As medicine made advancements, and demonstrated the need for some way to manage prolonged illness such as cholera, tuberculosis, measles, small pox, and typhus, the need became more and more important to figure out management and health care. As WWII progressed, Henry J. Kaiser developed a pre-paid program that paved the way for Health Maintenance Organizations 40 years later. Capitation in a nutshell is where there is a set amount of money paid to the provider regardless of the number of patients seen.
Fee for services is less stable and nebulous for both the provider and the patient. Fee for service is on the decline …show more content…
Various regulatory agencies were formed to protect the public from a number of health risks and provide numerous programs for public health and welfare. Health care regulations are developed and implemented not only by all levels of government (federal, state and local) but by private organizations as well. Private health care insurance programs are usually offered through employers, however, not all employees can afford health care for their families depending on the size of the family and how much the company is willing to pay to offset the total costs of the premiums and translates to less money for the employee. If the patients insurance program doesn’t cover all the patient’s health care costs, the patient will have to pay out of …show more content…
Federal funded health care through Medicare and Medicaid programs are also available to the public, there are certain requirements that need to be met before a patient can apply for those benefits if the patient can’t afford private insurance benefits. Regulatory agencies are supposed assist the patient with the cost of health care. Unfortunately, that is not how it turns out, patients with chronic illnesses, disease processes and long-term side effects cost families thousands of dollars every year. The federal government subsidizes health insurance premiums in two main ways.
First, nearly all premiums for employment-based insurance are excluded from federal income and payroll taxes. That tax exclusion, estimated to cost more than $250 billion in fiscal year 2016, subsidizes roughly 30 percent of the average premium for employment-based