healthcare finance systems and reforms
TRANSCRIPT
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.