Role Of Government In U.S. Healthcare Specifically In Improving Access To Care Harvard Case Solution & Analysis

Role Of Government In U.S. Healthcare Specifically In Improving Access To Care Case Solution

The Role Of Government In U.S. Healthcare Specifically In Improving Access To Care and in reducing the overall cost of care delivery:


The Patient Protection and Affordable Care Act also called as Affordable Care Act, reformed by the Health and Education Reconciliation Act, became the law on March 23, 2010. Full usage started on January 1, 2014, when the individual and business responsibility provisions produce results, state medical coverage.

In the United States, the quantity of cash spent on human services by all sources, including government, private businesses, and people, is around $7,500 a year for each individual.

In March 2010, the President marked into law in the Affordable Care Act. The provisions of the Act have as of now helped a number of individuals to acquire medical coverage scope and have made defensive services more reasonable for generally Americans.

There are signs that the Affordable Care Act has begun to modest the development of costs and enhance the nature of care through pay for performance programs, encouraged the essential care and care coordination, furthermore, leading in Medicare installment changes.

It is important to notice the factors that would help to decrease the cost and improve the health care service simultaneously. Therefore, the use of Health information data (HIT) has been advanced as having huge assurance in enhancing the proficiency, cost-viability, quality, and security of health care systems in the country's human services framework.

The acknowledgment of these advantages is particularly imperative with regards to reports that show five years of back to back yearly double digit increments in medicinal services expenses and costs and increments in the quantities of unfavorable health services.


Literature review:

According to Tand N, Eisenberq and mever GS, the government's duty to secure and protect the benefits of society incorporates the providing high quality of medical services at low cost. A definitive objective of accomplishing high caliber of care will require participation of federal, state, and also local governments and the private sectors.

Along with this, they further demonstrate that a system is developed to understand 10 roles of Government in enhancing human services quality and well being in the United States. It includes (1) to purchase the hospitals, (2) to provide health care services, (3) guarantee access to quality tend to helpless populaces, (4) direct medicinal services markets, (5) strengthen the use of new information, (6) create and assess well being innovations and practices, (7) monitor the quality services, (8) provide training to doctors (9) to develop educated workforce, and (10) to arrange the health care system.(Tang N, 2004).

As, explained by the Sara Rosenbaum in 2001, that the government along with providing insurance have made efforts to improve the efficiency, quality and accountability of health care services. Therefore, the Affordable Care Act system has been developed in order to realign the medicinal services framework for long term changes in social insurance quality, the firm’s plan of human services practice, and health data transparency.

It has happened by bringing wide changes into Medicare and Medicaid that enable both the Secretary of the U.S. Branch of Health and Human Services (HHS) and state Medicaid projects to test new methods of payments and delivery system. (Rosenbaum, 2011).

On the other hand, for continuous improvement of delivering health care services and optimize the growth in the hospitals Arnold Milstein and Helen Darling (2010) set the vision for the new policies that the government should implement. It includes:(Arnold Milstein, 2010)

  • the federal government should reinforce antitrust approaches to guarantee that no health care industry members can settle on noncompetitive cost increments
  • Secondly, more strong policies and practices are expected to promote the societal changes
  • The federal government should provide exceptional regard for decreasing the problem of obesity on medicinal services spending by organizing programs
  • The best chance to enhance health framework proficiency presumably lies in the sanctioning of federal government policies to harmonize the impact on the patients and doctors.

According to HHS government policy, Human services costs use a lot of the resources. In the United States, the customer face in efficiency is an installment framework that rewards restorative data sources as compared to the results, has high management expenses, and needs concentrate on disease prevention action.

HHS is advancing better care coordination crosswise over suppliers and is enabling the individuals with casual care givers, who can adequately give significant support to their family. CMS is actualizing installment changes to influence the obtaining force of Medicare and Medicaid and to manufacture an inventive, high-value framework that conveys high caliber and productive care. (HHS.Gov, 2016)

Role Of Government In U.S. Healthcare Specifically In Improving Access To Care Harvard Case Solution & Analysis


Robert et al (2006) described the gap in between the quality of services that US health care service is able to achieve and quality that it delivers. This gap occurs due to failure of most of the health care organizations to indulge themselves in improvement measures for the quality care service process. Furthermore, it is defined that the medicinal services safety and quality issues exist due to limited use of technology, lack of infrastructure and outdated care frameworks, which result in a cycle of problematic care being revised all through the many levels of care.(Robert M. Mayberry, 2006)............

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