Financial Medical Policy: Navigating The Intersection of Accounting, Economics, and Healthcare
DOI:
https://doi.org/10.36733/juara.v16i1.13871Keywords:
Cost Management, Financial Medical Policy, Healthcare Accounting, Healthcare Delivery, Public Sector AccountabilityAbstract
Financial medical policy refers to the frameworks and regulations that govern funding, reimbursement, cost management, and financial accountability within healthcare systems. As healthcare costs continue to rise globally, it becomes essential to understand how financial policies, accounting information, budgeting practices, and resource allocation mechanisms influence access to care, quality of services, and overall health outcomes. This research explores the interplay between financial medical policies and healthcare delivery from an accounting-oriented perspective, particularly in relation to cost control, transparency, accountability, and performance-based financing. Using a qualitative literature-based approach, this study analyzes empirical studies, institutional reports, and selected international case examples to identify key issues and policy implications. The discussion highlights that financial reporting, management accounting practices, budgeting systems, and public sector accountability mechanisms can support more effective healthcare governance. The study also emphasizes the importance of value-based care, ethical financial decision-making, health equity, and financial literacy among healthcare providers. Furthermore, this paper proposes recommendations for improving financial medical policies to ensure equitable healthcare access, efficient resource allocation, and sustainable financial management.
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References
Bohmer, R. M. J. (2016). The Single-Payer Alternative: A Policy Proposal on Value-Based Care. The New England Journal of Medicine, 374(19), 1876-1882.
Chen, A. L., et al. (2019). Achievements in Accountable Care Organizations and Their Impact on Cost and Quality. Health Affairs, 38(1), 136-143.
Dafny, L. S., et al. (2018). Bundled Payments for Care Improvement: Trends in Medicare Service and Patient Outcomes. The Journal of Health Economics, 61, 63-71.
Dyer, J., Smith, R. J., & Chang, E. (2020). Economic Considerations in Clinical Decision-Making: A Review. Journal of Healthcare Management, 65(2), 89-102.
Gaffney, A., & Ettner, S. (2019). "The Affordable Care Act and Its Effects on Health Disparities in the United States." American Journal of Public Health.
Grossi, G., Vakkuri, J., & Sargiacomo, M. (2022). Accounting, performance and accountability challenges in hybrid organisations: a value creation perspective. Accounting, Auditing & Accountability Journal, 35(3), 577-597.
Health Equity Guide. (2021). "Achieving Health Equity: Strategies for Policy Development."
Joshi, M. S., et al. (2020). The Interplay of Cost and Equity in Health Policy Decisions: Implications for Marginalized Populations. American Journal of Public Health, 110(1), 35-42.
Kaiser Family Foundation. (2020). "Key Facts on Health and Health Care by Race and Ethnicity."
Khan, A. A. (2024). The Intersection of Finance and Healthcare: Financing Healthcare Delivery Systems. Journal of Education and Finance Review, 1(1), 22-34.
Kressin, N. R., et al. (2021). Rethinking Ethical Decision-Making in Financially Driven Healthcare Environments. Health Services Research, 56(5), 944-951.
Malmmose, M. (2019). Accounting research on health care–Trends and gaps. Financial Accountability & Management, 35(1), 90-114.
McWilliams, J. M., et al. (2016). "Outcomes in Patients with Chronic Disease After Enrollment in a Medicare Accountable Care Organization." Health Affairs.
Muo, I. N., & Sinai, T. (2021). Financial Literacy in Healthcare: Perspectives from the Field. Health Services Research, 56(4), 514-526.
OECD. (2021). "Health at a Glance 2021: OECD Indicators."
Papanicolas, I., Woskie, L. R., & Jha, A. K. (2018). Marmor vs. the Market: Comparison of the US Health Care System and Healthcare Systems in Other Countries. Health Affairs, 37(7), 1092-1098.
Porter, M. E., & Teisberg, E. O. (2006). Redefining Health Care: Creating Value-Based Competition on Results. Harvard Business Press.
Porter, M. E., et al. (2016). "How to Pay for Health Care." Harvard Business Review.
Rania, I., Ray, M., & Mangal, S. (2025). Navigating Healthcare Economics. Journal of Pharmacoeconomics and Pharmaceutical Management, 11(01), 5-13.
Schreyögg, J., et al. (2020). "Germany: The health care system in transition." Health Systems in Transition.
World Health Organization. (2018). "Health Systems Financing: The Path to Universal Health Coverage." World Health Organization.
World Health Organization. (2021). World Health Statistics 2021: Monitoring Health for the SDGs. WHO Press.
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Copyright (c) 2026 Chris G. Sorongon, Sheryl S. Divinagracia, Anik Yuesti, Dennis V. Madrigal, Ni Luh Nyoman Sherina Devi

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