Question

Implications of a Rise in Chronic Medical Conditions Instructions Corisider the following information and answer the questions below. In Chapter 10 of the textbook, the authors suggest that slightly more than one third of the people in the United States have at least one chronic medical condition and in four years that will rise to nearly 50%. With that said: a. What are the implications for the individual with a chronic condition? b. What are the implications for the healthcare delivery system? c. What are the implications for how we pay/reimburse for healthcare services? d. What are the implications for national policymaking? Important notice: Your answer should have a minimum of 500 words.

population and health issues class.

Answer 1

IMPLICATIONS FOR INDIVIDUAL WITH CHRONIC ILLNESS

Chronic conditions are disease that persist over time and include both the traditionally identified non communicable disease( cardio vascular ,metabolic disease, serial treatment of acute episodes.

• recent technological and pharmaceutical advances have supported better diagnosis and long term management of chronic illness or disease but come to a massive cost to individuals and to health systems
• implication of chronic condition on individuals in relation to physical, psychological, and social effects , and it effects on activities of daily living.
• chronic conditions had the greatest effect on psychological functioning, followed by the physical and social functioning.
• the least affected aspects of a individual functioning related to performing activities of daily living.
• results indicated that the diagnosis, duration of disease and economic status.
• it implication on chronic illness on a patient physical functioning
• implicating on social functioning
• implication on family members

IMPLICATIONS FOR HEALTH CARE DELIVERY SYSTEM

• The us health care delivery system it is not a single system
• the use of health care is driven by need rather than by economic demand .
• the quality of health care services produced and delivery is likely to be much higher than in a competitive market and the prices charged for health care services are permanently higher than the true economic cost of production
• they were established to determine whether care is reasonable , necessary, of adequate quality, provided in most appropriate setting .
• the ability to obtain needed , affordable ,convenient ,acceptable ,and effective personal health services in timely manner.
• low socio economic status and minority group memberships are associated with lower health care usage and access,geographic disparities.

IMPLICATIONS FOR HOW WE PAY /REIMBURSE FOR HEALTH CARE SERVICES

• costs associated with the management of the financing ,insurance,delivery and payment function.
• they include expenditures for management of the enrollement process,setting up contracts with providers,claim processing ,utilization monitoring ,denails and appeals marketing and promotional expenses.
• centralized controls allow cost -containment efforts to sweep through the entire health care delivery system
• involves a knowing disregard of the truth and typically occurs when billing claims or cost reports are intesionally falsified
• major problems in medicaid and medicare ;programs when services not provided are billed to third party
• latter    practice may include billing for a higher

IMPLICATION ON NATIONAL POLICY MAKING

In us it not under national policy it has 3 partys to pay.