Research a variety of scholarly peer reviewed articles that discuss the role of economics in the healthcare industry and the characteristics of the United States healthcare system.
Select one article to complete an in-depth literature review.
Write a 700- to 1,050-word economic analysis brief about the article, including the following:
- A discussion of the key elements covered in the article
- An assessment of the economic policy recommendations for healthcare stakeholders to consider from this article.
Include at least three reputable current references to support your literature review.
The United States healthcare system is influenced by shifting political climate, constant economic development, rapidly evolving technological innovation, diffusion and social values, and demanding workforce issues and demographics trends. Also, the United States system is different from the systems of other countries on many dimensions: no central governing agency, limited coordination, high cost buy only yields average health outcomes, imperfect market conditions, private sector is the dominant market, multiple organizational forms and players, market goals and social justice are in conflict, etc.
The concern over the economic future of healthcare systems revolves around three broad issues: cost, quality, and access. Gaps in coverage, combined with the upward trends in medical care spending over the past several decades, add to the commonly held belief that the United States healthcare systems are in crisis.
Write a 1,750- to 2,100-word paper addressing the following:
- Describe the economic foundation of the United States healthcare delivery system and the role of economics in healthcare.
- Compare and contrast the use of various economic models to explain the role of economics in healthcare and how the concept of the market equilibrium works in healthcare.
- Assess the role of production of health and demand and supply for medical care and health insurance, and the relation of income and demand for healthcare.
- Evaluate the responsiveness of demand for healthcare with respect to time, price, and income.
- Compare the economic benefits and challenges of individual versus population health.
- Assess the international comparisons of health among the United States and other developed countries (cost, quality, access to care, and any other relevant measure).
Include at least 10 current peer reviewed articles in your paper.
Research a variety of scholarly peer reviewed articles that discuss the role of economic evaluations in the healthcare industry and identify the major types of health outcomes that can be used in economic evaluation analysis.
Select one article to complete an in-depth literature review.
Write a 700- to 1,050-word economic analysis brief about the article, including the following:
- A discussion of the key elements covered in the article
- An assessment of the economic policy recommendations for healthcare stakeholders to consider from this article.
Include at least three reputable current references to support your literature review.
Scenario: You are the Chief Executive Officer of a large and complex integrated health delivery system (IHDS). The IHDS is a for-profit health system and is located in a major metropolitan area market. The metropolitan market is in high competition with similar large integrated health delivery systems, public and private, that compete directly with your IHDS. Major characteristics of this market are booming economic activity, dynamic and diverse populations, labor market shortages, and a high uninsured population percentage (25% of the total population) which has been trending higher.
Your IHDS operates multiple long-term acute care facilities and is affiliated with teaching hospitals, outpatient and surgical centers, rehab and ancillary facilities, wellbeing and urgent care outlets, and multiple physician group practices (primary care and subspecialties clinics in different locations). You also have affiliation agreements with regional and national managed care plans and third party payers.
The recent healthcare reforms (Affordable Care Act, Accountable Care Organizations, shift from volume-based to value-based healthcare delivery systems, bundled payment system, etc.) have impacted the macro- and micro-level economic models and current competitive advantage position and outlook for the IHDS.
The Board of Directors has asked you to prepare an executive report about the economic impact of these trends and forces and to assess the economic outlook for your organization.
Write, based on the scenario above, a 1,750- to 2,100-word executive report addressing the following:
- Assess the economic assumptions of a competitive market model on IHDS and identify the evidence for and against the competitive model.
- Evaluate the potential economic consequences of the applied community rating and experience rating on the IHDS.
- Compare and contrast alternative delivery arrangements for the IHDS in terms of their microeconomic efficiency.
- Describe the determinants of market power for the IHDS and assess how it can use the market power to demonstrate superior economic efficiency and effectiveness.
- Explain how market power can affect labor market outcomes for your organization.
- Identify several alternative measures of the IHDS market competitiveness and economic evaluation.
Include at least 10 current peer reviewed articles in your paper.
Research a variety of scholarly peer reviewed articles that discuss the role and impact of government economic policy in healthcare.
Select one article to complete an in-depth literature review.
Write a 700- to 1,050-word economic analysis brief about the article, including the following:
- A discussion of the key elements covered in the article
- An assessment of the economic policy recommendations for healthcare stakeholders to consider from this article.
Include at least three reputable current references to support your literature review.
The concept of managed care and the Health Maintenance Organization (HMO) has been evolving since the early 1970s and has significantly impacted the delivery of health and medical care in the United States.
Write a paper of 1,750- to 2,100-words addressing the following:
- Define managed care and briefly describe the different types of managed care models and key characteristics of an HMO.
- Assess the economic impact of implementing managed care since the introduction of the 1973 HMO Act.
- Explain how consumer and provider incentives work to achieve cost reduction, improved resource allocation, and return on investment (ROI) in a managed care environment.
- Explain the economic impact of alternative provider payment methods on HMO performance.
- Compare and contrast the effects of HMOs with the effects of fee-for-services on resources used and quality of care.
- Distinguish between employer and individual use of information on managed care health plan performance.
- Discuss the rationale and potential implications and consequences of moving from a volume-based to value-based healthcare delivery system.
Include at least 10 current peer reviewed articles in your paper.
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