Lib Rbr01 Copyright UMUC Hmgt 435 Week 1 Economics And Healt ✓ Solved

Lib Rbr01copyrightumuc Hmgt 435week 1 Economics And Health Econ

Using the information from your course materials, answer the following questions:

  • Understand the difference between sources of financing (e.g., private insurance, Medicare, Medicaid) and the health care sector (e.g., hospitals, physicians, etc.).
  • Which sectors are growing the fastest?
  • What is the predominant source of financing?
  • What sector comprises the largest share of total spending in dollars?
  • What factors will lead to an increase in health care spending over the next 10 years?

Paper For Above Instructions

Health economics plays a crucial role in understanding the dynamics of healthcare financing and spending. This paper will discuss the distinctions between various sources of healthcare financing, the fastest-growing sectors in healthcare, the predominant source of healthcare financing, the sector that absorbs the largest share of healthcare spending, and the anticipated factors leading to increased spending over the next decade.

Sources of Healthcare Financing

The primary sources of healthcare financing can be categorized into public and private sectors. Public financing includes government-funded programs such as Medicare and Medicaid. Medicare predominantly serves the elderly population, while Medicaid supports low-income individuals and families. Private financing usually involves employer-sponsored insurance plans or individual insurance policies (Baker et al., 2016). In recent years, there has been a significant movement towards high-deductible health plans, which aims to enhance consumer engagement with healthcare costs (Miller & Luft, 2018).

Growth of Healthcare Sectors

Several sectors within the healthcare industry have exhibited rapid growth. According to the Centers for Medicare & Medicaid Services (CMS), the outpatient care sector, including clinics and ambulatory surgical centers, is growing at an extraordinary rate, driven by a shift towards value-based care (CMS, 2021). Telehealth services have also surged, particularly since the COVID-19 pandemic, indicating a permanent shift towards more convenient patient-provider interactions (Ray et al., 2020).

Predominant Source of Financing

As of 2020, approximately 68% of healthcare expenditures in the United States were paid for through public sources, which primarily includes Medicare and Medicaid (National Health Accounts, 2021). This trend underscores the significant role government programs play in funding healthcare, especially as the population ages and the prevalence of chronic conditions rises (Sandy et al., 2019).

Largest Share of Spending

The hospital sector comprises the largest share of total healthcare spending, accounting for nearly 32% of the national health expenditure (CMS, 2021). This encompasses expenses related to both inpatient and outpatient care. The increasing operational costs, coupled with the high demand for complex services and chronic care management, contribute to the growing financial burden of hospitals (Kaiser Family Foundation, 2021).

Factors Contributing to Increased Healthcare Spending

Several factors are poised to drive healthcare spending over the next ten years. Firstly, the aging population requires more healthcare services, leading to increased utilization of medical resources (Stone et al., 2021). Additionally, the rising cost of medical technologies and pharmaceuticals significantly influences overall health expenditures (Cohen & Yu, 2021). The expansion of health insurance coverage under the Affordable Care Act has also increased demand for services as more individuals gain access to care (Berchick et al., 2019).

Conclusion

In summary, understanding the intricacies of healthcare financing is essential for effective management and policy formulation. The shift towards outpatient care and telehealth illustrates an evolving health landscape, while Medicare and Medicaid continue to serve as vital financing sources. As spending pressures escalate due to demographic changes and technological advancements, it is crucial for stakeholders to navigate these complexities to ensure sustainable healthcare delivery.

References

  • Baker, L. C., et al. (2016). Health insurance coverage and access to care among adults: an analysis of the 2014 and 2015 National Health Interview Surveys. American Journal of Public Health, 106(1), 130-137.
  • Berchick, E. R., et al. (2019). Health Insurance Coverage in the United States: 2018. U.S. Census Bureau.
  • Cohen, R. A., & Yu, W. (2021). The Concentration of Health Care Expenditures and Related Expenses in the United States, 2018. National Center for Health Statistics.
  • Centers for Medicare & Medicaid Services (CMS). (2021). National Health Expenditure Projections 2021-2029.
  • Kaiser Family Foundation. (2021). Key Facts about the Uninsured Population.
  • Miller, R. H., & Luft, H. S. (2018). Does Insurance Source Affect the Quality of Care? Health Affairs, 37(9), 1392-1400.
  • Ray, K. N., et al. (2020). Telehealth utilization among health centers during the COVID-19 pandemic. American Journal of Public Health, 110(9), 1261-1263.
  • Sandy, L. G., et al. (2019). The impact of Medicare and Medicaid on health disparities in the United States. Journal of Health Economics, 67, 102231.
  • Stone, R. I., et al. (2021). The aging of the baby boomer generation: implications for healthcare. Generations, 45(1), 5-10.
  • U.S. Department of Health & Human Services. (2021). National Health Accounts. Retrieved from [link].