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Health Care

Cooperative Healthcare Programs for the revamping of the health insurance systems

The healthcare system has recently seen changes, such as the adoption of more efficient healthcare systems that care for everyone in the communes. Though was used by the masses due to lacking of alternate healthcare services, it reflected a very distinct way of carrying the usual business in the healthcare system. Traditional health care seemed simplistic and distinct from the current health care system.

For most of the 20th century, the traditional United States’ health care system by the health specialists had some of the defining features as below:

  • The patients had a reliance on the autonomy of the physicians to act as agents;
  • The patients received complex healthcare services from non-profit and independent health centers;
  • Moreover, the insurers did not intervene in the medical decisions aligned to the patient’s care with reimbursements made to the physicians and other healthcare service providers at a set service fee.

On the management aspect, the traditional healthcare system had a weak administration, mostly hailing from individuals’ economic statuses. If their employers did not insure one, then they had to foot the hospital bills on their own, with at times some insurers absconding with these payments.

Cooperative Healthcare Programs

From 2013, people who had no access to Medicaid or even children’s Health Insurance plans were able to purchase health plans through an insurance exchange.

This new marketplace was one of the Affordable Care Act’s core mechanisms for expanding affordable coverage. Recognizing that some states had fewer coverage options for businesses and individuals, the health care statute established consumer-oriented and operated plans intended to improve consumers’ choices.

The members of Congress have recently proposed two distinct strategies for revamping the health insurance systems. This proposition was public insurance plans and cooperative strategies. Cooperative health strategies could incept a national cooperative association to transform insurance and support the growth of the local cooperative health care system. An organization (national), including the Health Value Authority, could have provided various supportive roles, such as handing out grants or loans to commence a local public health and care delivery system. When starting such an organization, it could be handed authority to negotiate the provider payments and methods on behalf of the private and public insurers, hence eliminating the waste from administration generated by the provider-individual negotiations. Though existing, the invention of cooperation programs has seen ease in handing out medical services to many people despite their financial status.

How the Affordable Health Care Act has changed things

The Affordable Care Act has seen a lot of changes in the healthcare sector inclusive of the following;

  • Contrary to the past confused and lengthy healthcare system, there is transparency in individual health insurance. The Affordable Health Care Act has eased the infamous and ever-troubling forms application, thus discarding this nightmarish encounter.
  • Small businesses have transitioned to being purely defined contributors to health plans. This trend hails from the past when small businesses had to integrate and form small group health plans offering health insurance. After the Affordable Health Care Act passed, this changed to one where businesses took responsibility for insuring their employees.

Conclusion

Conclusively, the cooperative health care program is the way to go since it hands out insurance for the whole family without exclusion based on finance or any other factors. Cooperative health care programs have been set up for the public, thus non-discriminative in remitting health care services. This ultimately benefits the whole society, ensuring a norm in their daily dealings free from health issues.

References

Brown, M. (2012). Health Care Management: Strategy, Structure, and Process. Health Care, 107.

Urban, J. (2013, October 3). 4 Ways the Affordable Care Act is Changing Health Insurance. Retrieved from www.zanebenefits.com: https://www.zanebenefits.com/blog/bid/318515/4-Ways-the-Affordable-Care-Act-is-Changing-Health-Insurance

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