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Encouraging physicians to strictly limit the budgets of each patient's care will surely drive down costs and may even conspire to encourage physicians to improve patient preventative care. But there is always the fear that patients will be denied necessary as well as unnecessary tests and procedures, and physicians may shy away from suggesting expensive but potentially life-saving treatments.
This new system essentially splits the interests of physicians and patients: the less care physicians give, the more physicians are paid. Furthermore, there is a strong disincentive to treat potentially uncooperative or risky patients. Patients who have mental health issues or who have chronic conditions that are unpredictable and difficult to treat, such as the obese and diabetics, may fall under such categories. However, these patients are often the individuals most in need of intensive, hands-on care and a close relationship with their physicians.
Impact on practitioners
Practitioners will be frustrated by the new system because accountants and actuaries will be attempting to dictate patient care, rather than the physician's own medical judgment. Every patient is an individual, and every condition is individualistic...
Under Prometheus, physicians lack the discretion to create a treatment plan that will be effective -- instead, they must focus on making plans cost-effective.
The one positive benefit for physicians is that they may have an 'excuse' when patients demand treatments that are blatantly contraindicated or useless -- such as a mother who demands an antibiotic for her child with a cold, or someone who has an anxiety disorder and demands a cardiovascular stress test for his or her pounding heart. Explaining that the treatment guidelines do not financially cover such a procedure could be used as a defense by the practitioner
At present, healthcare in America exists in a state of extreme imbalance -- individuals with comprehensive insurance have little incentive to limit their consumption of care. In contrast, individuals without insurance, or with very bare-bones levels of insurance, struggle to pay for any type of care at all. The proposed 'Prometheus' plan would limit some of the excesses of so-called Cadillac plans, but may end up simply harming more individuals than helping others. It would limit the care dispensed to some, but would do little to increase the incentives to expand care to others.
The expectations for these kinds of changes will be to see gradual shifts at first. Where, it may not seem like anything is changing at the facility. However, over the course of time, these kinds of changes will be obvious in the quality of treatment that is being provided will improve. As a result, the strategy will take approximately one year to fully implement a change in the atmosphere of
The infant mortality rate is of 8.97 deaths per 1,000 live births. This rate places Kuwait on the 160th position on the chart of the CIA. The adult prevalence rate of HIV / AIDS is of 0.1 per cent. In terms of economy, Kuwait is a relatively open, small and wealthy economy. It relies extensively on oil exports -- petroleum exports for instance account for 95 per cent of the
Economic Issue in Health Care Inflation affects all the segments of an economy; including individuals, businesses, and governments in a number of ways. The healthcare industry also takes its impacts on each and every aspect of its operations; like consumer spending, costs of operations, demand and supply of medical treatments, medicines, and general healthcare services, etc. The purpose of this paper is to evaluate the impact of an important economic issue,
Then, when you combine this with the fact that Medicaid serves 53 million people with an annual budget of $329 billion, means that rising costs is severely affecting this program. ("Medicaid Reform," 2005) the inflexibility of this program has contributed to problem as a one size fits all approach is taken. Then, when you combine the different state programs offered through Medicaid, means that an uneven standard of inflexibility
Health Administration The purpose of this study is to show that there are many reasons why nurses leave their profession, but that financial reasons often rank very high on their list of concerns. Managed care issues and job dissatisfaction also play large roles in the minds of nurses when they decide to seek employment elsewhere. A review of current and pertinent literature indicates that most nurses are leaving because they are
CASE STUDY 6.3: SINGLE-PAYER SYSTEM 1AbstractCase 6.3 seeks to assess the cost-effectiveness of the Medicare for All system. It discusses the cost savings to be realized by insurers, providers, and patients in implementing the Medicare for All system. For insurers, the plan would reduce costs by reducing redundancies and streamlining administrative procedures as well as granting Medicare significant power to bargain over pharmaceuticals� prices. For patients under private insurance, the