The challenges faced by the consumers who are enrolled in private insurance include difficulty to understand and use the insurance plan and the high cost of healthcare deductible.
Typically, healthcare deductible is the amount that insured consumers pay for the covered care services before the insurance company starts to pay for the coverage. Therefore, the consumers in private health insurance usually experience the challenge of high out-of-pocket expenditure for their healthcare since they are enrolled in the HDHPs which requires them to pay for their coverage from their pocket before their insurer starts to pay for their coverage.
A high deductible health plan is always the form of health coverage with less monthly premiums and a higher deductible. Furthermore, the consumers in the private health coverage habitually found it difficult to understand their coverage plans since most of the resources explaining how their coverage plans work are always recorded in a language that demands a high level of literacy for their interpretation. Hence this has made the consumers enrolled in private insurance learn and understand how their coverage plan works through the trial and error method.
Additionally, the consumers of healthcare coverage can be empowered through managing controllable health factors, enhancing price transparency, understanding benefits, helping the consumers to become more healthcare literate alongside assisting the consumers to conceive and frame questions relating to their coverage. Enhancing price transparency would involve organizing cost, standards, and importance of various healthcare guidelines and services that can allow the consumers to make a more informed resolution about the cost of health care and healthcare coverage.
Thus, this would considerably result in the empowerment of the consumers since it would make them more informed about the cost of healthcare as it varies across the various states along with the type of health coverage that is pocket-friendly. Likewise, helping the consumers to become more healthcare literate would assist the consumers to be well informed about their health condition and the care practices that they can engage in to alleviate them from the adverse effects of their health condition hence this would resultantly lead to their empowerment.
In conclusion, funds flow is always of great importance in the healthcare organization since it shows how the physician’s remuneration moves through various departments of the organization before they are received by the physicians. It involves reimbursing the physicians for their healthcare services. Besides, abuses and inefficiencies in the third-party payment system can be prevented through benchmarking and engaging experienced team consultants to assist in dealing with the compliance issues within the payment system.