Trends in Healthcare Services
You are a member of a presidential commission appointed to consider a mandatory national health insurance plan and the question of how to fund the plan is being discussed.
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WHAT ECONOMIC AND SOCIETAL FACTORS AFFECT THE DEMAND AND PRICING OF HEALTHCARE SERVICES IN TODAY’S HEALTH INSURANCE MARKET?
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Specifically, three separate options are being considered to generate an average of $4,000 per worker—a flat mandatory premium, a doubling of the current 7.65% payroll tax that comes out of people’s pay to cover social security and Medicare, and a 7% increase in income tax.
Think about funding plans from the perspective of three workers:
- One who makes $25,000 per year
- One who makes the same in salary but also has $1,000 in investment income
- One who makes $85,000 per year, including $10,000 in investment income
Based on the above scenario, answer the following questions:
- Which of the three funding measures, considering the relative financial contributions it imposes on individuals such as these, would you support and why?
- How has the emergence of different types of health insurance plans—FFS, health maintenance organizations (HMOs), preferred provider organizations (PPOs), and capitation—affected the trends in healthcare services today?
- What economic and societal factors affect the demand and pricing of healthcare services in today’s health insurance market?
