Economic Issues Simulation
Economic Issues Simulation
440
June 3, 2013
Janine Lewis
Economic Issues Simulation
Health Maintenance Organizations (HMOs) have an important role to their patients and their health care providers. Castor Collins Health Care Plan was found in the year of 1999, in Pantome. This particular HMO service provide health care insurance and health care services to a variety of physicians and hospitals. This company used the capitation idea for compensation to pay its health care providers. Castor Collins is currently serving 100,000 members, throughout Pantome, and is looking for ways to increase the their numbers. I am a representative of Castor Insurance Organization. I am as well the Vice President, Strategy and Financial Planning here at Castor Collins. My responsibilities include but not limited to, interacting with new potential clients and conveying health care plans that will be benefit them. My job here is to try and maximize profit and also minimize the risk for the company. I will do an analysis that will include the demographics of the employees, the health care risk factors or potential areas of high utilization, and the premiums the company is willing to pay. I will give at least two reasons why I would either choose the Constructit or the E-editor plans. I will state the plan I would be willing to sell to my company, and provide the reasons for my choice, and why the other plans would not be beneficial to my company. In January of 2006, Castor Collins was approached by two organizations looking for health insurance. The two groups Castor Collins have to choose from are Constructit and the E-editor. Construcit have total of a 1000 people, and the E-editor consist of 1600. Neither company provide insurance for their employees at the present time. The Constructit group are willing to pay at least $4000 per person, and the E-editor is willing to pay the least possible $4500 per person. The Castor standard plan do not
440
June 3, 2013
Janine Lewis
Economic Issues Simulation
Health Maintenance Organizations (HMOs) have an important role to their patients and their health care providers. Castor Collins Health Care Plan was found in the year of 1999, in Pantome. This particular HMO service provide health care insurance and health care services to a variety of physicians and hospitals. This company used the capitation idea for compensation to pay its health care providers. Castor Collins is currently serving 100,000 members, throughout Pantome, and is looking for ways to increase the their numbers. I am a representative of Castor Insurance Organization. I am as well the Vice President, Strategy and Financial Planning here at Castor Collins. My responsibilities include but not limited to, interacting with new potential clients and conveying health care plans that will be benefit them. My job here is to try and maximize profit and also minimize the risk for the company. I will do an analysis that will include the demographics of the employees, the health care risk factors or potential areas of high utilization, and the premiums the company is willing to pay. I will give at least two reasons why I would either choose the Constructit or the E-editor plans. I will state the plan I would be willing to sell to my company, and provide the reasons for my choice, and why the other plans would not be beneficial to my company. In January of 2006, Castor Collins was approached by two organizations looking for health insurance. The two groups Castor Collins have to choose from are Constructit and the E-editor. Construcit have total of a 1000 people, and the E-editor consist of 1600. Neither company provide insurance for their employees at the present time. The Constructit group are willing to pay at least $4000 per person, and the E-editor is willing to pay the least possible $4500 per person. The Castor standard plan do not