Electronic medical records have great promises to the American healthcare system based on increased efficiency, improved quality, reduced costs, lower readmission rates, and fewer illnesses among others. However, these systems collect and store personal information of patients as well as their medical histories over long periods. The information is sensitive and equally useful for many people and organizations including insurance companies, financial companies, fraudsters, identity thieves, and criminal thieves among others. Unauthorized access of the personal information or medical histories to these parties poses great risks to the health, life, and welfare of patients. Therefore, health organizations and practitioners should guarantee the privacy, confidentiality, and security of personal health information through compliance with HIPAA as well as installation of cyber security measures to deter unauthorized access, modification, damage, or distribution of patients
Name: Professor: Class: Date: How Value Based Healthcare Blends Strategic Planning, Healthcare Marketing and Quality and Strategy in Health Care Marketing Value Based Healthcare The concept of value-based healthcare refers to the restructuring of the various global healthcare systems with the fundamental goal of fostering increased value for the patients (Moriates, Arora, & Shah 5).
In the film Escape Fire the Fight to Rescue American Healthcare, there were many insightful examples of why our Unites States healthcare revolves around paying more and getting less. The system is designed to treat diseases rather than preventing them and promoting wellness. In our healthcare industry, there are many different contributors that provide and make up our system. These intermediaries include suppliers, manufacturers, consumers, patients, providers, policy and regulations. All these members have a key role in the functionality of the health care industry; however, each role has its positives and negatives.
For the purpose of this assignment they will be highlighted separately. Revenue collection is the process by which the health system receives money from households and organizations or companies, as well as from donors. Pooling is the accumulation and management of revenues in such a way as to ensure that the risk of having to pay for health care is borne by all the members of the pool and not by each contributor individually.
Healthcare Reimbursement Healthcare is made up of many factors. Among those factors are provider reimbursement and the different types of financial methods used by the patients to acquire healthcare services. Provider reimbursement is important and necessary in order to maintain the continuation of healthcare. Like every organization, including non-profit organizations, require revenue in order to pay their healthcare providers, expenses accrued, and to obtain the supplies needed to aid in rendering services. With that said, this is why there are many financial methods such as third-party payers, government agencies, private health insurance, and patient payments.
Second, the medical apps endanger the privacy of personal and medical information of the patients. For some people easy access to care is more important and on the contrary, for some privacy is the priority. Health care managers need to reassure that the application of eMedicine will not increase the chances of fraud and misuse of the confidential information. Third, high-cost patients like dual-eligible- both enrolled in Medicare and Medicaid- consume most of the health care resources. Also some patients wait till their health problem reaches emergency situations and their visit to to the emergency department is noticeable.
For example, the implementation of the Patient Protection and Affordable Care Act is two that are significant however, not the only two policy issues that have raised national attention. A question of should the federal and state governments have control of healthcare policy or the question of the policies generally supported by both parties? Healthcare reform was mainly put in place to ban the insurers’ from discrimination against pre-existing conditions, limits on age discrimination, and the elimination of lifetime caps. The health care system in the United States consists of a network of physicians, patients, hospitals, insurers, employers, regulators, and stakeholders.
Claims are an important part of the healthcare process. Claims are a “request of payment, or itemized statement of healthcare services and their costs, provided by a hospital, physician’s office, or other healthcare provider” (Castro and Forrestal, 304). Understanding the difference between professional and facility healthcare claims are important the utilization processes of reimbursement. Professional and facility healthcare claims are submitted differently. Professional claims are submitted on an individual basis.