Question

In simple terms, describe some of the key features of the multi-payer and single payer health...

In simple terms, describe some of the key features of the multi-payer and single payer health systems in the United Kingdom and Canada. What are the similarities and differences between them? How are they different than the multipayer US system?

In simple terms, describe some methods or approaches that might be taken to control rising costs and improve the quality of care?

Homework Answers

Answer #1

Single payer refers to a health system that is financed by a single entity; in its common usage, that single entity is government. Government is the payer for services, and such payments are financed by taxes, but there is no implication that government employs the providers or actually owns or operates the health system. There still may be intermediaries between the government as payer and the provider, such as exists now with Medicare and health insurance intermediaries. In its “purest” form, in a single-payer system, health care services are paid for only by the government; in the case of Medicare, beneficiaries also contribute to payments through premiums.

Multiple payer refers to a health system that is financed through more than a single entity, one of which may include government. Private health insurance companies participate in multiple-payer systems, with financing through individual premiums paid directly by beneficiaries, employers, and, in some cases, government.
Whether a health care system is single or multiple payer does not in and of itself define the system in terms of coverage. Universal coverage means simply that all people within a particular jurisdiction have health insurance, be it single or multiple payer. Universal coverage requires governmental mandate; however, the form of that mandate may be through either single or multiple payer or a hybrid model.

Health care in the United States is currently a unique hybrid, multiple-payer system, but with elements of single payer (i.e., Medicare, although beneficiaries also contribute through premiums), publicly subsidized private payers (e.g., employer-sponsored health insurance), socialized medicine (e.g., Department of Veterans Affairs, in which government is both the payer and the employer), and self-pay (i.e., out of pocket).There are a few ways that single-payer can work, but at its core it is the government paying for healthcare services through revenue generated via taxation.In another way, people who live in a country pay into a pot of money through their taxes. The government then takes this pot of money and pays drugmakers, healthcare facilities, and doctors.One of the hallmarks of a single-payer system is the ability for the government to have more control over prices.For instance, in many single-payer systems, the government can negotiate prices for prescriptions drugs since it controls the purse for much of the spending. This makes sense because in the case of the UK, nearly 80% of the healthcare spending comes from the government. So if a drug is not bought by the government, it almost totally closes off the market to a pharmaceutical company. This gives the government a lot of bargaining power.Payments to healthcare providers, prescription drugs, and other aspects of the system are all subject to price negotiation with the government in single-payer systems.

The UK technically has four different national healthcare systems, one for each country that makes up the union, but the general construct is known as the National Health System.Within the NHS, there is a system of smaller community health boards that help ensure that national standards for care, cost, and efficiency are maintained.For patients, the NHS is generally "free at the point of use," meaning that when you go to a hospital or doctor's office there are no bills or co-pays.The UK pays for all this using both a specific national insurance tax on people making more than £157 per week and general tax funds to provide 98.8% of the funding for the NHS. The other 1.2% is paid for by out-of-pocket costs for things like prescriptions and dental care. The cost of co-payments for the out of pocket procedures are set by the NHS.About 66% of primary-care doctors are private contractors. The doctors, called general practitioners (GPs), receive payment at a rate set between their lobbying group the British Medical Association and the NHS. In contrast to the US, many doctors assign a patient a specific time to arrive at the doctor, rather than providing options the patient can choose from.A large majority of patients get their services from NHS-funded hospitals, but there are private-care facilities that can offer more specialized care or shorter wait times.

Healthcare in Canada is delivered through a publicly funded healthcare system, which is mostly free at the point of use and has most services provided by private entities.[15] The system was established by the provisions of the Canada Health Act of 1984.[16] The government assures the quality of care through federal standards. The government does not participate in day-to-day care or collect any information about an individual's health, which remains confidential between a person and their physician.Canada's provincially based Medicare systems are cost-effective partly because of their administrative simplicity. In each province, every doctor handles the insurance claim against the provincial insurer. There is no need for the person who accesses healthcare to be involved in billing and reclaim. Private insurance represents a minimal part of the overall system.In general, costs are paid through funding from income taxes. A health card is issued by the Provincial Ministry of Health to each individual who enrolls for the program and everyone receives the same level of care

Know the answer?
Your Answer:

Post as a guest

Your Name:

What's your source?

Earn Coins

Coins can be redeemed for fabulous gifts.

