The United States healthcare system is one of the most complex and expensive in the world. It is a system of public and private organizations, institutions, and agencies that provide a wide range of health services to Americans. The US health care system is made up of three essential components: health insurance, providers, and delivery systems.
Health Insurance
Health insurance is the primary way that Americans access health care services. Health insurance plans offer financial protection against health care costs and provide access to a variety of health care services. The two main types of health insurance are employer-sponsored plans and individual health insurance plans. Employer-sponsored plans are provided by employers to their employees and can include a variety of benefits, such as coverage for doctor visits, hospitalization, and prescription drugs. Individual health insurance plans are purchased by individuals and can be tailored to meet their specific needs.
Providers
Providers are the people and organizations that deliver health care services. These include doctors, nurses, hospitals, laboratories, pharmacies, and other health care professionals. Providers are responsible for diagnosing and treating illnesses and injuries, providing preventive care, and educating patients about their health.
Delivery Systems
Delivery systems are the organizations and systems that deliver health care services. These include health insurance plans, government programs such as Medicare and Medicaid, and private health care organizations. Delivery systems are responsible for ensuring that patients receive the care they need in a timely and cost-effective manner.
The US health care system is complex and ever-evolving. It is essential to understand the components of the system in order to make informed decisions about health care. Understanding the essentials of the US health care system can help individuals make informed decisions about their health care and ensure that they receive the care they need.
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Essentials of the U.S. Health Care System, Fourth Edition is a clear and concise distillation of the major topics covered in the best-selling Delivering Health Care in America by the same authors. Designed for undergraduate and graduate students in programs across the health disciplines, Essentials of the U.S. Health Care System is a reader-friendly, well organized resource that covers the major characteristics, foundations, and future of the U.S. health care system. The text clarifies the complexities of health care organization and finance and presents a solid overview of how the various components fit together.
Readers will gain the necessary tools to understand the unique dynamics of the U.S. health care system, including health care delivery, public policy, and the placement of the U.S. health care system within the larger context of global health care.
This fully revised Fourth Edition has been updated with the most current health statistics and information including:
• The status and impact of the Affordable Care Act on all parts of the health care delivery system
• Implementation of Healthy People 2020
• The current U.S. physician workforce and challenges
• New topics such as nanomedicine; clinical decision support systems; HITECH Law; update on remote monitoring; regulation of biologics; and medical technology
• Health disparities in terms of access to care, quality of care, and health outcomes
• Quality initiatives from government and private sectors
• U.S. health care delivery in the context of forces of future changeEssentials of the U S Health Care System
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