This can reduce the readmission process and rate at the organization along with financial gain and improving the satisfaction of patients. Emergency room wait times also can be improved to reduce the financial stability of the healthcare organization. Often times, there are so many patients waiting in the emergency room to be seen, making time is hard to attend to every patient at an adequate time frame. By improving those areas mentioned at the facility, the organization can focus on the mission and the commitment of good service and performance at the
Their role within the health care system is to pay for their employee’s medical care. On the other hand, they are the ones to decide what should be paid for and to what extent (Sultz & Young, 2012). Employers are concerned about how much money they are putting into their employee’s health care, but are interested in keeping them healthy so they can get back to work as soon as possible. Therefore, employees are paying a premium due to their employers only paying a specific amount for their health care. As companies have tried to tighten the budgets, benefits have fallen victim.
Although managed care has been shown to reduce costs, it is probably not the answer to all of America’s health care problems. Some HMOs have made money through risk selection, accepting mostly healthier patients. Other HMOs may find it difficult to maintain quality of care once the easy savings from discounting and substitution have been taken and thus may be tempted to reduce services in precisely those areas where patients, hampered by information asymmetry, depend most on professionals for monitoring
The Castor Enhanced plan does allow for patients with those conditions to purchase coverage, as well as providing full coverage of services. This translates into more payments to Castor Collins, but they also run the risk of having less beneficiaries from ConstructIt due to the high premium of
This change has been implemented in order to better meet the organization’s goal of “one call resolution.” As is the case with many health care organizations, this change seems to only be a minor improvement in the quality of service that we provide (Tubbs, Husby & Jensen, 2009). Conversely, the addition of the SME teams several years ago seems to have reduced the number of wrong answers per million opportunities, or WAPMOs. Fewer WAPMOs means fewer member callbacks and fewer instances in which the organization must pay for non-covered services due to the initial incorrect quoting of benefits. Conclusion In conclusion, this call center has a formal organizational structure and is an open system. The organization has a strong base, but recent process improvements have had mixed results.
The current alternative to the fee-for-services is the capitation arrangement. The physicians believe that the pay-for-performance is controlling how that he or she conducts the practice, but it will eliminate many expensive and unnecessary procedures (Shi & Singh, 2012).The pay-for-performance in the United States healthcare industry comes after the capitation and managed care and if managed correctly will become an asset and if not it will become a major blunder. The goal of pay-for-performance is to change patient behavior and doctors and hospitals with a rewards systems or punishment. A pay-for-performance bonus for doctors can be an increase for the general fee-for-service hospitals can receive an extra in the form of the diagnosis group-based payment (Shi & Singh,
The Affect Privatization Has On Mental Health Services In order to improve cost-effectiveness and quality, states have made an attempt to privatize mental-health care in Wake County and across the state. In other words, they are trying to save money and reduce the cost of their budget, but in reality they are decreasing the quality of service. Since privatization has taken place, it has affected the delivery of services to mental-health clients in several ways. When previously government-provided services are turned over to private sectors, it can have a tremendous impact on patients who are extremely sick because they might not be able to get the special treatment that they need. When private companies begin to furnish the care that counties
The best health plan that the Castor health insurance plan can offer this company is the Castor standard plan. It has a premium of $2,428 which in the end would save Constructit almost $572 a person using the Castor standard. By choosing this not only does it give the employees the best benefit, it will also utilization and risk will be low in which it will cover all employees. When it comes to the profit margin it was low, to where some representatives believed that it would be best by increasing the profit by giving the company a higher premium, but would give all employees that would have a pre-existing condition/s would be covered. As a Castor employee it seems like this would be a bad choice, for the reason that because of the age of the employees not all would be using all the services that are offered to them, so employees of the Constructit would be paying for services that wouldn’t be used.
However, they may be given medication but not the best treatment only medication which allows them do get rid of their illness on the surface but does not actually satisfy the underlying problems. The rich on the other hand are able to afford the best treatment which means that they can get medication which will allow them to get better quicker meaning they can get back into their jobs as they are healthy again and continue on with their daily routines and spend money on leisure activities. As well as the poor is unable to afford medication they when they are ill it also effects their jobs as they will be off on the sick which also effects their income making it even more of a struggle for the less better off. Secondly the Feminism perspective is about how women aren’t as equal as men within health care. The Feministic approach believes that Pregnancy and childbirth should not be seen as a medical issue or an illness and it should be seen as a natural
I believe if education was mandatory and if there were equal education opportunities for all the people in Annawadi the amount of poverty would be minimized. I believe it would also decrease the amount of corruption in the society. I think it would make a positive impact on the hospitals and other government ran facilities. Without education, people are not exposed to new ideas and innovation. Education one of the things that derives people to change what is not benefiting them.