Health Care Delivery System
Health Care Delivery System
Kimberly Snook
A health system, also sometimes referred to as health care system or healthcare system is the organization of people, institutions, and resources to deliver health care services to meet the health needs of target populations (wikipedia.org, 2013). The delivery system is made up of insurance companies, patients, physicians, hospitals, and other health providers. The main goal of the healthcare delivery system is to provide quality care but still lower costs.
The first component of choosing health care providers is to understand insurance. Health care is very expensive and people need to know and understand how they will pay for it. Consumers need to know if they have an HMO, PPO, POS, or other type of insurance plan. If the consumer has an HMO plan, they are restricted to providers within their network. They are also required to obtain referrals from their primary care physician before going to see any type of specialist. PPO and POS insurance plans do have out of network benefits, however, they will pay much higher costs to see those doctors.
The government plays a large role in the health care delivery system. Last year 95 million people had government, which is 31 percent of the population of the entire United States (Stark, 2012). The Patient Protection and Affordable Care Act is a law that President Obama passed in 2010 with the intent to allow and mandate that every American citizen obtain health insurance. This law passed several regulations on insurance companies so that more Americans could get private health insurance. One of these regulations is that health insurance companies cannot deny anyone because of previous medical history.
The providers also make a part of the delivery system. Healthcare providers are institutions or individuals that provide some sort of health care service (wikipedia.org, 2013). Individuals can be any Allied Health professional such as a physician, a pharmacist, a paramedic, a
Kimberly Snook
A health system, also sometimes referred to as health care system or healthcare system is the organization of people, institutions, and resources to deliver health care services to meet the health needs of target populations (wikipedia.org, 2013). The delivery system is made up of insurance companies, patients, physicians, hospitals, and other health providers. The main goal of the healthcare delivery system is to provide quality care but still lower costs.
The first component of choosing health care providers is to understand insurance. Health care is very expensive and people need to know and understand how they will pay for it. Consumers need to know if they have an HMO, PPO, POS, or other type of insurance plan. If the consumer has an HMO plan, they are restricted to providers within their network. They are also required to obtain referrals from their primary care physician before going to see any type of specialist. PPO and POS insurance plans do have out of network benefits, however, they will pay much higher costs to see those doctors.
The government plays a large role in the health care delivery system. Last year 95 million people had government, which is 31 percent of the population of the entire United States (Stark, 2012). The Patient Protection and Affordable Care Act is a law that President Obama passed in 2010 with the intent to allow and mandate that every American citizen obtain health insurance. This law passed several regulations on insurance companies so that more Americans could get private health insurance. One of these regulations is that health insurance companies cannot deny anyone because of previous medical history.
The providers also make a part of the delivery system. Healthcare providers are institutions or individuals that provide some sort of health care service (wikipedia.org, 2013). Individuals can be any Allied Health professional such as a physician, a pharmacist, a paramedic, a
References: Stark, E. S. (2012, June 28). cnn.com. Retrieved from By the numbers: Health insurance: http://www.cnn.com/2012/06/27/politics/btn-health-care wikipedia.org. (2013, January 18). Retrieved from Health System: http://en.wikipedia.org/wiki/Health_system