Health Reform in the United States
Who should make the decision about whether to provide coverage and reimbursement for a particular good or service? Use the Discussion / Writing Rubric
Sample Solution
The decision about whether to provide coverage and reimbursement for a particular good or service should be made by the health insurer, taking into consideration various factors such as cost-effectiveness, medical necessity, patient demand, and potential risks. The insurer should consult with healthcare professionals who have expertise in the specific area of treatment or diagnosis being considered. Additionally, input from patients’ families and advocates can help ensure that all perspectives are taken into account when making these decisions. Finally, it is important to consider both ethical values and efficacy data when making the final determination about what will be covered and reimbursed by health insurers.