Research into planning provision of services is a function of research. The research can be used to justify the money spent on public health services. It could be medicine based to do with the NHS and your local GP. Such things like diseases and pregnancies could cost a lot but in the long run it could be worth
I have discussed the advantage of the consumer driven health plans. I talked about the advantage and disadvantage of the reforming health care. I believe that the advantages overweight the disadvantages of health care reform. It will allow the uninsured to have health insurance coverage and mandates coverage for all
Physician Shortage and Economic Concepts HCS/552 May 19, 2014 Physician Shortage and Economic Concepts When researching a current issue in health care, it is important to gain as much knowledge as possible. Current issues must be evaluated and researched to analyze how the issue will affect an organization. After research and evaluation, it is important to be able to apply some of the economic concepts to the issue to make a decision on how an organization should approach an issue. This paper will approach the issue of physician shortages in rural and low income urban areas in the United States and apply three economic issue to the issue. This paper will discuss supply and demand, an economic impact study, and marginal analysis
Ramifications of Participation Contracts HCR/230 June 9, 2011 Ramifications of Participation Contracts Participation contracts must be reviewed carefully by providers before they agree to one. In some cases a participation contract may “pay less than a physician’s set fees resulting in less revenue, and can they also can limit a physicians professional judgment when treating patients” (Valerius, Bayes, Newby, & Seggern, 2008, p.305). Aside from these issues, participation contracts can increase revenue and patient numbers by using a providers name in advertisements in the newspaper or on the radio or television. Their names are also added to the list of participating providers given to plan members, so the number of patients could
Could administrator’s change financial and data entry to look successful or to receive more funding? These are just a few reasons to look into administrators of each hospital. The third and final source is the supervisors and finance department that is under each administrator. The problem could be starting from the bottom and making its way up. Administrators depend on the information they receive from the employees under them.
Introduction With quality, being a big factor in healthcare, patient safety has proven to be one of most pressing health care challenges for hospitals and providers. The Affordable Care Act, which includes policies to help physicians, hospitals, and other caregivers improve safety and quality of patient care, is also intended to make health care more affordable. According to healthcare.gov, Medicare will begin to reward hospitals that provide high quality care for their patients through the new Hospital Value-Based Purchasing Program. This means that Medicare will pay hospitals for inpatient acute care services based on care quality, not just the quantity of the services they provide. Changing how payments are made to hospitals for services, there is an expectation that there will be higher quality care for all hospital patients.
As companies have tried to tighten the budgets, benefits have fallen victim. Employees who once paid little for medical care are now paying more out of pocket. It is likely that this shift has required medical providers to rely on payments from patients who may have trouble paying their share. Until recently, employers did not focus on medical insurance programs that required those covered under the plan to take any type of accountability for their health. Therefore, employers need to establish wellness programs that promote prevention instead of merely giving insurance that covers illness and disease.
Comparison of Health Plans Allison Hershberger HCR/230 September 22, 2013 Jill Frawley Comparison of Health Plans PPO stands for preferred provider organization and is a managed care organization of medical doctors, hospitals, and other health care providers who have a binding agreement with an insurer or a third-party administrator, which usually pay participating providers based on a discount from their physician fee schedules, called discounted fee-for-service (Valerius et al, 2008). Providers in the PPO will provide the insured members of the group a substantial discount below their regularly-charged rates. These arrangements help to ensure that the insurer will be billed at a reduced rate when it’s insured utilize the services
Running Head: Organizational Responsibility and Current Health Care Issues Organizational Responsibility and Current Health Care Issues Nicashia T Brown Maria Soohey HCS/545 December 23, 2013 Organizational Responsibility and Current Health Care Issues Quality can be up and coming focal point in the healthcare field. Future stipulations place provider and organization reimbursement dependent upon quality of care. The Patient Protection and Affordable Care Act (PPACA) or the Affordable Care Act (ACA), which it is commonly known, quality of care will be the focal point. Providers will be held accountable for their misdealing of patient care, under the PPACA. In order to drive an improved bill of health in America, this focus must
The purpose of writing this paper is to discuss health care capitation and healthcare provider excess insurance, how it has changed or affected health care today. First, I will discuss how this significant event relates to the changes on health care. Then, I will discuss my opinion on how it has impacted the historical evolution of health care. Last but not least, I will discuss my opinion based on my beliefs and values. Research shows that capitation is defined as a fixed sum per person paid in advance of the coverage period to a health care organization keeping in mind of its providing, or arranging to provide agreed health care services to the eligible individual for a specified time.