'Challenges of the U.S. Healthcare System Essay\r'

' judgement the U.S. Health cautiousness formation brush off be very thought-provoking payable to the organisation is constantly changing from unexampled engineering science; monitor c ar, wellness c atomic number 18 reforms, develop macrocosms and other economic factors that choose a significant impact in the puzzle kayoeding entrustd. This paper go by focus on the stakeholders conglomerate in health c atomic number 18 today. Who be these stakeholders? What atomic number 18 their intentions in the health get by industries? Understanding the everyday, payers, providers, and the suppliers may explain wherefore the health care corpse continues to be take exception.\r\n like a shot U.S. Health maintenance remains is face umteen challenges. concord to Sultz & adenine; four-year-old (2011), this because the growing concern that the Health grapple is a large and thorny to manage and that consume oer 17% of the U.S. crude domestic product and exceeds $ 1.5 trillion in be (p.1). Who are these major stakeholders that sometimes share and often cause unconnected concerns, interest and influence the major region on the health care arrangement? They are the in the public eye(predicate), payers, providers, and the suppliers. The public is the major consumers of the attend provided by the health formation. The insured and the uninsured are both major contri saveors. The public is truly non aware(predicate) of the original cost of healthcare services because of the triplet party payers or the regime’s Medicare/ Medicaid program. The insured is only concern is the cadence of deductible and co-pay due. The uninsured relies on the presidential bound aid and with the lack of understanding cull ER visit instead of autochthonic doctor visit. The public also assumes that healthcare is estimable like other inherits objurgate ( much(prenominal) as protection from the police, fire subdivision or public education) and s hould be approachable to all U.S. citizens. Currently, the number of uninsured is rising, and that’s why low-priced Care deed was employ by chairwoman Obama.\r\nThe challenge is â€Å"How m any uninsured forget genuinely gain reports, and whether the reform equity depart keep healthcare spending ontogeny down are the two many uncertainties in the year ahead?” (Meyer & Evans, 2014, p.15). The consumers also redeem an organization that lobbies command and protection for the public. Such organizations are the American Association of Retired Person, labor organization and a disease specific separate (ACS-American pubic louse Society, The American Heart Association). Traditionally, patient’s behavior is very dependent upon the provider ( physician), and the possibility of excessive services much(prenominal) as diagnostic testing can be done. Currently, lucre has empowers people to strain health information. cyberspace plays a larger role in th eir diagnosis and overlayment. A survey done by pew Re reckon circle round’s meshing & American Life declare oneself (2013), 1 in 3 American adults have gone online to move into out a aesculapian condition, and 35 % of U.S. adults posit that, at one time, or another, they have gone online specifically to try to figure out what medical condition they or someone else might have (p.1). Internet use is becoming to a greater extent normal due to easy main course to the internet with smartphones. There are reliable and not reliable website that patients’ quests to be aware when searching the interment. According to Sultz & unsalted (2011), internet users are becoming more(prenominal) educated and participatory in clinical decision-making (p.59).\r\nThese notwithstanding challenge the doctors on how to speak with a more knowledgeable and involved patients. I see more and more patient dictating their treatment options versus before just doing what the doc tor says. The payers in the U.S. health governing body are very influential group of stakeholders because they are the one paying for the laid-back percentage of the cost. The payers are the public empyrean which includes the federal organization, state and topical anesthetic government. The secluded sectors are the private insurers and telephone line. According to the term Understanding the U.S. Healthcare System (2010), 47% of the expenditures comes from the public sources and 53% from private sources (p.4). They are also the one the currently victorious an active role in determine what those costs should be. The government is considered a dominant allele stakeholder since the implementation of Medicare and Medicaid. The government is the taxing sanction that generates the funds to support the healthcare system. The government’s role is not just a payor but also as regulators and providers through public hospitals, state and local health department and other gover nment facilities. Many regulators were formed over the days to control over various areas in the healthcare system. Most common regulators are the HHS- U.S. Department of Health and Human Services, CMS- the Center of Medicare and Medicaid, and the FDA- the Food and Drug Administration.\r\nThese organizations are created to produce sure everyone is compliant with the current law of U.S. The current healthcare situation has created a significant dilemma in our country. Problems such as the rising uninsured, the advancement of engineering and the rising cost and healthcare system emphasis on cure and cuckold prevention are just some of the example of why the president implemented the Affordable Care constitute (ACA). The Affordable Care Act ordain help millions of Americans who currently lack insurance, working-aged men and women and their children, access to Medicaid. It will help small business and individuals with modest means purchase reasonably priced plans. Shaw et al. (20 14) mentioned by 2019, the law will take in health coverage and the health benefits of insurance-to an estimated 25 million more Americans (p. 75). It has already muted discriminatory insurance practices, made coverage more affordable, and realized new provide to curb costs (including tests of new health-care spoken language models) (Shaw et al., 2014). The ACA has positive and negative points, but our lush healthcare system needs to bug out in these issues and challenges in tack to mend our healthcare system.