With patient responsibility as a percentage of revenue on the rise, providers have seen their billing-related costs and accounts receivable levels increase. Each has a very personal healthcare experience, and each has distinct financial needs and preferences that have an impact on how, when and if they chose to pay their healthcare bill.
One study  based on data from the OECD concluded that all types of health care finance "are compatible with" an efficient health system.
The study also found no relationship between financing and cost control. The term health insurance is generally used to describe a form of insurance that pays for medical expenses. It is sometimes used more broadly to include insurance covering disability or long-term nursing or custodial care needs.
It may be provided through a social insurance program, or from private insurance companies. It may be obtained on a group basis e. In each case premiums or taxes protect the insured from high or unexpected health care expenses.
By estimating the overall cost of health care expenses, a routine finance structure such as a monthly premium or annual tax can be developed, ensuring that money is available to pay for the health care benefits specified in the insurance agreement.
The benefit is typically administered by a government agency, a non-profit health fund or a corporation operating seeking to make a profit.
Many government schemes also have co-payment schemes but exclusions are rare because of political pressure. The larger insurance schemes may also negotiate fees with providers. Many forms of social insurance schemes control their costs by using the bargaining power of their community they represent to control costs in the health care delivery system.
For example, by negotiating drug prices directly with pharmaceutical companies negotiating standard fees with the medical profession, or reducing unnecessary health care costs.
Social schemes sometimes feature contributions related to earnings as part of a scheme to deliver universal health carewhich may or may not also involve the use of commercial and non-commercial insurers.
Essentially the more wealthy pay proportionately more into the scheme to cover the needs of the relatively poor who therefore contribute proportionately less. There are usually caps on the contributions of the wealthy and minimum payments that must be made by the insured often in the form of a minimum contribution, similar to a deductible in commercial insurance models.
In addition to these traditional health care financing methods, some lower income countries and development partners are also implementing non-traditional or innovative financing mechanisms for scaling up delivery and sustainability of health care,  such as micro-contributions, public-private partnershipsand market-based financial transaction taxes.
There has been growing interest in blending elements of these systems. Central negotiations as in Japan, Germany, Canada and in France or hybrid model such as in Australia, France's sector 2, and New Zealand where GPs can charge extra fees on top of standardized patient reimbursement rates.
Capitation[ edit ] In capitation payment systemsGPs are paid for each patient on their "list", usually with adjustments for factors such as age and gender. Capitation payments have become more frequent in "managed care" environments in the United States. However, under this approach, GPs may register too many patients and under-serve them, select the better risks and refer on patients who could have been treated by the GP directly.
Freedom of consumer choice over doctors, coupled with the principle of "money following the patient" may moderate some of these risks.
Aside from selection, these problems are likely to be less marked than under salary-type arrangements. Health care deliveryHealth information managementHealth informaticsand eHealth Sound information plays an increasingly critical role in the delivery of modern health care and efficiency of health systems.
Necessary tools for proper health information coding and management include clinical guidelinesformal medical terminologiesand computers and other information and communication technologies.
The kinds of health data processed may include patients' medical recordshospital administration and clinical functionsand human resources information. The use of health information lies at the root of evidence-based policy and evidence-based management in health care.A Case Study of Organizational Capacity in Nonprofit Community Sport Katie Misener and Alison Doherty organization to fulfill its mandate and provide sport opportunities in the community.
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