HLTH - 556 DB 3 - Urgently Required. 10-12 Hours. Need A + Work

Liberty University

             The one government alternative that I select to have the greatest viability is the captive payer system and the use of expanded / reduced eligibility / benefits. First, the captive (or single payer) system does not refer to a unitary type of payer for the entire healthcare offered. One of the most common example of a captive payer system is Medicare. Medicare is the only government payer for the elderly and or some qualified disabled individuals. Though there are other opportunities for qualifying individuals to also receive other insurance benefits Medicare is the only government issued coverage to this particular population (McLaughlin & McLaughlin, 2015). This example allows transparency that expansion on benefits would be useful to this particular population.

            One free market alternative that I would select as most successful is the modification of medical practice constraints. The modification of medical practice constraints could allow for a vast reduction in costs over time especially as new legislation allows for expansion in roles such as those of a mid-level provider such as a Nurse Practitioner or Physician Assistants (McLaughlin & McLaughlin, 2015). These roles are imperative to a successful practice as it allows serving clients in a timely and thorough manner. One study research found “employment of an NP or a PA in the hospital care setting has been shown to provide patient benefits, including reduced length of stay, lower medication use and costs, and improved communication among providers” (Mackey, Boyle, Walo, Castro, Cheng, & Cook, 2014, p112-119). Without such providers physicians would not be able to maintain their practice as they wish. Allowing expansion of mid-level practice can take stress off of the primary provider and fills a void that would certainly remain without them.

            Regardless of which government or free market alternative one selected it is important to understand that some form of regulation is warranted in order to be successful. Although rules and policies are not always favorited by individuals, one thing I have learned in my years as a registered nurse is that working for a company with policies adhered to was much more successful than ones where policies were not enforced. “Do not think that I have come to abolish the Law or the Prophets; I have not come to abolish them but to fulfill them” (Matthew 5:17, ESV).

Reference

Mackey, Patricia A,R.N., C.N.P., Boyle, Mary E,R.N., C.N.P., Walo, Patricia M,R.N., C.N.P., Castro, J. C., B.S., Cheng, M., M.S.P.H., & Cook, C. B., M.D. (2014). CARE DIRECTED BY A SPECIALTY-TRAINED NURSE PRACTIONER OR PHYSICIAN ASSISTANT CAN OVERCOME CLINICAL INERTIA IN MANAGEMENT OF INPATIENT DIABETES. Endocrine Practice, 20(2), 112-119. Retrieved from http://ezproxy.liberty.edu/login?url=https://search-proquest-com.ezproxy.liberty.edu/docview/1545884566?accountid=12085

McLaughlin, C. P., & McLaughlin, C. D. (2015). Health policy analysis: An interdisciplinary approach (2nd ed.). Sudbury, MA: Jones and Bartlett. ISBN: 9781284037777