HSA5100CBE – Introduction to Healthcare Delivery Systems
Deliverable 7 – A Model U.S. Healthcare Delivery System
Assess the causes and consequences of historical events on the U.S. healthcare system.
Evaluate the current financing and reimbursement models within the U.S. healthcare delivery system.
Analyze the challenges of economic and non-economic barriers to improving quality, reducing costs, and increasing access to healthcare.
Assess the roles and impacts of various stakeholders within U.S. healthcare systems.
Appraise the efficiency of primary, secondary, and tertiary care in the U.S. healthcare delivery system.
Compare and contrast the major characteristics of the U.S. healthcare delivery system with the systems of other developed countries.
Student Success Criteria
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After working in the healthcare industry for many years as an expert consultant, you have decided to make the leap and open your own healthcare consulting firm. Based on your reputation and the recommendations of others, you have landed a major first client…The White House! Your company has been hired to conduct research and develop a solution to healthcare reform by creating a model of what healthcare delivery should resemble in the United States. You have also been appointed as a top advisor to the Health, Education, Labor, and Pensions U.S. Senate Committee and must present the model over a three-day summit.
Create a healthcare delivery model for the U.S. healthcare system. When creating the model, ask yourself these questions: What is included? How does it look? Who does it serve? How is it financed? Is it sustainable?
Include the following in your project:
A memo that explains the proposed model and what it hopes to achieve, including information on the changing dynamics of healthcare reimbursement and the associated funding sources.
In a report outlining the model, you should include:
An executive summary
The model itself (i.e., what’s included in the model, whom the model serves, description of how the model will be financed and sustained)
Timeline of major events in healthcare that have transpired over the past 10 years that have impacted this new model.
A list of the current financing and reimbursement models within the U.S. healthcare delivery system and a statement of how each will change or remain the same under this new model.
A synopsis of the major challenges of economic and non-economic barriers to improving quality, reducing costs, and increasing access to healthcare
A list and description of stakeholders within the U.S. healthcare system under this new model
A SWOT analysis of the current U.S. healthcare system
Trends forecast outlining the possible changes in healthcare that may affect the model over the next 5 years.
A PowerPoint presentation to the Senate committee to lay out/describe the model in detail.
Memo – 2 pages; Report – 10 pages, PowerPoint presentation – 12 slides
For assistance with writing executive summaries, please visit theRasmussen College Answers page.
APA formatting for the reference list, and proper grammar, punctuation, and form are required. APA help is availablehere.
Click thislinkfor help writing a memo.
Click thislinkfor help on creating an executive summary.
Click thislinkfor help on creating a SWOT analysis.
Click thislinkfor help on creating a PowerPoint presentation.
Let’s start by addressing the first part of the project, which is the memo explaining the proposed model and its goals. The memo should also discuss the changing dynamics of healthcare reimbursement and the associated funding sources. Here’s an example structure for the memo:
To: [Name of the recipient]
From: [Your Name]
Subject: Proposed Model for Healthcare Delivery and Reimbursement
In this memo, I present a proposed model for healthcare delivery and reimbursement in the United States. The model aims to address the challenges faced by the current system, improve healthcare quality, reduce costs, and increase access to care. Additionally, I will outline the changing dynamics of healthcare reimbursement and the funding sources associated with the proposed model.
The proposed model is designed to be comprehensive, patient-centered, and sustainable. It includes the following key components:
Universal Coverage: The model aims to ensure that every individual residing in the United States has access to essential healthcare services, regardless of their socioeconomic status. It will provide comprehensive coverage for preventive, primary, secondary, and tertiary care.
Integrated Care Delivery: The model emphasizes the integration of care across different healthcare settings, including hospitals, primary care clinics, specialty clinics, and community health centers. It promotes coordination and collaboration among healthcare providers to improve patient outcomes and reduce unnecessary healthcare utilization.
Emphasis on Preventive Care: The model prioritizes preventive care interventions and public health initiatives to address the root causes of diseases and promote wellness. By focusing on prevention, it aims to reduce the burden of chronic conditions and improve population health outcomes.
Value-Based Reimbursement: The proposed model shifts from fee-for-service to value-based reimbursement mechanisms. It rewards healthcare providers based on the quality of care delivered, patient outcomes, and cost-effectiveness. This approach incentivizes healthcare providers to deliver high-quality care while controlling costs.
Funding Sources: The model proposes a combination of funding sources to finance the healthcare system, including government funding, private health insurance contributions, employer contributions, and individual premiums based on income levels. The precise funding mechanisms and allocation will be determined through further analysis and stakeholder engagement.
Changing Dynamics of Healthcare Reimbursement:
The current dynamics of healthcare reimbursement are evolving to align with the goals of the proposed model. There is a gradual shift from fee-for-service to value-based reimbursement models, emphasizing quality and outcomes. Additionally, there is a growing focus on alternative payment models, such as accountable care organizations (ACOs) and bundled payments, to encourage care coordination and cost savings.
The proposed model for healthcare delivery and reimbursement aims to overcome the challenges of the current system and achieve better healthcare outcomes for all Americans. By focusing on universal coverage, integrated care delivery, preventive care, value-based reimbursement, and diverse funding sources, we can build a sustainable healthcare system that ensures access, quality, and affordability for every individual in the United States.
Please note that this is just a sample structure for the memo, and you can modify it as per your requirements and the specific details of your proposed model.