Essays on FFS

Prices in Healthcare Industry

Like in all consumer services markets prices do play a great role in the healthcare industry. However, unlike in the other markets there is lack of transparency in the healthcare industry. Thus patients are not able to make comparisons based on prices when shopping for health care services since providers in the industry do not disclose their prices before the services are offered (Sinaiko & Rosenthal, 2011). Prices in the industry are important as they are used by the consumers to compare between different providers. Also the consumers are able to assess the value for their money from the prices charged ...

Discuss the origin, structure, and purpose of the new organizations formed under PPACA.and evaluate the challenges and opportunities facing payers and providers as ACOs and PCMHs are implemented: Accountable Care Organizations (ACOs) and Patient Centered Medical Homes (PCMHs) are part of the reforms brought about by the Patient Protection and Affordable Care Act (PPACA). These organizations representing the models of delivery of patient care seek to improve patient care, control patient health care costs and improve the care experience for Medicare and Medicaid beneficiaries. Some experts have voiced their concerns about the ACO’s potential to create market ...

Introduction

Federal government health programs serve as among the constructive recipients of programs related to health informatics initiatives. For this study, three federal government health programs come under review – the Federal Employees Health Benefits Program (FEHBP), TRICARE and Program of All-Inclusive Care for the Elderly (PACE). FEHBP benefits former and current federal employees through vast health plan offerings throughout the United States (US). Federal employees have two choices between the two – consumer-driven and high deductible plans, on one hand, and fee-for-services (FFS) plans involving health maintenance organizations (HMOs) and preferred provider organizations (PPO), on the other (Graney, 1997). Currently, the ...

Health care delivery systems

As the name suggests, health care delivery system refers to a well-organized means of providing prevention, treatment and management of health issues by health experts to registered persons. In this paper there are definitions of various health care delivery systems, the goals of the same and then examine the similarities and differences manifested these systems. Health care delivery systems in place today can be categorized into two. These are the fee-for-service delivery systems and the managed care systems. To start with, fee-for-service health care delivery systems is whereby the holder pays for a specific medical service offered solely by a medical ...