Cost, Quality, and Access in the U.S. Healthcare Delivery System

1) Analyze at least two barriers in the U.S. health care delivery system related to cost, quality, and/or access that are evident in each person’s scenario.

2) Analyze how health insurance may influence concerns or decisions related to cost, quality, and/or access to health care for each person.

3) Explain potential health care outcomes for each scenario.

Consider the following example:
According to a 2013 article in Kaiser Health News, Gallup Indian Medical Center in New Mexico, a busy federal government hospital on the border of the Navajo Reservation that sees a complex population of patients, learned it would be paid 1.14 percent less for each Medicare patient as a penalty for poor quality scores. Those who gained financially from the Medicare reimbursement policy change included large teaching hospitals and specialty hospitals. For instance, a physician-owned hospital focused on cardiovascular care in Arkansas received one of the largest bonuses (Rau, 2014).

This example highlights some of the complexities surrounding cost, quality, and access that health care administrators frequently encounter. Identify a specific example related to health care, economics, policy, or other pertinent topics that is presented in credible sources. Analyze your selected example and consider how it illustrates concerns related to cost, quality, and/or access. Also consider potential implications of this issue for the management and leadership of health services organizations.
Post a substantive and cohesive response to the following:

1) Provide a description of the example you selected.

2) Analyze how this example illustrates concerns related to cost, quality, and/or access to health care.

3)Evaluate one or more potential implications of the issue(s) described in your example for the management and leadership of health services organizations.

Shi, L., & Singh, D. (2015). Delivering health care in America: A systems approach (6th ed.). Burlington, MA: Jones & Bartlett.
Chapter 12, “Cost, Access, and Quality” (pp. 464-500)

Select and read three or more of the following resources to support your Discussion postings.

Institute of Medicine. (2014). Dying in America: Improving quality and honoring individual preferences near the end of life: Key findings and recommendations. Retrieved from

National Academy of Sciences (2014). Dying in America: Improving quality and honoring individual preferences near the end of life: Key findings and recommendations. Retrieved from

Centers for Disease Control and Prevention. (2014). Healthy living. Retrieved from

Gold, J. (2014). FAQ on ACOs: Accountable Care Organizations, explained. Retrieved from

Jenny Gold, Kaiser Health News, (2014). Type of plan and provider network. Retrieved from (2014). Foundation health measures. Retrieved from

Levi, J., Segal, L. M., Fuchs Miller, A., & Lang, A. (2013). A healthier America 2013: Strategies to move from sick care to health care in the next four years. Retrieved from (2014). Linking quality to payment. Retrieved from

National Institute of Standards and Technology. (2014). Four U.S. organizations honored with 2014 Baldrige National Quality Award. Retrieved from

Note: Click on the links provided to view information about each of the award recipients and compare quality-promotion strategies used in multiple sectors (i.e., service, nonprofit, health care).

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