Comprehensiveness of healthcare benefits and tiering

There are many business model of healthcare system worldwide and certain achieve minimum level of value satisfaction while many still on the threshold of basics and only few could reach to be good and acceptable according to fairness standards of medical provision and value community coverage. The worst level of fairness lack among society individuals is called ‘Tiering’; which means inequality and considerable deviation of value coverage delivery and quality care to certain community segments. The real problem of Tiering is not about meaning and explanation but more touch the medical system mechanisms and way of value management between different insurance holders. Tiering can be found in rich societies and also in middle and poor societies. Moreover; there is Tiering inside the same category of insurance whether public and private sector, and so on. I would like here to highlight point of understanding to get the whole idea about Tiering; actually Tiering is not new and most of healthcare systems textbooks took about in details and the core meaning of such term lied in creating and building parallel layers of society segments could not get proper and achieve minimum threshold of healthcare whether if they public insured or in private one.

One of relapsed key leads to Tiering in healthcare increased successive interest toward certain customers segment and neglecting others according to their ability to pay more for their extra or additional values gained.  Private sector in UK is clear example about Tiering in rich countries and much interest in wealthy clients whereas there are many could not reach to only the minimum of the same care. Levels of the same service are important and quality improvements in compliance with budget disbursed for each value good to apply but the weird is when you found highest standards for certain group of customers depending on their living capabilities and neglecting the rest of society. And for that reason applying fairness standards among community segments considered urgent to remove Tiering layers and dependent gaps.

The other example regarding Tiering in rich country; failing to provide proper insurance to the poor population and worker in USA is common. Moreover; it is not a secret for anyone to reach how many millions medical insured uncovered in 2017 and number existed already online, that if we consider USA is as a rich country with $ 20. 453 Trillions National Debit.  In Colombia is the same Tiering problem of medical care regarding massive interest toward wealthy segment of population which almost represent 5 % of the whole society and neglecting others or/and keep them on minimum medical benefits while population masses of them not insured covered indeed. Before we are leaving the term would like to refer to types and degrees of Tiering among communities, hard to build zero Tiering medical system but to keep satisfied level of medical benefits and insurance package to majority of the society is not that impossible.

The direct sequences of Tiering in healthcare system is decrease fairness standards and increase service deficiency gaps among members of community and clearly noticed in chronic value receivers and elderly patients service. As I said before medical business cycle is most profitable cycle ever you can meet and work with and rarely to find any medical institution or service provider suffer from lack of customers and that everywhere from Alaska to New Zealand. Because of that highest demand surge forms irresistible dynamic business cycle with unlimited rewards. Full health J