Role of Government in Healthcare/How Government Influence Sunnydale
Similarities between Monopoly, Perfect Competition and Oligopoly
Importance of Government Involvement with Health Care Entities at the Local, State, and Federal Levels
Structure, Conduct, and Performance Paradigm As It Relates To Health Care
Implications of the Sherman Antitrust Act on Sunnydale Care
Overview of the Structure and Operation of Medicare and Medicaid
Services That Each Cover
Coverage Establishment
Funding Differences
Benefits and challenges of government involvement at Sunnydale Care
Similarities between Monopoly, Perfect Competition and Oligopoly
Monopoly and perfect competition
Both perfect competition firms and monopolies face similar production and cost factors. Both also are in the business of maximizing profit. Both have the potential of earning super-profits but in the long-term they would only achieve normal profits (Boundless, 2015).
Perfect Competition and Oligopoly
In both these is more than one firm in the market competing with the others and no single firm has monopoly status. In both cases companies need to market their goods and services so as to increase their sales, although marketing plays a more significant role in oligopolistic markets (Blurtit, 2015).
Monopoly and Oligopoly
Both oligopolies and monopolies are made up of large companies. These companies hold significant market control over specific goods and services over which they have copyright (Ladyheart123, 2008).
Importance of Government Involvement with Health Care Entities at the Local, State, and Federal Levels
Local level
The moment that local officials are not involved from the initial stages of planning for the implementation of healthcare reforms, unnecessary problems and delays may occur, with detrimental effects on individuals who depend on the local healthcare services (U.S. Advisory Commission on Intergovernmental Relations, 1994).
State level
Participation of state governments in the provision of healthcare services ensures delivery of quality services (Tang et al., 2015).
Federal level
Involvement of the federal government ensures: access to quality care for minorities and vulnerable populations; regulation of healthcare entities and markets; funding and support for the acquisition of new knowledge; the development and assessment of health practices and technologies; the monitoring of the quality of healthcare; and the development of the health workforce (Tang et al., 2015).
Structure, Conduct, and Performance Paradigm As It Relates To Health Care
It would assist in the identification of the links between health structures and performance. It would also provide information on identification of market power, entry-exit, merger analysis, pricing and technological changes (Edward et al., 2005).
Implications of the Sherman Antitrust Act on Sunnydale Care
The act would have a huge impact on Sunnydale care, since it is based on the notion that free trade benefits the national economy, consumers and businesses alike and thus it disallows monopolization and quite a number of restrictions on trade such as contractual agreements between seller and buyers, competitor agreements, and the pursuit of monopoly power (West Group, 2015).
Overview of the Structure and Operation of Medicare and Medicaid
Medicare
As part of the amendments to the Social Security Act in 1965, a health insurance program was established the elderly to complement disability, survivors, and retirement benefits under title XVIII of the Act which then became commonly known as Medicare (Klees et al., 2010)
Medicaid
The social security act in title XIX establishes an entitlement program that covers medical assistance for people with low income. Also known as Medicaid, this entitlement program is the single largest source of finance for healthcare services for the poorest people in the United States. Within the guidelines established by the federal government, states come up with their own standards for eligibility; determine the amount, type, duration and level of services; and administer their own services (Klees et al., 2010).
Services That Each Cover
Medicare
Part A: Hospital admission coverage, Part B: Healthcare insurance, Part C: privately bought complementary insurance that offers additional services besides offering access to services in Part A and Part B, Part D: Prescription medication coverage (Smith, 2015).
Medicaid
Medicaid policies, for services, payment and eligibility are complex and vary significantly between states (Klees, 2010).
Coverage Establishment
Medicare
Part A, provided free of premium payments to most eligible people, is important in the payment of inpatient hospital care, home health services and hospice care. Part B provides payment for the physician and also outpatient services, for one to be covered by Part B, he or she must pay premiums (Klees et al., 2010).
Medicaid
Eligibility varies between states and services may also vary significantly in terms of scope, amount and duration (Klees et al., 2010).
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