NSG C489 Task 3 Template REV 2021

NSG C489 Task 3 Template REV 2021 Organizational Systems and Quality Leadership Task 3, SAT1-0517/1217 Erica Espinoza Western Governors University 09/16/2021 This study source was downloaded by from CourseH on :42:40 GMT -05:00 Healthcare Financing A. Country to Compare I am choosing Japan as the country to compare healthcare systems against the United States. A1. Access Japan as a healthcare system has universal coverage, this is dependent on individual contributions and primarily by taxes. Residents are covered by employment or resident-based plans. The United States offers health insurance through employer-based healthcare programs, private insurance, Medicare, and Medicaid. The United States does not offer universal coverage. Children in the United States are covered by either Medicaid or the Children’s Health Insurance Program. This program is for low-income families that are not likely to qualify for Medicaid. Some states offer an extension of Medicaid or separate programs to offer coverage for children. In Japan, students, the unemployed, and those who work less than thirty hours a week are covered by Japanese National Health Insurance. The unemployed in the U.S. are usually covered but Medicaid or a more affordable plan depending on household size and income. In the United States, if retirees are no longer covered by their job, they can get coverage in the Market place based on income. If eligible they will be covered by Medicare. In Japan, retirees can also qualify for eligible for plans that require reduced mandatory contributions. A2A. Coverage of Medications In the United States, medication coverage is dependent on your insurance. Each insurance program has different co-pays for prescription medication. If the person has no insurance the medication needs to be paid out of pocket. In Japan, 30% of prescription medication is covered by insurance. The individual is responsible for the rest of the cost. A2B. Referral to See a Specialist In Japan, referrals are not required, an individuals can visit any specialist they would like. In the United States, different plans require different methods for seeing a specialist. Most insurance plans, like HMO (health maintenance organization) requires referral for specialists. Other plans like PPO (preferred provider organization) does not require referrals but cost is likely higher than HMO plans. (Cherry, 2019) A2C. Coverage for Preexisting Conditions In Japan, health coverage is not affected by preexisting conditions. In the United States, an insurance plan is not able to reject you or refuse to pay for necessary medical treatment due to a preexisting medical condition. (HealthC, 2021) A3. Finance Implications for Healthcare Delivery In Japan, having universal healthcare is funded primarily by taxes and has substantial coverage. This system permits persons to not have considerable medical debt or medical bills. In the United States, although having health insurance, having a disease that requires significant medical care will cause high debt and medical costs. In some cases devastating a person or family financially. References Cherry, S.J. B. (2019). Contemporary Nursing (8th Edition). Elsevier Health Sciences (US). HealthC (2021). Retrieved 16 September 2021, from Japan | Commonwealth Fund (2021). Retrieved 16 September 2021, from United States | Commonwealth Fund (2021). Retrieved 16 September 2021, from