Comparative Performance of Private and Public Healthcare Systems

Question: Describe about the Report for Comparative Performance of Private and Public Healthcare System. Answer: The effect of policies on Private health care in US The US public health policies have significant impact on health status. The policy-relevant evidence includes both epidemiological and narrative information. It has been revealed that public policy issues are imposing effects on the health care delivery system of adolescents in US. The policy makers has identified that the future of adolescent health are affected by a number of factors (Basu et al., 2012). The American character, which is based on the attitudes, influenced by the US policy and politics, the association between the government and private sectors and the main role of US private health care sectors, the federal system, which distributes the authority within different levels of government and the incrementalism, that is a systematic process of characterizing the policy development; these are the factors affecting the public health care delivery towards adolescents in US. The important issue of public health care delivery to adolescents is their attitudes towards the publ ic health care system, which is shaped by the policies related to federalism, pluralism and the role of private sector in dealing with the domestic social issues (Emanuel et al., 2012). The effect of policies on Private health care in US Most of people in US are enclosed by health insurance policies, either by employment or obtaining individually. However, the expenses of this private health insurance premium, which are bought by the patients or other enrollees, are increasing. These expensive and increasing premiums for private health insurances are significant concerns for enrollees. The federal budget is also affected by them. The reason is that, the federal government sponsors the majority of the direct or indirect premiums at about $300 billion in fiscal year 2016. Thus, the policy and lawmakers showed their interest to analyze the factors that are affecting premiums. It has been revealed that the federal subsidies, fees and taxes are affecting the private health insurance premium. In two ways, the federal government policies are affecting the premiums. Primarily, the ACA is allowing the federal government to offer tax credits to the individuals, who are buying non group coverage through the exchange of health c are insurance. These premium tax credits are expected to approximately $40 billion in fiscal year 2016 (cbo.gov, 2016). On the other hand, federal government subsidies has allowed about all premiums for employment-based insurances to be expelled from federal income and payroll taxes. Different federal taxes and fees are affecting premiums. In 2020, new policies will be offering new exercise tax on the employee-based plans with moderately high premiums, individual who will take these plans; the tax will balance the incentive for obtaining more extensive coverage, provided by the federal tax exclusion (Novignon, Olakojo Nonvignon, 2012). There were a number of federal and state regulations, before ACA, which has previously affected the private health insurance premiums. One chief regulation that has affected the private health insurance in US is individual mandate, that was affected in 2014 and the requirement was that most of the people get health insurance or they have to pay penal ty. Therefore, individual mandate decreased premiums by influencing comparatively healthy people to gain coverage. Reference List Basu, S., Andrews, J., Kishore, S., Panjabi, R., Stuckler, D. (2012). Comparative performance of private and public healthcare systems in low-and middle-income countries: a systematic review.PLoS med,9(6), e1001244. cbo.gov,. (2016).Private Health Insurance Premiums and Federal Policy.Congressional Budget Office. Retrieved 7 August 2016, from https://www.cbo.gov/publication/51130 Emanuel, E., Tanden, N., Altman, S., Armstrong, S., Berwick, D., de Brantes, F., ... Daschle, T. (2012). A systemic approach to containing health care spending.New England Journal of Medicine,367(10), 949-954. Novignon, J., Olakojo, S. A., Nonvignon, J. (2012). The effects of public and private health care expenditure on health status in sub-Saharan Africa: new evidence from panel data analysis.Health economics review,2(1), 1.