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Healthcare systems - Assignment Example

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In the health sector, specialists are experiencing new methods of data management. Due to the change in the trends, countries are therefore developing new health care…
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Healthcare systems
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Download file to see previous pages In the United States, there are bodies that have been put in place to manage information about the health care providers. These bodies are the NPDB and the HIPDB. The NPDB is a federal data bank in the United States that was created to serve as a store for information about health care providers in the United States. The Medicare and Medicaid Patient and program Protection Act of 1987 led to the development of NPDB. This aimed at protecting the beneficiaries of health care from unfit health care practitioners. The NPDB not only not keep information about adverse professional society actions against physicians and dentists quality of care but also tracks all payment made that are not in accordance to the health care ethics.
The other data bank in the United States is the HIPDB. This data bank was established by the Health Insurance Portability and Accountability Act of 1996.It was purposely created to fight fraud and abuse in health insurance and health care delivery to the people. HIPDB contains information about actions by the licensing agencies against provision, supply and delivery of health care. The two data banks are different in that while NPDB contains information about professional conduct and competence in health care delivery, HIPDB contains information about judgments made against health care providers.
In the health care sector there may arise issues about funds. Decisions on who to pay, for what to pay, and how much to pay create risk and incentives which in turn affect the type of and amount of health care service offered. This necessitates the coming in of payment systems which play an important role in the health sector. Different payment methods can lead to different outcomes. The criteria used in payment and reimbursement are critical to determine the diverse outcomes. However, hospitals can decide to use the per ...Download file to see next pagesRead More
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