Economic Issues Simulation Review Faith S. Tribbey HCS/440 January 28, 2013 University of Phoenix Eric Oestmann Castor Collins Health Plan Review The Castor Collins Health Plan was founded as an HMO. The HMO is providing health insurance and health care services to enrollees, which Castor Collins has over 100, 000 enrollees throughout the state. As Vice President, Strategy and Financial Planning for Castor Collins, my responsibility is assisting new clients and formulating health plan that suit their needs, which include pricing and selling insurance premiums. There are two companies to select, Constructlt or E-editor that need help with coming up with an insurance plan. Constructlt is the company chosen to present
(2008). Employer adoption of evidence-based chronic disease prevention practices: a pilot study. Retrieved November 10, 2010, from http://www.cdc.gov/PCD/issues/2008/jul/07_0070.htm Geyman, J.P. (2005). Myths and memes about single-payer health insurance in the United States: a rebuttal to conservative claims. International Journal of Health Services, 35(1), p. 63–90.
The Transition Plan is an HMO product including a prescription drug benefit that helps reduce monthly premiums (Kaiser Permanente, 2011). Having a community partner helps Kaiser Permanente to identify low-income individuals in which are not eligible for Medicaid and Medicare. The community partner helps individuals apply to the Transition Plan. In addition, the Ohio Region has an Access to Care Program called Healthy Connections Network in Akron, which assist individuals that are ineligible for other assistance programs. Many patients in which has a medical home are more likely have better continuity of care and less likely to need high-cost emergency care services (Kaiser Permanente, 2011).
What are the pluses and minuses of each? Which do you think would come closest to addressing the gap between the rich and poor and increase access to health care? (10 pts.) For Profit The health care advisers were getting paid more for finding instances where someone would not be able to get health insurance or to terminate the person’s health insurance. Not for profit They care for patients and not their wallets.
* By the vote of 9 states VOCABULARY FOR THE CONSTITUTION: ♦ Enumerated powers: powers specifically delegated to the federal government in Article 1, Section 8 ♦ Delegated powers: same as enumerated ♦ Implied powers: those necessary to carry out the tasks/powers expressly delegated to the government; “necessary and proper” ♦ Advice and consent: refers to the role of the Senate in confirming presidential appointments and ratifying treaties ♦ Writ of habeas corpus: can’t be held in jail/detained without charges against ♦ Bill of attainder: law that singles out individual or group for punishment without trial ♦ Naturalization: granting citizenship ♦ Pocket veto: President not returning a bill to Congress during the 10 day time from before Congress adjourns ♦ Ex post facto: after the fact; retroactive law THE FIRST 10 AMENDMENTS: THE BILL OF RIGHTS: * First: no gov’t est. religion; freedom of religion, speech, press, right of the people to peaceably assemble, petition the gov’t for redress of
Health care providers should provide care that meets the needs of each individual patient, including the use of appropriate advances in medical technology. Health care should also be non-discriminatory, providing the same quality of service regardless of race, ethnicity, age, sex or health status” (Quality of Care, n.d.). The Centers for Medicare and Medicaid Services (CMS) named a program ‘the Physician Quality Reporting Initiative’ (PQRI), based on the 2006 Tax Relief and Health Care Act (TRHCA). The Act necessitated the creation and implementation of a physician quality reporting system which includes incentive payments for those eligible professionals who disclose measures of quality taken for covered Medicare beneficiaries. The quality reporting is done on a voluntary basis offering contributing physicians bonus payments based on Medicare claims for services.
The first phase of this provision provides a credit worth up to 35% of the employer's contribution to the employees' health insurance. Small non-profit organizations may receive up to a 25% credit. States will be able to receive federal matching funds for covering some additional low-income individuals and families under Medicaid for whom federal funds were not previously available. This will make it easier for states that choose to do so to cover more of their residents (HealthCare.gov,
THE IMPACT OF THE AFFORDABLE HEALTHCARE ON CANCER Name: Jacqueline Oteng Professor: C. McMillian Class: Interpersonal comm. 1402 Date: 4/21/14 Abstract This paper is written to analyze the effect of the Affordable care act popularly on cancer. In this paper, the study was carefully sustain evidence were collected from other related sources to come into conclusion of how health care would benefit cancer patient. It purpose was to give the victims an affordable and universal health coverage which will also stop insurance companies from denying coverage for people with pre-existing conditions, or deciding not to cover people with high cost diseases and so on. Cancer, however, would be reduced by implementing the preventive measures of the health care people suffering from the disease could also afford to treat it without going broke.
In order to provide free education for medical students, malpractice insurance for physicians, and free health care for everyone, taxes need to be raised. Ultimately, all Americans can have health care if we pay higher taxes instead of paying the insurance companies. Bibliography 1. Karen Davis, Cathy Schoen, & Kristof Stremikis, Mirror, Mirror on the Wall How the Performance of the U.S. Health Care System Compares Internationally 2010, http://www.commonwealthfund.org/~/media/Files/Publications/Fund%20Report/2010/Jun/1400_Davis_Mirror_Mirror_on_the_wall_2010.pdf. 2.
Consumers who have HMO pay a premium for coverage on medical cost and delivery of health care. Point-of-service plan (POS) is an open HMO. This plan allows members to choose a provider not on the HMO’s network and reduces restrictions. Out-of-network service must be paid by members and the deductible can be costly. The preferred provider organization (PPO) has premiums and copayments that are higher than the ones in HMO and PPO plans.