How would you as a healthcare executive / policymaker increase the effiency of the U.S. healthcare system?Discuss.

How would you as a healthcare executive / policymaker increase the effiency of the U.S. healthcare system?Discuss.

To answer this question, consider that there are reasons for the current high U.S. healthcare expenditures:

The USA does not regulate the price for healthcare services – using, in most cases, a free-market approach to determine prices.

The demographics of the U.S. population is skewed towards the elderly and age and cost increase together.

The U.S. population as a whole is a nation of people with multiple chronic diseases like HTN and DM and obesity. The consequences of several lifestyle choices contribute to the high cost of chronic care.

The U.S. healthcare system does not seem to work as well as other healthcare systems in the world.

 Make sure to provide credible evidence to support your ideas.

Health Belief Model: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4530978/

The Value of Human Life: https://www.npr.org/2020/04/23/843310123/how-government-agencies-determine-the-dollar-value-of-human-life

Ortega, A. N., Rodriguez, H. P., & Vargas Bustamante, A. (2015). Policy dilemmas in Latino health care and implementation of the Affordable Care Act. Annual review of public health, 36, 525–544.

https://doi.org/10.1146/annurev-publhealth-031914-122421

Joynt Maddox KE, Bauchner H, Fontanarosa PB. US Health Policy—2020 and Beyond: Introducing a New JAMA Series. JAMA. 2019;321(17):1670–1672. doi:10.1001/jama.2019.3451

https://jamanetwork.com/journals/jama/fullarticle/2730484

Meskó, B. (2015). Ethical Issues of the Future of Medicine: The Top 10. https://www.linkedin.com/pulse/ethical-issues-future-medicine-top-10-bertalan-mesk%C3%B3-md-phd/

ODPHP (2016). Determinants of Health. Retrieved from http://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health

Healthcare Providers’ vs. Patients’ Understanding of Heath Beliefs and Values

HIPAA

https://www.hhs.gov/hipaa/for-professionals/index.html

EMTALA

https://www.cms.gov/Regulations-and-Guidance/Legislation/EMTALA/index?redirect=/EMTALA/01_overview.asp

HITECH Act

https://www.hhs.gov/hipaa/for-professionals/special-topics/hitech-act-enforcement-interim-final-rule/index.html

McKinney Homeless Assistance Act

https://nche.ed.gov/mckinney-vento/

Federally Qualified Health Centers

https://www.hrsa.gov/opa/eligibility-and-registration/health-centers/fqhc/index.html

Health Management and Policy Productions (2013). Plagues and People. Retrieved from https://www.youtube.com/watch?v=6IrPWxTFWE0&list=PLFZ4bOip24k9whZp-vKO1yBAIkR3KgWdN (51:01)

Empathy: The Human Connection to Patient Care

Porter, M. (2012) Michael Porter on “Value-Based Health Care Delivery”. Harvard Business School.