Explore BrainMass

Explore BrainMass

    Role that private insurance plays in healthcare

    This content was COPIED from BrainMass.com - View the original, and get the already-completed solution here!

    1. Include the role private insurance plays in the healthcare system, a current issue it is facing in the healthcare environment.

    2. Identify and provide links to at least two articles which address the current issue that is identified with private insurance. These articles should address the issue from at least two different points of view.

    3. Find a specific organization, agency, or association that represents private insurance and document their position with respect to the private insurance issue identified in the paper. Why was this example used?


    © BrainMass Inc. brainmass.com June 4, 2020, 12:31 am ad1c9bdddf

    Solution Preview

    Discussion and articles are provided in the enclosed document.

    The role of private insurance in health care can be viewed from many different
    positions. The role of private insurance in providing a much needed service to consumers is
    one position. The role of providing a source of income for health care providers is another. Yet
    another role of private insurers in health care is to provide financial benefit to its shareholders.
    Because the role of private insurance in health care considers the different stakeholders, the
    positions often conflict each other, in terms of which stakeholders may suffer for the benefit of
    others and which stakeholders' interests have priority over the others.
    With respect to the role private insurers play in satisfying investors or shareholders, it is
    becoming increasingly difficult to meet shareholder expectations. "On average, three out of
    every four dollars used to purchase health care are actually paid by someone other than the
    consumer who incurs the bill" (Miller, nd). The cost of purchasing health care typically falls to
    individual corporations who offer group employee coverage and on insurers themselves. While
    this does not mean consumers should pay more of the bill, it indicates that the costs of
    administering health care are far too high.
    The cost of administering health care benefits is far too high, even form the opinion of
    those who pay less of the cost, the insured. In the Cato Handbook for Congress, Tom Miller
    points out that employees who are covered under employer plans are dissatisfied with the
    costs themselves. Many believe their employers could find a far better value for the cost.
    "Approximately 48% think better health plans are available for the same cost." While
    employees may not understand the costs associated with administering health care plans; they

    are as concerned about value as the other stakeholders involved.
    For health care providers or organizations, working with private health care insurers
    means limiting the charges for various procedures and often adjusting fees downward, so that
    patients have less out of pocket expense. This can be a positive aspect of private insurance, as
    usual and customary charges for various services ...

    Solution Summary

    The role that private insurance plays in healthcare is examined. Links for two articles addressing the current issue that is identified with private insurance are provided.