Healthcare Financing

Healthcare Financing

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Healthcare financing is the process of assembling resources for purposes of healthcare. It involves setting aside funds to stations and groups of people for a specified class of healthcare service delivery. The health care delivery system is unique in different countries, and the source of funding, allocation criteria, and mobilization is different. The organization of healthcare financing differs from that of Japan concerning the region, population considered and type of healthcare.

Comparison of healthcare access

In the U.S, the ability of children to get timely access to healthcare depends on whether the child is insured or not..

Coverage of medications

In the US, to get medications covered, the attending physician must confirm in writing that the drug is appropriate for the condition. Health plans assist in catering the costs of prescribed drugs in the formulatory. They do not pay for the complete cost, individuals pay part of the bill and at times pay each month. In Japan, individuals are free to select their healthcare providers upon which after prescription of drugs, they get them from the manufacturers with a 30% less cost price (Hsu & Yamada, 2017).

Referral of patients

In Japan, during the referral of patients to see a specialist, the primary doctor, after careful assessment of the patient and deciding that the patient needs…

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Covering of preexisting conditions

Concerning preexisting conditions coverage, the US has a policy that does not refuse coverage for the preexisting condition so long as one has health insurance. The preexisting condition insurance plan previously covered the population that was denied coverage of preexisting conditions or given insurance without accounting for preexisting condition by private companies…

Financial implications for patients

Healthcare delivery process impacts differently on patients depending on the modes of financing available. One effect is the rising cost of premiums to be paid due to the increasing population. The more the premium rates rise, the less people enroll to insurance plans. This diminishes the healthcare seeking habits.

Conclusion

Health financing is a crucial process in the world as it caters for the expenditure on medical purposes. It enables individuals to access quality healthcare services.

References

Barr, D. A. (2016). Introduction to US Health Policy: the organization, financing, and delivery of health care in America. JHU Press.

Hsu, M., & Yamada, T. (2017). Population Aging, Health Care, and Fiscal Policy Reform: The challenges for Japan. The Scandinavian Journal of Economics.

Neprash, H. T., Chernew, M. E., Hicks, A. L., Gibson, T., & McWilliams, J. M. (2015). Association of financial integration between physicians and hospitals with commercial health care prices. JAMA internal medicine175(12), 1932-1939.

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