Medical Reimbursement Methodologies Essay Example | Topics and Well Written Essays - 1000 words

Medical Reimbursement Methodologies - Essay ExampleThe Blue Cross and Blue Shield Plans were really the blue prints from innovative health insurance. That which started as a hospital plan for public school teachers at the Baylor University Hospital, became the model for Blue Cross Plans around the US. Essentially, these were prepaid plans for hospital go under a contractual agreement. Blue Cross dates back to 1933 where with support from American Hospital Association, this started as a non shekels plan that covered plainly hospital charges. By 1946, this plan spread across 43 states and starting from 9% in 1940, in 1950, it covered about 57% of the population. In frame to avoid conflict with the in-clinic private practice, to start with this was hospital oriented. This was endorsed by AMA, and later a new plan evolved in 1939, which was known as Blue Shield, and this evolved by dint of development of active service plans. This was sign of commitment to private health insurance a s the means to spread the financial risk of sickness without vexation of threatening personal interests of the physician. These plans were literally responses to challenge thrown by national health insurance. In due course of time, they started working together to provide twain hospital and physician coverage. Now, these plans jointly provide a comprehensive shell out through either joint corporations or close working relationships. Since these plans were not for profit to begin with, the commercial insurance providers were skeptical to start with, but later, with the success of these plans, they also started providing health insurance. 3. Explain why the lack of universal health care coverage can raise health care costs. If there is a lack in universal healthcare coverage, there is cost involved in healthcare. Those who are uninsured and uncovered, they will have to pay from their pocket. Therefore, they try to tolerate symptoms and ignore