Discussion: Population Health Models Essay

Nurse practitioners can influence the health of populations or groups of people in the community. Their impact is reflected through population health models. This discussion will specifically focus on the All-Payer Rate Setting Model. It will capture the sections of the model that portray the role of a nurse practitioner. Additionally, it will address various methods for financing health services, stating the pros and cons of each one of them.

The All-Payer Rate Setting Model was designed to guide the pricing of both healthcare services and drugs (Anderson & Herring, 2015).  Some sections of this model reflect aspects of the role of a nurse practitioner. Specifically, the pricing section of the model as an impact on the role of an NP. This model states that prices for medical services should be based on a competitive, market-oriented health care system (Bakhamis et al., 2018). This pricing strategy enables practitioners to offer quality care services to all clients.

Two primary methods are used to finance health services. First, these services are funded through general taxation in which direct and indirect tax ae used to fund healthcare services. Based on the population health approach, this financing method enhances care delivery to all members of the population, thus reducing health inequities among some groups in the community (Liaropoulos & Goranitis, 2015). On the disadvantages, the quality of healthcare services is likely to be compromised since the government has a strong incentive and ability to regulate care costs. Another primary method of financing is the user ‘pays out-of-pocket, in which individuals incur the cost of care. The key advantage associated with this method is improved quality of care. On the contrary, this funding method promotes health inequities among members of the population (Rice et al., 2018). Discussion: Population Health Models Essay.

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In conclusion, the pricing part of the All-Payer Rate Setting Model has an impact on the role of nurse practitioners. It enhances their service delivery to the clients. Healthcare services are mainly financed through general taxes, and user ‘pays out-of-pocket methods. 

References

Anderson, G., & Herring, B. (2015). The all-payer rate setting model for pricing medical services and drugs. AMA journal of ethics, 17(8), 770-775.

Bakhamis, L., Matsumoto, T., Tran, M., Paul III, D. P., & Coustasse, A. (2018). Maryland’s All-Payer Health Care System: A Light at the End of a Tunnel. The Health Care Manager, 37(1), 11-17.

Liaropoulos, L., & Goranitis, I. (2015). Health care financing and the sustainability of health systems. International Journal for Equity in Health, 14(1), 1-4.

Rice, T., Quentin, W., Anell, A., Barnes, A. J., Rosenau, P., Unruh, L. Y., & Van Ginneken, E. (2018). Revisiting out-of-pocket requirements: trends in spending, financial access barriers, and policy in ten high-income countries. BMC health services research, 18(1), 371.

Discussion: Population Health Models

• Research and comment on a public or community health model that encompasses your beliefs about population health. Note: I am looking for population health models, not nursing theorists or individual health models (e.g., health belief model, Prochaska, etc.). This discussion focuses on how the NP can influence the health of groups or populations, not an individual’s health.
• Explain the parts of the model that reflect aspects of an NP role.
• Describe the ways health services are financed, and list the pros and cons of each using a population health approach (refer to your model). Discussion: Population Health Models Essay.