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Thursday, November 30, 2017

Systematic incentive of medical care; perspectives of providers


As we talked formerly about healthcare prices and cost of medical care and inflated service costs and out of pocket fees. It could be directly affect the type and quality of services and full details already discussed in previous post but from provider perspective.  We are going to review different point of views but from other side of responsibility tunnel. Insurers are always caring about positive cash flow and traditionally they work on risk exaggeration among clients than modern managed competition. Because they are not a medical value manufacturer and more close to do their business efficiently than care about medical field problems. Undoubtedly; they prefer inflated costs of care and by their base of clients will form big funds to the corporations than low insurance premium in less inflated ones. As the same exactly going with providers; they prefer high cost of services and high expenditure rates of value receivers to make highest business profit and maximum earn utilization. Currency inflated societies sometimes went far to control and manage the medical care process while in less inflated societies providers found hard to exceed the budget cap of lowest and highest premium proposal accordingly. The incentives we are talking about divided into main categories:

Governmental (public) incentives: many of medical contribution programmes serve the low standards households through paying part or share percent to the provider synchronized by other part of insurers. Public incentives are common in inflated cost societies and main goal to cover and extend the percent of insured covered individuals by paying such percent on behalf of them. Although these kind of incentives give low income households some sort of demands inhibition for a while over a period of time but still not introduce final solutions for their society segments who suffer because of health gain problems.

Private incentives: some providers under certain condition and may be under collaboration with ministry of health affairs of the same country create separate incentives programmes dual purposes for both medical workers financially and by services to the patients in order to support and satisfy specific need and to deliver specific medical values in limited period of time. That used to happen occasionally in epidemic seasonal diseases and also in vaccination ages. 

Closed incentives: it is unique dual purpose incentives happen when there is a deal between insurers and providers to supply group of patients and individuals carry specific identity such as being belong to  private firm or get different kind of service depending on their special medical needs and values. Such kind of service contracts widely used among private firms and insurers whether to supply value receivers with certain quality, different sort of demands and high service standards or give them unpopular medical service commonly not found under normal work conditions. It means always not a matter of giving them something special than to give exactly what they actually in need to get.  The medical worker and nurses used to get some additional benefits in front of that way of standards by different higher reimbursement and more financial bonuses in return. Full health J

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