Managed care and medical education

Article Abstract:

Academic medical centers are being forced to operate like a commercial business, and consequently, the quality of medical education is in jeopardy. Academic medical centers are hospitals that are affiliated with a medical school. One of their missions is to train medical students and interns. Up until 1997, they were partly subsidized by Medicare, but the Balanced Budget Act reduced that subsidy. It is unlikely that academic medical centers will ever be profitable, and no one including the federal government has come up with a way of supporting these centers. In other countries, support for medical education is included in the national budget.

Hospitals, University, University hospitals, Medical education

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The American health care system: employer-sponsored health coverage

Article Abstract:

The fact that many Americans receive health insurance through their employers has created serious problems. As health care costs rose, employers tried to cope by dropping coverage, limiting coverage, or shifting more of the cost to the employee. Many Americans consequently lost their coverage, have to pay more for it, or have inferior coverage. However, they have few alternatives to employer-sponsored coverage, since they cannot afford to pay for personal coverage. This situation will continue as long as employer-sponsored health insurance is the norm in the US.

Economic aspects, Services, Employers, Health insurance, Insurance, Workers

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The risk-adjustment debate

Article Abstract:

Risk adjustment may be an extremely complicated method of ensuring that doctors are fairly paid for treating sick patients. Risk adjustment means that the doctor will be paid more to treat sicker patients than healthier patients. However, the adjustment will likely be based on each patient's medical condition. For complex illnesses, this could be very difficult to determine. Many doctors believe that the best solution may be to move to a single-payer plan or to pay all doctors a salary.

Analysis, Risk assessment, Capitated payment systems (Medical care)

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