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Case Study Question Answers
Length: 4 pages (1100 Words)
Discuss the difference between variable payment and fixed payment reimbursement methods of third party payors.
In fixed payment systems, health care services are allowed to keep the surplus when the services delivered are less than the pay. However, variable payment reimbursed amounts differ with the service quantity delivered to patients.
Compare the US health care system with Germany’s, Canada’s, Switzerland’s, and Great Britain’s in terms of financing, reimbursement and production. Evaluate each in terms of allocative and production efficiency. What can you say about availability of services and quality of care?
Germany, Canada, Switzerland, and Great Britain, finance their health systems through tax revenues. Reimbursements and production copayments also significantly contribute to financing. Canada and Germany carry risk based budgeting which help enhance their productivity. The availability of services and quality of care do not have great marginal differences.
What are the differences between for-profit and not-for-profit firms? Which is likely to be more efficiency?
Profit firms have the sole intention of making more income while not-for-profit firms focus on service provision without constraining income. Not-for-profit firms are only efficient if they have good financial backing, without which, for-profit firms are more efficient.
Why do most people in the U.S. get their private insurance through their employers
Most employees prefer that they get insurance from their employers because they are not taxed as wages. This makes them much cheaper as compared to individual insurance Employer based insurance are preferred because even they are not working, there are chances that former employers may pay for sponsor-based coverage.