Healthcare Plans: Cost & Quality Analysis and Implications on Nursing

COST AND QUALITY ANALYSIS
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Cost and Quality Analysis
Introduction
Healthcare insurance remains an aspect that plays a significant role in the dispensation of care in the United States of America. Despite the fact that the growth and development of spending’s has considerably weakened, every per capita spending on medical services is considered to stand at 50 to 200 percent of net worth in the US as compared to other nations. In a bid to confirm the relatively low costs of medical services in the US, scientists embarked on studies to reveal the manner in which this was achieved (Mark, n.d). Findings clearly revealed that the local varieties in the spending on health care services resulted from the Medicaid. This paper therefore seeks to conduct a study on the cost and quality analysis of healthcare services in the United States of America.
Difference between Public/Private Health Care Agencies
The public and private health agencies programs selected are the Child Health Plan Plus (CHP+) and Medicaid respectively. The public health agencies programs are primarily run through the coordination of services in Colorado with these programs including the Child Health Plan Plus (CHP+) and Medicaid as opposed to the private healthcare insurance coverage that are primarily run by private insurance companies that require the customers to pay for all or part of the services received. On the other hand, Public health agency commences their programs during the first month of coverage. For instance when individual’s applies for coverage with a public agency in May 10, 2017, suppose they qualify, the patients scope is back dated to the 1st of May 2017, an aspect that varies from the private healthcareagencies coverage that the commencement dates may vary in accordance to the insurance agreement applied(Leah, 2014). Given this, all the arrangements done by the 15thas evident in the public health care agency are done at the beginning of every month, thus requiring applicants to start making their payments on the 1st of the previous month. An instance of this is evident in a case where individual’s purchase coverage on the 10th of May, 2017, the scope of the coverage is then backdated to the 1st of March 2017. However, when this plan is purchased after the fifteenth day of every month, the scope is designed to begin on the following month.
In public health insurance agency, CHP+ and Medicaid are provided freely, thus making their use easier for the individuals who quality. However, it is essential to consider that some subscriptions to the CHP+ and Medicaid may require customers to make payments for enlistment expenses including other co-installments for administrative functions (Bridges et al, 2012). In as much as the Private Healthcare Insurance coverage are paid through premium installments, in the event that the consumers fail to purchase the arrangement from an executive, an insurance agency is tasked with the responsibility of providing data on the recurrence and the short installments required for the premiums, thus impacting the quality of care as a result of several people seeking care. In the event that such information is not available, the Insurance Company is held liable.<...