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The purpose of this class is to educate you on the various reimbursement methodologies in our...

The purpose of this class is to educate you on the various reimbursement methodologies in our country, and to get you in the mindset of analyzing/comparing/contrasting healthcare delivery models elsewhere in the world as well. The US has a very complex, and often convoluted, healthcare system. There are many "players" (patients, doctors, state and federal government, insurance companies, etc), and tons of moving pieces. I would argue that we will (in our lifetime) see major change in the way that our healthcare is delivered and paid for. Because of this, I want you to be knowledgeable and informed on all of the potential models.

This week you are to create your ideal healthcare delivery model. Use the information provided in the "National Models of Healthcare Delivery" section of the text to develop a model for healthcare delivery in the United States.

Because this information is somewhat subjective, to an extent there is no "right" or "wrong" answer. With that said, if you type nonsense or you don't ground your opinion in fact, you will receive a bad grade on this. You are required to compare the different models, and again, you must provide rationale for your choices/opinions.

This does not have to be a large, drawn out essay. I want to see that you understand the models and that you have given thought to what you believe would be the ideal system for the US

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Answer #1

ANSWER- HEALTH CARE DELIVERY SYSTEM IN INDIA-

1) PUBLIC / GOVERNMENT SECTOR

  • Urban health services

a) urban hospital and health centers

- urban family welfare center (UFWC)

-district hospital and dispensaries

-special hospital

-medical collage/teaching institution

-super specialty hospital

b) central health services / health insurance

-ESIC

-CGHS

-Family planning insurance scheme

c) other government health services

-Railway hospital

-Millitary hospital

  • Autonomous institution e.g AIIMS
  • National health programme
  • Ayush
  • Rural health services

-subcenter

-primary health care center

- community health center

- other rural services

village health guide (VHG)

traditional birth attendent (TBA)

Aaganwadi worker (AWW)

Accredited social health activist (ASHA)

  • V.H.A
  • Private sector

-private hospital

-mission /trust hospital

-dispensaries

  

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