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Part Assignment

Reducing the Price of Health Care

The focus in health care reform is cost control in light of annual double-digit inflation since the late 1990s and the consumption of nearly 17% of the gross domestic product (GDP) in 2009 (more than any other country in the world). The debate is over how to reduce the rate of spending for health care while preserving quality and access to care for patients. Research at least 2 methods of reducing the percentage of the GDP spent on health care. You will need to be able to describe how you would do this in specific terms. This can be a number of approaches, such as the following:

• Completely dismantle the current system and start over-A monumental task

• Revise the current payment system to reflect current economic constraints

• Cut Medicare and Medicaid

• Insurance reform

• National health insurance based on the Massachusetts Model

• Malpractice reform

• Legislation such as the Balanced Budget Act of 1997, the Medicare Modernization Act of 2003, the Affordable Care Act (2010), and others
Provide the following elements in your paper:

• Describe the model you are supporting to best control costs without compromising the quality and access to health care, and explain how the model works.

• Analyze the method that you are supporting, detailing the strengths and weaknesses from all stakeholder group (e.g., patient, provider, and third-party payer) perspectives.

• Provide an example of the model in real time or as a scenario.

• Summarize the anticipated results in terms of costs and benefits.

Part 2 Assignment

Quandaries in Health Care

Declining Trust in the Health Care System (The Trust Crisis)

Health reform is mired in the morass of multitiered payment systems and multiple modes of access, limited by the ability to seek and to pay. Increasingly, patients are interacting with multiple entities within the system, causing more and more confusion on the part of the patient. According to recent research, patients' trust in the system, providers, and insurers continues to decline. This may result in a decline in individual health and an increase in costs for health care.

Investigate the declining trust in the health care system from an ethical and moral position. You may use the four principles plus attention to scope model of Beauchamp and Childress or any other ethical model that you choose to address this.

Complete the following:

• State what model you will use to investigate this issue.
• Identify 2 or more legal issues contributing to this problem.
• Identify 2 or more economic and financial issues contributing to this problem.
• Analyze the impact of various issues that are contributing to this problem, and rank them in order from greatest to least impact.
• Propose at least 1 modification that would increase trust in the health care system with rationale.

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