The Health Maintenance Organization (HMO) Program will coordinate with a specified group of doctors and hospitals to provide care. Employees are limited to only the specified groups or hospitals the HMO provides. The HMO plan offers no deductible, and copayment fees from $0 to $20 for visits depending on services performed. Employee also will be offered the option to seek their own healthcare providers outside the HMO program for an additional cost. A Preferred Provided Organization Program is also available to employees who want to visit their own doctor and hospital providers. There will a yearly family deductible of $500 and $250 for individual before any medical expenses are covered. The plans will pay 80% on care provided or performed within the preferred provider list. The plan will pay only $70 on care rendered outside the preferred provider…
This paper is an economic analysis of healthcare providers Anthem and Kaiser Permanente. Included will be information on competition, pricing and the effects of elasticity of demand has on both companies.…
The practices which have a group HMO are paid per member per month capitated rate for each subscriber assigned to them for primary care services. Although other providers handle laboratory tests and other specialty tests as needed. (Valerius, Bayes, Newby, & Blochowiak, 2012)…
Group Health Cooperative (GHC) is more frequently recognized as Group Health, is a founded not-for-profit healthcare organization. Recognized in 1945, it today delivers coverage and care for about 600,000 people in Washington and Idaho.…
In the file ACC 290 Week 2 Learning Team Reflection you will find overview of the following parts: Learning Team Reflection Paper Four Basic Financial Statements Rules of Debit and Credit Journalizing Basic Transactions Use of Financial Statements to External Users Conclusion References…
Ayn Rand’s “Anthem” illustrates a series of ironic connections between great successors of Greek mythology and to her two main characters. The main characters, Equality 7-2521 and Liberty5-300, both contain very interesting and unique personalities, which makes them incompatible with their collectivism society due to who they are and what they believe. Ayn Rand disperses random clues throughout the book that provide evidence and reasoning of why she chose to rename her characters after two significant creator figures in Greek mythology. So, why did Ayn Rand chose the names? How does it explain her philosophy?…
After 1995, the policy changed to provide a flat rate of 25% of commission on premiums for initial and subsequent years with advance payment of 3 years. There would be a 50% deduction of unearned advances for next signup. This incentivizes salesman to not only get new customers but also to ensure that they continue with Prepaid, allowing Prepaid to continue enjoying high persistence in membership.…
Approximately 6 six years ago, I was caught in a difficult situation involving a possible Vulnerable Adult case. As the advocate for my consumer, I felt obligated to report the suspicions that were evident. As a supervisor, I must follow protocol and the chain-of-command in the organization. I found myself between a rock and a hard place.…
Group health plans can choose not to provide benefits relating to any existing conditions up to a total period of 12 months after a person enrolls in the plan or 18 months if they register late . Title I also lets individuals reduce the exclusion period by the total time that they had "viable coverage" before enrolling in the new plan and after any lapses in coverage. "Viable coverage" is interpted quite broadly and includes all types of both group and individual health plans as well as Medicare, and Medicaid. A "lapse" in coverage is any 63 day period without any valid coverage. Title I also obligates insurers to issue policies without any omissions to those indivuduals or familes leaving their current group health plans with valid coverage spanning more than 18 months, as well as renew individual policies for as long as they are offered or give other options for any discontinued plans for as long as the insurance company stays in the market without any omission regardless of any health condition.…
From working on these three assignments over the past few weeks, I learned a great deal of information dealing with some issues pertaining to both One-Mile and the Chico Co-op. From doing research on One-Mile, I learned that there are a lot of problems concerning the homeless issue and cleanliness of the park. The issues dealing with the Co-op were mostly centered around their relocation situation. At the moment, relocation is the Co-op’s main goal but they are experiencing problems with finding the ideal, sustainable location that will keep their users satisfied. Finding out the specifics of these problems was quite challenging. I had to look into each source even further to find more information with both place’s problems. The research methods…
This project taught me how to perform research and collect needed information by analyzing available literature and interviewing involve parties. It provided me with valuable knowledge about patient experience in the hospital and ways to improve it. His project also showed me the importance of team work. Because in order to provide quality care and improve patient safety all health care providers need to work as a team. I will use knowledge that I gained from this experience in my everyday practice. It will help met to analyze my nursing practice and care we provide and look for the solution to improve it. Nurses, as patient advocate, should always insure that patients receive best care possible and that in the end we see positive affect of…
My conclusion, as I took this class my understanding of Christians has being a good outlook for me, in the way that God wants us to live. As I have outline about Jesus did not claim to be God, but he did state that I am the Fathers and Son. And if a person is a Christian, does it matter how they live their life, yes it does because they are suppose to be God leader in order to help others come to God. The local church can communicate God’s love to the community by going out and taking time to help the community understand the meaning of God.…
PPO- Preferred Provider Organization allow visits to innetwork doctors or healthcare provider with out a referral…
My first objective in leading the team to achieve success and run like a will oiled machine would be to decide what needs to be done and order to accomplish the tasks in. Next I would devise a plan of action to lead the team in a particular direction based on objectives established by superiors. Policies would be established or enforced to help the group stay on target. Continually plan ahead focusing on all possible scenarios, aspects, and possible crises to help be prepared and revise and adjust plans as necessary. The revision of my plans would enable me to enact a change of action, by selecting alternative solutions to the problems as they arise.…
This has been an outstanding year! Once again I am attending a 2-day Master Class with Hector Olivera in Sarasota, Florida. For the fourth year I have been a featured pianist with the Naples Concert Band and I have completed my fifth year as a percussionist with them. In addition, I created and performed in a dueling piano show on Marco Island. I continue to accompany the North Naples Middle School Choir and I began accompanying Marco Island Charter Middle School Choir this year. As in the past few years, I will once again work at the Dr. Martin Luther King Administration Building working on aligning the music curriculum with the Florida Standards. Our art, technology teacher and myself along with other related arts teachers from Lely…
