The Department of Health and Human Services has oversight of several agencies (i.e., FDA, CDC, AHRQ, NIH, CMS) that regulate health care in the United States. Regulation encompasses insurance plans, cost, research, safety, all in the name of delivering quality care in a cost effective manner. These agencies are responsible for monitoring compliance and enforcing legislative mandates. However, the debate continues on government regulation and its effect on ensuring quality care. After completing this week’s reading, review the following articles listed below, which were published 11 years apart. Analyze the cost-quality paradigm noted in the articles. Considering the many governmental mandates and regulations to reduce costs and ensure the delivery of quality care that have been implemented over the years, discuss your opinion regarding why costs have continued to rise without improving quality. List two examples that illustrate your point.
· DHHS Article related to Cost and Quality (2002)
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· Institute of Medicine article (2013)
- http://www.nationalacademies.org/hmd/~/media/Files/Report%20Files/2013/US-Health-International-Perspective/USHealth_Intl_PerspectiveRB.pdf
Your initial post should be 250-300 words and utilize at least one scholarly source from the Library
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Health care reform will help millions more Americans get insurance. But experts say the Affordable Care Act itself won’t stop the cost of health care from continuing to rise and consumers from paying bigger bills. Insurance premiums — the monthly fees consumers pay to get coverage — continue to rise much faster than the 2% rate of overall inflation. In 2011, average premiums rose 8% for individual coverage and 9% for family coverage, according to the Kaiser Family Foundation. There are many reasons costs are going up; some apply to all patients, and others only to patients who get insurance through big insurance plans. But experts identify six main drivers. Hospital care: Hospital care accounts for nearly one-third of the nation’s annual health care expenditures. Related: Demise of the solo doctor According to the American Hospital Association, factors driving up hospital costs include the rising cost of goods and services used for patient care — such as workers, equipment and information systems. Other factors are rising demand for care and compliance with regulatory requirements. An increasingly significant issue for hospitals is the increase in patients covered by Medicare and Medicaid — 60% of all admissions. Neither program fully reimburses the cost of hospital care, the hospital association said. Hospitals are also seeing a jump in the cost of care for patients who can’t pay, which averages about 6% of hospital expenses. Hospitals assume those costs as part of their legal duties to provide “charity care.”…
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