Healthcare Delivery Systems Case 1

Question Description
Required Reading
Asaria, M., Ali, S., Doran, T., Ferguson, B., Fleetcroft, R.,Goddard, M., & Cookson, R. (2016). How a universal health systemreduces inequalities: lessons from England. Journal of Epidemiology and Community Health, 70(7), 637-643.
Beitsch, R. (2015). Hospitals oppose site-neutral outpatient pay proposal in Obama’s budget. Inside Washington Publishers’ Inside CMS, 18(5).
Beland, D., Rocco, P., & Waddan, A. (2016). Obamacare wars: Federalism, state politics, and the Affordable Care Act. Lawrence: University Press of Kansas. Retrieved from https://muse.jhu.edu/book/43112
Galarraga, J. E., & Pines, J. M. (2016). Costs of ED episodes of care in the United States. The American Journal of Emergency Medicine, 34(3), 357-365.
Harrison, S. (2015). Health care reform may drive higher comp costs. Business Insurance, 49(6), 4-4,22.
Foundation Recovery Network. (2016). The effects of the AffordableCare Act and outpatient treatment. Accessed fromhttp://www.outpatientcenters.org/affordable-care-a…
Gavil, A. I., & Koslov, T. I. (2016). A flexible health careworkforce requires a flexible regulatory environment: Promoting healthcare competition through regulatory reform. Washington Law Review, 91(1), 147-197.
Joynt, K. E., Chan, D. C., Zheng, J., Orav, E. J., & Jha, A. K.(2015). The impact of Massachusetts health care reform on access,quality, and costs of care for the already-insured. Health Services Research, 50(2), 599–613
Kaufman, N. S. (2011). Three “brutal facts” that provide strategicdirection for healthcare delivery systems: Preparing for the end of thehealthcare bubble. Journal of Healthcare Management, 56(3), 163-8.
Kennedy, S. (2015, December 1). New health care jobs in Pennsylvania not at hospitals. The Morning Call. Retrieved from http://www.mcall.com/business/mc-health-care-emplo…
Mead, R. (2015). The obstacles to health care reform. Policy, 31(3), 12-13.
Merlo, G., Page, K., Ratcliffe, J., Halton, K., & Graves, N.(2015). Bridging the gap: Exploring the barriers to using economicevidence in healthcare decision making and strategies for improvinguptake. Applied Health Economics and Health Policy, 13(3), 303-309.
Outpatient medical procedures save money. (2016). Healthcare Leadership Review, 35(5), 13.
Rich, G. (2015, March 30). Hospitals going out for profitable care:Outpatient sites cheap, serve paying patients, align with Obamacare. Investor’s Business Daily, p. A1.
Young, Q. D. (2016). Health care reform: A new public health movement. American Journal of Public Health, 106(6), 1023-1024.
Introduction to the U.S. Health Care Delivery System
Case Assignment
Please view the following video in preparation for this assignment:
Girard, K. (2013). Health care delivery systems and occupations. Retrieved from
Having completed the required readings and viewed the video, youshould now have a basic understanding of the characteristics andcomponents of the United States health care delivery system. Health caredelivery is no longer confined to the hospital setting. Over the pastfew years we have witnessed the emergence of outpatient surgery centers,home health, hospice, etc.
For this assignment, conduct additional research as needed to address the following questions:

What factors have led to care being offered outside of the hospital setting?
What are the advantages and disadvantages of these settings? Who benefits the most: consumers or organizations?
How will the Affordable Care Act (ACA) impact this new trend? Willit encourage more alternative settings or put care back into thehospital setting? Explain.