Healthcare in the United States is facing numerous challenges. However, the main one is currently finding and implementing an excellent remuneration or payment model for healthcare. Currently, there is a shift as most healthcare organizations are preferring to pay healthcare workers based on the quality or the outcome of the healthcare interactions with the patient than the quantity or the number of patient healthcare workers to interact with and treat ( Koehn et al., 2020). The insurers and benefactors have instituted new payment models to develop a new model in the country, such as Bundled payments. These are cost-effective and quality-oriented models that demand much from healthcare providers. The problem is the implementation of these approaches ( Yetti & Gayatri, 2019). Different healthcare institutions are less willing to implement them, and there is also tension between the public and private hospitals on the same. Therefore, the country struggles to implement a uniform healthcare compensation strategy that is fair for both patients, insurance, and healthcare providers.
Question Two
McMichael et al. (2020) state that about 89% of the population is likely to receive long term care at one point in their lives. The long term care varies among people with younger people less likely to stay long within the care institutions receiving treatment. However, the most vulnerable group are those above the age of 65 years. These individuals are more likely than others to stay within the hospital for long term care. Among the old, there is a high degree of isolation among these patients than younger patients. Therefore, they lack the support and care they have at home and make them more vulnerable to stay hospitalized because of stress and loneliness. Furthermore, these individuals suffer from numerous chronic degenerative conditions such as diabetes, other complications such as osteoarthritis, which keep them long in the hospital (Gorges, Sanghavi & Konetzka, 2019). Therefore, the disparity regarding the long term care patients come because, at 65 years and above, the old are vulnerable to diseases than at a young age.
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References
Gorges, R. J., Sanghavi, P., & Konetzka, R. T. (2019). A national examination of long-term care setting, outcomes, and disparities among elderly dual eligibles. Health Affairs , 38 (7), 1110-1118.
Koehn, H. J., Zheng, S., Houser, R. F., O’Hara, C., & Rogers, B. L. (2020). Remuneration systems of community health workers in India and promoted maternal health outcomes: a cross-sectional study. BMC Health Services Research , 20 (1), 48.
McMichael, T. M., Currie, D. W., Clark, S., Pogosjans, S., Kay, M., Schwartz, N. G., ... & Ferro, J. (2020). Epidemiology of Covid-19 in a long-term care facility in King County, Washington. New England Journal of Medicine , 382 (21), 2005-2011.
Yetti, K., & Gayatri, D. (2019). Remuneration Satisfaction to Improve Work Motivation of Nurses: A Cross-Sectional, Descriptive Analysis Study. Journal of International Dental and Medical Research , 12 (1), 291-298.
