Thehealth care system is a vital service delivery organ of offers healthservices to the people in a country. It is a system that functions incollaboration with a number of sections or components for efficientservice deliver. Such a system is fundamentally based of thefunctionality of its components to facilitate the service deliveryand hence must include a health service provider, clients, and thefinancial structure and delivery mechanism to maintain the provisionof these services. These four parts of the health care systemmaintain the functionality and integrity of health.
Accordingto the World Health Organisation, the main function of the healthcare system is to improve people`s health by delivering services withthe aim of promoting, restoring or maintaining health (WHO 2007). Health care providers form a major part of the health care system.They are usually the organization or institutions includingindividuals that offer health services to the people. Suchinstitutions can be government operated or co-ordinated or can beprivately owned for profit or for non profit. These institutionsinclude hospitals, dispensaries, clinic and laboratories all roofedunder the blanket of the health department. The individuals thatoffer these services are doctors, nurses, laboratory technicians,chemists including all members of the health working community.
Healthfinance is another key component of the health care system. Thiselaborate system requires finances to achieve the set goals as wellas provide the key services with efficiency. Finance barrier can be ahuge lug to the system if the financial resources are inadequateleading to a drag in the provision of services or consequentlymarginalization of some areas in services provision. The coverage ofservices delivery should consider the whole population andachievement of this requires finances to cater for coverage delivery(WHO, 2010). Sources of funding for the system include governmentfunding from revenue collected and taxation, National insurance fund,funding from the private sector and loans and grants in the sectorfrom health organisations.
Thesystem requires individuals to get access to the services beingprovided by the system. These are the clients who provide payment forthe service rendered, who can be in the form of individuals orinstitutions or insurance agency. Service delivery is an importantpart of the health care system. It ensures that there is efficiencyequity and sustainability of the provision of the services. Deliveryrelies on a network that has a close link to the primary care unit,organized as state to local area network a with proper efficienthospital services, responsible for defined population (WHO, 2010).
Thehealth care system like any other arm or organ requires regulationsand checks to keep the system at bay. These regulations ensure thatthe system is utilized proper and it is efficiently working toperform its functions. Over the years laws have been set up whileothers have been amended to perform the function in the propermanner. Moreover, the laws and guidelines have affected thecomponents of the health care system in various ways depending on thenature and attributes of the laws and the sections it hopes to changeto serve the people better.
TheMedicare Access and CHIP Reauthorization Act of 2015 is an example ofa bill that was on the floor of the 114th Congress. It was sponsoredby Michael Burgess Texas congressional district. The bill was draftedwith a number of aims with regard to health care provision. Among thekey components of the bill was the relationship between utilizationand expenditure by physician and other health professional. Also theutilization and expenditure under the various Medicare parts is amongthe components of the bill. Merit-based Incentive Payment (MIP)system also qualifies a component of the bill. The bill serves tocompel the Government Authority agency to report on the MIP system,reduction of administrative burden, transition of professionals inthe rural areas medically underserved areas and understaffed areas.
Thebill repeals the Medicare Sustainable growth Rate enacted in 1997that was considered as an imperfect solution that rewards quantityrather than quality of the service. As opposed to the SGR this billis objective to performance and offers incentive according to theperformance of medical health professions which is more appealing tothe health workers. It also further removes the threat of paymentcuts to the physicians which was inevitably a severe effect of theSGR.
Onthe upside to the new legislation it improves access and improves thehealth workers payments. It further ensures a 5 year yearly updateof 0.5% for transition to the new payment system. With this there isstreamline to the payment of physicians to eliminate future cuts.Service providers being a major component of the health care system,require being motivated and having a feel of security in their job.This offers stability to the health workers in the workingenvironment and also offers benefits for good performance in theirwork. It ensures quality based on the Merit- Based Payment IncentiveSystem (Jurgen, 2002).
Thebill will reduce unfunded liabilities of Medicare without raisingtaxes and overwhelming burden on the tax payers. Reducing spendingreallocates finances on other sectors in the health department thathave more pressing concerns such as acquisition of new equipmentproper staffing and providing services to a wider coverage. It alsoprovides a good platform for more entitled reforms in the Healthcareindustry. The working of the bill ensures that there is an undelayedpayment in the ICD-10 implementation which will improve on themanagement of diseases in the health care industry that was set backby the SGR legislation. (Jurgen, 2002).
Thoseopposed to the bill have raised concerns that the bill as much as itdoes away with the SGR budget cuts it increase the national debt inthe long run and impacts on the annual spending cuts. There has alsobeen concern on the denying of Medigap policy in the addition toMedicare. Cost sharing in the plan design feels that wealthier seniorhave to pay for more of their own benefits which does not serve thebenefit the interest of all on an equal footing. Proponents feel thatno one should be denied Medigap policies by the fact that they areMedicare beneficiaries eligible by or on January 1 2020(CongressionalResearch Service 2015).
Thisbill will help health care services in the community. It ensuresthat the welfare of the health professionals have their welfare andjob security to improve their zeal and motivation for working.Performance is rewarded on the basis of one`s own achievements. Thesystem will be quality based and will be more efficient providingroom for employment to curb understaffing in certain areas. It alsobenefits the community in terms of cost sharing on the Medicare willallow provision of services to a larger portion of the population.
CongressionalResearch Service (2015). H.R.2:The Medicare Access Reauthorization Act of 2015.Conressional Research Services. Retrieved from,http://democrats.waysandmeans.house.gov/sites/democrats.waysandmeans.house.gov/files/documents/CRS%20report%20on%20HR%202.pdf
Jurgen,R. (2002). Electricand hybrid-electric vehicles.Warrendale, PA: Society of Automotive Engineers.
WHO.(2007). Strentheninghealth system to improve health outcomes.Geneva.
WHO.(2010). Keycomponents of a well functioning health system.