The passage and implementation of the PPACA expanded health insurance coverage to many who did not previously have health coverage, and mandated that health services organizations promote the uptake of strategies to foster health and well-being that is accessible, affordable, and effective for all who carry health insurance coverage. However, while the main goal and mission of a health services organization is to deliver effective health services, it, too, must operate as a business and perform competitively within the healthcare delivery system. To that end, it may come as no surprise that some limitations and caps are placed on certain procedures, treatments, or health services depending on health insurance coverage type or subscription. In essence, such “rationing” of healthcare is commonplace and may present an ethical dilemma for the healthcare administration leader.
As a current or future healthcare administration leader, how might you rationalize the aims of promoting effective healthcare delivery for all who now have coverage extended due to the mandates of PPACA, while minimizing increased costs to deliver services to all and still remaining competitive in the healthcare delivery system? Identify a current strategy that the government uses to ration healthcare. Then, describe how this policy may influence your health services organization and explain how this policy impacts healthcare cost and access. Be specific and provide examples.