Health Care Spending Essay Example for Free

wellness C atomic number 18 outlay EssayHistorically, U.S. wellness negociate consumption has grown at rates exceeding the economys evolution rate, oft by at least 2 percentage points per year (Holahan McMorrow, 2012, 393). Recently, it seems that the rate of wellness c atomic number 18 disbursal has slowed down a little, though no reasons can be pinpointed as to wherefore this is. on that point are many factors that affect the produce of wellness make out expense, and plenty of replys provoke been proposed to help improve this issue.Factors much(prenominal) as advancements in medical engineering science and an increase in the price of prescription drugs cause health care costs to rise year after year. Solutions have been presented and implemented, like Medicare and Medicaid and managed care plans, however, even these components have added to the health care disbursal issue. With all the discussion and debate, one thing can be concur upon, some(a)thing needs to be done.In recent years both public and private payers have experienced an inclement rise health care outlay that has exceeded income growth. This growth started right after the end of foundation War II and has continue to increase every ten years, health care spending has exceeded the crude(a) domestic products (GDP) which had a projection of 26% by 2035 taken for health care spending, prior the health care reform was passed. This number is only going to continue increasing, which bring in the importance of break the spending since the landed estates long-term fiscal balance will be determined by the future rate growth in health care cost. correspond to Cher untested (2010) the primary determinant of spending growth is the development and diffusion of new medical technology. However this does non imply the establishment of new technology rather focuses on how to use it with technologies and arrangings already in use, in other words coiffe it compatible to work together. The diversity of technologies contributing to spending growth generates a diversity of pathways by which technology increases spending. These includes gritty unit cost driven capital cost or the need for specialized labor, high volume, or cost related to complementary services. Because the past rate of health care spending growth is not sustain adapted, both private and public payers will take action to lower spending.Those actions may not necessary alter the forces that historically have driven up spending, but they will be knowing to address the immediate paradox of high sending. There are many options from cost sharing from patients, reductions in payments to Medicare Advantage, fee reductions under the new payment rules implemented with Patient Protection and Affordable Care Act. On the article there is a suggestion that I find interesting about Global payments, which is an leap out form of bundled payments which is a program use to pay a fixed fee for a regulate of service s related to a specific episode of care.This might be a good tooth root for the situation we are facing now, because it would give providers the opportunity to profit with disregardd revenue, and even share some of the savings form not using health care services. Yet in order for bundled payments system to be successful the need of having the proper tools to improve the efficiency of care. Many providers will be able to develop these tools, but it would require partnership between facilities, physicians, and insurers.For the system to be successful it would have to conservatively manage practice pattern changes due to new technology, adjusting aggressiveness based on the generosity of bundled payments updates. If bundled payments promote efficiencies, they may reduce the level of spending more than spending growth, and that is exactly the area we as state need to be working on.According to hot seat Obama, We do not have a spending problem we have a health care problem. This st atement was alarming to many Americans. The President feels that healthcare spending on the aging population is the number one fiscal problem. Then why is the solution taking so long? With Obamacare, Medicare will see cuts up to $716 billion. Where will this leave the Americans who turn around Medicare? How can they still receive health care with this much of a cut? Will Providers be willing to provide the same high level of care with the high cut to their expected fees? There is no way of knowing if this will even solve the health care spending problem or if it will create even larger problems for Americans.Budget cuts will be needed in other areas to make these cuts to health care spending improve the financial state of our country (Galupo, 2013). According to New Republics Jonathan Cohn, the new health care reform addresses the cost of health care rather than health care spending. He argues the proposed spending cuts will address the health care spending problem along with other budget cuts. Obamacare may not be a good solution to the current health care spending problem in America. Many suggest that the new jurisprudences affect on provider reimbursement rates will have a huge doctor on access to care for many seniors.This can greatly affect the health of our aging population. Spending cuts projected for Medicare and Medicaid will help that aspect of health care spending but with the added subsidies for people to obtain private health insurance, the savings just do not add up. When it comes to health care spending there is much controversy on what increases health care cost, what measures we can take to keep health care cost down, and what actions we can take to make health care affordable without limiting health care.According to kaiserEDU.org the chart provided below shows how costing allocates throughout the nation. Hospital care and physician services feature added up for half (51%) of the nations health expenditures. Below is a diagram from the y ear 2010 of the nations health expenditures. National Health Expenditures, 2010Totaling up = $2.3 TrillionSome major growth health care costs include a rise in chronic disease, administrative cost, or technology or prescription cost, although there may be many more expenditure that adds up to the growth in health care cost these three have been discussed to have the biggest effect on the nation. As technology continues to advance over the years to come, we may face more health care struggles, so being prepared for the unexpected leads to a healthy future.Health care spending continues to be a concern for most Americans. The nations efforts to control health care costs have not had much long-term effect, prompting a debate over what proposals are actually able to reduce for the long-term. Approaches are largely divided by debate over a stronger role for government jurisprudence or market-based models that encourage greater competition (kaiseredu.org).Plans such as Obamacare are bein g implemented, but these plans are not solving the problem. Political debates and public discussions will continue as people try to go into out what factors are responsible for this problem and what solutions are truly aimed at achieving optimal health care at affordable costs.ReferencesChernew, M. (2010). Health Care Spending Growth Can We Avoid Fiscal Armageddon?. Inquiry,47(4), 285-295. Galupo, Scott, 2013, lets Split the Difference We Have a Healthcare Spending Problem, The American Conservative, Retrieved February 14, 2013 http//www.theamericanconservative.com/lets-split-the-difference-we-have-a-healthcare-spending-problem/Holahan, J. McMorrow, S. (2012). Medicare and Medicaid spending trends and the shortfall debate. The New England Journal of Medicine, 367(5), 393- 395. Senger, Alyenne, 3013, No, Obamacare Does Not Lower Health Care Spending , The Founder, Retrieved February 16, 2013 http//blog.heritage.org/2013/02/12/no-obamacare-does-not-lower-health-carespending/The Henr y J. Kaiser Family Foundation. (n.d.). U.S. Health Care Costs. Retrieved from http//www.kaiseredu.org.