Health Services for Special Populations

In the 1990s, the U.K. implemented a policy “to promote better value for money and to improve consumer choice” through the allocation of funds to groups of medical practices for the purpose of paying for health care services for their given population (Dixon & Glennerster, 1995). Given this information, imagine that you are the lead provider over a large family medical practice that provides care for 10,000 individuals and you are given an annual allocation of $1M that can be used to provide care for your patients (beyond the routine, primary care services). Now, let’s say that one member of your practice, a young child, develops a rare disease that will require $750K in annual health care costs. Answer the following: How would you manage this situation? What would you do if, instead of a child, the individual was 80 years old? Discuss your thoughts on this related to cost, quality, and access.

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