There are two types of insurance service providers; private and government. Private insurance is a form of business just as any other and therefore exist primarily to make profit. They therefore develop service bouquets that protect their primary interests of profitability. Government insurers on the other hand obtain their funding from the taxpayers and therefore operate with the sole objective of providing affordable medical insurance to the appropriate citizens. Government therefore provides insurance services to its employees known as civil servants and the poor in the society most of whom cannot afford the cost of private insurance. In both cases, the insured remit a monthly contribution to the service provider for the insurance coverage. On those considered the poor by the government, they remit a small amount of money set by the government, which the government supplements with money from the treasury. This way, everyone affords high quality medical services. Medical insurance services differ in terms of the cover specifications. A feature more prevalent in private insurance government insurers provides uniform services to those it considers unable to afford private services. However, it allows the civil servants to choose from the different service bouquets it outlines on its coverage. The different cover specifications vary in the monthly or annual remittance. The private insurers have dynamic medical services ensuring that they cover any form of medical condition; the more expensive the service is the more comprehensive its specifications become. Additionally, the quality of the services differs depending on both the service providers and the type of service package. Private insurers just as explained are business entities; they therefore survive based on the nature of their interaction with their customer base. Such service providers therefore offer quality services as a marketing strategy. With a medical insurance cover, one is assured of high quality medical services in case of a condition. However, the insurance service providers regulate the amount of money that one receives for the coverage depending on the service package. Both thee government and the private insurers have a clear demarcation for every service type therefore offer financial coverage up to the level that the service type allows (Green & Rowell, 2013). The government sets the minimal insurance services that everyone in the country should have in a bid to ensure that everyone in the country lives a high quality life. Among the most basic coverage, include accidents and recurrent diseases such as tuberculosis among others. By protecting the citizens from such diseases as cancer, among other recurrent diseases, the government ensures that everyone lives a higher quality and longer lives. The medical insurance services cover both inpatient and outpatient medical services depending on the nature of the insurance cover. The service provider explains the types of services included in the service specification thereby allowing for financial remittance accordingly. The insurance service providers deal with the medical institutions often eliminating the customer in their relations. In this case, after accessing medical services, the medical service provider consults the insurer with the patient details. The insurer receives the claim and
Reimbursement requirements for billing purposes in the USA healthcare system Name: Institution: Introduction Insurance refers to a means of indemnity against a future occurrence of uncertain events. People ascribe to different insurance services in order to cushion themselves from different forms of uncertainties…
US health care system vs. Canada's health care system
Both USA and Canada spend a considerable amount of their resources on their respective healthcare system. While the healthcare network in USA is operated with the help of both public and private resources, the same in Canada is mainly directed by the Government.
The doctors will be involved in providing prescription to patients after diagnosis. The prescription will also be billed by the doctor. The pharmacist dispenses the medication which makes him to be part of the system. The nurse can be involved in providing the check up services to the patients.
The aim of this paper is to discuss why tobacco companies should reimburse the government for health care expenses related to tobacco use. Accountability Tobacco companies have, over the years, created an uncontrollable desire to use tobacco products such as cigarettes.
The ability to communicate within the organization and acquire other relevant information about current and potential employees is an immediate need (Edwards et al, 2003). The second consideration is employee administration. Administration encompasses activities ranging from employee appraisal to task allocation (Edwards et al, 2003).
This has in most countries become the driving force behind the adoption of systems that will ensure the population within them manage to meet their medical needs.
Health care systems can be defined as organized arrangements planned to meet needs that will ensure the wellbeing of an intended population.
The result of this act was the substantial increase of healthcare facilities. Several other acts were enacted to improve the quality and subsidize cost of healthcare services like the 1965 Public Health Service Act and 1974 National
The financial accountants of a company prepare the financial statements like the balance sheet and profit and loss account which is mainly use by the external stakeholders of the company (e.g. the shareholders, bank, government etc). The
It is evident that the frequency and the magnitude of adverse patient incidents were not common before the 1990s when many nations reported a large number of incidences caused by medical errors. It is also evident that patient safety is a crucial health care control supported by the developing scientific framework.
The author states that in comparison to other western countries, the United States needs to improve on many aspects. One of the main sectors where the United States is lacking is the healthcare industry. The expenses and availability of healthcare in the United States are inferior to the services offered in France.
2 pages (500 words)Essay
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