. Discuss what he means by "Physician autonomy and the organized medical staff will become less relevant". Do you believe this will improve patient care?
  3. Discuss what a prepared organization is to Kaufman. Do you believe this is what it will take to effectively deal with the health care bubble? What are some suggestions that you have based upon this article and your own research?


SLP Assignment Expectations Length: Length: Submit a 3-page paper. 3 cited sources

Required Reading

Asaria, M., Ali, S., Doran, T., Ferguson, B., Fleetcroft, R., Goddard, M., & Cookson, R. (2016). How a universal health system reduces inequalities: lessons from England. Journal of Epidemiology and Community Health, 70(7), 637-643.

Beitsch, R. (2015). Hospitals oppose site-neutral outpatient pay proposal in Obama's budget. Inside Washington Publishers' Inside CMS, 18(5).

Beland, D., Rocco, P., & Waddan, A. (2016). Obamacare wars: Federalism, state politics, and the Affordable Care Act. Lawrence: University Press of Kansas. Retrieved from https://muse.jhu.edu/book/43112

Galarraga, J. E., & Pines, J. M. (2016). Costs of ED episodes of care in the United States. The American Journal of Emergency Medicine, 34(3), 357-365.

Harrison, S. (2015). Health care reform may drive higher comp costs. Business Insurance, 49(6), 4-4,22.

Foundation Recovery Network. (2016). The effects of the Affordable Care Act and outpatient treatment. Accessed from http://www.outpatientcenters.org/affordable-care-a...

Gavil, A. I., & Koslov, T. I. (2016). A flexible health care workforce requires a flexible regulatory environment: Promoting health care competition through regulatory reform. Washington Law Review, 91(1), 147-197.

Joynt, K. E., Chan, D. C., Zheng, J., Orav, E. J., & Jha, A. K. (2015). The impact of Massachusetts health care reform on access, quality, and costs of care for the already-insured. Health Services Research, 50(2), 599–613

Kaufman, N. S. (2011). Three "brutal facts" that provide strategic direction for healthcare delivery systems: Preparing for the end of the healthcare bubble. Journal of Healthcare Management, 56(3), 163-8.

Kennedy, S. (2015, December 1). New health care jobs in Pennsylvania not at hospitals. The Morning Call. Retrieved from http://www.mcall.com/business/mc-health-care-emplo...

Mead, R. (2015). The obstacles to health care reform. Policy, 31(3), 12-13.

Merlo, G., Page, K., Ratcliffe, J., Halton, K., & Graves, N. (2015). Bridging the gap: Exploring the barriers to using economic evidence in healthcare decision making and strategies for improving uptake. Applied Health Economics and Health Policy, 13(3), 303-309.

Outpatient medical procedures save money. (2016). Healthcare Leadership Review, 35(5), 13.

Rich, G. (2015, March 30). Hospitals going out for profitable care: Outpatient sites cheap, serve paying patients, align with Obamacare. Investor's Business Daily, p. A1.

Young, Q. D. (2016). Health care reform: A new public health movement. American Journal of Public Health, 106(6), 1023-1024.

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Explanation & Answer

Attached.

Running head: HEALTHCARE DELIVERY SYSTEMS

Healthcare Delivery Systems
Institution Affiliation
Date

1

HEALTHCARE DELIVERY SYSTEMS

2

Question One
The Affordable Care Act was introduced by the Obama administration with the intention
ensuring that insurance becomes accessible, reasonably priced, economical, and enable the
citizens of the United States to have a direct capacity of controlling their own healthcare plans.
However, Mr. Kauffman has the perception that this policy will not be effective as expected and
the cost of healthcare will still increase consistently. He asserts that eventually, the government,
businesses, as well as individuals will lack the ability to afford the expenses involved. The main
issue will not be that there would be numerous individuals who would be uninsured, but
premiums and deductibles would increase making companies unable to offer their staff this kind
of entitlement.
The Affordable Care Act facilitated the extension of Medicaid in order to increase the
accessibility of healthcare services to the elderly, low-income earners, the middle class, and the
individuals living with disabilities (Beland, Rocco, & Waddan, 2016). There is also an issue of
medical entitlement since it tends to be different from all the states. Therefore, for the families
...


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