healthcare finance systems and reforms

Investors

Investors

Investors

Executives

Advertising

Applications

Claims

Investigate Pre-Existing Conditions Exclusions

Service Provider

Investors

Executives

Advertising

Process Applications

Process Claims

Investigate Pre-Existing Conditions Exclusions

Insured Patient

Service Provider

Investors

Executives

Advertising

Applications

Claims

Investigate Pre-Existing Conditions Exclusions

Insured Patient

Service Provider

Medical Service

Co-pay & Deductibles

Investors

Executives

Advertising

Applications

Claims

Investigate Pre-Existing Conditions Exclusions

Insured Patient

Service Provider

Medical Service

Co-pay & Deductibles

Investors

Executives

Applications

Claims

Investigate Pre-Existing Conditions Exclusions

Insured Patient

Service Provider

Medical Service

Co-pay & Deductibles

Executives

Advertising

Applications

Claims

Investigate Pre-Existing Conditions Exclusions

Government / Private Charity

Administrators

Applications

Claims

Insured Patient

Service Provider

Medical Service

Co-pay & Deductibles

Government

Administrators

Applications

Claims

ElderlyPoor

Service Provider

Medical Service

Co-pay & Deductibles

Tax Payer

Investors

Executives

Advertising

Applications

Claims

Investigate Pre-Existing Conditions Exclusions

Insured Patient

Service Provider

Medical Service

Co-pay & Deductibles

Option 1Universal access will reduce

costs of healthcare and improve adult productivity,

childhood development and student performance

by emphasizing preventative care and

regular treatment of chronic conditions. Many of he following would help

achieve universal access.

Investors

Executives

Advertising

Applications

Claims

Investigate Pre-Existing Conditions Exclusions

Insured Patient

Service Provider

Medical Service

Co-pay & Deductibles

Option 3Remove profit motive from

medical services with Government

Health Service. Focus spending on

patient care. (Britain, Veteran’s Administration)

Option 2Remove profit from medical financing

with public financing (Canada, Medicare) or non-profit insurance

(Germany, Japan.) Focus spending on

patient care.

Investors

Executives

Advertising

Applications

Claims

Investigate Pre-Existing Conditions Exclusions

Insured Patient

Service Provider

Medical Service

Co-pay & Deductibles

Option 6Simplify claims

process by eliminating pre-existing conditions

exclusions.

Option 7Prevent dropping

patients or changing terms and pricing

when they become ill.

Option 4Eliminate or limit

differentiated pricing based on age, gender or health condition to ensure that the elderly and sick can get health

insurance.

Option 5Eliminate advertising costs and exorbitant

salaries and bonus for insurance executives.

Investors

Executives

Advertising

Applications

Claims

Investigate Pre-Existing Conditions Exclusions

Insured Patient

Service Provider

Medical Service

Co-pay & Deductibles

Option 9Change payment

structure to reward good

outcomes rather more procedures

and visits.

Option 8Improve treatment and

reduce avoidable complications with

improved collaboration, record keeping,

oversight.

Investors

Executives

Advertising

Applications

Claims

Investigate Pre-Existing Conditions Exclusions

Insured Patient

Service Provider

Medical Service

Co-pay & Deductibles

Option 11Reduce poverty and

relative poverty.

Option 12Improve general

health through diet and exercise and

reducing smoking.

Option 10Limit malpractice law

suits and penalize frivolous law suits to

reduce defensive medicine and the overhead costs of

malpractice insurance.