Investopedia

Every person needs health insurance. Patients care about mortality rates, of course, but they’re also concerned about their functional status. Healthcare Cost Containment, Revenue Cycle Strategist, and Strategic Financial Planning provide truly actionable steps for healthcare finance leaders needing to stay informed about today’s finance challenges.\n\nIn case the medical services used cost more than the allotted customary charges, the policy holder will have to pay both the coinsurance expenses as well as the excess amount, if any. Neither of the dominant payment models in health care—global capitation and fee-for-service—directly rewards improving the value of care.\n\nWhen a group of doctors proposed a 28-bed private specialty facility, the local hospitals protested to the city council that it was unnecessary, and launched a publicity campaign to try to block it; the council backed the facility anyway So the nonprofit Loma Linda University Medical Center simply bought the new facility for $80 million in 2008.\n\nFor example, Vanderbilt has encouraged affiliates to grow noncomplex obstetrics services that once might have taken place at the academic medical center, while affiliates have joint ventured with Vanderbilt in providing care for some complex conditions in their territories.\n\nWe will need to reduce, rather than expand, the role of insurance; focus the government’s role exclusively on things that only government can do (protect the poor, cover us against true catastrophe, enforce safety standards, and ensure provider competition); overcome our addiction to Ponzi-scheme financing, hidden subsidies, manipulated prices, and undisclosed results; and rely more on ourselves, the consumers, as the ultimate guarantors of good service, reasonable prices, and sensible trade-offs between health-care spending and spending on all the other good things money can buy.