Third-Party Payment

  • Uncategorized



Thethird party refers to a dental aids agreement that may gatherpremiums, pay dues, undertake risks and offer other administrativeamenities. They are also called insurers, administrative agentcarriers or underwriters. Third-party health cover includes publicand private health insurance plans as well as managed care and idealprovider systems. Public medical insurance programs are open only tothe destitute and aged, and the management is the third party thatrecompenses private healthcare benefactors for providing care to itspolicyholders. Athird-party supervisor is a paymaster who assumes duty for managinghealth benefits without supposing any financial risk. Third- partypayment is a fee for services by somebody other than the recipientwhich could be from the boss or union. This paper will, therefore,focus on the effects of third-party payment on health care, whywealthy countries insist on using it to purchase healthcare and eldercitizens have a separate payment program [ CITATION Kei12 l 1033 ].

Third-party expenditures distort the market for healthcare in thefollowing ways: it makes workers bear the cost of their benefits inthe form of lower wages. Moreover, there is a balance amidemployer-provided health cover and incomes whereby, the one given byan employer looks less costly than it is. The outlook that bosses canbear the price of providing health insurance comes from the mistakenbelief that they pay for remunerations out of a pool of profits.Irrespective of a business’s profits, valued wages out ofemployees’ salaries. They may not be aware of the cost of theirhealth quality yet managers, make employment and salary evaluationsbased on the total cost of service, comprising both earnings andremunerations such as health insurance, retirement and disabilitybenefits and maternity leave. Whenever employers are required toprovide health cover to their workers, they will be lowering thesalaries of those who lack employer-provided health insurance,turning their jobs temporary, pushing that work overseas oreliminating the jobs. Another distortion is that low-deductiblehealth cover boosts over-use of medical care. The tax code altersrecompense judgments away from remunerations and toward expensivewellbeing insurance [ CITATION TRi17 l 1033 ].

Wealthycountries insist on using the third party to purchase healthcarebecause of various reasons, including it ensures that the citizenshave access to basic healthcare comprising of drugs regardless of thecapability to pay and with only uncertain patient cost sharing. Thesesafeguards clients from health care costs. Another reason, theintermediary controls moral hazard which is a major problem faced byinsurers across the world. Accessibility of good medical coverdiffers inversely with its requirement in the population served. Theintermediaries also handle customer complaints well enough to ensurethat they receive a more than 90% satisfaction from the services theyreceive. Government schemes which to a large extent involve largepayments unlike the private health insurance have the insuranceintermediary, who acts as the implementing agency, add or remove ahospital under this scheme. The midway plays a crucial role inmodifying empanelment of private hospitals so as to regulate the fundflow to hospitals and trust authorization. This midway also plays animportant part in improving the quality of care in hospitals, whichresults in upgraded health outcomes [CITATION Sri15 l 1033 ].

Inconclusion, the elderly in society have a separate payment programbecause they are at a higher risk of experiencing high health careexpenditures. The levels of medical care exploitation, combined withthe high price of attention put the elderly population at potentialrisk of financial catastrophe, hence leading to setting up ofadditional sickness insurance to curb this issue.


Gabel, T. R. (2017). At the Intersection of Health, Health Care and Policy. Health Affairs, 20.

Hennessey, K. (2012). Healthcare. Third Party payment in Healthcare.

Rao, S. N. (2015). BMC Health Services Research. BIoMed Central The Open Access Publisher, 15.