Japan Single Payer powerpoint

Running Head: SUMMARY 1

SUMMARY 2

HCM680

Health Insurance and Managed Care

Instructor: Richard Gammans PhD MSM

Sonja McDonald

Term Paper

Part 2: Conclusion and Recommendation

Spring 2020

Managed care in the united states started in the 19th century when a few physicians in many cities in the united states began giving prepaid medical care to members of the unions, fraternal order, and many other workers' associations. On the other hand, in Japan, the health insurance system started to develop after the Meiji restoration when the western medication was introduced. There was a difference in payments where those enrolled in employee health insurance paid the average amount for the first physician and the dependents.

In U.S. The provider should determine the party with which it will contract. Collect relevant information about contracting. Initiate the contract with the companies that are contracting. In Japan They start by defining the scope of care they are providing. Identification of the beneficiaries is then made. Identification of the type of privileges that the provider will offer. In U.S. The employer makes payments to the insurance firm in which when the employee has received services. The physician claims it from the insurance firm. On the other hand, Health insurance is mandatory in Japan, and those that do not provide the card do not receive medication

The general outcomes in the united states health are far lower than the other industrialized countries, regardless of it being a wealthy country. However, life expectance has increased at a small margin. Japan among the industrialized countries has achieved a lot of progress in terms of the healthcare systems. Cases such as heart attacks have been on control. Many people have been saved, including those involved in accidents. In Japan, healthcare insurance is a mandatory practice where some of the insurances offer preventive services that also include: the inpatient hospital cares outpatient medical care, mental health is also catered.

U.S should implement single player healthcare system. The current healthcare system has a lot of issues. The country is spending too much on healthcare compared to other nations, the country has remained to have a very low life expectancy and has poor health outcomes compared to these nations such as Japan (Douthit et al., 2015). This complex network insurance program is a total waste because of the high administrative costs connected to it plus the lack of control in prices is another issues with the system. Another major issues with our healthcare system is inequity because it lacks a proper universal healthcare. The ACA has brought some important advantages towards expanding and improving the health insurance coverage. However, this insurance still leaves 30 million Americans as uninsured (Andrea & Christopher, 2020).

Implementing a single payer healthcare system will allow everyone to have health insurance under the same insurance plan and access to the necessary services in the field of healthcare. Individuals will still have the chance of choosing where they want or they are comfortable to receive care (Sakamoto et al., 2018). This system is like more of Medicare and U.S. refers it as Medicare-for-all. This system will address some of the issues that the country is currently experiencing. This coverage will be a step towards equality most especially for the underinsured or the uninsured individuals in the country (Andrea & Christopher, 2020). There will be minimal utilization of funds hence it will control wasteful spending by reducing administrative costs. In addition, a single payer strategy consists of more incentives for direct healthcare spending to public health strategies. Transitioning to a single payer system there might be potential tradeoffs such as length waiting time as well as restricted availability of specific healthcare services.

References

Andrea, S. & Christopher, (2020). Single payer healthcare: Pluses, minuses, and what it means for you. Retrieved from https://www.health.harvard.edu/blog/single-payer-healthcare-pluses-minuses-means-201606279835

Douthit, N., Kiv, S., Dwolatzky, T., & Biswas, S. (2015). Exposing some critical barriers to health care access in the rural USA. Public health, 129(6), 611-620.

Sakamoto, H., Rahman, M., Nomura, S., Okamoto, E., Koike, S., Yasunaga, H., ... & Palmer, M. (2018). Japan health system review.