Complete the Problem at the top of page 599 as a two to four page paper. You are outside counsel to the Marcus Welby Healthcare Corporation, which among its other operations owns a durable medical...

Health Insurance Reform
Executive Summary
There are many current and approved proposals so to increase the value and quality of
care delivered to the people who may or may not have ability to afford those services in the
U.S. health care system, it focuses on enhanced coordination and this is definitely done with
good reason. Duplicated efforts, badly coordinated care, failure to follow up result in too
much care for a particular section, too little for the other section and the improper care for
many and bungled handoffs.
A horde of these current reforms is putting efforts so aiming to reduce the above
mentioned inefficiencies in the area of both public and private. Such efforts do range from
penalizing those health care institutes that charge higher than the expected rates for any types
of services or even admission rates to give recognition and provide funds to those clinical
institutes where a high quality care is being provided. It also provides additional incentives to
manage health care information with Electronic data records.
There are bundled payments and Accountable care organizations that are designed
and executed so to create monetary incentives for coordinated care. The idea behind is that
the coordination would create an improvement in value by making it sure that the right care is
being provided in the right tie and at the right place.
Benefits
A reliable and a health insurance can do the ease part of the tension associated with
falling ill. Health Insurance reforms section details offer valuable information about health
insurance. The healthcare insurance plan helps citizens to utilize health care facilities at the
less cost being the partial cost paid by the insurance firms. The main entities in health
Insurance program is Payer who pay for the Health care services, there is a provider or
practitioner who provides those services, subscriber who has subscribed the insurance plan
for certain services as per the terms and conditions they are broadly categorised into
Medicare and Medicaid. (Baicker, 2013)
United States Insurance reforms
Now let us talk about the Insurance reforms in the United States where we do the
International comparisons of expenses being done by countries similarly developed as the
United States, is that they happen to spend less per capita of income on such services as
compare to the US but the quality care of the States is not up to the mark in its health metrics.
If to look at the aging population of the region there are still unfunded liabilities, in addition
to that there are considerable number of people who are under insured.
If a person has an Health care insurance plan, then he happens to spend more on his
Health expenses in comparison to the person who does not have any such plan because the
insured person feels that he is not supposed to pay the whole payment so there is no issue to
go to the doctor even for a small issue and is relatively more concern about the same. . The
Pharmacies do not generally encourage its system to have their bills through insurance
payments which normally disrupts the cash flow. By having a larger percentage of their
business serviced by their mail order arm, The Pharmacies are able to gain economies
of scale by selling larger quantities of drugs with less labour required per order.
(ASPE.hhs.gov. ,2012)
Source : http://aspe.hhs.gov/health/reports/2012/uninsuredintheus/ib.shtml
There are many external factors which can influence the development of a healthcare
Institute with such significant number of citizens in its country. In the top of that Social and
economic factors are those external agents which can influence lives of citizens and impact
their health. If the people of the country are at disadvantages with respect to socioeconomic
culture are very less likely to pursue a considerable quality medical services in comparison to
those who are well versed in this parameter. Hence for that health Insurance would play a
significant role to maintain the health of the country.
A better social status and a higher education do have a significant control over like
opportunities, salaries, occupation etc. Thus making them easier to avail medical services and
treatment form the healthcare services. Hence to provide Health insurance plans in areas is
better which are occupied by less rich and less wealthy people which will lead to the
development of the country due to the high demand of Health care services as the partial
payment is being done by Insurance firms. There are certain social forces depending upon the
region to region such as traditions, Values of the parents and the community, and social
trends which would impact the demand of Healthcare services. Thus the region where
http://aspe.hhs.gov/health/reports/2012/uninsuredintheus/ib.shtml
population is less or no adequate income to even fulfil their basic needs will no longer look
into the cure of diseases from the practitioners. (ASPE.hhs.gov. ,2012)
Apart from the above mentioned factors. There are certain Political factors that have
an effect on the development of Health care insurance reforms in many ways. This is through
the passage of many laws in Healthcare system. This can be better explained with an
instance, “The Patient protection and Affordable Care Act along with the Reconciliation Act
of 2010 is influencing endowment of care to patients. There is one more law was signed into
by Barack Obama in 2010 which has reforms many traits of this health care industry
especially Private ones and...