Models of Healthcare Delivery
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The paper looks at the history of health insurance and the development of health management organizations (HMOs). The paper discusses, however, how under the HMO model, the insurance companies have a disincentive to reimburse care and an incentive to deny care. The paper asserts that while most acknowledge that this system of privatized healthcare is not working in America, solutions to fix it have been relatively insignificant.
From the Paper:"The current model of privatized healthcare in the United States, where individuals pay for healthcare largely through private, employer-given insurance is a relatively recent one--and relatively rare amongst the other modern, industrialized nations where healthcare is at least partly publically distributed by the government. During the late 19th and early 20th centuries, most doctors either worked independently or were employed by large organizations and philanthropic societies who employed physicians under salaries or through contracts, and patients paid on a per-treatment basis. "This slowly lost popularity due to increasing competition for contracts and price wars" over physician fees (Virk 2007). To raise prices, physicians established group practices. In this model, a number of physicians, usually from multiple specialties, came together to set up a business. The practices were owned by some of the physicians and the other doctors and employees were compensated through a mix of salary and bonuses. The practice billed the insurance plans or the patients on a fee-for-service basis."
Sample of Sources Used:
- History of health insurance. (2008, July 27). Northern California Neurosurgery Medical Group. Retrieved February 10, 2009 at http://www.neurosurgical.com/medical_history_and_ethics/history/history_of_health_insurance.htm
- Mahar, Maggie. (20080. How long will your doctor continue to accept private insurance? Heathbeat. Retrieved February 10, 2009 athttp://www.alternet.org/healthwellness/91876/?page=2
- Patterson, Daniel Y. (2007) HMO - 21st century model. Managed Caring. Retrieved February 10, 2009 at http://www.managedcaremag.com/archives/0704/0704.viewpoint_patterson.html
- Pushwaz, Virk. (2007) Models of healthcare delivery. Tutorials in Medicine 3.7. Retrieved February 10, 2009 at http://www.nextgenmd.org/vol3-7/models_healthcare_delivery.html
- Schultz, James.(1997). "HMOS: Use only as directed. Virginia Business. Retrieved February 10, 2009 at http://www.virginiabusiness.com/edit/magazine/yr1997/sept97/hmo1.html
Cite this Term Paper:
Models of Healthcare Delivery (2010, November 13) Retrieved October 28, 2020, from https://www.academon.com/term-paper/models-of-healthcare-delivery-145504/
"Models of Healthcare Delivery" 13 November 2010. Web. 28 October. 2020. <https://www.academon.com/term-paper/models-of-healthcare-delivery-145504/>