Not the answer you're looking for?
Ask your own homework help question
Similar Questions
Describe some of the key features of the multi-payer and single payer health systems in the...
Describe some of the key features of the multi-payer and single payer health systems in the United Kingdom and Canada. What are the similarities and differences between them? How are they different than the multipayer US system? Describe some methods or approaches that might be taken to control rising costs and improve the quality of care?
Reflect back on your draft. Reread it. Analyze it. What are the strengths of your draft?...
Reflect back on your draft. Reread it. Analyze it. What are the strengths of your draft? What areas will need improvement? The Treatment of Special Needs Children Abstract            Special needs children are still on the receiving end of abuse despite the increased clamor against their mistreatment. Also, they are likely to face discrimination and abuse in their homes and their social spheres; they have limited opportunities for quality education and can find trouble getting adequate medical assistance. The management of...
provide 3-4 paragraphs post (team 2) 1-What are 4 key things you learned about the topic...
provide 3-4 paragraphs post (team 2) 1-What are 4 key things you learned about the topic from reading their paper? 2-How does the topic relate to you and your current or past job? 3-Critique the paper in terms of the organization and quality.1- Employee Stress and how it has an Adverse Effect on a Company This paper explores employee stress and how it has an adverse effect on a company, its employees and the organization. Job stress can have a...
Brian Durkee/ Director of Operations, Numi Organic Tea: Well Numi; Numi’s is a triple bottom line...
Brian Durkee/ Director of Operations, Numi Organic Tea: Well Numi; Numi’s is a triple bottom line company which means our focuses are on people, planet and profit. Hi, I’m Brian Durkee. I’m the director of operations for Numi Organic Tea and a big part of my role at Numi is to really manage that, and uh; it’s beyond just taking care of your employees. Numi has fifty employees in the U.S. but the peoples who dedicate the majority of their...
Assignment: What are the main arguments in the article? Please answer within 5 hours. It is...
Assignment: What are the main arguments in the article? Please answer within 5 hours. It is extremely urgent!!!!!!!!!!!!!!!!!!!!!!!! --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- BIOETHICS. Bioethics as a field is relatively new, emerging only in the late 1960s, though many of the questions it addresses are as old as medicine itself. When Hippocrates wrote his now famous dictum Primum non nocere (First, do no harm), he was grappling with one of the core issues still facing human medicine, namely, the role and duty of the...
What topics are covered in the following article? Please answer within 5 hours. It is extremely...
What topics are covered in the following article? Please answer within 5 hours. It is extremely urgent!!!!!!!!!!!!!!!!!!!!!!!! --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- BIOETHICS. Bioethics as a field is relatively new, emerging only in the late 1960s, though many of the questions it addresses are as old as medicine itself. When Hippocrates wrote his now famous dictum Primum non nocere (First, do no harm), he was grappling with one of the core issues still facing human medicine, namely, the role and duty of the physician....
Point/Counterpoint from chapter 14. Take a stand. Do you agree or disagree? Write a minimum of...
Point/Counterpoint from chapter 14. Take a stand. Do you agree or disagree? Write a minimum of one paragraph for each one. Chapter 14 Exporting E-waste: A Fair Solution? Point Yes Exporting is always and everywhere a win-win situation: The more companies and countries export, the more they improve market efficiency. Exporting enables companies to increase sales, improve productivity, and diversify activities. Likewise, exporting helps countries generate jobs, accelerate innovation, and improve living standards. In broader terms, it promotes connections among...
The Business Case for Agility “The battle is not always to the strongest, nor the race...
The Business Case for Agility “The battle is not always to the strongest, nor the race to the swiftest, but that’s the way to bet ’em!”  —C. Morgan Cofer In This Chapter This chapter discusses the business case for Agility, presenting six benefits for teams and the enterprise. It also describes a financial model that shows why incremental development works. Takeaways Agility is not just about the team. There are product-management, project-management, and technical issues beyond the team’s control. Lean-Agile provides...
Scenario Pigs R Us is a second generation, family-owned Richmond-based company with about 400 employees. It...
Scenario Pigs R Us is a second generation, family-owned Richmond-based company with about 400 employees. It slaughters, manufactures, and sells pork food products.  Pigs R Us (PRU) is a low-tech, hands-on, “bricks and mortar” type of company with solid brand recognition, an impeccable reputation for high quality and ethical standards. The processes used in manufacturing are with the highest ISO20002 standards, and the plant is maintained immaculately. The personnel are comprised of an older work force (average employee age is late...
Review the Robatelli's Pizzeria Case Study. Develop another internal controls system, but this time, in the...
Review the Robatelli's Pizzeria Case Study. Develop another internal controls system, but this time, in the purchases and fixed assets business areas. Prepare a 12- to 16-slide presentation describing the purchases and fixed assets business areas. Be sure to incorporate speaker notes as well as appropriate visuals, graphics, fonts, etc. Include any associated risk in these areas. Describe specific internal controls that include authorization of transactions, segregation of duties, adequate records and documentation, security of assets, and independent checks and...
ADVERTISEMENT
Need Online Homework Help?

Get Answers For Free
Most questions answered within 1 hours.

Ask a Question
ADVERTISEMENT