Third Party Payment System In Business Healthcare

Nexhip Sheholli
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Abstract

Occupational health companies that do not provide products or services directly to patients generally share the same operating environment as companies in other industries. For example, machine tool makers Cincinnati Milicron and GE Medical Systems sell their products in much the same way.Cincinnati sells its machines directly to manufacturers who use them to make other products, and GE Medical sells diagnostic equipment directly to hospitals, clinics and other facilities that use its equipment for diagnostic tests. The prices that both companies charge for their products are set in a competitive marketplace, making it relatively easy for buyers to distinguish between competing products. In general, the more expensive the product, the better the performance, and performance can be judged by more or less objective metrics. For example, in some sectors of occupational health and most other sectors of the economy, consumers of products or services have many suppliers to choose from, distinguish the quality of competing products or services, and Can (probably) act and make decisions rationally. As for the quality and price of the purchase, we will bear the full purchase cost. However, for the most part, the provision of health care in the workplace has its own way of doing things. First, there are often only a few companies offering a particular service in your neighborhood. Moreover, it is very difficult, if not impossible, to assess the quality of competing services.Decisions about which aids to purchase are typically made by physicians or other clinicians, not by the consumer of these aids. Payments to providers are generally made by third-party payers, not by users of the assistance. Finally, for most people, third-party health insurance is fully or heavily subsidized by employers or government agencies, leaving patients largely isolated from professional medical bills.
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商业医疗中的第三方支付系统
不直接向患者提供产品或服务的职业健康公司通常与其他行业的公司有着相同的经营环境。例如,机床制造商辛辛那提米里克龙公司和通用电气医疗系统公司的产品销售方式基本相同。辛辛那提公司将机床直接销售给制造商,制造商使用机床生产其他产品,而通用电气医疗系统公司则将诊断设备直接销售给医院、诊所和其他使用其设备进行诊断检测的机构。两家公司的产品价格都是在竞争激烈的市场中确定的,因此购买者比较容易区分竞争产品。一般来说,产品越贵,性能就越好,而性能的好坏或多或少可以通过客观的指标来判断。例如,在职业健康的某些领域和大多数其他经济领域,产品或服务的消费者有许多供应商可以选择,可以区分竞争产品或服务的质量,可以(可能)理性地行事和决策。至于购买的质量和价格,我们将承担全部购买成本。然而,在大多数情况下,在工作场所提供医疗保健服务有其自身的方式。首先,在您的附近往往只有几家公司提供某项服务。此外,评估竞争服务的质量非常困难,甚至是不可能的。购买何种辅助器具的决定通常由医生或其他临床医生作出,而不是由这些辅助器具的消费者作出。向医疗服务提供者付款的一般是第三方付款人,而不是辅助器具的使用者。最后,对大多数人来说,第三方医疗保险由雇主或政府机构全额或大量补贴,这使得病人在很大程度上与专业医疗费用绝缘。
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