To Comment:
Identify health care policies that use cost shifting.
Costs of health care increased as access grew (Pauls, 2016). Cost shifting is when a provider charges those with insurance more than those without for the same service (Norman, 2017). Those with insurance make up the difference by paying for what uninsured do not (Norman, 2017). Medicare and Medicaid are among those policies involved in cost shifting. Because they need to make profits to stay in business, providers recoup their losses by charging the insured more (Norman, 2017).
Argue the benefits of cost shifting.
“With health care expenditures growing at an increasing speed worldwide, many health care systems are looking into health insurance reforms to contain costs”, (Xu, Li, Lu, Dixon, Myers, Jelley, & Quan, 2017, p.1). Cost shifting benefits the providers and insurance companies. Coverages stay the same, but costs of coverages continue to rise for the consumer. When asked to about cost, both the insurer and the consumer, were satisfied with cost-sharing (Haren & McConnell, 2009). When there is a decrease in the demand for a particular service, premiums go down (Haren & McConnell, 2009).
How might the Affordable Care Act decrease cost shifting within hospitals?
The Affordable Care Act, in relation to Medicare, regulates payments to hospitals (Pauls, 2016). It also makes the quality measures public information, therefore improving quality performance (Pauls, 2016). It establishes a payment model so that Medicare pays more for good outcomes not bad (Pauls, 2016).
Reference
Norman, L. (2017). What Is cost shifting? Retrieved from http://smallbusiness.chron.com/cost-shifting-23849.html
Haren, M., & McConnell, K. (2009). Patient cost-sharing on the rise: results from the Benefit Design Index. American Health & Drug Benefits, 2(2), 70-77.
Pauls, L. (2016). Medicare: From protector to innovator. In D.M. Nickitas, D.J. Middaugh, & N. Aries. D. (Eds.), Policy and politics for nurses and other health professionals (2nd ed.). Burlington, MA: Jones and Bartlett Learning.
Xu, Y., Li, N., Lu, M., Dixon, E., Myers, R. P., Jelley, R. J., & Quan, H. (2017). The effects of patient cost sharing on inpatient utilization, cost, and outcome. Plos ONE, 12(10), 1-16. doi: 10.1371/journal.pone.0187096
To Comment:
Identify health care policies that use cost shifting.
Costs of health care increased as access grew (Pauls, 2016). Cost shifting is when a provider charges those with insurance more than those without for the same service (Norman, 2017). Those with insurance make up the difference by paying for what uninsured do not (Norman, 2017). Medicare and Medicaid are among those policies involved in cost shifting. Because they need to make profits to stay in business, providers recoup their losses by charging the insured more (Norman, 2017).
Argue the benefits of cost shifting.
“With health care expenditures growing at an increasing speed worldwide, many health care systems are looking into health insurance reforms to contain costs”, (Xu, Li, Lu, Dixon, Myers, Jelley, & Quan, 2017, p.1). Cost shifting benefits the providers and insurance companies. Coverages stay the same, but costs of coverages continue to rise for the consumer. When asked to about cost, both the insurer and the consumer, were satisfied with cost-sharing (Haren & McConnell, 2009). When there is a decrease in the demand for a particular service, premiums go down (Haren & McConnell, 2009).
How might the Affordable Care Act decrease cost shifting within hospitals?
The Affordable Care Act, in relation to Medicare, regulates payments to hospitals (Pauls, 2016). It also makes the quality measures public information, therefore improving quality performance (Pauls, 2016). It establishes a payment model so that Medicare pays more for good outcomes not bad (Pauls, 2016).
Reference
Norman, L. (2017). What Is cost shifting? Retrieved from http://smallbusiness.chron.com/cost-shifting-23849.html
Haren, M., & McConnell, K. (2009). Patient cost-sharing on the rise: results from the Benefit Design Index. American Health & Drug Benefits, 2(2), 70-77.
Pauls, L. (2016). Medicare: From protector to innovator. In D.M. Nickitas, D.J. Middaugh, & N. Aries. D. (Eds.), Policy and politics for nurses and other health professionals (2nd ed.). Burlington, MA: Jones and Bartlett Learning.
Xu, Y., Li, N., Lu, M., Dixon, E., Myers, R. P., Jelley, R. J., & Quan, H. (2017). The effects of patient cost sharing on inpatient utilization, cost, and outcome. Plos ONE, 12(10), 1-16. doi: 10.1371/journal.pone.0187096
. Identify health care policies that use cost shifting.
To Comment:
Identify health care policies that use cost shifting.
Costs of health care increased as access grew (Pauls, 2016). Cost shifting is when a provider charges those with insurance more than those without for the same service (Norman, 2017). Those with insurance make up the difference by paying for what uninsured do not (Norman, 2017). Medicare and Medicaid are among those policies involved in cost shifting. Because they need to make profits to stay in business, providers recoup their losses by charging the insured more (Norman, 2017).
Argue the benefits of cost shifting.
“With health care expenditures growing at an increasing speed worldwide, many health care systems are looking into health insurance reforms to contain costs”, (Xu, Li, Lu, Dixon, Myers, Jelley, & Quan, 2017, p.1). Cost shifting benefits the providers and insurance companies. Coverages stay the same, but costs of coverages continue to rise for the consumer. When asked to about cost, both the insurer and the consumer, were satisfied with cost-sharing (Haren & McConnell, 2009). When there is a decrease in the demand for a particular service, premiums go down (Haren & McConnell, 2009).
How might the Affordable Care Act decrease cost shifting within hospitals?
The Affordable Care Act, in relation to Medicare, regulates payments to hospitals (Pauls, 2016). It also makes the quality measures public information, therefore improving quality performance (Pauls, 2016). It establishes a payment model so that Medicare pays more for good outcomes not bad (Pauls, 2016).
Reference
Norman, L. (2017). What Is cost shifting? Retrieved from http://smallbusiness.chron.com/cost-shifting-23849.html
Haren, M., & McConnell, K. (2009). Patient cost-sharing on the rise: results from the Benefit Design Index. American Health & Drug Benefits, 2(2), 70-77.
Pauls, L. (2016). Medicare: From protector to innovator. In D.M. Nickitas, D.J. Middaugh, & N. Aries. D. (Eds.), Policy and politics for nurses and other health professionals (2nd ed.). Burlington, MA: Jones and Bartlett Learning.
Xu, Y., Li, N., Lu, M., Dixon, E., Myers, R. P., Jelley, R. J., & Quan, H. (2017). The effects of patient cost sharing on inpatient utilization, cost, and outcome. Plos ONE, 12(10), 1-16. doi: 10.1371/journal.pone.0187096




