This article explores the problem of putting a value on procedures and medical services for the purposes of billing the National Healthcare Fund. The points valuation has been based on the system of using homogeneous groups of patients that has been functioning since 2008. The given examples show the rules that the National Healthcare Fund is using for valuing the benefits and show the actual costs and prices within the medical services market.
The article presents the organization of health care system in the United States, both the public sector - Medicare and Medicaid - and private sector, especially managed care. The attention was paid both to the positive features of American model of health care, such as advanced medical technology and elasticity, and to the negative features, such as the lack of universal access to health services, high costs and complexity.
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