The Iron Triangle For Healthcare - 1320 Words

The Iron triangle for healthcare consists of cost, quality, and access; these three characteristics when balanced create great healthcare. Managed Care Organizations combine the three to offer consumers with care that is appropriate for their individual needs. Our book describes managed care organizations as â€Å"the cost management of healthcare services by controlling who the consumer sees and how much the service cost† (Basics of the U.S Healthcare System, Niles). Taking a look at the history prior to the Health Maintenance Organization Act of 1973 (HMO ACT of 1973) the implementation has been significant in balancing cost, and quality control. Before this Act was signed in to law by President Nixon healthcare costs were determined by fee for service. A fee for service or indemnity plan is a plan that allows the provider to determine the cost of service, this fee for service plan caused for healthcare costs to increase rapidly. An example of this would be going to the do ctor with neck pain, being told to stretch then receiving a bill for 25,000 dollars. As could be understood the cost of healthcare had became a problem. A part of the problem of cost was the establishment of â€Å"free† healthcare for those eligible for Medicare and Medicaid, between 1965 and 1971 where there was no limitation on benefits. The cost of healthcare increased from 39 billion in 1965 to 75 billion in 1971. Providers had no concern for the cost of their care seeing that SSA recipients had no limitsShow MoreRelatedUSA Government Politics Essay986 Words   |  4 Pagesand the internet have contributed to the fall and rise of great politicians, including the most powerful presidents the world has ever known. This paper explains the influence of television on politics and the impact of interest groups and the iron triangle on politics. Television was first introduced into the public at around 1939, and it changed American politics drastically from this era onwards compared to earlier years. This era unlike the past one is technologically advanced and majority ofRead MoreReasons For Mergers And How They Are Reshaping And Impacting Health Delivery Essay1427 Words   |  6 Pagesfive years due to the passage of federal healthcare reform legislation combined with other factors. It encourages that within the next few years; there will be a key period of merging for healthcare organizations. This term paper will observe the reasons for mergers and how they are reshaping and impacting health delivery. Introduction Hospitals all across America are merging. With tight restrictions as the uninsured population grows and concern as healthcare reform approaches, hospitals and physiciansRead MoreDefining The Value Of Added Services1588 Words   |  7 PagesDefining the Value of Added Services Delivering the quality of service pertaining to healthcare has been a challenge in the medical profession, when promoting the level of â€Å"value,† in the new century (Burns, Bradley, Weiner, 2012, p. 4). Value is based on the quality of additional features (2012), or the desire of a customer and the services that are provided by the cost or price. As a result, the features of quality or patient services can be relative at a lower cost or price to other investorsRead MoreA Iron Triangle Is The Mutually Dependent And Beneficial Relationship Between Bureaucratic Agencies And Legislative Committees1059 Words   |  5 PagesAn iron triangle is the mutually dependent and beneficial relationship that forms between bureaucratic agencies, interest groups, and legislative committees or subcommittees. Iron triangles dominate some areas of policymaking, and form a front against outside interests that aspire to change policy already established through private negotiations amongst members of the triangle. Bureaucrats who run the agencies use their special relationships with particular members of Congress to block the effortsRead MoreThe Affordable Care Act Of 2010 Essay2139 Words   |  9 Pag esAct of 2010 has been a working progress towards upholding the iron triangle of healthcare, which is cost, quality, and access. 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The difference between primary, secondary and tertiary prevention is primary prevention focuses on keeping people healthy by using risk reduction strategies to prevent disease whereas secondary prevention includes the use of procedures that detect pre-clinical changes which can controlRead MoreThe Principle Of Market Justice915 Words   |  4 Pagesfeel that they should not have to work hard while non-disabled citizens sit at home and are not actively looking for work. The quality of healthcare is improving because of technology, but the costs of health care are rising. The higher costs of health care have caused access to healthcare to diminish. The last fact makes me question what factors of the iron triangle would be affected if health care was governed by a central governing agency. My thoughts are that access would increase, and quality andRead MoreEssay about Our Nations Healthcare System1163 Words   |  5 Pagesahead of Slovenia and Cuba, and right behind Dominica and Costa Rica. That’s right, ladies and gentlemen; the World Health Organization ranks the mighty United States just above communist Cuba. In political science, there is a term called the iron triangle. The best example is the current defense setup in the United States. The three players are the defense contractors, the Department of Defense, and US Senators on defense spending committees. The DoD goes to the contractors as a whole saying theyRead MoreEssay On Health Care Cost1270 Words   |  6 Pages(PBS, 2012) That expenditure accounts for roughly 30% of the total healthcare spending that the United States is responsible for. (PBS, 2012) Professionals contribute to this number by participating in defensive medicine, which is recommending and performing tests and procedures that may not be necessary to protect them from lawsuits. (What Is, 2012) By giving in to the fear, these professionals are driving up the cost of healthcare. In 2015, drug spending increased by 9%, a slower but steady increaseRead MoreImportance Of Unions : History And Significance946 Words   |  4 PagesSince then unions continued to be formed but were deliberately exclusive to both specific workers and/or colors. Subsequently, at the beginning of the 1900’s the wage continued to be low, child labor and long work days were common with little to no healthcare, and workers had unsafe working conditions. The labor movement in the United States grew from the muckrakers informing the public of the need to protect the workers and provide them with fair and reasonable wages, hours, and working conditions (Leading