Abstract
Infirmaries and healthcare organizations have been confronted with bettering the well-being and health of the people they serve as part of the Affordable Care Act, as well as the introduction of value-based modes of payment. Successful improvement of people’s health requires addressing health drivers’ issues which are; medication adherence, socioeconomic aspects, and physical surroundings (Berkowitz et al., 2016). Although most healthcare facilities are the major employers in the towns and cities where they are situated, they also seem to have significant influence as the key community decision-maker. The approach of working collaboratively makes sense even though, in several contexts, the assorted civic groups have been working on the very same challenges or aiming at the same inhabitants, offering the opportunity to harmonize efforts, boost efficiency as well as storage facilities, improve monetary capacity, and finally, strengthen the majority’s health status including the community’s well-being (Berkowitz et al., 2016).
Roles of the major health system
The United States has a medical distribution system that is far beyond anywhere else in the entire globe. Many advanced economies have state public health insurance systems, some of which are financially supported via direct taxation; therefore, most citizens in these kinds of states have access to quality healthcare. The roles of the major healthcare system are as follows:
Financing
Funding is needed to acquire insurance coverage for health services. For the vast majority of privately insured citizens, health insurance is provided through their jobs, such that bosses pay for medical care as a perk (Hilt, 2019). A predicated family member may also be supported by the employer of the wage earner or working guardian; thus, many organizations but health insurance coverage from an insurance agency, mostly one that is selected by the boss.
Payment
The money transfer function is responsible for compensating service providers for the services they render. The amount paid for a particular service is determined by the insurer. Actual disbursement funds are derived from premiums paid to the MCO or insurance company (Hilt, 2019). To see a doctor, the patient is required to pay a certain fee at the time of service. The rest is taken care of by the insurance company.
Delivery
The establishment of well-being services by numerous benefactors is referred to as “dispatch.” Physicians, dental hygienists, optometrists, and psychologists in private practices, hospitals, and diagnostic are common providers as some are dealers of medical gear such as walking sticks, wheelchairs, ostomy supplies, and oxygen. In some special cases, many suppliers end up serving people who have health insurance (Hilt, 2019).
Description and Roles of the Community Organization
Community organizations are non-profit civil society organizations that work within the same community. They are a subset of the larger team of on-profits. They are like any other non-profit agency and are frequently run on a volunteer basis, and are self-funded (Hilt, 2019). The primary goal of a community organization is to strategize, implement, and evaluate economic growth and development programs, as well as to provide financial and technical assistance to societies.
Conclusion
Generally, different nations deal with a lot of challenges when it comes to community-based organizations and healthcare sectors working together; however, they still agree that it is for the benefit of the community, and therefore both parties figure out a way of coagulating with each other. A couple of organizations, such as the Medic-aid agencies and other insurance companies, are looking forward to offering them support as they continue supporting the locals as they continue with their partnership journey.
References
Berkowitz, S. A., Brown, P., Brotman, D. J., Deutschendorf, A., Dunbar, L., Everett, A. & Ziegelstein, R. (2016). Case study: Johns Hopkins community health partnership: a model for transformation. In Healthcare (Vol. 4, No. 4, pp. 264-270). Elsevier.
Greenhalgh, T., Jackson, C., Shaw, S., & Janamian, T. (2016). Achieving research impact through co‐creation in community‐based health services: literature review and case study. The Milbank Quarterly, 94(2), 392-429.
Hilt, A. J. (2019). Evolving Roles of Health Care Organizations in Community Development. AMA journal of ethics, 21(3), 201-206.