NRS 428 Topic 4 DQ 1

Research the delivery, finance, management, and sustainability methods of the U.S. health care system. Evaluate the effectiveness of one or more of these areas on quality patient care and health outcomes. Propose a potential health care reform solution to improve effectiveness in the area you evaluated and predict the expected effect. Describe the effect of health care reform on the U.S. health care system and its respective stakeholders. Support your post with a peer-reviewed journal article. 



The United States health care system is complex with a mix of private and public sectors. Depending on the legislation that is passed by the government, the system changes and evolves, sometimes for the better, and at times at the detriment of the community when it does not work or function the way it was intended to (Grand Canyon University, 2018). Finance management of the health care system is through health insurance from employers, with out-of-pocket costs or if eligible, through the federal government assistance programs such as Medicaid, Medicare, or Tricare. A health care reform law passed by former President Obama called the Patient Protection and Affordable Care Act has 3 main primary goals: to provide affordable health insurance, expand the Medicaid program and support medical care delivery methods (, 2022). The aim may be true but it is still fragmented and confusing for most people to navigate and apply for its services. The IOM report showed a continuous lack of coordination with various stakeholders in the healthcare system of the U.S. (Grand Canyon University, 2018). 

Statistics still show that 8.6 percent or 28 million remain uninsured in 2020 and private insurance is more prevalent than public insurance which only covers 34.8 percent (Keisler-Starkey & Bunch, 2021). A proposal on health care reform may be to increase the public coverage for health insurance and make it available to most if not everyone just like Canada, which is one of the best health care systems in the world for providing health care services for free no matter the income level (Sawyer, et al., 2011). What is important is for the community to be aware of the health care plan coverage, and to be involved and assist the government in the reformation and ratification of the health care system by writing to their governors, or being an active part of the community. 



Grand Canyon University (Ed). (2018). Community & public health: The future of health care. Retrieved from 


Keisler-Starkey & Bunch. (2021). United States Census Bureau Health Insurance Coverage in the United States. Retrieved from 2020 ( U.S. Department of Health and Human Services. (2022). About the Affordable Care Act. Retrieved from Care Act | HHS.go 


Matthew P. Sawyer, Qian Gao, Yue Dong, and Zhi Xiang Chen. (2011). An Overview of the Canadian Health Care System. Retrieved from ( 



Hello Rizalina, 

 I agree with you that the US health care system is complex. The increasing demand of healthcare services can be attributed to the complexity. Private and public sectors are working together to ensure that Americans receive affordable and quality healthcare services (Rice at al., 2018). However, to ensure that American health care system befits the public expectation, the government is a stakeholder in the sector. The federal government assistance programs such as Medicaid, Medicare, or Tricare has improved healthcare services’ access to many Americans. The government initiatives and policies have continued to change to meet ever-changing healthcare needs. The Patient Protection and Affordable Care Act three main primary goals aim at improving healthcare services’ access to most uninsured Americans. The federal government assumes that through initiating these assistance programs, healthcare organizations will improve their performance (Doherty et al., 2020). The partnership between the government and insurers have ensured that most uninsured Americans access quality healthcare services. Regrettably, there are still some Americans struggling to afford quality healthcare services due the high cost. 



Doherty, R., Cooney, T. G., Mire, R. D., Engel, L. S., Goldman, J. M., & Health and Public Policy Committee and Medical Practice and Quality Committee of the American College of Physicians*. (2020). Envisioning a better US health care system for all: a call to action by the American College of Physicians. Annals of internal medicine, 172(2_Supplement), S3-S6. 

Rice, T., Unruh, L. Y., van Ginneken, E., Rosenau, P., & Barnes, A. J. (2018). Universal coverage reforms in the USA: From Obamacare through Trump. Health Policy, 122(7), 698-702. 


Hey Class, 

Healthcare in the United States has several issues that demand immediate attention if it is to be improved. It focuses on uninsured patients who have to bear the high premiums and out-of-pocket expenses. The costs of expanding their coverage are increasing the gap in access to insurance coverage because of their sustainability and viability (Faruqi, 2021). Compared to other countries, the United States spends more money per person on medication. Drug therapy and self-management are two examples of efficient and preventative treatment. The activities of the medical system to meet the health needs of the population to promote effective health care for individuals and the public. Health incentives are supplied to users to maximize their efficiency—general coverage on financial protection, equity, and sustainable growth in epidemiological and social demographic changes are included in the health incentive package.         The economic viability of the health care system is a significant issue in health policy. When medical bills and strategies to restrict spending are included, the monetary value increases (Faruqi, 2021). The primary focus of health policy economics today is on financial stability and long-term economic growth. Health science and technology improve the quality of life while also reducing the length of life expectancy at a lower cost to society. Inequality and insufficiency are encouraged by globalization in economics and medicine (Faruqi, 2021). Reduced benefits and improved safety due to insufficient tax revenue boost the economy’s ability to compete. 

Unemployment and financial hardship impact medical care budgets, both public and private. It is easier to meet healthcare needs when everyone has access to enough healthcare funding, high-quality services, and longer life expectancies are all available to them (Mackintosh, 2019). Government taxes made possible by national health insurance promotes responsive and long-term healthcare systems. Healthcare stakeholders include health care providers (physicians), government agencies, employers, and insurance companies. Benefits provided by these insurers include health insurance for both employees and customers. With the passage of the Affordable Care Act, medical stakeholders are exposed to risk, saved, and formed partnerships (Mackintosh, 2019). Although treatment prices are rising, the medical market is advancing health. The National Quality method attempts to improve drug quality while reducing health care expenses. Healthy relationships among stakeholders can be enhanced by increasing the involvement of leaders, decision-making processes, and high-level trends in health care quality and market change. 


