Social-Insurance-based Health System

College
Essay
Miscellaneous
Pages 4 (1004 words)
Download 0
The usual criteria for determining priorities for action include the number of people affected in the age group of 19-64; the extent of individual suffering; the interventions available to improve quality of life of those affected; the cost per case of the intervention; and the total cost of helping everyone affected by the problem…

Introduction

A much-cited example of rational priorities for medical care comes from the state of Oregon, where a commission was appointed in 1989 to make recommendations to the state legislature on how to expand coverage and set priorities in the Medicaid program. Underinsured people were to be added to the Medicaid list to cover every resident whose income was below a certain level, but this could be afforded only by reductions in the benefit package. After much consultation with health professionals and public hearings and community meetings held throughout the state, the commission produced a list of almost 700 condition-treatment pairs grouped in 17 categories and ranked according to priority. According to the plan the Medicaid program would pay only for items above a certain cutoff point on the list, to be determined from time to time by the legislature. The plan was implemented in 1994 and has been politically popular among the general public and with Medicare recipients. As of 1998 it is limited to relatively poorer persons eligible for the state Medicaid program, and has not been extended to the general public. ...
Download paper
Not exactly what you need?

Related papers

Health Care Delivery and Insurance System
This paper analyses the health care delivery system as to whether it is broken or not…
Health Care System
Even as the range of benefits has broadened, the program still contains what some see as gaps and others regard as areas in which private and state programs need to be strengthened. Either way, most people agree that long-term care represents a contingency for which most are psychologically and financially unprepared. Some suggest that the list of Medicare benefits should be expanded to include…
insurance regulation
oceedings or bankruptcy.…
funding in singaporean health system
The funding also enables competition between the different private health care facilities. The funding also encourages individuals to choose between the public and private health care facilities.…
health insurance
2) 'Impossibility Doctrine' is a reason for not performing the duties due to some circumstantial changes in the situation, where the subject matter of the contract has been destroyed without either party's fault making it impossible to be performed making the contract illegal (Beale, Bishop and Furmston, 2007:p.463)…
Social-Insurance-based Health System
A much-cited example of rational priorities for medical care comes from the state of Oregon, where a commission was appointed in 1989 to make recommendations to the state legislature on how to expand coverage and set priorities in the Medicaid program. Underinsured people were to be added to the Medicaid list to cover every resident whose income was below a certain level, but this could be…
US and Canadian Health Insurance
The big difference here in the US is that there are multiple insurance companies. In Canada you really only have one (one for each province) those offering extended insurance for things like private hospital rooms, vision, dental, etc. …