Analysing financial and economic issues in the health care industry.

As a health care manager, you must be able to analyze financial and economic issues in the health care industry. In this assignment, you will demonstrate problem-solving skills as you choose an issue and address the financial impact in your analysis.

Preparing for the Assignment:
Select 1 current financial or economic issue in the health care industry that you want to address.

Assignment Directions
Write a 700- to 1,050-word paper about the financial or economic issue you selected in which you:

Analyze the financial impact of this issue on the health care industry. Consider the following:
What are the economic trends of the health care payment system?
What are the supply and demand challenges for health care services?
Why are costs increasing in the health care system?
What regulatory issues are affecting, or will affect, the health care industry?
Recommend at least 1 strategy to address the issue.
Consider current strategies being used or presented for improving the issue.
Discuss what you believe would be the outcome of these recommendations, if implemented.

find the cost of your paper

Sample Answer

Financial Impact of Rising Prescription Drug Costs in the United States

Economic Trends of the Healthcare Payment System

The US healthcare payment system is complex and fragmented, with a mix of public and private payers. Public payers, such as Medicare and Medicaid, account for about half of all healthcare spending, while private payers, such as employer-sponsored health insurance and individual health insurance, account for the other half.

The economic trends of the healthcare payment system are largely driven by the rising cost of healthcare services. The cost of healthcare has been rising faster than inflation for many years, and this trend is expected to continue in the future.

Full Answer Section

Supply and Demand Challenges for Healthcare Services

The supply and demand challenges for healthcare services are complex and multifaceted. On the supply side, there is a shortage of healthcare providers, such as doctors and nurses. This is due to a number of factors, including the aging population, the increasing prevalence of chronic diseases, and the high cost of medical education.

On the demand side, there is a growing demand for healthcare services. This is due to the aging population, the increasing prevalence of chronic diseases, and the rising cost of prescription drugs.

Why Are Costs Increasing in the Healthcare System?

There are a number of factors that are contributing to the rising cost of healthcare in the United States. These include:

  • The aging population: As the population ages, there is a growing demand for healthcare services. Older adults are more likely to have chronic diseases and require more medical care.
  • The increasing prevalence of chronic diseases: Chronic diseases, such as diabetes, heart disease, and cancer, are becoming more common. These diseases require ongoing management and treatment, which can be very expensive.
  • The rising cost of prescription drugs: Prescription drug costs have been rising much faster than inflation for many years. This is due to a number of factors, including the high cost of research and development, the complex regulatory process for approving new drugs, and the lack of competition in the prescription drug market.
  • The administrative costs of the healthcare system: The US healthcare system is very complex and fragmented, which leads to high administrative costs. These costs include the cost of billing and insurance processing, as well as the cost of compliance with government regulations.

Regulatory Issues Affecting, or Will Affect, the Healthcare Industry

There are a number of regulatory issues that are affecting, or will affect, the healthcare industry. These include:

  • The Affordable Care Act (ACA): The ACA has had a significant impact on the healthcare industry. It has expanded health insurance coverage to millions of Americans and has made it illegal for insurance companies to deny coverage to people with pre-existing conditions.
  • The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA): The MMA established the Medicare Part D prescription drug benefit. This benefit provides prescription drug coverage to Medicare beneficiaries.
  • The 21st Century Cures Act: The 21st Century Cures Act was passed in 2016. It aims to accelerate the development and approval of new medical treatments and devices.

Strategies to Address the Issue of Rising Prescription Drug Costs

There are a number of strategies that have been proposed to address the issue of rising prescription drug costs. These include:

  • Negotiating lower drug prices: The government could negotiate lower drug prices with pharmaceutical companies. This is already done in other countries, but it is not allowed in the United States.
  • Allowing Medicare to negotiate drug prices: The government could allow Medicare to negotiate drug prices. This would give Medicare more leverage to negotiate lower prices with pharmaceutical companies.
  • Creating a public option for prescription drug coverage: The government could create a public option for prescription drug coverage. This would give Americans a more affordable alternative to private health insurance.
  • Importing prescription drugs from other countries: The government could allow the importation of prescription drugs from other countries. This would allow Americans to purchase prescription drugs at lower prices.

Current Strategies Being Used or Presented for Improving the Issue

A number of strategies are currently being used or presented for improving the issue of rising prescription drug costs. These include:

  • Generic drugs: Generic drugs are cheaper than brand-name drugs and are often just as effective. The government is encouraging the use of generic drugs by providing subsidies to pharmaceutical companies and by making it easier for patients to switch to generic drugs.
  • Biosimilars: Biosimilars are similar to biologic drugs, but they are cheaper. The government is encouraging the use of biosimilars by providing subsidies to pharmaceutical companies and by making it easier for patients to switch to biosimilars.
  • Value-based pricing: Value-based pricing

This question has been answered.

Get Answer