Faruqi, A. (2021). Healthcare management. OrangeBooks Publication. 

Mackintosh, D. R. (2019). Systems and health care. Systems of Health Care, 1-9. 



Kelechi, I agree with you that US healthcare sector has to improve its performance. The fact that the American government spent heavily on healthcare, Americans expect to benefit. The United States utilizes more money per person on medication compared to other successful countries.  The expenditure is a surety to the people of affordable and quality healthcare services (Al Asmri et al., 2020). The government spend more in insurance coverage targeting uninsured Americans. The government assistance programs have improved healthcare services accessibility. However, the coverage process has exposed rot in most of these programs. The serious issues raised on some of the government initiatives demand urgent reforms. Financial constraints impact private and public medical care budgets (Thomas et al., 2018). Healthcare organizations may fail to initiate other programs due to financial hardships. Similarly, engaging suppliers and different stakeholders in the government assistance programs may decrease financial impact on healthcare services. Americans may not get the monetary value of government investment in healthcare sector.  



Al Asmri, M., Almalki, M. J., Fitzgerald, G., & Clark, M. (2020). The public health care system and primary care services in Saudi Arabia: a system in transition. Eastern Mediterranean Health Journal, 26(4). 

Thomas, K. C., Shartzer, A., Kurth, N. K., & Hall, J. P. (2018). Impact of ACA health reforms for people with mental health conditions. Psychiatric services, 69(2), 231-234. 



Management of care is essential to healthcare delivery. The first delivery method of the healthcare system is managed care. The healthcare delivery system focuses on reducing medical costs while maintaining a high quality of care (Carter et al., 2018). The method of healthcare delivery achieves efficiency by integrating the essential functions of healthcare delivery. For instance, this form of healthcare delivery method provides low-cost medical services, especially for low-income families, which ultimately improves the quality of patient care and health outcomes. In addition, the country’s healthcare system also adopts a method to treat military personnel. This highly organized care system provides free-of-charge healthcare services to the US’s active and retired military personnel. This form of healthcare delivery improves the physical and mental health of one of the most valuable and vulnerable populations, the military and veterans. Also, there is the subsystem for vulnerable populations’ delivery method. This approach improves healthcare for vulnerable people such as immigrants, the poor, the uninsured, and minority groups. 

Healthcare technology is the potential solution to healthcare reform to improve the delivery methods of the healthcare system. The adoption of technological applications such as telehealth and in-home medical services will allow healthcare providers to manage and treat a wide range of patients in a short period (Smith et al., 2019). The expected outcome of healthcare technology is reduced hospital delays, readmissions, and medical errors. 

The expansion of telehealth will improve the US healthcare system by preventing the spread of infectious diseases to medical providers and other patients, expanding access to healthcare for populations living in rural areas, and improved quality of care. Telehealth reduces the workload of medical providers, making them more efficient and satisfied, thereby promoting positive patient outcomes and satisfaction ( Young et al., 2019). 


Carter, N., Valaitis, R. K., Lam, A., Feather, J., Nicholl, J., & Cleghorn, L. (2018). Navigation delivery models and roles of navigators in primary care: A scoping literature review. BMC health services research, 18(1), 1-13. 

Smith, A. C., Thomas, E., Snoswell, C. L., Haydon, H., Mehrotra, A., Clemensen, J., & Caffery, L. J. (2020). Telehealth for global emergencies: Implications for coronavirus disease 2019 (COVID-19). Journal of telemedicine and telecare, 26(5), 309-313. 

Young, J. D., Abdel-Massih, R., Herchline, T., McCurdy, L., Moyer, K. J., Scott, J. D., … & Siddiqui, J. (2019). Infectious Diseases Society of America position statement on telehealth and telemedicine as applied to the practice of infectious diseases. Clinical Infectious Diseases, 68(9), 1437-1443.  



Daniel it is true that management of care is critical in ensuring that there is quality healthcare services. Managed care is first delivery method in healthcare system that has transformed healthcare system. Managed care enables Americans to access quality healthcare services. The delivery method focuses on increasing quality while reducing the medical cost. American government has expressed its clear intention to improve healthcare services (Rice et al., 2018).  The decision to adopt a method to treat military personnel indicates government’s position on healthcare.  However, private stakeholders can joined the public sector players to develop programs that will have a positive impact on the US healthcare sector. Healthcare needs have been advancing over time (Sarpatwari et al., 2019). As a result, public and private players have been working together to improve healthcare quality. Healthcare technology has enabled the federal government to improve its trust towards healthcare organizations. Similarly, the technology has improved efficiency and individual performance.   








Rice, T., Unruh, L. Y., van Ginneken, E., Rosenau, P., & Barnes, A. J. (2018). Universal coverage reforms in the USA: From Obamacare through Trump. Health Policy, 122(7), 698-702. 

Sarpatwari, A., Barenie, R., Curfman, G., Darrow, J. J., & Kesselheim, A. S. (2019). The US biosimilar market: stunted growth and possible reforms. Clinical Pharmacology & Therapeutics, 105(1), 92-100. 


The post NRS 428 Topic 4 DQ 1 appeared first on Nursing Assignment Crackers.