Medicareis a significant player in the country’s health sector. Otherprivate and public payers have even adopted its payments andreimbursements methods. Transformations on the payment systems ofMedicare will be meaningful in ensuring that payment of physiciansand other significant health providers is in line with quality healthcare. Providers should be paid based on value as opposed to theamount of work they do. Currently, Medicare provides coverage forailments that are reasonable and necessary. It fails to considerwhether the treatment administered is effective or whether there areother treatment options that could be effective in both treatment andcost. Similarly, Medicare relies on the reliability of evidencepresented by a patient to determine coverage but does not employ thesame evidence for reimbursement rates. This should be changed toalign new treatments with effectiveness in comparison to Medicare’scoverage services.

Manyhealthcare consumers do not have the necessary information they needconcerning health. They lack information concerning the cost andeffectiveness of various methods they undertake. This is caused bythe traditional approaches where a given individual has the soleresponsibility of catering for all the health needs of a givenpatient. The nation’s health should not be put under theresponsibilities of given individuals. Team-based approaches shouldbe launched in all sectors that deal with health(Haseltine, 2013). Teamwork will help in mobilizing community health workers, home healthaides, primary care clinicians, nurses and other specialists ininitiatives for quality improvement. Team based practice will improveclinical outcomes while increasing patient satisfactionsignificantly. This will also reduce the cost of healthcare. For thisrecommendation to be effective, an entire redefinition of workforcepolicies will be necessary.


Haseltine,W. (2013). AffordableExcellence: The Singapore Health care Story.

WasingtonD.C: Bookings Institutional Press.