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How Government Can Improve The Health Care System

compassionate-brown by compassionate-brown
November 11, 2021
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Healthcare is an aspect of life that we all believe we have a right to — it is our right to have access to healthcare whenever we need it. For many individuals throughout the world, however, this is just not an option. Those who live in poverty or who are suffering from the catastrophic repercussions of war and conflict do not have access to healthcare — even the most basic medical supplies are out of reach for many vulnerable individuals. People are significantly more in danger if they do not have access to healthcare. Diseases, starvation, and pregnancy may all become quite deadly if not treated properly.

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With how important the health care system to society is, it is the government and state’s responsibility to improve the quality of our health care and make sure that the civilians are getting the best medical system. That is also the reason why we have tons of research labs and lab equipment Malaysia, for researchers to do their research.

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States must tackle health care in the same manner that successful firms address troubling divisions in order to significantly improve health care. They must comprehend the underlying causes of failure and make the required adjustments to rectify the situation. Thankfully, there is a lot of precedence for this. Manufacturing, retail commerce, and commercial services have all utilized the same technique to become more efficient, and states may do the same.

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Attempt to reduce administrative costs.

Our healthcare system spends around $250 billion to $300 billion on administrative costs each year. One apparent component of this cost is the money spent by insurers on identifying good and bad risks, but this is only the tip of the iceberg. Billing operations cost providers millions of dollars and employ hundreds of employees.

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During the current health reform debate, insurers and providers agreed to eliminate this sort of waste. There aren’t many steps required in doing so. Streamlining physician credentialing, harmonizing information supplied to various insurers and state agencies, transitioning to electronic payment systems, creating online insurance interchanges, and implementing real-time claims adjudication processes are just a few of them.

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Bring the information revolution ahead.

Without knowing what it was doing, no industry has ever gotten more productive. Obtaining and evaluating healthcare data is a necessary prerequisite for cost-cutting. States may help with the gathering and utilization of this data in a variety of ways. To begin, states can gather medical claims data from all insurers in order to assess what is being done and how well it is being done.

With this data, states may compile high-quality information about various providers. States can analyze whether providers have better results or cheaper costs than others for common diseases including heart disease, cancer, and strokes. This information can be used by states for a variety of purposes. They may begin by feeding it to consumers, insurers, and providers, who will be able to make better-informed healthcare decisions as a result. High-cost, low-quality providers might also be asked for improvement plans—what actions is the institution doing to improve, and how will they be monitored? States can monitor the execution of quality improvement programs with a limited number of providers.

Payment reform in the lead.

Payment reform is vital to cost-cutting efforts. Opportunities for cost reductions can never be fully realized as long as payment is based on the amount of care provided rather than its value. The need for payment system reform is illustrated by the evolution of care for a typical sick individual. People usually start out healthy and then develop chronic illnesses as they become older. If the situation is well-managed, the person will remain in that state. However, the condition frequently escalates to an acute episode, necessitating rapid and follow-up treatment. Primary care physicians, specialists, hospitals, nursing homes, labs, pharmaceutical firms, and medical equipment providers are all involved in chronic, acute, and post-acute therapy. These professionals are usually compensated on a piece-rate basis. Even if the medical treatment is provided on an inpatient basis, physician fees are distinct from hospital payments. Even though lowering emergency department visits might save the system money in the long run, primary care physicians are not rewarded for doing so. There are several approaches to enhance the payment system.

Be willing to try new things.

A well-coordinated healthcare system will look nothing like the one we have now. Physicians will operate in groups rather than alone; health institutions will monitor care rather than only treat patients when they are sick, and technology will be pervasive. Other industries’ experience implies that new organizational frameworks will be required to make this transition successful.

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