Term Paper on "Health Care Economics Medical"

Term Paper 4 pages (1433 words) Sources: 1+

[EXCERPT] . . . .

They have years of training, variable years of experience, but different interpretations of medical care, needs, and philosophies. Some doctors may be cautious and proceed carefully with many tests prior to making a diagnosis or decision; others may believe case A needs B. And act; while still others are guided by their HMOs or administrative concerns. Ultimately, though, while the patient may have the utilitarian authority regarding their own healthcare, most opt to cede that authority to the doctor. The doctor then decides what the demand for care is based on their interpretation of what is best for the patient. Combine this with research, industry data, and new technology and one has a complicated formula.

For instance, in Area A in our hypothesis, the HMO provider of choice has decided that it will lower the reimbursement level for C-sections by 25%. There is a good chance that the number of C-sections will decrease based on the doctor's unwillingness to take an economic hit for a procedure that may or may not be 100% necessary. If the doctor errs on the side of caution and performs a C-section, they will likely lose money; if they opt not to perform a C-section, they take the chance that the patient will develop complications, further taxing the system, but still within guidelines for the HMO.

Of course there is always a conflict between the medical decision and price; no one can predict exactly what will happen to a patient since medicine is both an art and a science. Conflicts in demand for care can be mitigated with sound ethical training, state standards for minimum care, peer review, and through the educational process of nurses and doctors. Insurance companies are
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complicit too, and must be willing to reimburse for fair services based on medical need, not financial performance.

Part 4 -- How has the elasticity of supply of medical services affected the government's cost of expanding healthcare to the poor and uninsured?

Changes in supply and demand of medical services occur as a result of physician, nurse, and healthcare shortages or surpluses. Because we are a country in a varied managed care environment, every product (service) has a low price quotient and every non-covered product or service has its own price elasticity. Typically, medical services were inelastic as a growth industry since fee increases would correspondingly increase revenues. But enter the era of recession and managed care, and we have a marketplace that is resistant to pricing pressures even though in some areas there are too many physicians, but not enough care, not enough nurses, and overpriced procedures and equipment.

What this means to doctors is that they are earning less, working more, and paying more for administration, support and protective insurance. Funding healthcare when the elasticity of medical services changes, though, becomes more problematic. As healthcare costs increase geometrically, and Medicare and Medicaid have budgets that are exponentially out of sync, then government funding for healthcare programs for the underinsured, the uninsured and the poor may falter. If money from taxes goes to simply keeping a system alive, then there are no funds to expand care, even though it is needed. And, while expanding care to the poor and uninsured would be a preventative measure, and therefore less expensive, the irony is that these individuals often use Emergency services that are both more expensive and more costly for the facility than preventative care. Thus, nothing is free, and if care is not given to the poor and uninsured based on economic demand curves, the costs will undoubtedly show up later at a greater overall cost. This, then, will likely be passed back to the consumer in terms of premiums, or to the citizens in terms of taxation.

REFERENCES

Healthcare. (2010). EconomicsOnline. Retrieved from: http://economicsonline.co.uk/Market_failures/Healthcare.html

Out-Of-Pocket Health Care Costs. (2001, June). Retrieved from Partnership For Solutions: http://www.partnershipforsolutions.org/statistics/out_of_pocket.html

The Imperfect Competitive Medical Marketplace. (December 19, 2007). MedicalExecutive Post. Retrieved from: http://medicalexecutivepost.com/2007/12/19/demand-and-supply-in-medical-care/

Friedman, D. (1990). Price Theory. DavidFriedman.com. Retrieved from:

http://www.daviddfriedman.com/Academic/Price_Theory/PThy_ToC.html

Hurley, J. And Labelle, R. (1995). Relative Fees and the Utilization of Physician's Services. Health Economics. 4 (6): 419-38. READ MORE

Quoted Instructions for "Health Care Economics Medical" Assignment:

There are 4 questions all together please limit each to a page

1). Evaluate this statement this statement: Medical care is never free, although the individual may pay nothing? 2). What factors determine demand? How do they relate to price? 3). What is the role of physicians in the demand for care? Why is there a conflict? How can the conflict be addressed? 4). How has the elasticity of supply of medical services affected the government's cost of expanding healthcare to the poor and uninsured?

Please make sure it meets these standards Consistently, concisely and clearly stated new ideas to discuss; contributes solutions to the questions with APA citations from current, peer-reviewed journals; analyzes and evaluates from many positions; consistently uses case studies/examples from interviews or experiences; graduate-level composition; contribute valuable insight based on recent related research. Concisely summarizing and moving on with new issues based on the discussion and current literature; takes leadership role in individual discussion

How to Reference "Health Care Economics Medical" Term Paper in a Bibliography

Health Care Economics Medical.” A1-TermPaper.com, 2012, https://www.a1-termpaper.com/topics/essay/health-care-economics-medical/8227133. Accessed 27 Sep 2024.

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