Please do a paragraph about this post with this instruction .

post most have  4 or more  sentences .

 you also have to have a high quality post from a content perspective. This means it also needs to do more than agree with or praise a class mate. If you agree with a classmate, explain why, give an example, share what you learned in the readings

Population aging, rapidly increasing costs of healthcare and the growing burden of chronic diseases are challenges to health systems worldwide. To meet these challenges will require new approaches to healthcare delivery and comprehensive population health management. Within the context of healthcare reform initiatives, important innovations in the delivery system organization in the United States are discussed. The innovations focused on are the Patient-Centered Medical Home (PCMH), the Accountable Care Organization (ACO) and the Population Health Management System (PHMS) combined with new payment arrangements that reward for health outcomes achieved rather than paying a fee for each service rendered. For each of these innovations, the evidence on its performance, the challenges involved, and the factors that might promote greater adoption and diffusion of successful models are reviewed.

The growth of chronic illness and aging populations, has placed a substantial burden on healthcare systems in both developed and developing countries. For example, 60% of all deaths worldwide are due to chronic illness. Chronic illness also has a huge economic impact. For example, over the next ten years, chronic illness will result in $558 billion of costs as well as lost productivity in China; $237 billion in India; and $33 billion in the United Kingdom. In the US, nearly three-quarters of Americans over the age of 65 suffer from a chronic illness and half of them more than one chronic illness. Chronic illness in the US accounts for 75 percent of the $2.4 trillion of healthcare expenditures.

The US has the most expensive healthcare system in world with health status indicators that are only average in comparison with the less costly health systems of other countries. Throughout the world, the coming decades will further integrate public health and healthcare delivery to reduce the growing chronic illness burden of disease on economic growth, quality of life, and global security. This is the New Pubic Health (Public Health Reviews, n.d.).

Issues that prompted health care reform would be the following:

Growing numbers of uninsured people.

A growth in personal debt and bankruptcy due to medical cost.

An ever-increasing cost of health care.

Ever-growing profit for the health care corporations.

And a growing national debt and deficit (Health Care Facts, n.d.).

Health Care Facts: Why We Need Health Care Reform. (n.d.). Retrieved from http://obamacarefacts.com/healthcare-facts/

Public Health Reviews. (n.d.). Retrieved from http://www.publichealthreviews.eu/show/f/26

Jacquelyn Stewart

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