\r\nThe providers in the U.S. Healthcare System include all individuals and organization that provide healthcare services to the consumers. Individuals include; physicians, concord practitioners, nurses, dentist and any allied health providers. Organization include; hospitals, nursing homes, community-based ambulant services and other similar entities. Although health professional is the one that provides actual care, hospitals in particular offer the environment in wh ich care can be provided and are compensated by the payers for the service provided. As an employee in the healthcare, I have seen a physician that provides extra service or chargeable item in order to adjoin revenue. This assumption is hard to rebel because of documentation provided by a physician and conflicting opinions. Physicians and organization that emphasis on cure can fail to intimation prevention. Healthcare professional can tip and influence public opinion specially when it comes to health. According to Sultz & Young (2011), headmaster Association has considerable influence over legislation proposals, regulation, musical note issues, and other insurance-making matters (p.16). A good example is the lobbying dominance of the American checkup Association plays an beta role.\r\nIt also includes the American Hospital Association, and The American Nurses Associations are just a fewer of the powerful organization that has a role in the health policy decisions. o ther outstanding issue is the long term care in the aging population is also creating challenges in our healthcare system. The increase of senior citizen (baby boomers) will create higher(prenominal) cost deficit and it’s important to create a seamless process of care to avoid duplication of services. Currently, healthcare providers are experiencing budget constraints and strict regulation. Providers are asked to have EMR (electronic medical record) system implemented. According to CMS.gov, as required by law, President Obama issued a sequestration order on March 1, 2013. Under these mandatory reductions, Medicare EHR inducing payments made to eligible professionals and eligible hospitals will be reduced by 2%. This 2% reduction has been applied to any Medicare EHR incentive payment for a reporting period that ended on or after April 1, 2013 (â€Å"EHR incentive programs,” 2014).\r\nContinuous quality cleansement (CQI) should be included in gathering data quality in the organization, since it focuses on processes rather than the individual; reorganise both external and internal customers, and promotes the need for objective data to analyze and improve processes (Green & Bowie, 2011, p. 258). A more patient-centered care and prevention could cause impact on how the providers handle business. The suppliers in the healthcare system include medical equipment companies and drug companies. These suppliers have grown immensely due to the search of greater efficiency in the spoken language of health care services. These companies are for network and strive for competition in the foodstuff just like the insurance companies. newfangled drugs, technology and new creative functional procedures have made it possible to treat diseases that have a bad prognosis. reinvigorated technologies have created a behavior enhancing and life-extending medical accomplishment (Sultz & Young, 2011, p.44). Strategies have win over in the delivery of care due to the advancement of technology and brought new problems.\r\n revolutionary medical and technological advancement came with new financial and ethical dilemmas. Financial saying is whatever it’s beneficial or not the use of new technology has contributed to the higher healthcare cost. The ethical dilemmas are greater ability to prolong the life can likely cause suffering quality of life and the right to die. The AMA (American Medical Association) and the federal government have real programs to examine these issues and provide information to the public and to the providers. In the Technology Assessment Act of 1972, â€Å"it is essential that, to the fullest extent possible, the consequences of the technological applications be anticipated, understood, in the determination of public policy on existing and emerging interior(a) problems” (Shultz & Young, 2011,p.45). The Agency of Health Care Policy and Quality has a challenging mission to adhere and sort out t he complicated health care system and determine what is reasonable to whom, when and at what cost.\r\nIn conclusion, the U.S. Health Care system is changing economically and socially. Healthcare organizations are challenge in providing high quality, affordable care, and healthcare services are an increasingly difficult challenge. The reported outcomes are critical components of evaluating whether clinicians are improving the health of the patient, safety, reducing cost and encouraging preventive care. Containing the cost will affect the quality of care; that will raise the question to quality and access. In addition, there are strong pressures on providers to examine and document the outcomes and effectiveness of their health care actions. All stakeholders must substitute in order to resolve the decomposable issues such as treatment options, electron orbit of laws, politics, journalism, administration, public and providers. There are slake a lot of issues that need improvements, but I believe that our government and lodge will find a centre of attention ground to solve these issues.\r\n'