Case Study: German Healthcare Vs. United States Healthcare
Abstract
The four sources used in this paper discuss the German health care system as it’s compared to the United States. All authors have the same information about how the system is beneficial. All sources where for on the internet.
German Healthcare Vs United State Healthcare
Health insurance in Germany has been mandatory for all citizens since 2009. Previously, people were able to choose not to have coverage but majority of the people choose to be covered. It is provided by competing, not-for-profit, non-governmental health insurance funds (called “sickness funds”) in the statutory health insurance scheme (SHI), or by voluntary substitutive private health …show more content…
The various levels of government have no real role in the direct role in the direct delivery of health care. According to Blumel, a large degree of regulation is delegated to the self-governing bodies of the sickness funds and the provider associations. The most important body is the Federal joint Committee which was established in 2004.
In German, SHI covers prevented services such as regular dental checkups, well-child check-up, basic immunization, checkups for chronic diseases, other covered services include in and outpatient hospital care, physician services, mental health care, dental care, optometry, prescription coverage, medical aids, rehabilitation, hospice and palliative care. Demographic changes: as Germany’s population ages, the increased elderly proportion of the population will drive up demand and cost for health care services, leaving little foreseeable prospect for easy cost limitation methods. (AICGS 2012) …show more content…
Problems like that do not exist in Germany due to the fact that everybody is covered by universal health care.
In Germany Hospital inpatient services are reimbursed through a system of diagnosis related groups (German DRG—“G-DRG”). For ambulatory care provided to SHI members, physicians are reimbursed on a mixture of pre-paid capitation, treatment lumps sums, and fee-for-service according to a point-based doctors’ fee scale, the so-called German Uniform Evaluation Standard. Each physician has a “capitations of service” volume per quarter, which varies regionally, between specialties and morbidity of patients. (United Bio Source).
With a dual system it allows civil servants, self-employed, and individuals earning more than approximately 50,000 euros a year to opt out of the GKV system. They may purchase their own private health insurance. This covers only 10 percent of the population. Private health insurance patients pay a higher rate for outpatient care providers which give providers an incentive to favor the privately insured. This will lead to shorter wait times for the privately insured then those who are cared for under the governments
The four sources used in this paper discuss the German health care system as it’s compared to the United States. All authors have the same information about how the system is beneficial. All sources where for on the internet.
German Healthcare Vs United State Healthcare
Health insurance in Germany has been mandatory for all citizens since 2009. Previously, people were able to choose not to have coverage but majority of the people choose to be covered. It is provided by competing, not-for-profit, non-governmental health insurance funds (called “sickness funds”) in the statutory health insurance scheme (SHI), or by voluntary substitutive private health …show more content…
The various levels of government have no real role in the direct role in the direct delivery of health care. According to Blumel, a large degree of regulation is delegated to the self-governing bodies of the sickness funds and the provider associations. The most important body is the Federal joint Committee which was established in 2004.
In German, SHI covers prevented services such as regular dental checkups, well-child check-up, basic immunization, checkups for chronic diseases, other covered services include in and outpatient hospital care, physician services, mental health care, dental care, optometry, prescription coverage, medical aids, rehabilitation, hospice and palliative care. Demographic changes: as Germany’s population ages, the increased elderly proportion of the population will drive up demand and cost for health care services, leaving little foreseeable prospect for easy cost limitation methods. (AICGS 2012) …show more content…
Problems like that do not exist in Germany due to the fact that everybody is covered by universal health care.
In Germany Hospital inpatient services are reimbursed through a system of diagnosis related groups (German DRG—“G-DRG”). For ambulatory care provided to SHI members, physicians are reimbursed on a mixture of pre-paid capitation, treatment lumps sums, and fee-for-service according to a point-based doctors’ fee scale, the so-called German Uniform Evaluation Standard. Each physician has a “capitations of service” volume per quarter, which varies regionally, between specialties and morbidity of patients. (United Bio Source).
With a dual system it allows civil servants, self-employed, and individuals earning more than approximately 50,000 euros a year to opt out of the GKV system. They may purchase their own private health insurance. This covers only 10 percent of the population. Private health insurance patients pay a higher rate for outpatient care providers which give providers an incentive to favor the privately insured. This will lead to shorter wait times for the privately insured then those who are cared for under the governments