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As health care is becoming more and more complex, it will face many challenges in future.Diversity and changes in tastes and preferences of people regarding their clinic and doctors is making health care management a more complex issue.Forecasting the future of health care and health policy is an imperfect science.Among the predictions made in the mid 1980s were that there would be a phsycians surplus,a growing number of elderly people an increase in the number of people in managed careplans , restructured health benefits, new technologies more for profit health care delivery,rising health care costs and a restrained federal government role.
The following are the main challenges that will be faced by health care management in future: 1.Rising health care costs It was predicted in 1986 that health care spending would reach 14% of the nation’s gross domestic product(GDP) by 2000.In 1990’s, it was thought that managed care and government limits on overall spending would restrain rising costs.
Although managed care did restrain cost growth for a few years ,the recent performance of individual health plans suggests that this will not be a major vehicle for future cost containment .The biggest challenge is the continued failure if decision makers to reach a consensus on how to address the major health care problems facing the country.
2.The tiering of health care Historically disparities in access to health care and health outcomes were seen between insured and uninsured people.However,the new approach to cost containment , which asks individual to pay more for their own health care is going to lead to tiering in which those with higher incomes will be able to afford a wider range of health care services than much of the middle class and those with lower incomes.
Middle class people faces more problems that are related to cost than people with higher income ,thus it creates a huge challenge for health care management in future.
3.Growing number of elderly people Death rates are steadily decreasing while life expectancy has been increasing.These trends would suggest a rapid increase in funding for long term care and development of alternatives to nursing homes. Individuals with higher incomes and private long term care insurance coverage will have a wide variety of options available to them.
4.New technologies In the mid 1980’s organ transplants were expensive, new technology and the financing of these procedures is still difficult. But there are many new and expensive technologies on the horizon, drugs in particular that are likely to be only public’s interest in new technologies and efforts by government and employers to restrict coverage in order to handle service fees.
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