How are charges captured on the unit? Is this system efficient? Why or why not? The charges are set according to patient diagnosis codes. The insurance companies and Medicaid have a set allowable charge for nursing care and supplies.
An insurance policy is a legally agreement contract between the insurance company and the people (who buys the policy). In exchange for a specified sum for money (premium), the company agrees to pay the persons items if lost or damaged which is named in the contract. For example, if the shampoo was damage on the way to the store, the insurances company will pay, so the business does not suffer from it. The benefits for carrying out on a market research on a product for example shampoo is that: first, you will be able to learn who your customers are and what their views are
Difference and Similarities among the major types of health plans 01/04/2012 The two major types of insurances in the United States are the indemnity and managed. Indemnity insurance patients can choose health care providers and hospitals. Referrals to specialists are not required. Patients pay deductible and insurance will pay the major part of the bill if the expenses will be considered “reasonable and customary”. Preventive care services are not covered.
The policy I have chosen is Title XXI, also known as State’s Children Health Insurance Policy (SCHIP). It is legislation included in the Balanced Budget Act of 1997. Section 4901 of Title XXI establishes a program with the stated purpose of “providing funds to States to enable them to initiate and expand the provision of child health assistance to uninsured, low-income children in an effective and efficient manner that is coordinated with other sources of health benefits coverage for children. Such assistance shall be provided primarily for obtaining health benefits coverage through :`( 1) obtaining coverage that meets the requirements of section 2103, or`(2) providing benefits under the State's Medicaid plan under title XIX, or a combination of both.” (BBA) As touched upon in the purpose
Welfare is concerned with meeting human needs for such things as food, shelter and clean water, preventing absolute and relative poverty and providing health, education and other services. Pete Alcock (2003) divides welfare provision into four sectors which will be discussed in this essay. The informal sector is informal care provided by friends, relatives or neighbours. The strengths of the informal sector are that it is free and therefore saves money for the state which reduces dependence of the state sector, another strength is that the care is personal and may therefore be tailored to meet the needs of the individual. However there are many disadvantages of informal care as there is no regulation of the competence of training of providers.
4). The Southern New Jersey Planned Parenthood prenatal clinic has a partnership with Cooper Medical Center. By joining forces with the Cooper Medical Center patients can receive prenatal care at the Southern New Jersey prenatal clinic and deliver their babies at a reputable health care facility by trained medical residents. This partnership is valuable to the health care marketing strategy because both organizations can coordinate and help guide an individual's health care needs without the potential of conflict, jealousy, or competition. Each organization benefits from wider exposure, more referrals, and marketing that is more efficient (McCord, 1999-2012, para.
Subsidy is a set amount of money a family would revive in order to aid in the extra help and care they would need to provide for the child. There are two types of adoption subsidies, support and medical. Department of Human Services defines these two types very well, “Support subsidy assists with the payment of expenses related to caring for and raising the child. Medical subsidy assists with the costs of necessary treatment for a physical, mental, or emotional condition which existed, or the cause of which existed prior to the adoption.” (michigan.gov/dhs) Children can be eligible for either one or sometimes both. The goal of the program is not to pay for every expense a child may have but to help those families with a adopted special needs child to pay for the extra costs that arise; For example therapy or medicines.
Alabama’s wellness premium discount program will focus on four main health issues; blood pressure, cholesterol, glucose, and body mass index. Employees for the state of Alabama will be offered a $25.00 wellness premium incentive discount on their single coverage, provided they meet the baseline readings for the aforementioned health issues. This discount will be offered in addition to their $25.00 premium incentive discount for non-smokers and their SEIB Wellness program, a program that is already in place for state employees. The SEIB Wellness program is completely voluntary and is a program set up to aid the state employee with preventative healthcare (SEIB, 2008). This program provides free screenings during work hours for several serious medical conditions like diabetes, pulse, blood pressure, Body mass index (BMI) only to name a few.
Health Care Reform Economics 450 I will talk about the history of health care reform in the United States. Also, I will discuss the current legislature that is in Congress to improve the policy for Americans. I will also look at consumer-driven health plan. I will cover the advantages and disadvantages to the health care reform. I believe that everyone has something to gain from improvements in the insurance health care system.
Economic Issues for HMOs Dana Carter HCS/440 December 7, 2010 Tom Flora, PhD Economic Issues for HMOs This simulation looks at providing health care insurance coverage from the standpoint of a health maintenance organization (HMO). The obligation of Castor Collins is to provide health care for potential members of two companies, Constructit Construction and E-Editor. Castor Collins had to decide about quality of health care at a price that covers premiums and potential earnings from the plans both companies can purchase. Castor Collins also had to decide if insuring both companies would be optimal in the HMO and would they have to deny coverage based on a risk and utilization assessment. Insurance Plans The simulation