A model u.s. healthcare delivery system
The current financing and reimbursement models within the U.S. healthcare delivery system are largely based on fee-for-service payers, in which providers are paid for each service rendered as opposed to a pre-determined flat rate or a bundled payment model that covers multiple services. This type of payment structure often leads to overutilization of resources, increased administrative costs, and duplication of services. Moreover, reimbursement rates for Medicare and Medicaid programs tend to be lower than those offered by commercial insurance companies, resulting in limited access to care for underserved populations who depend heavily on these programs. Additionally, the lack of price transparency makes it difficult for patients to make informed decisions regarding their healthcare choices while financial incentives tied to certain treatments can create conflicts of interest between providers and insurers. Moving forward there needs to be more focus on value-based care models that emphasize quality outcomes over quantity of services provided in order to improve patient satisfaction and reduce overall health care spending across the system.