Reform of Healthcare Market and Regulation and Antitrust Policy in Health Care

Week 9

“Reform of Healthcare Market and Regulation and Antitrust Policy in Health Care”  Please respond to the following:

From the e-Activity, synthesize the primary ways in which consumer and provider incentives work together to achieve cost reduction under the Affordable Care Act (ACA). Provide at least one (1) example of such synthesis to support your response.

Defend or critique the key provisions of antitrust legislation in the United States. Analyze the major ways in which quality issues in health care affect antirust healthcare policy. Provide at least one (1) example of antitrust laws in action to support your response.

From the e-Activity, synthesize the primary ways in which consumer and provider incentives work together to achieve cost reduction under the Affordable Care Act (ACA). Provide at least one (1) example of such synthesis to support your response.

According to Hicks (2014), the Affordable Care Act provides new opportunities as well as increases on existing health programs approaches. Under the Affordable Care Act actualizing and growing business wellbeing projects may offer our country the chance to enhance soundness of all Americans and help control spending (Hicks, 2014). This is one route in which customer and supplier impetuses cooperate to accomplish cost diminishment (Hicks, 2014). The Affordable Care Act likewise enables businesses to fluctuate premiums to have the capacity to compensate workers for taking an interest in wellbeing programs as well as to accomplish certain measurements of wellbeing (Hicks, 2014). More advantageous workers spend less for restorative care, and while diminishes protection costs for representatives (Hicks, 2014).

Defend or critique the key provisions of antitrust legislation in the United States. Analyze the major ways in which quality issues in health care affect antirust healthcare policy. Provide at least one (1) example of antitrust laws in action to support your response.

According to Hicks (2014), antitrust laws are a gathering of elected and states government laws that directs the lead and association of business companies, and advances the reasonable rivalry for the advantage of purchasers. Antitrust laws are intended to keep free rivalry in the commercial center (Hicks, 2104). While rivalry empowers better costs and items for shoppers, without these laws set up organizations could converge to make imposing business models or take part in gets that can drive showcase costs (Hicks, 2014). These laws secure the customer and additionally ensure the organizations (Hicks, 2014). Mergers, monopolization, price fixing managed care, and quality competition are all counterparts of the anti-trust laws (Hicks, 2014). For example, considering the merging of two hospitals with low rates of occupancy, a healthcare system may draw in antitrust examination by tricky concession to cost or by barring a few doctors, making it unthinkable for them to rehearse in the market (Hicks, 2014).

Reference

Hicks, L. (2014). “Economics of Health and Medical Care“. Jones & Bartlett Learning; Burlington, MA.

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Elsa,

Great post this week! The information and resources your provided were very helpful. When doing my research I came to realize that  there are several federal agencies that have been established to implement, manage, and monitor antitrust policy. The Federal Trade Commission (FTC) enforces both the Clayton Act and the Federal Trade Commission Act. The enforcement of antitrust law is shared by two federal agencies: the Antitrust Division of the U.S. Department of Justice and the Federal Trade Commission. Because of the time and expense of fully developing legal cases and bringing them to trial, the majority of antitrust cases are settled by consent decrees by working out a court-supervised agreement between the parties involved. Would you agree with this or do you have a different perspective?

Again, great thread this week. Have a wonderful week ahead!

i Melody! I really enjoyed reading your post about the anti-trust laws. Based on reading Hicks (2014), I found out that there were guidelines created to put some parameters around these laws and I will list them as following:

The arrangements of the announcements address the accompanying nine regions:

1. Mergers among healing centers

2. Clinic joint endeavors including high-innovation or other costly human services gear

3. Doctor’s facility joint endeavors including particular clinical or other costly social insurance administrations

4. Suppliers’ aggregate arrangement of nonfee-related data to buyers of social insurance administrations

5. Suppliers’ aggregate arrangement of expense related data to buyers of medicinal services administrations

6. Supplier investment in trades of cost and cost data

7. Joint obtaining courses of action among human services suppliers

8. Doctor arrange joint endeavors

9. Logical standards identifying with multiprovider systems