Revenue Sources and Ethical Issues


Many communities in America experience high rates of sudden sickness and deaths. This is because health systems lack resources to emphasize and support prevention. Continued dependence on fee-for-service reimbursement has been a contributing factor. Therefore, hospital budgeting is a significant innovation that comes from refund fee-to-fee service to ensure the hospital receives an amount to run for a specified time. The assurance creates an incentive that would recognize care investment and delivery of services to prevent health issues. Expanding behavioral health services, social services, and primary care would be vital to improving moderate rising costs and health outcomes. However, finding a sustainable funding source has been quite a challenge because safety-net health systems are dependent on fee-for-fee reimbursement services in a hospital.

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Hospital Budgeting

All-payer global hospital is a trending payment innovation. The approach involves creating a powerful incentive to invest in community services and recognize care prevention and an annual expectation for all inpatients. This global tool of using all-payer in hospitals initially began in Maryland, was launched in 10 rural pilot hospitals, provided for in the revenue. The program was regardless of the number of emergencies, volume measures, department visits, and patient visits in the hospitals (Dropkin, Halpin &LaTouche, 2007). The management found out that the model was beneficial because the all-payer tool freed them to form the crucial need to keep their wards and bed occupied at a cost. The pilot hospital created new other multidisciplinary clinics to care for; enhanced transitions supported new programs and care for chronic diseases, promoting behavioral health. Small rural hospitals differ in several ways from the sizeable safety-net health system in urban areas. The main challenge is the reach of too many patients beyond inpatient services, too far from network clinics. It is also possible for a portion of patients in urban areas may go for alternatives healthcare systems in urban areas, unlike in rural areas. Insurance giants like Humana and UnitedHealth Group have begun to embrace practices that would reduce the cost incurred in medical care. Today, the parent of Blue Shield and Blue Cross of Illinois has got into the game. The organization has opened up more than ten clinics creating a center that offers everything from medication classes to managing heart conditions.

Reviewing the Professional Issues in Calley (2009)

The APA code has its primary goals, the protection, and welfare of the groups and individuals with whom psychologist works. This trustee role needs psychologists to consider the client’s best interests in maintaining safe, objectives, treatment decisions, and professional positions. We must avoid using those over whom evaluate or supervise authority such as employees, students, participant, and supervisors (Calley, 2009). The code emphasizes the benefits of sensitivity to social issues, diversity, and appropriate respect to worth, people’s dignity, and fundamental rights. Psychologists who discriminate or treat that is not fair basing arguments language, and national origin, race, gender, sexual orientation and religion should be avoided. Wider use of ethical responsibilities needs psychologists to be aware of their scientific and professional duties to society as a whole and the community. The significance of a society’s goals always outweighs the interests of one individual in other clinical contexts. Based on the duty to protect others in society, confidentiality is an exceptional example. The truth of reduced health finances in America raises the uncertainties of advocating for individual special needs or promoting mental health services according to the community needs.

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