Sign in
A model u.s. healthcare delivery system
Current financing models and reimbursements in the U.S. health delivery system are mostly based upon fee-for service payers. Providers are paid per service, rather than a flat rate or bundle payment that covers many services. This payment model can lead to excessive use of resources and increased administrative costs. Additionally, the reimbursement rates for Medicare or Medicaid are often lower than that offered by commercial insurers. This means there is less access for those who need it most. In addition, patients are not able to see the prices of their care and can be confused by financial incentives that may tie to treatment. This could lead to conflicts between insurance companies and providers. To improve patient satisfaction, and decrease overall health care costs, it is important to focus more on value-based healthcare models.
