Overview of Reimbursement Systems
There are several healthcare coverage assistance systems in the US. Given the high cost of doctor visits, it is necessary for many individuals to live healthier and more fulfilling lives. However, not every hospital visitor may have their regular insurance up to date, and other problems regarding the provision of care can arise. Because of this, there are a variety of potential options on the market.
Key Differences Between Reimbursement Processes
Medicare
Medicare is an insurance plan for the more vulnerable parts of the population. This typically includes old people (60 and older) or individuals with different forms of impairments (“Parts of Medicare,” n.d.). Most widely known by the public, this system allows eligible users to reduce their medical care costs.
As a system, Medicare improves access to drugs, hospital checkups, and most types of treatment (“Parts of Medicare,” n.d.). In addition, Medicare Advantage plans exist to get specific types of Medicare coverage (“Medicare Advantage plans,” n.d.). Typically, this includes the contracting of other companies who provide care in their service areas. It helps individuals not eligible for regular Medicare.
Private Insurance
Commercial insurance covers a broader range of demographics than Medicare. While it is presented as an option to more individuals, it is also more challenging to attain. Individuals can sign up for an insurance plan with a company, given that they have the necessary funds (Borrelli, 2022). However, specific restrictions exist depending on the prices of care, care coverage, and types of procedures that can be obtained.
Preferred Reimbursement System From a Provider’s Perspective
As a healthcare provider, I would support Medicare, the only healthcare support system that prioritizes population health and accessibility. The primary purpose of Medicare is to safeguard the population and help individuals live longer lives. Despite the lack of coverage for younger people and existing restrictions on available types of care, this option appears most complete (“Parts of Medicare,” n.d.). If individuals are aware of the limitations of Medicare, they can use it responsibly.
References
Borrelli, L. (2022). What is commercial health insurance? Forbes Advisor. Web.
Medicare Advantage plans. (n.d.). Welcome to Medicare | Medicare. Web.
Parts of Medicare. (n.d.). Welcome to Medicare | Medicare. Web.