Healthcare financing systems

Origins of U.S. healthcare financing systems • Employer-based health insurance remains the predominant source of health insurance for working Americans.• Payment for health services as a mosaic of government and private sources• While more than 21 million Americans gained health insurance due to the ACA and Medicaid expansion, millions remain uninsured• Effects of managed care on costs, quality, and access to health care; implications of financial risk-sharing

The financing of healthcare is an extremely complicated mechanism.  The combination of payors, fee schedules, private plans, state, and federal funding issues all make reimbursement for care difficult to monitor, predict and calculate.  Looking at the material above, what are the three issues you feel will need to be addressed within the next 5 years to address the issues related to reimbursement?  Support your response with experience and/or material. Cite as appropriate.