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Friday, June 30, 2017

Healthcare payment reform


The reforms associated with the full system integration branched and own different rout of modification than one fall end gate. The point of financing the systems entirely through insurance and financial institutions might be work for beginning of operation and later the government should hold the hands of operations rather than allows the other stakeholders to control the destiny of medical care of the country. Totally privatization of the medical provision put the whole process of medical care for any society under big risk and even we call it uncalculated one because simply no one could ever expect what going to be in near future from their management or operation policies. The history prove in many countries with different living standards that massively depending on the private financial institutions increase the operations cost, capitalization debit risk, earning inflation and of course over productize the medical care serves by unnecessary products and services. Moreover; the quality and performance of the medical services got inferior as a result of focusing on the work revenues more than patient satisfaction rate and value packages provided outright.

Paying per services, paying per performance and hybrid model of medical systems reimbursement formerly discussed. Many studies proved that paying per performance does not fit with majority of systems and did not effectively improve care either. Lack of proper judgment, expressive work parameters and evaluation assessment indicators explains why. From other side; focusing on revenues of medical care may create good current of profits but also decrease quality and satisfaction of the patients. Paying per services gave good and valuable impact among many of healthcare providers and at the same time doing better to minimize the wasteful expenditures in order to condensate the work with working medical staffs for skills improvements and creating valuable received package of services. By which; when the medial operating system going to be attractive for private enterprises, to enter the business process with government guidance, the maximum surge of capitalization going to carried out lack of Capitalism control.

Private enterprise play the valuable role everywhere and with every working system, but being a business process partner serves  the strategic country goals; such as enhance capitalization rate, decrease earning dilution with inflation, increase equity (liquidity) in the healthcare market and appropriate management synchronization between the private and public sectors. Accordingly; following the performance only neglecting the quality of care provision does not work favourably in the positive side of whole system integration. There are many countries appeared on the world scene adopted the high quality standards of medical care and implementation processes with successful productize the care. Subsequently; wide market already founded to create new current of therapeutic tourism and present examples around us are many. 

There are many complicated talk about healthcare financial reforms with long deep explanation details but would be perfect to get the main guidelines of conceptual purpose and I am full of interest in further questions and enquiries. Full health and happy summer J

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