Health Systems Leadership

Health Systems Leadership

Introduction

According to the past thirty years' history of health care delivery, the health care system had been facing many challenges including risk and difficulties. As compare to other countries, the quality and effectiveness of leadership is comparatively ineffective and poor. As a matter of fact that US health care industry is the most advanced and comprehensive. Despite of this fact, the US health care system is still lag behind other countries because of high cost, poor quality, and lack of appropriateness of care. An Accountable Care Organization is the healthcare organization involved in a care and payment delivery models based on reimbursement to quality metrics and decrease in the cost of care for the assigned patients' population.

The healthcare system involves high cost and expenditure from both government and local health care organizations. According to CTS (Community Tracking Study) conducted by Center for Studying Health System Change (CSHSC) report, the factors responsible for the changes in health care market of United States are the cost of health care, the choice of employer sponsored and changing structure of health care plans (The Quality of Health Care Delivered to Adults in the United States, 2010). The report discusses some of the major factors contributing to the performance of health care system of United States.

Reasons behind Ineffective Health Care System

Cost

High cost is based on increased insurance and administrative costs. The factors contributing to the high cost include: marketing cost, multifaceted benefit packages and cost sharing designs in private health insurance and high turnover rate in health care organizations. High administrative costs include health insurance cost which is very high as compare to other countries.

According to 2006 data, the share of health expenditure in GDP is expected to remain an upward trend, reaching 19.6% by 2017

In the U.S., about 84% of the population has health insurance - 60% by the employer, 9% buying on their own, and 27% through various government programs

Government programs account for 44% of all higher-expenditure on health, making the state the largest insurer in the country.

Approximately 16% of the population, that is, 47 million people, must pay for medical services out of pocket. In the U.S., health insurance is expensive, and the hospital bills in the U.S. are the main the cause of personal bankruptcy

About 60% of Americans have health insurance paid by the employer, but this percentage decreases. The costs of health insurance policies rapidly grow and more and more employers have quit (Steven and William, 2006).

Quality

Other than cost, many research findings revealed that the quality of medical services provided to the patients is relatively low as compare to other countries (McGlynn, et al. 2010). According to recent researches, health patients have been provided poor quality health services from doctors. This quality can be provided by local doctors. In this scenario, doctors as members are not playing critical role in providing quality services to the patients. The reason may be that they are not provided with expected rewards ...