Date of Award


Document Type

Scholarly Project

Degree Name

Master of Physical Therapy (MPT)


Physical Therapy

First Advisor

Beverly Johnson


Insurance, Health, Reimbursement -- history


Reimbursement of medical services by third-party payers is becoming more contingent upon the effectiveness of services at an affordable cost. The push for cost containment brings about the need for the health care professional to have a sound understanding of medical care coverage to provide quality services at an affordable price.

The present coverage of medical care in the united States is largely dependent upon medical benefits offered by employers. In order to understand current trends in medical care coverage and the reliance on employer based coverage, this independent study explores the origins and development of the current medical care reimbursement system. A review of the origins and development of health insurance helps the health care professional to understand the foundation of the current reimbursement system, as well as provides him/her with a basis on which to recommend cost effective changes for the future.