Question

US HEALTHCARE SYSTEM ex... L e Search Avak gn Layout References Mailings Review View Help E 11 A A Aa Ao X, X APA 21 DE AabbCcDc AaBbCcDc AaBb C AaBbcc Aa 1 Normal 1 No Spac... Heading 1 Heading 2 Titl Font Paragraph Styles 1. In chapter1 the authors discussed the healthcare delivery system of 8 other countries. Using the quad-function model, decide which country's healthcare system most resembles the US system and why. (5 points)

Singapore, Japan, Israel, United Kingdom, Germany, China, Canada and Austraila

Answer 1

The quad function model :

the four functional components (Financing, Insurance, Payment, Delivery ) make up the quad-function model. Health care delivery system differ depending on the arrangement of these components. The four functions generally overlap, but the degree of overlap varies between a private and a government-run system and between a traditional health insurance and managed care-based system. In a government-run system, the functions are more closely integrated and may be indistinguishable. Managed care arrangements also integrate the four functions to varying degrees.

financing- financing is necessary to obtain health insurance or to pay for health care services. For most privately insured Americans, health insurance is employer-based; that is, their employers finance health care as a fringe benefit. A dependent spouse or children may also be covered by the working spouses or working parents employer. Most employer purchase health insurance for their employees through an MCO or an insurance company selected by the employer.

Insurance ​​​​​​- insurance protects the insured against catastrophic risks when needing expensive healthcare services. The insurance function also determines the package of health services the insured individual is entitled to receive. It specifies how and where health care services may be received. The MCO or the insurance company also functions as a claims processor and manages the disbursement of fund the health care providers.

delivery - the term delivery refers to the provision of healthcare services by various providers. The term providers refers to any entity that delivers health care services and can either independently bill for those services or is tax supported. Common examples of providers includes physicians, dentists, optometrist and therapists in private practices, hospitals, and diagnostic and imaging clinics and suppliers of medical equipment. With few exceptions, most providers render services to people who have health insurance.

payment - the payment functions deals with reimbursement to providers for services delivered. The insurer determines how much is paid for a certain service. Funds for actual disbursement come from the premiums paid to the MCO or insurance company. The patient is usually required, at the time of service, to pay a small out-of-pocket amount, such as $25 or $30, to see a physician. The remainder is covered by MCO or insurance company. In the government insurance plans, such as Medicare and medicaid, tax revenues as used to pay providers.

which country is most similar health care system to America is germany